Department of Gastroenterology, Ziekenhuis Oost Limburg [ZOL] Maas en Kempen, Maaseik, Belgium.
Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden.
J Crohns Colitis. 2024 Oct 30;18(Supplement_2):ii55-ii66. doi: 10.1093/ecco-jcc/jjae093.
IBD care has gone through a real transformation over the last century, moving from the mere unidirectional interaction between the physician and the patient to a stronger framework with multiple stakeholders who interconnect and strengthen each other. The patient has evolved from a passive subject to the central pole in the care pathway. Key elements of the future framework include patient self-care and empowerment, and remote monitoring [eHealth]. This care will be delivered by a multidisciplinary team acknowledging the pivotal role of the IBD nurse, and emphasising and measuring the quality of its work. The big challenge for the future is to establish a financially viable model to make this evolution durable in the long term, and this by using the principles of value-based health care.
IBD 护理在上个世纪经历了真正的变革，从医生和患者之间的单向互动转变为一个更强有力的框架，其中有多个利益相关者相互关联并相互加强。患者已从被动主体转变为护理途径的中心。未来框架的关键要素包括患者自我护理和赋权，以及远程监测 [电子健康]。这种护理将由多学科团队提供，承认 IBD 护士的关键作用，并强调和衡量其工作质量。未来的巨大挑战是建立一个财务可行的模式，以使这种演变在长期内具有可持续性，这是通过使用基于价值的医疗保健原则来实现的。
