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Outpatient health care utilization of patients with inflammatory bowel disease

Digestive Diseases and Sciences volume 35, pages 1276–1280 (1990)Cite this article

Abstract

On the basis of the normal life expectancy of inflammatory bowel disease patients, the early onset of their disease, and the variety of symptoms, inflammatory bowel disease patients were anticipated to be frequent users of outpatients services. This study assesses (1) the characteristics, (2) outpatient health care utilization, and (3) the degree of satisfaction with health care of inflammatory bowel disease patients compared to patients with other gastrointestinal disease. The study method was a secondary analysis of data collected on 395 patients attending the University of Calgary Gastroenterology Outpatient Clinic in 1988. Inflammatory bowel disease patients were significantly younger (P < 0.001) and better educated (P < 0.05) than other patients. During the past year inflammatory bowel disease patients consulted significantly more often with their gastroenterologist (P < 0.001) and spent more time in hospital (P < 0.05) than other patients. Inflammatory bowel disease patients also consulted more frequently with herbalists and naturopaths. Lastly, inflammatory bowel disease patients were as satisfied with the health care they received as other patients. These results provide information useful for health care planners as well as for those dealing directly with inflammatory bowel disease patients.

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References

  1. Calkins BM, Mendeloff AL: Epidemiology of inflammatory bowel disease. Epidemiol Rev 8:60–91, 1986

    PubMed  Google Scholar 

  2. Langman MJS, Burnham WR: Epidemiology of inflammatory bowel disease.In Inflammatory Bowel Disease. RN Allen, MRB Keighley, J Alexander-Williams, C Hawkins (eds). New York, Churchill Livingstone, 1983, pp 17–24

    Google Scholar 

  3. Calkins BM, Lilienfeld AM, Garland CF, Mendeloff AI: Trends in incidence rates of ulcerative colitis and Crohn's disease. Dig Dis Sci 29:913–920, 1984

    PubMed  Google Scholar 

  4. Monk M, Mendelhoff AI, Siegel CI, Lilienfeld AM: An epidemiological study of ulcerative colitis and regional enteritis among adults in Baltimore, II. Social and demographic factors. Gastroenterology 56:847–857, 1969

    PubMed  Google Scholar 

  5. Singer HC, Anderson HGD, Frisher H, Kirsner JB: Familial aspects of inflammatory bowel disease. Gastroenterology 61:423–430, 1971

    PubMed  Google Scholar 

  6. Mendeloff AI, Monk M, Siegel CI, Lilienfeld AM: Illness experience and life stresses in patients with irritable colon and with ulcerative colitis. N Engl J Med 282:14–17, 1970

    PubMed  Google Scholar 

  7. Hendriksen C, Binder V: Social prognosis in patients with ulcerative colitis. Br Med J 2:581–583, 1980

    Google Scholar 

  8. Gazzard BG, Price HL, Libby GW, Dawson AM: The social toll of Crohn's disease. Br Med J 2:1117–1119, 1978

    PubMed  Google Scholar 

  9. Grace M, Priest G: The epidemiology of inflammatory bowel disease.In Ideopathic Inflammatory Bowel Disease: Crohn's disease and Chronic Ulcerative Colitis. ABR Thomson (ed). Ottawa, Canadian Public Health Association, 1982, pp 52–66

    Google Scholar 

  10. Verhoef MJ, Sutherland LR: Utilization of alternative medicine by patients attending a gastroenterology clinic. Can Med Assoc J 142:121–125, 1990

    Google Scholar 

  11. Waye J: The role of colonoscopy in the differential diagnosis of inflammatory bowel disease. Gastrointest Endosc 23:150–154, 1977

    PubMed  Google Scholar 

  12. Goldberg HI, Caruthers SB, Nelson JA, Singleton JW: Radiologic findings of the National Cooperative Crohn's Disease Study. Gastroenterology 77:925–937, 1979

    PubMed  Google Scholar 

  13. Kaplan GA, Camacho T: Perceived health and mortality: A nine-year follow-up of the Human Population Laboratory Cohort. Am J Epidemiol 117:292–304, 1983

    PubMed  Google Scholar 

  14. Holmes TH, Rahe RH: The social readjustment rating scale. J Psychosom Res 11:213–218, 1967

    PubMed  Google Scholar 

  15. Sutherland LR, Verhoef MJ: Patients who seek a second opinion: Are they different from the typical referral? J Clin Gastroenterol 11:308–313, 1989

    PubMed  Google Scholar 

  16. Suchman EA: Social patterns of illness and medical care. J Health Hum Behav 6:2–16, 1965

    Google Scholar 

  17. Aday LA, Eichhorn R: The Utilization of Health Services: Indices and Correlates. A Research Bibliography. Rockville, Maryland, Department of Health, Education and Welfare, 1972

    Google Scholar 

  18. Hull CH, Nie NH, Jenkins JG, Steinbrenner K, Bent DH (eds): Statistical Package for the Social Sciences (SPSS), 2nd ed. New York, McGraw-Hill Book Company, 1975

    Google Scholar 

  19. Healy MJR. GLIM: An Introduction. Oxford, Clarendon Press, 1988

    Google Scholar 

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Affiliations

  1. Department of Community Health Sciences, and Division of Gastroenterology, Department of Medicine, University of Calgary, AB, Canada

    Marja J. Verhoef MSc & Lloyd R. Sutherland MD

Authors
  1. Marja J. Verhoef MSc
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  2. Lloyd R. Sutherland MD
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Verhoef, M.J., Sutherland, L.R. Outpatient health care utilization of patients with inflammatory bowel disease. Digest Dis Sci 35, 1276–1280 (1990). https://doi.org/10.1007/BF01536419

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  • DOI: https://doi.org/10.1007/BF01536419

Key Words

  • inflammatory bowel disease
  • health care utilization
  • stressful events