Patient and physician views on the quality of care in inflammatory bowel disease : results from SOLUTION-1, a prospective IG-IBD study

Copyright © 2014 European Crohn's and Colitis Organisation. Published by Elsevier B.V. All rights reserved..

INTRODUCTION: Remarkable differences in quality of care (QoC) might be observed in different countries, affecting quality of life of inflammatory bowel disease (IBD) patients. The aim of this study was to assess patient and physician perceptions of the QoC in Italy.

METHODS: A multicentre observational study on the quality of care in IBD (SOLUTION-1) was conducted in 36 IG-IBD (Italian Group for Inflammatory Bowel Disease) centres in Italy. The QUOTE-IBD (Quality of Care Through the Patient's Eyes) questionnaire was administered to IBD patients and to the attending physicians. The Quality Impact (QI) score summarises the QUOTE-IBD questionnaire, and a QI >9 is considered satisfactory.

RESULTS: Nine-hundred-ninety-two patients and 75 physicians completed the QUOTE-IBD questionnaire. The patients scored the domains of competence (9.47 vs. 8.55) and costs (9.54 vs. 8.26) higher that the physicians, while information (9.31 vs. 9.43) and continuity of care (8.40 vs. 9.01) were scored lower. The QI score was rated worse by physicians with less experience (<12 years) with regard to competence (8.0 vs. 9.01), courtesy (8.12 vs. 10.0) and autonomy (8.97 vs. 10.0). Physicians considered the cost domain unsatisfactory.

CONCLUSIONS: Healthcare was rated as satisfactory overall for Italian patients and physicians. The physicians underestimate their competence and consider the cost of medical management unsatisfactory. The patients are more critical regarding the continuity of care and information. Country-specific data on QoC allow local governments to allocate resources more effectively.

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Electronic Article

Year of Publication:


Contained In:

Journal of Crohn's & colitis - Vol. 8, No. 12 (2014), p. 1642-52




Bortoli, Aurora
Daperno, Marco
Kohn, Anna
Politi, Patrizia
Marconi, Stefano
Monterubbianesi, Rita
Castiglione, Fabiana
Corbellini, Ada
Merli, Manuela
Casella, Giovanni
D'Incà, Renata
Orlando, Ambrogio
Bossa, Fabrizio
Doldo, Patrizia
Lecis, Pierenrico
Valpiani, Daniela
Danese, Silvio
Comberlato, Michele
Italian Group for the study of Inflammatory Bowel Disease (IG-IBD)
Ardizzone, Alessandro
Grasso, Gianalberto
Cortelezzi, Claudio Camillo
Zoli, Giorgio
Snider, Licia
Imperiali, Gianni
Riegler, Gabriele
Ferraris, Luca
Milla, Monica
Vecchi, Maurizio
Lorenzini, Ivano
Guidi, Luisa
Di Leo, Vincenza
Losco, Alessandra
Cucino, Claudia
Inserra, Gaetano
Sablich, Renato
Morganti, Daniela
Savarino, Vincenzo
Fornaciari, Giovanni
Spagnuolo, Rocco
Prada, Alberto
Arena, Ilaria
Zelante, Angelo




*Quality of Health Care
Aged, 80 and over
Attitude of Health Personnel
Clinical Competence
Continuity of Patient Care
Inflammatory Bowel Diseases
Journal Article
Middle Aged
Multicenter Study
Observational Study
Patient Education as Topic
Patient Satisfaction
Professional Autonomy
Prospective Studies
Quality impact score
Quality of care
Research Support, Non-U.S. Gov't
Surveys and Questionnaires
Young Adult


Date Completed 28.09.2015

Date Revised 20.10.2016

published: Print-Electronic

Citation Status MEDLINE

Copyright: From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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