Journal of Pediatric Gastroenterology and Nutrition

Short Communications: Gastroenterology: Eosinophilic Gastrointestinal Disorders

Impact of Patient Engagement and Social Determinants of Health on Care of Eosinophilic Gastrointestinal Disorders Patients

Corresponding Author

Saad Kothawala

[email protected]

University of Illinois College of Medicine, Peoria, IL

Address correspondence and reprint requests to Saad Kothawala, BS, University of Illinois College of Medicine, One Illini Drive, Peoria, IL 61605 (e-mail: [email protected]).Search for more papers by this author

Yanzhi Wang,

Yanzhi Wang

University of Illinois College of Medicine, Peoria, IL

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Sandeep K. Gupta,

Sandeep K. Gupta

Section of Pediatric Gastroenterology, Hepatology and Nutrition, Riley Hospital for Children/Indiana University, School of Medicine, Community Health Network, Indianapolis, IN

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Saad Kothawala,

Corresponding Author

Saad Kothawala

[email protected]

University of Illinois College of Medicine, Peoria, IL

Yanzhi Wang,

Yanzhi Wang

University of Illinois College of Medicine, Peoria, IL

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Sandeep K. Gupta,

Sandeep K. Gupta

Section of Pediatric Gastroenterology, Hepatology and Nutrition, Riley Hospital for Children/Indiana University, School of Medicine, Community Health Network, Indianapolis, IN

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First published: 05 October 2021

https://doi.org/10.1097/MPG.0000000000003318

Citations: 4

Sources of Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Conflicts of Interest: S.K.G. reports personal fees from Allakos, Abbott, Adare, Celgene, Gossamer Bio, QOL, Medscape, Viaskin, research grants from Shire, and royalties from UpToDate.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text, and links to the digital files are provided in the HTML text of this article on the journal's Web site (www.jpgn.org).

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ABSTRACT

The purpose of this study was to identify factors that influence eosinophilic gastrointestinal disorders (EGID) patients to switch gastroenterologists, assess the prevalence of social determinants of health (SDoH) in EGID patients, and the impact of SDoH on provider switching. 191 patients/caregivers participated in this cross-sectional, online study distributed through Patient Advocacy Groups. The 35-question survey took about 20 minutes to complete and was divided into three sections: demographics; 10 questions about provider switching; and nine-domain SDoH screen.

Patients with EGIDs often switch providers, most commonly due to dissatisfaction with engagement in decision making. Additionally, these patients commonly have SDoH, some of which are associated with increased provider switching. Our results highlight the need to mindfully engage patients in decision-making and disease management. Providers also need to look beyond the “clinic space” and into SDoH. These low-cost/high-impact changes in provider behavior can promote continuity of care and patient engagement.

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Volume74, Issue2

February 2022

Pages 272-276

Impact of Patient Engagement and Social Determinants of Health on Care of Eosinophilic Gastrointestinal Disorders Patients

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Impact of Patient Engagement and Social Determinants of Health on Care of Eosinophilic Gastrointestinal Disorders Patients

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