EoE Module 13 References-Sauer et al Clin Gastroenterol Hepatol 2021 Multidisciplinary EoE care A model for comprehensive patient centered care through SDM

Sauer et al Clin Gastroenterol Hepatol 2021 Multidisciplinary EoE care A model for comprehensive patient centered care through SDM

Back to course

Pdf Summary

The document discusses the development of a multidisciplinary care model aimed at treating patients with eosinophilic esophagitis (EoE) and eosinophilic gastrointestinal diseases (EGIDs) at the University of Virginia. Traditionally, medical care has been fragmented, with patients needing to visit separate specialty clinics, which can complicate the care process. However, conditions like EoE and EGIDs necessitate a coordinated approach due to their overlapping allergic and gastrointestinal components.<br /><br />The University of Virginia's model involves gastroenterology, allergy, and nutrition specialists working collaboratively in a shared decision-making process to manage these diseases. This model promotes a comprehensive approach by having multiple specialists present at each patient visit, providing coordinated care, and better addressing the intertwined issues of diet, allergies, and gastrointestinal health. The model's structure includes clear goals, defined roles for each team member, and regular communication, enhancing both patient outcomes and clinician well-being.<br /><br />The paper outlines the formation of this multidisciplinary team, which includes adult and pediatric gastroenterologists, allergists, dietitians, and nurse coordinators, emphasizing the need for collaboration and mutual understanding. Challenges such as the logistics of sharing patient visits among multiple providers, financial constraints, billing issues, and adequate space are discussed. The success of this model is demonstrated by high patient satisfaction, improved coordination of care, and unique educational opportunities for medical trainees.<br /><br />Overall, this approach not only aims to improve direct patient care but also fosters an environment conducive to research and education. The document advocates for more such models across various diseases requiring multispecialty care, emphasizing that the benefits of comprehensive patient care outweigh potential financial challenges.

Keywords

multidisciplinary care

eosinophilic esophagitis

eosinophilic gastrointestinal diseases

University of Virginia

coordinated care

gastroenterology

allergy

nutrition specialists

patient satisfaction

medical education