title: Patient and physician views on the quality of care in inflammatory bowel disease: results from SOLUTION-1, a prospective IG-IBD study.
abstract: BACKGROUND
  Remarkable differences in quality of care (QoC) might be observed in different countries, affecting quality of life of inflammatory bowel disease (IBD) patients. The aim of this study was to assess patient and physician perceptions of the QoC in Italy.
  
  
  METHODS
  A multicentre observational study on the quality of care in IBD (SOLUTION-1) was conducted in 36 IG-IBD (Italian Group for Inflammatory Bowel Disease) centres in Italy. The QUOTE-IBD (Quality of Care Through the Patient's Eyes) questionnaire was administered to IBD patients and to the attending physicians. The Quality Impact (QI) score summarises the QUOTE-IBD questionnaire, and a QI >9 is considered satisfactory.
  
  
  RESULTS
  Nine-hundred-ninety-two patients and 75 physicians completed the QUOTE-IBD questionnaire. The patients scored the domains of competence (9.47 vs. 8.55) and costs (9.54 vs. 8.26) higher that the physicians, while information (9.31 vs. 9.43) and continuity of care (8.40 vs. 9.01) were scored lower. The QI score was rated worse by physicians with less experience (<12 years) with regard to competence (8.0 vs. 9.01), courtesy (8.12 vs. 10.0) and autonomy (8.97 vs. 10.0). Physicians considered the cost domain unsatisfactory.
  
  
  CONCLUSIONS
  Healthcare was rated as satisfactory overall for Italian patients and physicians. The physicians underestimate their competence and consider the cost of medical management unsatisfactory. The patients are more critical regarding the continuity of care and information. Country-specific data on QoC allow local governments to allocate resources more effectively.
authors.affiliation: Department of Gastroenterology and Digestive Endoscopy, A.O.G.Salvini, Rho Hospital, Italy. Electronic address: Bortoli.aurora@gmail.com.
authors.forename: Aurora
authors.initials: A
authors.lastname: Bortoli
authors.affiliation: Gastroenterology Unit, A.O. Ordine Mauriziano, Turin, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Daperno
authors.affiliation: Department of Gastroenterology, San Camillo-Forlanini Hospital, Rome, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Kohn
authors.affiliation: Department of General Medicine, Hospital of Cremona, Italy.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Politi
authors.affiliation: Medical Department, Chiesi Italian Pharmaceutical Group, Parma, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Marconi
authors.affiliation: Department of Gastroenterology, San Camillo-Forlanini Hospital, Rome, Italy.
authors.forename: Rita
authors.initials: R
authors.lastname: Monterubbianesi
authors.affiliation: Department of Gastroenterology, Federico II University, Naples, Italy.
authors.forename: Fabiana
authors.initials: F
authors.lastname: Castiglione
authors.affiliation: Department of Medicine, Vizzolo Predabissi Hospital, AO Melegnano,MI, Italy.
authors.forename: Ada
authors.initials: A
authors.lastname: Corbellini
authors.affiliation: II Department of Gastroenterology, "La Sapienza" University, Rome, Italy.
authors.forename: Manuela
authors.initials: M
authors.lastname: Merli
authors.affiliation: Department of Medicine, Desio Hospital, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Casella
authors.affiliation: Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Italy.
authors.forename: Renata
authors.initials: R
authors.lastname: D'Incà
authors.affiliation: Department of Medicine, Pneumology and Nutrition Clinic, "V. Cervello" Hospital, Ospedali Riuniti "Villa Sofia-Cervello" University of Palermo, Italy.
authors.forename: Ambrogio
authors.initials: A
authors.lastname: Orlando
authors.affiliation: Gastroenterology Unit, CSS-IRCCS Hospital, San Giovanni Rotondo, Italy.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Bossa
authors.affiliation: Department of Gastroenterology and Digestive Endoscopy, University of Catanzaro, Italy.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Doldo
authors.affiliation: Department of Gastroenterology and Digestive Endoscopy, San Martino Hospital, Belluno, Italy.
authors.forename: Pierenrico
authors.initials: P
authors.lastname: Lecis
authors.affiliation: Department of Gastroenterology and Digestive Endoscopy, Morgagni Hospital, Forlì, Italy.
authors.forename: Daniela
authors.initials: D
authors.lastname: Valpiani
authors.affiliation: Gastroenterology Istituto Clinico Humanitas IRCCS, Rozzano,MI, Italy.
authors.forename: Silvio
authors.initials: S
authors.lastname: Danese
authors.affiliation: Gastroenterology and Digestive Endoscopy Departement, Bolzano Central Hospital, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Comberlato
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003266:Continuity of Patient Care; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000628:therapy*; D007558:Italy; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D017009:Professional Autonomy; D011446:Prospective Studies; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: QUOTE-IBD; Quality impact score; Quality of care