Self-Management for People with Inflammatory Bowel Disease

In North America and the United Kingdom, we are in the age of self-management. Many patients with chronic diseases are ready to participate in the therapeutic decision-making process, and join their physicians in a co-management model. It is particularly useful to consider this concept at a time whe...

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Main Authors: Fred Saibil, Emily Lai, Andrew Hayward, Jeanne Yip, Cameron Gilbert
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2008/428967
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author Fred Saibil
Emily Lai
Andrew Hayward
Jeanne Yip
Cameron Gilbert
author_facet Fred Saibil
Emily Lai
Andrew Hayward
Jeanne Yip
Cameron Gilbert
author_sort Fred Saibil
collection DOAJ
description In North America and the United Kingdom, we are in the age of self-management. Many patients with chronic diseases are ready to participate in the therapeutic decision-making process, and join their physicians in a co-management model. It is particularly useful to consider this concept at a time when physician shortages and waiting times are on the front page every day, with no immediate prospect of relief. Conditions such as diabetes, asthma, chronic obstructive pulmonary disease, recurrent urinary tract infections and others lend themselves to this paradigm of medical care for the informed patient. The present paper reviews some of the literature on self-management for the patient with inflammatory bowel disease (IBD), and provides a framework for the use of self-management in the IBD population, with emphasis on the concept of a patient passport, and the use of e-mail, supported by an e-mail contract, as proposed by the Canadian Medical Protective Association. Examples of specific management strategies are provided for several different IBD scenarios. Eliminating the need for some office visits has clear environmental and economical benefits. Potential negative consequences of this form of patient care are also discussed.
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spelling doaj-art-56627f3e941d42fd9baff5f18d018a7b2025-02-03T01:22:47ZengWileyCanadian Journal of Gastroenterology0835-79002008-01-0122328128710.1155/2008/428967Self-Management for People with Inflammatory Bowel DiseaseFred Saibil0Emily Lai1Andrew Hayward2Jeanne Yip3Cameron Gilbert4Division of Gastroenterology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, CanadaFaculty of Medicine, University of Toronto, Toronto, CanadaFaculty of Medicine, University of Toronto, Toronto, CanadaFaculty of Medicine, University of Ottawa, Ottawa, Ontario, CanadaRoyal College of Surgeons of Ireland Medical School, Dublin, IrelandIn North America and the United Kingdom, we are in the age of self-management. Many patients with chronic diseases are ready to participate in the therapeutic decision-making process, and join their physicians in a co-management model. It is particularly useful to consider this concept at a time when physician shortages and waiting times are on the front page every day, with no immediate prospect of relief. Conditions such as diabetes, asthma, chronic obstructive pulmonary disease, recurrent urinary tract infections and others lend themselves to this paradigm of medical care for the informed patient. The present paper reviews some of the literature on self-management for the patient with inflammatory bowel disease (IBD), and provides a framework for the use of self-management in the IBD population, with emphasis on the concept of a patient passport, and the use of e-mail, supported by an e-mail contract, as proposed by the Canadian Medical Protective Association. Examples of specific management strategies are provided for several different IBD scenarios. Eliminating the need for some office visits has clear environmental and economical benefits. Potential negative consequences of this form of patient care are also discussed.http://dx.doi.org/10.1155/2008/428967
spellingShingle Fred Saibil
Emily Lai
Andrew Hayward
Jeanne Yip
Cameron Gilbert
Self-Management for People with Inflammatory Bowel Disease
Canadian Journal of Gastroenterology
title Self-Management for People with Inflammatory Bowel Disease
title_full Self-Management for People with Inflammatory Bowel Disease
title_fullStr Self-Management for People with Inflammatory Bowel Disease
title_full_unstemmed Self-Management for People with Inflammatory Bowel Disease
title_short Self-Management for People with Inflammatory Bowel Disease
title_sort self management for people with inflammatory bowel disease
url http://dx.doi.org/10.1155/2008/428967
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