title: How is inflammatory bowel disease managed in Spanish gastroenterology departments? The results of the GESTIONA-EII survey.
abstract: BACKGROUND
  Not all national health centers include specialized units or clinicians devoted to inflammatory bowel disease. The goal of the survey was to gain an insight into the management of this disease within Spanish gastroenterology departments via a survey among their members.
  
  
  METHODS
  An online survey was conducted in February and March 2015, among SEPD members (2017 clinician members), who were split into three categories: heads of department, general gastroenterologists, and experts in this disease. The results of the last two surveys are reported, including demography-related questions and specific questions on the strategies and resources available for the care of these patients.
  
  
  RESULTS
  A total of 166 responses were received (response rate 8.19%), excluding those from heads of department (previously published). Sixty gastroenterologists considered themselves experts in inflammatory bowel disease, and 106 non-experts in it, the latter being either general gastroenterologists or specialists in other areas, mainly endoscopy. Twenty-eight percent of non-expert gastroenterologists said their hospitals had specific units, with a monographic clinic in 46%. However, 26% reported that they were treating affected patients themselves. Experts in inflammatory bowel disease reported that their institute had resources to support their work, but there was a lack of surgeons with expertise in this condition, particularly in county hospitals.
  
  
  CONCLUSIONS
  At least, within SEPD members, 2 out of 3 experts in inflammatory bowel disease seem to have the resources available for their work (nurses, day unit, telephone line, database, referrals, joint sessions). Although there is room for improvement (email to contact patients, devoted surgeon, absence of referral protocols), and 2 out of 3 are concerned about pharmacy costs. Since a substantial number of patients remain treated by general practitioners, rapid referral programs might be helpful in this setting.
authors.affiliation: Aparato digestivo, Hospital Clínico Universitario de Santiago de Compostela, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Barreiro-de Acosta
authors.affiliation: Aparato Digestivo, Hospital Universitario Virgen Macarena. Sevilla. .
authors.forename: Federico
authors.initials: F
authors.lastname: Argüelles-Arias
authors.affiliation: Aparato Digestivo, Hospital de Manises. Valencia..
authors.forename: Joaquín
authors.initials: J
authors.lastname: Hinojosa
authors.affiliation: Gestión del Conocimiento, SEPD, España.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Júdez Gutiérrez
authors.affiliation: Hospital Padre Jofré. Valencia, España.
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: Tenías Burillo
mesh_terms: D000072102:Gastroenterologists / Q000706:statistics & numerical data*; D005762:Gastroenterology / Q000706:statistics & numerical data* / Q000639:trends; D019538:Health Care Surveys; D006748:Hospital Departments; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000628:therapy*; D010820:Physicians; D013030:Spain