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P578 Assessment of satisfaction with healthcare in patients with inflammatory bowel disease: An Online Korean Association for the Study of Intestinal Disease (KASID) Survey

Y.S. Kim1, S.A. Jung*2, K.M. Lee3, S.J. Park4, T.O. Kim5, C.-H. Choi6, H.G. Kim7, W. Moon8, C.M. Moon9, H.K. Song2, S.-Y. Na10, S.-K. Yang11

1Seoul National University Hospital Healthcare System Gangnam center, Internal Medicine, Seoul, South Korea, 2Ewha University school of Medicine, Internal Medicine, Seoul, South Korea, 3The Catholic University College of Medicine, Internal Medicine, Seoul, South Korea, 4Yonsei University College of Medicine, Internal Medicine, Seoul, South Korea, 5Haeundae Paik Hospital, Inje University College of Medicine, Internal Medicine, Seoul, South Korea, 6Chung-Ang University College of Medicine, Internal Medicine, Seoul, South Korea, 7Soonchunhyang University College of Medicine, Internal Medicine, Seoul, South Korea, 8Kosin University College of Medicine, Internal Medicine, Seoul, South Korea, 9Ewha University school of Medicine, Internal Medicine, Seoul, Korea, Republic of, 10Jeju National University School of Medicine, Internal Medicine, Seoul, South Korea, 11Ulsan University College of Medicine, Internal Medicine, Seoul, South Korea

Background

Inflammatory bowel diseases (IBD) is chronic relapsing condition with unpredictable course and unclear etiology impacting on patient's quality of life. Patient satisfaction with healthcare services provided for IBD is essential to improve treatment adherence, producing improvements in disease outcomes. The aim of the present study was to assess patient's satisfaction with healthcare as well as treatment and patient-physician communication in Korea.

Methods

Self-administered, computer-aided internet-based questionnaires were distributed to members of Korean patients'organization for IBD from March to April 2014 by Korean Association for the Study of Intestinal Disease (KASID).

Results

Surveys were completed by 502 patients with IBD [Crohn's disease(CD): 276; ulcerative colitis(UC): 226]. Most (78%) of respondents received a final diagnosis within a year from noticing first symptoms. However, for 22%, it took longer than a year, for 4% longer than five years. Most common reason for the delayed hospital visit was lack of knowledge for IBD. Approximately half of patients (47%) had been hospitalized in the past 5 years due to IBD. One fourth (25%) patients had been operated for IBD, rising to 42% among the patients with CD. With regard to treatment, 51% of all respondents reported that they were very or somewhat satisfied with their current treatment, and 57% of the respondents reported that the doctors provide the best range of options for patients to get in touch. Considering accessibility to the hospital, 35% of patients have easily adequate access to a physician. As for communicating with physicians, 33% of the respondents felt that they were not able to tell their physician something potentially important about their illness. Furthermore, 75.3% of the respondents felt that their physician should have asked more probing questions to better understand their disease status. Only 37% of respondents say that their doctor service is best at giving them sufficient time at clinic. In addition, 44% of respondents feel that doctor best understand the impact that IBD has on their lives.

Conclusion

There is still room for improvement in healthcare services including access to the clinic and patient-physician communication for IBD patients in Korea. Social perspective and understanding of impact of IBD on patient's lives should be obtained to build better treatment and care system for Korean IBD patients.