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Calidad de la atención en la enfermedad inflamatoria intestinal desde la perspectiva del paciente utilizando
Aikaterini Mantaka1, Ioannis Apostolakis2,3, Phillippe-Richard Domeyer3
1Department of Gastroenterology, 'Saint George' General Hospital of Chania.
European journal of gastroenterology & hepatology
|September 3, 2025
Resumen
Las perspectivas de los pacientes sobre la atención de la enfermedad inflamatoria intestinal (EII) en Grecia revelan una alta calidad general, aunque es necesario mejorar la accesibilidad y la toma de decisiones compartida. La enfermedad de Crohn
Área de la Ciencia:
- Gastroenterología y Hepatología
- Investigación en servicios de salud
- Resultados informados por los pacientes
Sus antecedentes:
- Las evaluaciones existentes de la calidad de la atención (QoC) a menudo se basan en las percepciones de los proveedores, que pueden diferir de las experiencias de los pacientes.
- La comprensión de la calidad de vida informada por los pacientes es crucial para mejorar la prestación de atención médica en afecciones crónicas como la enfermedad inflamatoria intestinal (EII).
Objetivo del estudio:
- Medir la calidad de vida de los pacientes con EII desde su propia perspectiva en una cohorte griega (GR QUOTE-IBD).
- Identificar los factores sociodemográficos y relacionados con la enfermedad que influyen en la calidad de vida informada por el paciente en la EII.
Principales métodos:
- El cuestionario GR QUOTE-IBD se administró a 150 pacientes con EII durante las visitas de seguimiento de rutina.
- Se analizaron los datos para correlacionar las respuestas de los pacientes con las características epidemiológicas y de la enfermedad.
- Para el análisis estadístico se utilizó la versión 29 del SPSS.
Principales resultados:
- El índice general de calidad (QI) para la atención total superó el 9 en todos los hospitales participantes.
- Se observó un déficit de calidad (IC < 9) en la accesibilidad a la atención de la EII en dos de las tres clínicas.
- El diagnóstico de la enfermedad de Crohn (EC) se correlacionó positivamente con el QI de atención total (P=0,013), mientras que el tratamiento con esteroides en el pasado se correlacionó negativamente (P=0,019).
Conclusiones:
- En general, la calidad de vida de los pacientes con EII en Creta se percibe como alta.
- La percepción de los pacientes sobre la atención de la EII está influenciada por el diagnóstico y la gravedad de la enfermedad.
- Se recomienda a los médicos mejorar la accesibilidad a la atención de la EII y promover la toma de decisiones compartida.
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