1. Medical consultation in ulcerative colitis: Key elements for improvement
- Author
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Yago González-Lama, Elena Ricart, Ana Cábez, Pilar Fortes, Susana Gómez, Francesc Casellas, Institut Català de la Salut, [González-Lama Y] Inflammatory Bowel Disease Unit, Department of Gastroenterology and Hepatology, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain. [Ricart E] Inflammatory Bowel Disease Unit, Department of Gastroenterology, Hospital Clínic, Barcelona, Spain. Biomedical Research Networking Center in Hepatic and Digestive Diseases (CIBERehd), Barcelona, Spain. [Cábez A] Department of Medical, Pfizer Spain, Madrid, Spain. [Fortes P] Department of Medical, Pfizer Spain, Madrid, Spain. [Gómez S] Servicio de Reumatología, Hospital Universitario de Salamanca, Salamanca, Spain. [Casellas F] Biomedical Research Networking Center in Hepatic and Digestive Diseases (CIBERehd), Barcelona, Spain. Servei de l’Aparell Digestiu, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain, and Vall d'Hebron Barcelona Hospital Campus
- Subjects
Colitis ulcerosa - Tractament ,enfermedades del sistema digestivo::enfermedades gastrointestinales::gastroenteritis::colitis::colitis ulcerosa [ENFERMEDADES] ,Diagnosis::Clinical Decision-Making [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT] ,Gastroenterology ,diagnóstico::toma de decisiones clínicas [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS] ,Presa de decisions ,General Medicine ,Other subheadings::/therapy [Other subheadings] ,Digestive System Diseases::Gastrointestinal Diseases::Gastroenteritis::Colitis::Colitis, Ulcerative [DISEASES] ,Otros calificadores::/terapia [Otros calificadores] - Abstract
Medical consultation; Shared decision making; Ulcerative colitis Consulta médica; Toma de decisiones compartida; Colitis ulcerosa Consulta mèdica; Presa de decisions compartida; Colitis ulcerosa Ulcerative colitis (UC) is a chronic inflammatory disease with a high impact. In order to improve patient outcomes, the clinician-patient relationship in daily practice is critical. Clinical guidelines provide a framework for UC diagnosis and treatment. However, standard procedures and the medical content focused upon medical consultations in UC patients has not yet been defined. Moreover, UC is a complex disease, given that patient characteristics and patient needs have been proven to vary during clinical consultation since establishing the diagnosis and upon the course of the disease. In this article, we have discussed the key elements and specific objectives to consider in medical consultation, such as diagnosis, first visits, follow-up visits, active disease patients, patients on topical therapies, new treatment initiation, refractory patients, extra-intestinal manifestations, as well as challenging situations. The key elements have been mentioned to comprise effective communication techniques, motivational interviewing (MI), as well as information and educational aspects, or organizational issues. The key elements to be implemented in daily practice were reported to comprise several general principles like duly prepared consultations, in addition to honesty and empathy with patients, as well as effective communication techniques, MI, information and educational points, or organizational issues. The role of other healthcare professionals such as specialized nurses, psychologists, or the use of checklists was also discussed and commented on.
- Published
- 2023