{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T21:22:43Z","timestamp":1776201763401,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,7,18]],"date-time":"2012-07-18T00:00:00Z","timestamp":1342569600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background:\u2002<\/jats:bold> Inflammatory bowel disease (IBD) is a chronic disease requiring long\u2010term management. General practitioners (GPs) are often the first point of contact for initial symptoms and flares. Thus we assessed GPs' attitudes to and knowledge of IBD.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> A state\u2010wide postal survey of GPs was performed collecting demographic details, practice and attitudes in IBD\u2010specific management and knowledge.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Of 1800 GPs surveyed in South Australia, 409 responded; 58% were male, 80% Australian trained and 73% practised in metropolitan areas. Most GPs (92%) reported seeing zero to five IBD patients per month. Overall, 37% of the GPs reported being generally \u2018uncomfortable\u2019 with IBD management. Specifically, they were only somewhat comfortable in providing\/using maintenance therapy, steroid therapy or unspecified therapy for an acute flare. They were uncomfortable with the use of immunomodulators and biologicals (71 and 91% respectively). No GP reported never referring, referring sometimes (12%), often (34%) or always (55%). Most (87%) GPs rated their communication with private specialists positively; while only 32% were satisfied with support from public hospitals. Of concern, most (70%) monitored patients on immunosuppression on a case\u2010by\u2010case basis rather than by protocol. In multivariable analyses, GPs' IBD\u2010specific knowledge did not influence comfort with overall management, nor did knowledge influence GP comfort with any particular therapy.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> Individual GPs care for few IBD patients and have variable attitudes in their practice. Whether improvement can realistically be achieved given individual GP's paucity of patients is questionable. These data support the provision of better support and specific action plans for IBD patients.<\/jats:p>","DOI":"10.1111\/j.1445-5994.2011.02586.x","type":"journal-article","created":{"date-parts":[[2011,9,1]],"date-time":"2011-09-01T20:52:20Z","timestamp":1314910340000},"page":"801-807","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["General practitioners' knowledge of and attitudes to inflammatory bowel disease"],"prefix":"10.1111","volume":"42","author":[{"given":"M.","family":"Tan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. H.","family":"Holloway","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Lange","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. M.","family":"Andrews","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,7,18]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"Access Economics.The economic costs of Crohn's disease and ulcerative colitis.2007[cited 2009 Dec]. Available from URL:http:\/\/www.acca.net.au\/"},{"key":"e_1_2_6_3_2","unstructured":"The IBD Standards Group.Quality care \u2013 service standards for the healthcare of people who have inflammatory bowel disease (IBD).2009[cited 2009 Dec]. Available from URL:http:\/\/www.bsg.org.uk\/clinical\/news\/ibd\u2010standards.html"},{"issue":"1","key":"e_1_2_6_4_2","first-page":"S","article-title":"Introduction of a dedicated IBD service quantitatively and qualitatively improves outcomes in less than 18\u2003months: a prospective cohort study in a large metropolitan centre","volume":"138","author":"Pham VA","year":"2010","journal-title":"Gastroenterology"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.crohns.2011.08.019"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-006-0072-5"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1367\/A04-106R.1"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000167182.72251.a1"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2010.tb03807.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1023\/B:DDAS.0000043384.26092.f4"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1999.01536.x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2010.06302.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2009.02110.x"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2010.02328.x"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1445-5994.2011.02586.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1445-5994.2011.02586.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T07:11:09Z","timestamp":1697353869000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1445-5994.2011.02586.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.1111\/j.1445-5994.2011.02586.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1445-5994.2011.02586.x","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"value":"1444-0903","type":"print"},{"value":"1445-5994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,7]]},"assertion":[{"value":"2012-07-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}