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Integrated Models of Care in Managing Inflammatory Bowel Disease: A Discussion

Mikocka‐Walus, Antonina A. MA(Psych), PhD1,2; Andrews, Jane M. MBBS, PhD, FRACP3,4; Bernstein, Charles N. MD5,6; Graff, Lesley A. MA(Psych), PhD5,7; Walker, John R. MA(Psych), PhD5,7; Spinelli, Antonino MD, PhD8,9; Danese, Silvio MD, PhD8; van der Woude, Janneke C. MD, PhD10; Goodhand, James MRCP11; Rampton, David DPhil, FRCP11; Moser, Gabriele MD, PhD12

doi: 10.1002/ibd.22877
Clinical Reviews

The World Health Organization has recommended the integrated model of care as the current best practice of care, and, in recent years, it has been gaining popularity worldwide in various settings. However, there have been very few reports on applications of this model to the care of patients with gastrointestinal problems and no reports in the case of inflammatory bowel disease (IBD). However, several IBD centres worldwide have been using the model as part of their standard care. This discussion paper aims to bring together these units' shared experiences with a range of integrated models of care in order to identify common features and provide recommendations on aspirational care for IBD patients. (Inflamm Bowel Dis 2012)

1 School of Nursing and Midwifery, University of South Australia, Adelaide, Australia

2 School of Psychology, University of Adelaide, Adelaide, Australia

3 IBD Service, Department of Gastroenterology and Hepatology, Royal Adelaide Hospital, Adelaide, Australia

4 School of Medicine, University of Adelaide, Adelaide, Australia

5 University of Manitoba Inflammatory Bowel Disease Clinical and Research Centre, Winnipeg, Canada

6 Department of Internal Medicine, University of Manitoba, Winnipeg, Canada

7 Department of Clinical Health Psychology, University of Manitoba, Winnipeg, Canada

8 Department of Surgery, Istituto Clinico Humanitas, Milan, Italy

9 3rd Department of General Surgery, Faculty of Medicine, University of Milan, Milan, Italy

10 Department of Gastroenterology and Hepatology, Erasmus Medical Centre, Rotterdam, Netherlands

11 Centre for Digestive Diseases, Barts and the London School of Medicine and Dentistry, Queen Mary, University of London, London, UK

12 Department of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Austria

Reprints: Antonina A. Mikocka‐Walus, MA(Psych), PhD, University of South Australia, School of Nursing and Midwifery, GPO Box 2471, Adelaide, South Australia, Australia, 5001

(e‐mail: antonina.mikocka‐

Received 27 November 2011; Accepted 18 December 2011

Published online 12 January 2012 in Wiley Online Library (

Conflict of interest: Authors are unaware of any conflict of interest with respect to this study. No writing assistance was received and all authors approved the final article.

© Crohn's & Colitis Foundation of America, Inc.
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