Multi-stakeholder Delphi consensus on future care for inflammatory bowel disease in Belgium.

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Acta gastro-enterologica Belgica Pub Date : 2026-04-01 DOI:10.51821/89.2.14962

T Taelman, N Deprez, J King, F Baert, A Cremer, M Ferrante, J Sabino, C Reenaers, I Arijs, P Bossuyt

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Abstract

Background: Care for patients with IBD has changed over the last decades with increased prevalence and subsequent financial and organizational burden on the health care system. The aim of this work was to develop a nationwide consensus on how to organize care for patients with IBD.

Methods: We developed a consensus document through a modified Delphi process including different Belgian stakeholders involved in the care for patients with IBD. Through two voting rounds and a consensus meeting statements were developed.

Results: Thirty-three statements reached consensus through the Delphi process. The statements can be classified in six major domains: IBD registry and data utilization, Patient reported data, Multidisciplinary care, IBD nurse role and financial support, Access to diagnostic and monitoring tools and Treatment and medication reimbursement.

Conclusion: We developed a broadly supported consensus on how to organize care for patients with IBD in the Belgian healthcare environment. Selection of focus area should seek for balance between optimization of clinical outcomes, securing quality of care and maintaining financial sustainability.

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比利时炎症性肠病未来护理的多利益相关者德尔菲共识

背景：在过去的几十年里，IBD患者的护理发生了变化，患病率增加，卫生保健系统的财政和组织负担也随之增加。这项工作的目的是就如何组织IBD患者的护理在全国范围内达成共识。方法：我们通过改进的德尔菲过程，包括不同的比利时利益相关者参与IBD患者的护理，制定了共识文件。通过两轮投票和协商一致会议，制定了声明。结果：通过德尔菲法，33个陈述达成一致。这些陈述可分为六个主要领域：IBD登记和数据利用、患者报告数据、多学科护理、IBD护士角色和财务支持、获得诊断和监测工具以及治疗和药物报销。结论：我们就如何在比利时的医疗环境中组织IBD患者的护理达成了广泛支持的共识。重点领域的选择应在优化临床结果、确保护理质量和维持财务可持续性之间寻求平衡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta gastro-enterologica Belgica Medicine-Gastroenterology

CiteScore

2.30

自引率

20.00%

发文量

期刊介绍： The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.