Persistent abdominal pain: challenges and models of care

The purpose of this study was twofold: First to assess the impact of persistent (chronic) abdominal pain on patients, carers, health professionals and the health care service within a large tertiary referral hospital in New South Wales (NSW), Australia. Second to examine ways in which the current model of care could be improved. The study employed a four-phase sequential, explanatory, mixed methods design. The study involved all major stakeholders: patients, carers and heath care professionals. There were a total of 112 participants involved in the study: seven patients, six carers, and 95 clinicians, representing 15 clinical specialities, including 10 general practitioners (GPs) and four health service administrators. Findings from this study highlight the challenges and frustrations experienced by all stakeholders. Preliminary recommendations are made in relation to the broad principles and essential elements that participants considered necessary for a revised model of care to achieve optimal therapeutic outcomes for the current and emergent patient cohorts with persistent abdominal pain.