A230 NOT ALL PATIENTS WITH GASTROINTESTINAL COMPLAINTS REQUIRE SPECIALIST CARE: TWO YEAR OUTCOMES FROM AN ENHANCED PRIMARY CARE PATHWAY

摘要

BackgroundHigh referral volumes to digestive disease specialists in Canada highlight the ubiquity of gastrointestinal disorders. Yet, due to demand-supply mismatch, wait times for specialist consultation continue to grow, exceeding consensus targets. At our institution, a single point of entry model is used to centralize intake. Recently, an Enhanced Primary Care (EPC) pathway was created to identify certain low-risk patients who do not require immediate specialist consultation. These patients are managed by their primary care physician with support from co-developed best practice guidelines.