Persons with chronic diseases often do not receive preventive care at the same rate as the general population.
Reasons for this are not clear.
Dr Lisbeth Selby and colleagues from the United Kingdom conducted a cross-sectional survey of patients with inflammatory bowel disease (IBD) and controls to assess receipt of 10 preventive health services.
|Difference in screening rates was 71% for IBD patients vs. 78% for controls|
|Inflammatory Bowel Diseases|
The researchers evaluated inflammatory bowel disease outpatients and primary care outpatients in 2006 at the University of Kentucky by trained clinicians, using chart data to augment patient response.
A second sample of inflammatory bowel disease patients from the University of Chicago was studied with a self-administered survey.
The researchers enrolled 242 inflammatory bowel disease subjects, and 100 control subjects were recruited from University of Kentucky primary care clinics.
The overall age-/sex-adjusted screening rate, as measured by the screening index, was significantly lower in inflammatory bowel disease subjects than in controls.
The team found that after adjusting for insurance status, the difference in screening rates was still lower for inflammatory bowel disease patients than for controls, at 71% versus 78%.
Neither disease type nor disease control rating predicted screening rate.
Dr Selbys' team concluded, "Our data suggest inflammatory bowel disease patients do not receive preventive services at the same rate as general medical patients."
"Preventive care is a facet of global inflammatory bowel disease management that deserves further study."