Patient-Evaluated Quality of Care is Related to Better Inflammatory Bowel Disease Outcomes: The IQCARO II Project

Xavier Calvet (), Fransesc Casellas (), Roberto Saldaña (), Daniel Carpio (), Miguel Mínguez (), Isabel Vera (), Laura Marín () and Berta Juliá ()
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Xavier Calvet: Corporació Sanitaria Universitària Parc Taulí
Fransesc Casellas: Hospital Universitari Vall d’Hebron
Roberto Saldaña: ACCU
Daniel Carpio: Complexo Hospitalario Universitario de Pontevedra, Instituto de Investigación Biomédica Galicia Sur (IBI)
Miguel Mínguez: Hospital Clínico Universitario, University of Valencia
Isabel Vera: Hospital Universitario de Puerta de Hierro
Laura Marín: Hospital Germans Trias I Pujol
Berta Juliá: Medical Department MSD

The Patient: Patient-Centered Outcomes Research, 2021, vol. 14, issue 5, No 15, 625-634

Abstract: Abstract Background Measuring quality of care (QoC) from a patient’s perspective is becoming increasingly important in inflammatory bowel disease. Objective The objective of this study was to determine whether patients’ evaluations of QoC correlate with better inflammatory bowel disease outcomes. Methods A survey including patients’ characteristics, a decalogue of QoC indicators, and self-reported disease outcomes was completed by Spanish patients with inflammatory bowel disease. A QoC index (QoCI) was constructed with the sum of the “yes” answers in the decalogue. We evaluated the correlation of QoCI with outcomes. A sub-analysis comparing patients with high QoCI vs those with low QoCI was performed (QoCI = 10 or ≤ 7). Results Seven hundred and eighty-eight questionnaires were analyzed. Mean age of participants was 43.4 years (63% women). Mean QoCI was 8.1 (± 2.4). The QoCI correlated significantly with activity of the disease, number of flares, emergency/unscheduled visits, and disease control. Patients scoring in the first QoCI quartile reported a decreased rate of moderate/severe disease (34.8% vs 55.3%, p

Date: 2021
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DOI: 10.1007/s40271-021-00500-8

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