{
  "abstract": "Objective Across several clinical specialties, research-active hospitals deliver higher-quality care and achieve better patient outcomes. To date, these associations have primarily been demonstrated using hospital-reported metrics, with limited insight from the patient perspective. This study evaluated, for the first time, the association between research activity within UK inflammatory bowel disease (IBD) hospital services and adult patient-reported quality of care.Methods A cross-sectional analysis was conducted using 2023 national IBD UK benchmarking Patient and Service Survey data linked with research recruitment metrics from the National Institute for Health and Care Research Central Portfolio Management System (CPMS) between 2020 and 2022. Patient-reported high-quality care in the preceding 12 months was defined as a response of ‘good’, ‘very good’ or ‘excellent’ on a five-point Likert scale. Research activity was measured by the number of participants recruited to CPMS-registered IBD studies managed by gastroenterology. Associations were assessed using Spearman’s correlation and multivariate regression, adjusting for service-level factors.Results Recruitment data from 32 391 research participants across 176 IBD services were aligned with 11 454 care quality and 13 583 research opportunity patient responses. A positive correlation was observed between IBD service research recruitment volume and the proportion of patients reporting high-quality care (rₛ=0.19, p=0.013). This association remained significant after adjusting for tertiary status, service size, number of consultants and presence of an IBD leadership team (adjusted β (SE)=0.0008 (0.0004); p=0.029). Services recruiting to interventional studies demonstrated higher patient-reported care quality, while those offering research opportunities reported both higher care quality and greater research recruitment.Conclusion IBD service research activity is positively associated with patient-reported care quality. Embedding research engagement within routine service delivery may improve patient experience and support quality improvement. The results have important implications for service design, workforce planning and national research policy.",
  "authors": [
    {
      "affiliations": [
        "Translational & Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK",
        "Department of Gastroenterology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"
      ],
      "name": "Robert J Mulligan"
    },
    {
      "affiliations": [
        "National Institute for Health and Care Research, West Midlands Research Delivery Network, West Midlands, UK"
      ],
      "name": "Pat Ryan"
    },
    {
      "affiliations": [
        "Translational & Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK"
      ],
      "name": "Lauren C Beck"
    },
    {
      "affiliations": [
        "Department of Psychology, University of Liverpool, Liverpool, UK"
      ],
      "name": "Paul Christiansen"
    },
    {
      "affiliations": [
        "Crohn’s & Colitis UK, Hatfield, UK"
      ],
      "name": "Jessica Turner"
    },
    {
      "affiliations": [
        "Department of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK",
        "Leeds Institute of Medical Research, University of Leeds, Leeds, UK"
      ],
      "name": "Christian P Selinger"
    },
    {
      "affiliations": [
        "Department of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK",
        "University of Southampton, Southampton, UK"
      ],
      "name": "J R Fraser Cummings"
    },
    {
      "affiliations": [
        "IBD Registry, London, UK"
      ],
      "name": "IBD Registry"
    },
    {
      "affiliations": [
        "Translational & Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK",
        "Department of Gastroenterology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK",
        "National Institute for Health and Care Research, West Midlands Research Delivery Network, West Midlands, UK",
        "Department of Psychology, University of Liverpool, Liverpool, UK",
        "Crohn’s & Colitis UK, Hatfield, UK",
        "Department of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK",
        "Leeds Institute of Medical Research, University of Leeds, Leeds, UK",
        "Department of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK",
        "University of Southampton, Southampton, UK",
        "IBD Registry, London, UK",
        "Department of Gastroenterology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK",
        "School of Medicine and Clinical Practice, Faculty of Sciences and Engineering, University of Wolverhampton, Wolverhampton, UK",
        "Department of Gastroenterology, Cardiff and Vale University Health Board, Cardiff, UK"
      ],
      "name": "Contributors to the IBD UK Task & Finish Group"
    },
    {
      "affiliations": [
        "Translational & Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK",
        "Department of Gastroenterology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK",
        "National Institute for Health and Care Research, West Midlands Research Delivery Network, West Midlands, UK",
        "Department of Psychology, University of Liverpool, Liverpool, UK",
        "Crohn’s & Colitis UK, Hatfield, UK",
        "Department of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK",
        "Leeds Institute of Medical Research, University of Leeds, Leeds, UK",
        "Department of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK",
        "University of Southampton, Southampton, UK",
        "IBD Registry, London, UK",
        "Department of Gastroenterology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK",
        "School of Medicine and Clinical Practice, Faculty of Sciences and Engineering, University of Wolverhampton, Wolverhampton, UK",
        "Department of Gastroenterology, Cardiff and Vale University Health Board, Cardiff, UK"
      ],
      "name": "IBD Service Survey Collaborators"
    },
    {
      "affiliations": [
        "Department of Gastroenterology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK",
        "School of Medicine and Clinical Practice, Faculty of Sciences and Engineering, University of Wolverhampton, Wolverhampton, UK"
      ],
      "name": "Matthew J Brookes"
    },
    {
      "affiliations": [
        "Department of Gastroenterology, Cardiff and Vale University Health Board, Cardiff, UK"
      ],
      "name": "A Barney Hawthorne"
    },
    {
      "affiliations": [
        "Translational & Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK",
        "Department of Gastroenterology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"
      ],
      "name": "Christopher A Lamb"
    }
  ],
  "title": "Research engagement and patient-reported quality of care: a cross-sectional study of UK inflammatory bowel disease services",
  "uid": "822484fa-8371-5f58-bb47-3ff4f7b73d9e"
}