{
  "abstract": "Introduction Patients with disorders of gut–brain interaction (DGBI) place high demand on dietetic services, yet unclear referrals and limited pre-assessment information impede efficient triage and increase reliance on resource-intensive one-to-one care. This study evaluated the feasibility, patient engagement and service impact of digital patient portal–based screening.Methods A prospective service transformation evaluated a patient portal (MyCare) screening and triage pathway for consecutive secondary and tertiary gastroenterology referrals to a dietetic service (January–March 2023). Screening was initiated at referral, excluding urgent and inappropriate referrals. Patients were supported to enrol in MyCare and issued validated digital screening questionnaires. Questionnaires were reviewed by a neurogastroenterology dietitian to allocate patients to one-to-one or group pathways. Patients completing screening were invited to complete a digital satisfaction survey 3–6 months later. Descriptive statistics were calculated; Chi-squared tests compared attendance and appointment type pre- and post-screening, and waiting times were extracted from Power BI.Results One hundred consecutive referrals were included (84% female; median age 38 years); 15 were excluded (5 urgent, 10 inappropriate). Of 85 patients entering screening, 4% (3/85) declined digital engagement and 15% (13/85) did not respond to digital engagement communication methods. Thirty-five per cent (30/85) were not registered on MyCare; 70% (21/30) subsequently self-signed up. Overall, 76 patients were sent screening questionnaires, of whom 91% (69/76) completed them (figure 1). Screening clarified unclear referral purpose in 45% prior to appointment allocation. Requirement for one-to-one appointments reduced from 36% to 26% following screening (P=0.0817), with increased group allocation. Median waiting time for first one-to-one appointments reduced from 110 to 48 days (56%) and follow-ups from 163 to 77 days (53%). Group clinic did-not-attend (DNA) rates reduced from 32% pre-screening to 21% post-implementation (P=0.1500), despite higher group utilisation. One-to-one DNA rates reduced from 13% to 12% (P=0.8877). Patient satisfaction questionnaires were completed by 22% (15/69); 67% (10/15) found screening useful and 87% (13/15) were willing to continue questionnaire completion during treatment.Conclusions Digital patient portal screening is feasible and acceptable in dietetic DGBI services and supports triage between group and one-to-one care. Implementation was associated with substantially reduced waiting times and improved clinic utilisation, supporting integration of digital screening pathways. Non-engagement by 15% highlights the need to address potential digital exclusion.Abstract P407 Figure 1Flow of consecutive gastroenterology referrals through a digital patient portal screening and triage pathway for disorders of gut–brain interaction",
  "authors": [
    {
      "affiliations": [
        "University College London Hospital, London, United Kingdom"
      ],
      "name": "Lee Martin"
    },
    {
      "affiliations": [
        "University College London Hospital, London, United Kingdom"
      ],
      "name": "Natalia Zarate-Lopez"
    },
    {
      "affiliations": [
        "University College London Hospital, London, United Kingdom"
      ],
      "name": "Asma Fikree"
    }
  ],
  "title": "P407 Implementing digital patient portal screening to optimise dietetic triage in disorders of gut brain interaction",
  "uid": "a49cbb10-04d9-51b3-a9ef-29151240c886"
}