Clinician and patient identified solutions to reduce the fragmentation of post-ICU care in Australia

作者: Nina Leggett , Kate Emery , Thomas C Rollinson , Adam M Deane , Craig French

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摘要: BackgroundCritical care survivors experience multiple care transitions, with no formal follow-up care pathway.Research QuestionWhat are the potential solutions to improve the communication between treating teams and integration of care following an Intensive Care Unit (ICU) admission – from the perspective of patients, their caregivers, intensivists, and General Practitioners (GPs) from diverse socioeconomic areas?Study Design& Methods: Qualitative design using semi-structured interviews with intensivists, GPs, and patients and caregivers. Framework Analysis was used to analyse data, and to identify solutions to improve the integration of care post-hospital discharge. Patients were previously mechanically ventilated for >24 hours in ICU and had access to a video-enabled device. Clinicians were recruited from hospital networks and a state-wide GP network.ResultsForty-six interviews with clinicians, patients …

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