scholarly journals Who Gets Irritable Bowel Syndrome and Does Seeing a Gastroenterologist Affect Its Course?

2001 ◽  
Vol 15 (suppl b) ◽  
pp. 5B-7B
Author(s):  
Charles N Bernstein
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Health Care Utilization ◽  
Well Being ◽  
Care Utilization ◽  
Office Visits ◽  
Utilization Patterns ◽  
Irritable Bowel ◽  
The Impact

A review of studies involving patients with irritable bowel syndrome is presented. This review looks at the impact of gastroenterology consultation on health care utilization patterns and the well-being of the patient when followed up over a two-year period. A structured gastroenterological consultation between the physician and patient may decrease the number of office visits for gastrointestinal- related problems.

scholarly journals 3247 Implementing an Interdisciplinary, Student-Run Consult Service for Homeless Patients: The Critical Role of Community Partnerships

2019 ◽  
Vol 3 (s1) ◽  
pp. 91-91
Author(s):  
Frances Loretta Gill
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Hospital Admissions ◽  
Community Partnerships ◽  
Care Utilization ◽  
Consult Service ◽  
Utilization Patterns ◽  
Ed Visits ◽  
Hospital Days ◽  
The Impact

OBJECTIVES/SPECIFIC AIMS: Elucidate the unique challenges associated with hospital discharge planning for patients experiencing homelessness. Assess the impact of robust community partnerships and strong referral pathways on participating patients’ health care utilization patterns in an interdisciplinary, student-run hospital consult service for patients experiencing homelessness. Identify factors (both patient-level and intervention-level) that are associated with successful warm hand-offs to outside social agencies at discharge. METHODS/STUDY POPULATION: To assess the impact of participation in HHL on patients’ health care utilization, we conducted a medical records review using the hospital’s electronic medical record system comparing patients’ health care utilization patterns during the nine months pre- and post- HHL intervention. Utilization metrics included number of ED visits and hospital admissions, number of hospital days, 30-day hospital readmissions, total hospital costs, and follow-up appointment attendance rates, as well as percentage of warm hand-offs to community-based organizations upon discharge. Additionally, we collected data regarding patient demographics, duration of homelessness, and characteristics of homelessness (primarily sheltered versus primarily unsheltered, street homeless versus couch surfing, etc) and intervention outcome data (i.e. percentage of warm hand-offs). This study was reviewed and approved by the Tulane University Institutional Review Board and the University Medical Center Research Review Committee. RESULTS/ANTICIPATED RESULTS: For the first 41 patients who have been enrolled in HHL, participation in HHL is associated with a statistically significant decrease in hospital admissions by 49.4% (p < 0.01) and hospital days by 47.7% (p < 0.01). However, the intervention is associated with a slight, although not statistically significant, increase in emergency department visits. Additionally, we have successfully accomplished warm hand-offs at discharge for 71% percent of these patients. Over the next year, many more patients will be enrolled in HHL, which will permit a more finely grained assessment to determine which aspects of the HHL intervention are most successful in facilitating warm hand-offs and decreased health care utilization amongst patients experiencing homelessness. DISCUSSION/SIGNIFICANCE OF IMPACT: Providing care to patients experiencing homelessness involves working within complex social problems that cannot be adequately addressed in a hospital setting. This is best accomplished with an interdisciplinary team that extends the care continuum beyond hospital walls. The HHL program coordinators believe that ED visits amongst HHL patients and percentage of warm hand-offs are closely related outcomes. If we are able to facilitate a higher percentage of warm hand-offs to supportive social service agencies, we may be able to decrease patient reliance on the emergency department as a source of health care, meals, and warmth. Identifying the factors associated with successful warm hand-offs upon discharge from the hospital may assist us in building on the HHL program’s initial successes to further decrease health care utilization while offering increased interdisciplinary educational opportunities for medical students.

scholarly journals Mo1544 – Association of Cannabis and Health Care Utilization in Hospitalized Patients with Irritable Bowel Syndrome

2019 ◽  
Vol 156 (6) ◽  
pp. S-774-S-775
Author(s):  
Chimezie Mbachi ◽  
Parth Desai ◽  
Bashar Attar ◽  
Estefania Flores ◽  
Setri Fugar ◽  
...  
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Health Care Utilization ◽  
Hospitalized Patients ◽  
Care Utilization ◽  
Irritable Bowel

Health Care Utilization for Rome IV Irritable Bowel Syndrome; A Three-Country Survey in the General Population

2017 ◽  
Vol 152 (5) ◽  
pp. S68 ◽  
Author(s):  
Navkiran Jossan ◽  
Magnus Simren ◽  
Ami D. Sperber ◽  
Imran Aziz ◽  
William E. Whitehead ◽  
...  
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
General Population ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Irritable Bowel ◽  
Rome Iv

The role of psychological distress on symptoms and health care utilization in patients with irritable bowel syndrome

2000 ◽  
Vol 118 (4) ◽  
pp. A399
Author(s):  
Yuri A. Saito ◽  
G Richard Locke ◽  
Donald E. Williams ◽  
Nicholas J. Talley ◽  
Alan R. Zinsmeister ◽  
...  
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Psychological Distress ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Irritable Bowel

scholarly journals Health care utilization of individuals with Rome IV irritable bowel syndrome in the general population

2021 ◽  
Author(s):  
Navkiran T. Tornkvist ◽  
Imran Aziz ◽  
William E. Whitehead ◽  
Ami D. Sperber ◽  
Olafur S. Palsson ◽  
...  
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
General Population ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Irritable Bowel ◽  
Rome Iv
Sign in / Sign up

Export Citation Format

Share Document