caa a22 4500 445795271 CHVBK 20180317145122.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10620-010-1329-8 doi (NATIONALLICENCE)springer-10.1007/s10620-010-1329-8 Are Primary Care Providers Uncomfortable Providing Routine Preventive Care for Inflammatory Bowel Disease Patients? [Elektronische Daten] [Lisbeth Selby, Andrew Hoellein, John Wilson] Background and Aims: Those with chronic diseases, including inflammatory bowel disease (IBD), often do not receive preventive care at the same rate as the general population. Attitudes of primary care providers could be key factors in the receipt of preventive care. Methods: We surveyed attendees of a family medicine review course. The survey contained nine demographic items, four items to assess exposure to and comfort level with IBD, and six clinical vignettes. Results: Of surveys, 36% (61/169) were returned. The large majority were males practicing outpatient family medicine. Mean age was 51years, and 48% reported a mostly rural practice. Of subjects, 10% reported either having IBD themselves or having a close associate or relative with IBD. Only 37% of subjects felt comfortable providing primary care across a range of illness severity. Forty-six percent reported moderate or high exposure to IBD. For the case vignettes, the overall highest rate of endorsement of the active role was 84% for a case related to stageI hypertension, while the lowest rate was 30% for an item relating to vaccination for immunosuppressed persons. We assessed the following predictors of comfort level and active role responses and found no significant associations: age, gender, years of medical practice, and close contact with IBD. Conclusions: Our study suggests that family medicine practitioners often do not feel comfortable providing care to IBD patients. Lack of familiarity with IBD medications may be a key factor. Springer Science+Business Media, LLC, 2010 Inflammatory bowel disease nationallicence Primary care nationallicence Preventive care nationallicence Chronic disease nationallicence Selby Lisbeth Department of Internal Medicine, Division of Digestive Diseases and Nutrition, University of Kentucky Medical Center, MN 649, 40536, Lexington, KY, USA aut Hoellein Andrew Department of Internal Medicine, Division of General Internal Medicine, University of Kentucky Medical Center, K509 Kentucky Clinic, 40536-0284, Lexington, KY, USA aut Wilson John Department of Behavioral Science, University of Kentucky, 123 College of Medicine Office Building, 40536-0086, Lexington, KY, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/3(2011-03-01), 819-824 0163-2116 56:3<819 2011 56 10620 https://doi.org/10.1007/s10620-010-1329-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1329-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Selby Lisbeth Department of Internal Medicine, Division of Digestive Diseases and Nutrition, University of Kentucky Medical Center, MN 649, 40536, Lexington, KY, USA aut NATIONALLICENCE 700 1- Hoellein Andrew Department of Internal Medicine, Division of General Internal Medicine, University of Kentucky Medical Center, K509 Kentucky Clinic, 40536-0284, Lexington, KY, USA aut NATIONALLICENCE 700 1- Wilson John Department of Behavioral Science, University of Kentucky, 123 College of Medicine Office Building, 40536-0086, Lexington, KY, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/3(2011-03-01), 819-824 0163-2116 56:3<819 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer