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February 28, 2026INQUIRY The Journal of Health Care Organization Provision and Financing0 citationsOpen Access

Rural Residence Is Associated With Telephone Care Satisfaction Among Individuals With Inflammatory Bowel Disease: Cross-Sectional Study From Saskatchewan, Canada

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JFJ N FonchamNRNoelle RohatinskySFSharyle Fowler

Key Points

  • The study aims to assess satisfaction levels with telephone care among individuals with inflammatory bowel disease living in rural areas.
  • Conducted a cross-sectional study using an online survey.
  • Participants included individuals with inflammatory bowel disease in Saskatchewan.
  • Utilized the Telephone Care Satisfaction Questionnaire to measure satisfaction.
  • Employed ordinary least squares regressions to analyze factors affecting satisfaction.
  • Mean satisfaction score for telephone care was 5.70 on a scale from 1 to 7.
  • Rural residents reported satisfaction scores 0.42 points higher than urban residents.
  • Majority of participants with Crohn's disease were women aged 41 to 59.

Abstract

Individuals living with inflammatory bowel disease (IBD) require regular medical follow-up. Rural residents face barriers to accessing specialized IBD care. Virtual care may act as a solution to reduce such barriers. The COVID-19 pandemic increased the use of telephone care (TC) appointments in certain Canadian provinces. In this study, we measured satisfaction with TC among individuals with IBD in Saskatchewan, Canada, and explored the factors associated with TC satisfaction. A cross-sectional study was conducted in Saskatchewan among individuals with IBD through an online survey completed between December 2021 and April 2022. The survey included demographic questions and the Telephone Care Satisfaction Questionnaire (TCSQ). Factors associated with TC satisfaction were explored using ordinary least squares regressions with robust standard errors. Regression estimates and 95% confidence intervals (95% CI) were reported. Eighty-seven individuals with IBD participated in the survey; 54 (64.3%) had Crohn’s disease, 53 (61.6%) were women, 60 (69.8%) lived in urban centers, and 37 (43.5%) were between 41 and 59 years old. The mean satisfaction with TC was 5.70 (SD = 0.94) on a scale from 1.00 (low) to 7.00 (high). Individuals with IBD in rural Saskatchewan reported TC satisfaction scores that were 0.42 points (95% CI 0.03-0.83) higher than those living in urban areas, adjusted by medications for IBD, health care provider managing IBD, and perceived health-related quality of life and quality of care. In conclusion, individuals with IBD in Saskatchewan reported high levels of satisfaction with TC. Rural residence is associated with higher levels of TC satisfaction. This study could help promote the utilization of TC and improve access to specialized IBD care, especially among individuals living in rural areas.

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Cite This Study

Foncham et al. (2026) studied this question.

synapsesocial.com/papers/69a286850a974eb0d3c017e6https://doi.org/10.1177/00469580251411616
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