Demand-driven follow-up of patients with IBD

Helse Møre og Romsdal offers needs-based follow-up via CheckWare for patients with inflammatory bowel disease (IBD), where patients register their own health status through a digital online portal. This provides more flexible and individualized follow-up, with patients answering questionnaires every four months, as well as an annual quality of life questionnaire. IBD nurses assess the responses and contact the patient if further follow-up or a doctor's appointment is needed.

The service is suitable for patients who want increased involvement and flexibility in their treatment, while also providing healthcare professionals with more efficient use of resources. By adapting the follow-up to the patient’s actual needs, the model can contribute to better disease control and increased patient satisfaction.

About the service

Helse Møre og Romsdal offers needs-based follow-up for patients with inflammatory bowel disease (IBD) at the outpatient clinic for gastroenterology in Ålesund. This service allows patients to register information about their own disease course through a digital online portal, which increases patient involvement in their own follow-up.
Traditionally, follow-up of IBD patients has consisted of regular check-ups at fixed intervals. With needs-based follow-up, patients can control when and how follow-up occurs, based on their own health status. This means closer and more timely follow-up without necessarily having to attend the outpatient clinic physically each time.

Patients receive an SMS with a link when it is time for self-registration and can log in to the online portal via smartphone, tablet, or PC using electronic ID (BankID). They answer digital questionnaires about their challenges every four months, as well as an annual quality of life questionnaire. The answers are reviewed by IBD nurses, who contact the patient if further evaluation is needed or arrange an appointment with a doctor or nurse. If no need for additional follow-up is identified, the patient continues with the next scheduled self-registration.

This service is suitable for IBD patients who want greater flexibility and active participation in their own treatment. For healthcare professionals, the model allows more efficient resource use, as the follow-up is adapted to the patient’s actual needs, which can lead to better disease control and increased patient satisfaction.

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