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作为初级保健中由营养师主导的胃肠病学服务的一部分,使用网络研讨会为肠易激综合征患者提供一线患者教育的可行性、可接受性和成本效益。

Feasibility, acceptability and cost efficiency of using webinars to deliver first-line patient education for people with Irritable Bowel Syndrome as part of a dietetic-led gastroenterology service in primary care.

作者信息

Williams M, Barclay Y, Harper L, Marchant C, Seamark L, Hickson M

机构信息

Community Dietetics Service, Somerset NHS Foundation Trust, Taunton, UK.

Institute of Health and Community, University of Plymouth, Plymouth, UK.

出版信息

J Hum Nutr Diet. 2020 Dec;33(6):758-766. doi: 10.1111/jhn.12799. Epub 2020 Aug 20.

DOI:10.1111/jhn.12799
PMID:32816367
Abstract

BACKGROUND

Irritable bowel syndrome (IBS) is a chronic functional gastrointestinal disorder. International research suggests dietary intervention as a first-line approach, although dietetic services are struggling to cope with demand. Digital technology may offer a solution to deliver appropriate patient education. The present study aimed to assess the feasibility, acceptability and cost efficiency of using webinars to deliver first-line IBS advice to patients as part of a dietetic-led gastroenterology service in primary care.

METHODS

Patients were directed to an IBS First Line Advice webinar on a specialist NHS website. Data were collected from patients pre- and post-webinar use using an online survey.

RESULTS

In total, 1171 attendees completed the pre-webinar survey and 443 completed the post-webinar survey. Attendees ranged from under 17 years to over 75 years. Of the attendees, 95% found the webinar easy to access and 91% were satisfied with the content of the webinar. Those with excellent or good knowledge rose from 25% pre-webinar to 67% post-webinar, and confidence in managing their condition improved for 74% of attendees. Using the webinars led to a 44% reduction in referrals for one-to-one appointments with a specialist dietitian in the first year of use. The value of the clinical time saved is estimated at £3593 per annum. The one-off cost of creating the webinar was £3597.

CONCLUSIONS

The use of webinars is a feasible, acceptable and cost-efficient way of delivering first-line patient education to people suffering with Irritable Bowel Syndrome as part of a dietetic-led gastroenterology service in primary care.

摘要

背景

肠易激综合征(IBS)是一种慢性功能性胃肠疾病。国际研究表明饮食干预是一线治疗方法,尽管饮食服务难以满足需求。数字技术可能提供一种解决方案来提供适当的患者教育。本研究旨在评估使用网络研讨会作为初级保健中由营养师主导的胃肠病学服务的一部分,向患者提供IBS一线建议的可行性、可接受性和成本效益。

方法

患者被引导至英国国家医疗服务体系(NHS)的一个专科网站上参加IBS一线建议网络研讨会。通过在线调查收集患者在参加网络研讨会前后的数据。

结果

共有1171名参与者完成了网络研讨会前的调查,443名完成了网络研讨会后的调查。参与者年龄从17岁以下到75岁以上不等。在参与者中,95%的人认为网络研讨会易于访问,91%的人对网络研讨会的内容感到满意。对知识掌握程度优秀或良好的人从网络研讨会前的25%上升到了网络研讨会后的67%,74%的参与者对管理自身病情的信心有所提高。在使用网络研讨会的第一年,与专科营养师进行一对一预约的转诊减少了44%。估计每年节省的临床时间价值为3593英镑。创建网络研讨会的一次性成本为3597英镑。

结论

作为初级保健中由营养师主导的胃肠病学服务一部分,使用网络研讨会是一种可行、可接受且具有成本效益的方式,可为肠易激综合征患者提供一线患者教育。

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