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Gastroenterology services in the UK. The burden of disease, and the organisation and delivery of services for gastrointestinal and liver disorders: a review of the evidence

¹ Dr Faiz Ali, specialist registrar in gastroenterology/research fellow, Centre for Health Information, Research and EvaLuation (CHIRAL), School of Medicine, University of Wales Swansea.
² Dr Wai-Yee Cheung, senior lecturer in health service research, Centre for Health Information, Research and Evaluation (CHIRAL), School of Medicine, University of Wales Swansea.
³ Professor David Cohen, professor of health economics, School of Care Sciences, University of Glamorgan.
⁴ Mrs Gaynor Demery, personal assistant to Professor John Williams, School of Medicine, University of Wales Swansea.
⁵ Dr Adrian Edwards, reader in primary care, Centre for Health Information, Research and Evaluation (CHIRAL), School of Medicine, University of Wales Swansea.
⁶ Mrs Margot Greer, library and information services manager, National Public Health Service.
⁷ Dr Mike Hellier, president, British Society of Gastroenterology.
⁸ Dr Hayley Hutchings, statistician, Centre for Health Information, Research and Evaluation (CHIRAL), School of Medicine, University of Wales Swansea.
⁹ Dr Barry Ip, research officer, Centre for Health Information, Research and Evaluation (CHIRAL), School of Medicine, University of Wales Swansea.
¹⁰ Mrs Mirella Longo, research fellow, School of Care Sciences, University of Glamorgan.
¹¹ Dr Stephen Roberts, lecturer of epidemiology, Centre for Health Information, Research and Evaluation (CHIRAL), School of Medicine, University of Wales Swansea.
¹² Professor Ian Russell, professor of public health and director of Institute of Medical and Social Care Research, University of Wales Bangor.
¹³ Dr Helen Snooks, senior lecturer in health and social care research, Centre for Health Information, Research and Evaluation (CHIRAL), School of Medicine, University of Wales Swansea.
¹⁴ Professor John Williams, Project leader, consultant gastroenterologist/professor of health services research, Centre for Health Information, Research and Evaluation (CHIRAL), School of Medicine, University of Wales Swansea.
¹⁵ Mrs Judy Williams, clerical officer, Centre for Health Information, Research and Evaluation (CHIRAL), School of Medicine, University of Wales Swansea.

Correspondence to:
Correspondence to:
Dr S E Roberts
Swansea Clinical School, University of Wales, Singleton Park, Swansea SA2, UK; stephen.e.roberts@swansea.ac.uk

Accepted for publication 11 December 2006

Keywords: gastrointestinal disorders; liver disorders; gastroenterology

The first 150 words of the full text of this article appear below.

1. EXECUTIVE SUMMARY
Purpose of report
This document has been commissioned by the British Society of Gastroenterology. It is intended to draw together the evidence needed to fill the void created by the absence of a national framework or guidance for service provision for the management of patients with gastrointestinal and hepatic disorders. It sets out the service, economic and personal burden of such disorders in the UK, describes current service provision, and draws conclusions about the effectiveness of current models, based on available evidence. It does not seek to replicate existing guidance, which has been produced for upper and lower gastrointestinal cancers, hepatobiliary and pancreatic disorders, and many chronic disorders of the gut. It does, however, draw on evidence contained in these documents. It is intended to be of value to patient groups, clinicians, managers, civil servants, and politicians, particularly those responsible for developing or delivering services for patients with gastrointestinal disorders.

Methods used
A systematic review . . . [Full text of this article]