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Clin Gastroenterol Hepatol. 2017 Jul;15(7):986-997. doi: 10.1016/j.cgh.2017.02.037. Epub 2017 Mar 12.

White Paper AGA: The Impact of Mental and Psychosocial Factors on the Care of Patients With Inflammatory Bowel Disease.

Author information

1
University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
2
Division of Gastroenterology and Hepatology, Department of Medicine, University of Michigan School of Medicine, Ann Arbor, Michigan. Electronic address: allenji@med.umich.edu.
3
University of Southern California, San Diego, California.
4
American Gastroenterological Association, Bethesda, Maryland.
5
Aurora Healthcare, Grafton, Wisconsin.
6
Episodes of Care, Market Innovations, Horizon Blue Cross Blue Shield of New Jersey, Newark, New Jersey.
7
University of Maryland School of Medicine, Baltimore, Maryland.
8
Vanderbilt University Medical Center, Nashville, Tennessee.
9
Illinois Gastroenterology, Chicago, Illinois.
10
Minnesota Gastroenterology PA, Minneapolis, Minnesota.
11
Department of Psychiatry, Allina Health, Minneapolis, Minnesota.
12
Icahn School of Medicine at Mount Sinai, New York City, New York.

Abstract

Patients with chronic medically complex disorders like inflammatory bowel diseases (BD) often have mental health and psychosocial comorbid conditions. There is growing recognition that factors other than disease pathophysiology impact patients' health and wellbeing. Provision of care that encompasses medical care plus psychosocial, environmental and behavioral interventions to improve health has been termed "whole person care" and may result in achieving highest health value. There now are multiple methods to survey patients and stratify their psychosocial, mental health and environmental risk. Such survey methods are applicable to all types of IBD programs including those at academic medical centers, independent health systems and those based within independent community practice. Once a practice determines that a patient has psychosocial needs, a variety of resources are available for referral or co-management as outlined in this paper. Included in this white paper are examples of psychosocial care that is integrated into IBD practices plus innovative methods that provide remote patient management.

KEYWORDS:

Alternative Payment Models; Anxiety; Crohn's Disease; Depression; Episode of Care; Inflammatory Bowel Disease; Integrated Care; Patient Reported Outcomes; Psychosocial Care; Remote Monitoring; Telehealth; Ulcerative Colitis; Whole Person Care

PMID:
28300693
DOI:
10.1016/j.cgh.2017.02.037
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