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Canadian Journal of Gastroenterology and Hepatology
Volume 2017, Article ID 3676474, 7 pages
Research Article

Allied Health Professional Support in Pediatric Inflammatory Bowel Disease: A Survey from the Canadian Children Inflammatory Bowel Disease Network—A Joint Partnership of CIHR and the CH.I.L.D. Foundation

1Section of Pediatric Gastroenterology, Winnipeg Children’s Hospital, Max Rady College of Medicine, Rady Faculty of Health Sciences and Children’s Hospital Research Institute, Winnipeg, MB, Canada
2Department of Pediatrics, University of Alexandria, Alexandria, Egypt
3Department of Pediatrics, University of Ottawa and Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada
4School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, ON, Canada
5Edmonton Pediatric IBD Clinic (EPIC), Department of Pediatrics, University of Alberta, Edmonton, AB, Canada
6Department of Pediatrics, Janeway Children’s Hospital, St. John’s, NL, Canada
7Division of Pediatric Gastroenterology & Nutrition, Department of Pediatrics, IWK Health Centre, Dalhousie University, Halifax, NS, Canada
8Department of Pediatrics, CHU Sainte-Justine, Montréal, QC, Canada
9Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, BC Children’s Hospital, UBC, Vancouver, BC, Canada
10Section of Pediatric Gastroenterology, Department of Pediatrics, University of Calgary, Calgary, AB, Canada
11Division of Pediatric Gastroenterology, McMaster Children’s Hospital, Hamilton, ON, Canada
12Department of Pediatrics, Schulich School of Medicine, Western University, Children’s Hospital of Western Ontario, London, ON, Canada
13Division of Pediatric Gastroenterology, Hepatology and Nutrition, Montreal Children’s Hospital, Department of Pediatrics, McGill University, Montreal, QC, Canada
14Division of Pediatric Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, Department of Pediatrics, University of Toronto, Toronto, ON, Canada

Correspondence should be addressed to Wael El-Matary;

Received 23 October 2016; Revised 3 March 2017; Accepted 27 March 2017; Published 16 May 2017

Academic Editor: Jennifer Jones

Copyright © 2017 Wael El-Matary et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives. The current number of healthcare providers (HCP) caring for children with inflammatory bowel disease (IBD) across Canadian tertiary-care centres is underinvestigated. The aim of this survey was to assess the number of healthcare providers (HCP) in ambulatory pediatric IBD care across Canadian tertiary-care centres. Methods. Using a self-administered questionnaire, we examined available resources in academic pediatric centres within the Canadian Children IBD Network. The survey evaluated the number of HCP providing ambulatory care for children with IBD. Results. All 12 tertiary pediatric gastroenterology centres participating in the network responded. Median full-time equivalent (FTE) of allied health professionals providing IBD care at each site was 1.0 (interquartile range (IQR) 0.6–1.0) nurse, 0.5 (IQR 0.2–0.8) dietitian, 0.3 (IQR 0.2–0.8) social worker, and 0.1 (IQR 0.02–0.3) clinical psychologists. The ratio of IBD patients to IBD physicians was 114 : 1 (range 31 : 1–537 : 1), patients to nurses/physician assistants 324 : 1 (range 150 : 1–900 : 1), dieticians 670 : 1 (range 250 : 1–4500 : 1), social workers 1558 : 1 (range 250 : 1–16000 : 1), and clinical psychologists 2910 : 1 (range 626 : 1–3200 : 1). Conclusions. There was a wide variation in HCP support among Canadian centres. Future work will examine variation in care including patients’ outcomes and satisfaction across Canadian centres.