A proposed comprehensive model of care for inflammatory bowel disease in Poland

Grażyna Rydzewska; Piotr Eder; Maciej Gonciarz; Magdalena Kaniewska; Maria Kłopocka; Ewa Małecka-Wojciesko; Jarosław Reguła

doi:10.5114/pg.2025.151866

eISSN: 1897-4317
ISSN: 1895-5770

Gastroenterology Review/Przegląd Gastroenterologiczny

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2/2025
vol. 20

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abstract:

Review paper

A proposed comprehensive model of care for inflammatory bowel disease in Poland

Grażyna Rydzewska

^{1, 2}

,

Piotr Eder

³

,

Maciej Gonciarz

⁴

,

Magdalena Kaniewska

¹

,

Maria Kłopocka

⁵

,

Ewa Małecka-Wojciesko

⁶

,

Jarosław Reguła

⁷

Department of Gastroenterology and Internal Medicine, National Medical Institute of the Ministry of the Interior and Administration, Warsaw, Poland
Collegium Medicum, Jan Kochanowski University, Kielce, Poland
Department of Gastroenterology, Dietetics and Internal Medicine, Poznan University of Medical Sciences, Poznan University Clinical Hospital, Poznan, Poland
Department of Gastroenterology and Internal Medicine, Military Institute of Medicine, Warsaw, Poland
Department of Gastroenterology and Nutrition Disorders, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
Department of Digestive Tract Diseases, Medical University of Lodz, Lodz, Poland
Department of Oncological Gastroenterology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland

Gastroenterology Rev 2025; 20 (2): 142–147

DOI: https://doi.org/10.5114/pg.2025.151866

Online publish date: 2025/06/06

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Epidemiological data of the Polish healthcare model of care indicate that the current management of inflammatory bowel disease (IBD) requires improvements in clinical practice and service organization. Integrated care models for patients with IBD, particularly those centred on a multidisciplinary team, offer a promising approach to improving outcomes, reducing admissions, and rationalizing resources. The coordination of specialists, nurses, dieticians, psychologists, and other professionals within a single reference unit could strengthen continuity of care with primary care providers and enable treatment strategies to be tailored to individual needs. In addition, education and ongoing support foster greater patient involvement, potentially lowering relapse rates and enhancing quality of life. These models, with reforms in care provision and quality measurement based on digital solutions, can reduce fragmentation and alleviate burdens on both patients and the healthcare system. Thus, integrated care represents an evolution in IBD management, benefiting all stakeholders in the healthcare continuum.

keywords:

A proposed comprehensive model of care for inflammatory bowel disease in Poland

Grażyna Rydzewska 1, 2 , Piotr Eder 3 , Maciej Gonciarz 4 , Magdalena Kaniewska 1 , Maria Kłopocka 5 , Ewa Małecka-Wojciesko 6 , Jarosław Reguła 7

inflammatory bowel disease, model of care, Crohn’s disease, colitis ulcerosa

Grażyna Rydzewska

^{1, 2}

,

Piotr Eder

³

,

Maciej Gonciarz

⁴

,

Magdalena Kaniewska

¹

,

Maria Kłopocka

⁵

,

Ewa Małecka-Wojciesko

⁶

,

Jarosław Reguła

⁷