Conventional management of patients with IBD is increasingly challenged by growing demands being placed on IBD care teams. A variety of challenges from ever-increasing patient cohorts in light of limited clinical resources, to ambitions of improving patient disease literacy and medication adherence, all while improving standards of care through treat-to-target therapeutic goals indicate a need for an intervention in the usual care paradigm. A potential solution is the development and incorporation of eHealth technologies in the form of digital patient portals. Digital portals provide care teams with the potential to obtain year-round signalling of important disease metrics regarding aspects such as patients’ symptoms, quality of life and other patient-reported outcome measures (PROMs), as well as the opportunity to educate and communicate with patients remotely. While the benefits of such platforms have been evidenced in other chronic illnesses, it is relatively underutilised in IBD despite patients expressing a willingness to be more involved in the management of their care. While a range of digital patient PROMs portals for Inflammatory Bowel Disease (IBD) exist and demonstrate a range of avenues by which to improve care, there are a number of tangible and intangible obstacles care teams must consider before devising and implementing their own digital portal.

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Patient PROMs and Portals

  • Lawrence Matini

摘要

Conventional management of patients with IBD is increasingly challenged by growing demands being placed on IBD care teams. A variety of challenges from ever-increasing patient cohorts in light of limited clinical resources, to ambitions of improving patient disease literacy and medication adherence, all while improving standards of care through treat-to-target therapeutic goals indicate a need for an intervention in the usual care paradigm. A potential solution is the development and incorporation of eHealth technologies in the form of digital patient portals. Digital portals provide care teams with the potential to obtain year-round signalling of important disease metrics regarding aspects such as patients’ symptoms, quality of life and other patient-reported outcome measures (PROMs), as well as the opportunity to educate and communicate with patients remotely. While the benefits of such platforms have been evidenced in other chronic illnesses, it is relatively underutilised in IBD despite patients expressing a willingness to be more involved in the management of their care. While a range of digital patient PROMs portals for Inflammatory Bowel Disease (IBD) exist and demonstrate a range of avenues by which to improve care, there are a number of tangible and intangible obstacles care teams must consider before devising and implementing their own digital portal.