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儿科炎症性肠病中的辅助健康专业人员支持：来自加拿大儿童炎症性肠病网络的调查-该网络是由加拿大卫生研究院和 CH.I.L.D. 基金会联合成立的合作组织。

Allied Health Professional Support in Pediatric Inflammatory Bowel Disease: A Survey from the Canadian Children Inflammatory Bowel Disease Network-A Joint Partnership of CIHR and the CH.I.L.D. Foundation.

机构信息

Section of Pediatric Gastroenterology, Winnipeg Children's Hospital, Max Rady College of Medicine, Rady Faculty of Health Sciences and Children's Hospital Research Institute, Winnipeg, MB, Canada.

Department of Pediatrics, University of Alexandria, Alexandria, Egypt.

出版信息

Can J Gastroenterol Hepatol. 2017;2017:3676474. doi: 10.1155/2017/3676474. Epub 2017 May 16.

DOI:10.1155/2017/3676474
PMID:28593172
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5448041/
Abstract

OBJECTIVES

The current number of healthcare providers (HCP) caring for children with inflammatory bowel disease (IBD) across Canadian tertiary-care centres is underinvestigated. The aim of this survey was to assess the number of healthcare providers (HCP) in ambulatory pediatric IBD care across Canadian tertiary-care centres.

METHODS

Using a self-administered questionnaire, we examined available resources in academic pediatric centres within the Canadian Children IBD Network. The survey evaluated the number of HCP providing ambulatory care for children with IBD.

RESULTS

All 12 tertiary pediatric gastroenterology centres participating in the network responded. Median full-time equivalent (FTE) of allied health professionals providing IBD care at each site was 1.0 (interquartile range (IQR) 0.6-1.0) nurse, 0.5 (IQR 0.2-0.8) dietitian, 0.3 (IQR 0.2-0.8) social worker, and 0.1 (IQR 0.02-0.3) clinical psychologists. The ratio of IBD patients to IBD physicians was 114 : 1 (range 31 : 1-537 : 1), patients to nurses/physician assistants 324 : 1 (range 150 : 1-900 : 1), dieticians 670 : 1 (range 250 : 1-4500 : 1), social workers 1558 : 1 (range 250 : 1-16000 : 1), and clinical psychologists 2910 : 1 (range 626 : 1-3200 : 1).

CONCLUSIONS

There was a wide variation in HCP support among Canadian centres. Future work will examine variation in care including patients' outcomes and satisfaction across Canadian centres.

摘要

目的

目前，加拿大三级保健中心照顾炎症性肠病（IBD）患儿的医疗保健提供者（HCP）数量不足。本调查的目的是评估加拿大三级保健中心中门诊儿科 IBD 护理的医疗保健提供者（HCP）数量。

方法

我们使用自我管理问卷，检查了加拿大儿童 IBD 网络内学术儿科中心的现有资源。该调查评估了为 IBD 患儿提供门诊护理的 HCP 数量。

结果

参与网络的 12 个三级儿科胃肠病学中心全部做出回应。每个中心提供 IBD 护理的专职医疗保健专业人员的中位数全职等效（FTE）为 1.0（四分位距（IQR）0.6-1.0）名护士、0.5（IQR 0.2-0.8）名营养师、0.3（IQR 0.2-0.8）名社会工作者和 0.1（IQR 0.02-0.3）名临床心理学家。IBD 患者与 IBD 医师的比例为 114:1（范围 31:1-537:1），患者与护士/医师助理的比例为 324:1（范围 150:1-900:1），营养师 670:1（范围 250:1-4500:1），社会工作者 1558:1（范围 250:1-16000:1），临床心理学家 2910:1（范围 626:1-3200:1）。

结论

加拿大各中心的 HCP 支持存在很大差异。未来的工作将研究包括患者结局和满意度在内的加拿大各中心之间的护理差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d0/5448041/f543f1ba59e1/CJGH2017-3676474.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d0/5448041/a640cbe4fe8d/CJGH2017-3676474.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d0/5448041/e9e409e6ab97/CJGH2017-3676474.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d0/5448041/81879ad257e7/CJGH2017-3676474.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d0/5448041/c22ac7251e68/CJGH2017-3676474.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d0/5448041/f543f1ba59e1/CJGH2017-3676474.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d0/5448041/a640cbe4fe8d/CJGH2017-3676474.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d0/5448041/e9e409e6ab97/CJGH2017-3676474.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d0/5448041/81879ad257e7/CJGH2017-3676474.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d0/5448041/c22ac7251e68/CJGH2017-3676474.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d0/5448041/f543f1ba59e1/CJGH2017-3676474.005.jpg

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