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P399. Quality of health care in inflammatory bowel disease at the universitary hospital of Vigo, Spain, measured by questionnaire QUOTE-IBD (Spanish version)

L. Sanromán1, M.L. De Castro1, J.M. Rodríguez-Gregori1, J. Martínez Cadilla1, J.R. Pineda1, V. Hernández1, V. Del Campo2, J.I. Rodríguez Prada1, 1Universitary Hospital, Gastroenterology, Vigo, Spain, 2Universitary Hospital, Epidemiology, Vigo, Spain

Background

Inflammatory bowel disease (IBD) affects in varying degrees to quality of life related to the patient's health (HRQOL) and this assessment might be influenced by the perception of the patient's quality of care received.

Our aim was to measure the quality of care through he eyes of patients with IBD in our hospital by applying the test QUOTE-IBD (Spanish version).

Methods

Cross-sectional study performed on recruited IBD patients since March to June 2011. Patients attending to our Comprehensive Care Unit (CCU) for IBD were invited to take part and after giving oral consent they covered anonymously the QUOTE-IBD questionnaire. This test measures the Importance (I) given for patients to different items of health care (information, competence, accessibility, autonomy, accommodation, courtesy, continuity of care and costs) and their experience concerning the functioning of their care or Performance (P), to thereby calculate the quality impact (QI) according to the formula QI = 10 − I × P ranging from 0 to 10 (best). We also collected demographic data, comparing QI before and after creating the CCU for patients with IBD.

Results

A total of 230 patients enrolled the study: mean age 42 years (17–80), 53.4% women and 55.6% Crohn's disease (CD).

Importance score was (I) = 7.7 points, being the highest areas: information (8.4) and competence (7.9) and the less autonomy (6). Performance score ranked (P) = 0.23 and QI = 8.2 points. No differences existed regarding IBD (CD vs UC). Females showed a significantly higher value of I (7.8 vs. 7.5 p = 0.02) than men in Information (8.6 vs. 8.4 p = 0.04) specially in continuity of care (7.7 vs. 7.2 p = 0.006) and accommodation (7.9 vs. 7.2 p = 0.01) areas. Patients older than 45 years showed greater appreciation of the accommodation too (8.2 vs. 8.4 p = 0.02). A significant increase in the QI (7.4 vs 8.7 p < 0.0001) was found after the implementation of CCU in IBD in our hospital. There is an excellent correlation between QI and care service performance (P), r = 0.96, but not related to the Importance (I).

Conclusion

QUOTE-IBD Spanish version is a useful tool for measuring and monitoring the quality of care, allowing us to know the impact of different areas and to identify targets for improvement.

The perception of quality of care in our hospital is high and this score has improved after the implementation of the CCU.

Female patients had significant high scores in the Importance than men.