Background and Objectives: Telemedicine has become an essential component of chronic Inflammatory Bowel Disease (IBD) care, yet the factors that shape patient satisfaction with remote consultations remain only partially understood. This study aimed to assess satisfaction with institutional telemedicine services among Italian patients with ulcerative colitis (UC) and Crohn’s disease (CD), and to identify sociodemographic, clinical and organisational predictors to inform more person-centred telehealth models. Materials and Methods: We conducted a prospective, multi-centre, cross-sectional study in three IBD units in northern, central and southern Italy between June and October 2024. Consecutive adult patients who had completed a scheduled, non-emergency telemedicine visit were invited within 24–48 h to complete an online questionnaire including the Italian Telemedicine Satisfaction Questionnaire (I-TSQ), sociodemographic items, IBD-related variables, and telemedicine process indicators (accessibility, technology usability, technical support, time saved). Data were analysed descriptively and with multivariable linear regression to determine independent predictors of satisfaction, adjusting for recruiting centre. Results: A total of 705 patients participated (54.9% UC; 55.3% disease duration > 10 years). Overall, telemedicine satisfaction was high (mean I-TSQ total 57.5 ± 4.9; range 35–70), and all respondents reported reduced indirect costs compared with in-person visits. Greater ease of technology use, more frequent contact with the care team, male sex, older age, and employment were independently associated with higher satisfaction scores. Conversely, first-ever teleconsultations, CD, subcutaneous therapies, more difficult platform access, and the need for technical support were linked to lower satisfaction. Model fit was modest (R² up to 0.20), suggesting the presence of additional unmeasured relational and contextual factors. Conclusions: Telemedicine for IBD is widely accepted in Italy, but satisfaction is strongly conditioned by digital usability, previous experience, and clinical complexity. Tailored telehealth pathways that incorporate user-friendly platforms, proactive technical support, and attention to vulnerable subgroups are needed to translate high satisfaction into sustained, equitable remote care.

Objective: To evaluate patient satisfaction and perceived stress among adults undergoing diagnostic digestive endoscopy in Italy and to examine their associations with sociodemographic, clinical, and procedural factors. Background: Patient satisfaction is a key indicator of endoscopy quality and complements technical performance measures. Perceived stress may influence the patient experience, but multicenter evidence combining satisfaction and stress in routine Italian outpatient endoscopy remains limited. Methods: A multicenter cross-sectional study was conducted in 5 Italian endoscopy units. Adult outpatients undergoing diagnostic digestive endoscopy completed the Endoscopy Customer Satisfaction Questionnaire (ECSQ) and the 10-item Perceived Stress Scale (PSS-10). Sociodemographic, clinical, and procedural data were collected using standardized forms. Satisfaction scores were summarized as medians and interquartile ranges. Group differences were assessed using Mann–Whitney U and Kruskal–Wallis tests, and Spearman rank correlation was used to examine associations among satisfaction, perceived stress, and age. Results: Among 517 patients, overall satisfaction was high across centers and procedure types. Satisfaction was highest before the examination, decreased during the procedure, and increased afterward. Higher perceived stress showed weak but significant negative correlations with satisfaction during the procedure (ρ = -0.09) and after the procedure (ρ = -0.12). No significant associations were found with age, sex, education, smoking habits, symptoms, or type of endoscopy. Lower satisfaction was observed among first-time patients and among those examined in the afternoon versus the morning. Conclusions: Italian digestive endoscopy services achieved high patient satisfaction, reflecting strong clinical and organizational performance. The modest inverse association between preprocedural perceived stress and satisfaction indicates that patients reporting higher perceived stress also tended to report slightly lower satisfaction. However, this association should not be interpreted as causal because of the cross-sectional study design and the timing of the measurements. First-time and afternoon patients may benefit from enhanced preparation, supportive communication, and targeted interventions.