UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Quality of care in adult patients with inflammatory bowel disease transferring between healthcare providers: multicentre audit

Ahmad, OF; Ayubi, H; Clough, J; Dart, R; Gadhok, R; Pannick, S; Parkes, G; ... Sellers, P; + view all (2019) Quality of care in adult patients with inflammatory bowel disease transferring between healthcare providers: multicentre audit. Frontline Gastroenterology 10.1136/flgastro-2019-101347. (In press). Green open access

[thumbnail of flgastro-2019-101347.full.pdf]
Preview
Text
flgastro-2019-101347.full.pdf - Published Version

Download (556kB) | Preview

Abstract

Background: Inflammatory bowel disease (IBD) predominantly affects young adults at critical socioeconomic periods of their lives. There are no studies examining the process of transfer of care for adult patients with IBD changing healthcare providers. Our aims were to assess the quality of referral information provided when patients with an established IBD diagnosis transfer care between heathcare providers and to assess the impact of referral quality on patient outcome. / Methods: Retrospective data pertaining to IBD transfer of care referrals were collected from 16 hospitals across London over a 2-month period. Data were collected on patient demographics, source and content of referral and cross-referenced with an established transfer of care checklist. Patient outcome within the 6 months following transfer was also documented. / Results: 154 cases were identified, over half of which transferred due to patient relocation. Details included in transfer letters were in many cases incomplete. In over 70% of cases, the letter came from primary care, including when a tertiary opinion was sought. Although referrals from primary care contained fewer patient data points, there was no association with poor patient outcomes at 6 months. / Conclusion: This is the first study examining the quality of transfer of care in adult patients with IBD. We highlighted a significant and underreported issue and found that the majority of referrals were led by primary care. Though the inclusion in the referral of fewer data points was not associated with poor outcomes, we highlighted an area where gastroenterologists might take more responsibility to provide smooth and robust transfer of care.

Type: Article
Title: Quality of care in adult patients with inflammatory bowel disease transferring between healthcare providers: multicentre audit
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/flgastro-2019-101347
Publisher version: https://doi.org/10.1136/flgastro-2019-101347
Language: English
Additional information: This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/10092774
Downloads since deposit
81Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item