Aims The aim of the study was to assess the provision of dietetic services for coeliac disease (CD), irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD). Methods Hospitals within all National Health Service trusts in England were approached (n=209). A custom-designed web-based questionnaire was circulated via contact methods of email, post or telephone. Individuals/teams with knowledge of gastrointestinal (GI) dietetic services within their trust were invited to complete. Results 76% of trusts (n=158) provided GI dietetic services, with responses received from 78% of these trusts (n=123). The median number of dietitians per 100 000 population was 3.64 (range 0.15–16.60), which differed significantly between regions (p=0.03). The most common individual consultation time for patients with CD, IBS and IBD was 15–30 min (43%, 44% and 54%, respectively). GI dietetic services were delivered both via individual and group counselling, with individual counselling being the more frequent delivery method available (93% individual vs 34% group). A significant proportion of trusts did not deliver any specialist dietetic clinics for CD, IBS and IBD (49% (n=60), 50% (n=61) and 72% (n=88), respectively). Conclusion There is an inequity of GI dietetic services across England, with regional differences in the level of provision and extent of specialist care. Allocated time for clinics appears to be insufficient compared with time advocated in the literature. Group clinics are becoming a more common method of dietetic service delivery for CD and IBS. National guidance on GI dietetic service delivery is required to ensure equity of dietetic services across England. Data are available upon reasonable request.

中文翻译：

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评估英格兰胃肠病学饮食服务提供情况的全国调查

目的 该研究的目的是评估为乳糜泻 (CD)、肠易激综合征 (IBS) 和炎症性肠病 (IBD) 提供的饮食服务。方法 联系了英格兰所有国家卫生服务信托机构中的医院（n=209）。通过电子邮件、邮寄或电话等联系方式分发了一份定制设计的基于网络的问卷。邀请他们信任的具有胃肠道 (GI) 饮食服务知识的个人/团队完成。结果 76% 的信托 (n=158) 提供 GI 饮食服务，其中 78% 的信托 (n=123) 收到了回复。每 10 万人中营养师的中位数为 3.64（范围 0.15-16.60），不同地区之间存在显着差异（p=0.03）。CD、IBS 和 IBD 患者最常见的个体咨询时间为 15-30 分钟（43%，分别为 44% 和 54%）。胃肠道饮食服务通过个人和团体咨询提供，个人咨询是更常见的提供方法（93% 个人对 34% 团体）。很大一部分信托没有为 CD、IBS 和 IBD 提供任何专科饮食诊所（分别为 49%（n=60）、50%（n=61）和 72%（n=88））。结论 整个英格兰的 GI 饮食服务存在不公平现象，在提供水平和专科护理范围方面存在地区差异。与文献中提倡的时间相比，为诊所分配的时间似乎不足。团体诊所正在成为 CD 和 IBS 饮食服务提供的更常见方法。需要关于 GI 饮食服务提供的国家指导，以确保整个英格兰的饮食服务公平。