Strohl Matthew, Zhang Xun, Lévesque Dominique, Bessissow Talat
Matthew Strohl, Department of Internal Medicine, McGill University Health Center, Montreal, QC H4A 3J1, Canada.
World J Gastrointest Pharmacol Ther. 2017 Aug 6;8(3):186-192. doi: 10.4292/wjgpt.v8.i3.186.
To determine the tools needed and problems encountered during the transition of inflammatory bowel disease (IBD) patients from pediatric to adult gastroenterologists (GIs) in Québec, Canada.
We conducted a needs assessment survey of Quebec health care professionals (HCPs). The survey was handed out to 136 Québec HCPs at a local conference in 2013. Additionally, it was emailed to any other HCPs in Quebec involved in caring for IBD patients. The completed surveys were compiled to derive descriptive data. Further specific subgroup analysis was then conducted.
Among the conference attendees and individuals emailed 77 (28.2%) completed the questionnaire. Respondents included adult GIs (61.3%), pediatric GIs (20.8%) and IBD nurses (18.3%). The majority of respondents believed that a standardized structure is important for a successful transition. Adult and pediatric GIs equally felt that patients were inadequately prepared for the transition ( = 0.6). There were significant differences between adult and pediatric GIs when it came to resource availability (55.6% 90.9%, = 0.002) and perceived need of a formal transition clinic (21.7% 68.8%, = 0.0006). Both transition program and medical summaries were identified as the most valuable tools to improve transition.
As described in previous studies, our survey reinforces the importance of a transition program, education for young adult IBD patients and the need to improve communication between adult and pediatric GIs.
确定加拿大魁北克省炎症性肠病（IBD）患者从儿科胃肠病学家向成人胃肠病学家转诊过程中所需的工具及遇到的问题。
我们对魁北克省医疗保健专业人员（HCPs）进行了需求评估调查。2013年，在当地一次会议上，该调查问卷被分发给136名魁北克省的医疗保健专业人员。此外，还通过电子邮件发送给魁北克省其他任何参与照料IBD患者的医疗保健专业人员。对填写完整的调查问卷进行汇总以得出描述性数据。然后进行进一步的特定亚组分析。
在参加会议的人员和收到电子邮件的人员中，77人（28.2%）完成了问卷。受访者包括成人胃肠病学家（61.3%）、儿科胃肠病学家（20.8%）和IBD护士（18.3%）。大多数受访者认为标准化结构对成功转诊很重要。成人和儿科胃肠病学家同样认为患者对转诊准备不足（P = 0.6）。在资源可用性方面（55.6%对90.9%，P = 0.002）以及对正式转诊诊所的感知需求方面（21.7%对68.8%，P = 0.0006），成人和儿科胃肠病学家之间存在显著差异。转诊计划和医疗总结均被确定为改善转诊最有价值的工具。
正如先前研究所描述的那样，我们的调查强化了转诊计划、对年轻成人IBD患者进行教育以及改善成人和儿科胃肠病学家之间沟通的必要性的重要性。
