Mapping a shared care model in complex gastrointestinal surgery: A qualitative study of queues and stakeholders within a Canadian general surgery practice

Shared Care Models (SCMs), in which a team of clinicians share in patient care and resource utilization, represent an opportunity for surgeon-level system change. We aimed to identify the queues and stakeholders within a complex gastrointestinal surgical care pathway to demonstrate the implications...

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Autores principales: Lee, Alex, Rekman, Janelle, Lamb, Tyler, Reid, Morgann, Rajendran, Luckshi, Turner, Anastasia, Moloo, Husein, Balaa, Fady
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10604419/
https://www.ncbi.nlm.nih.gov/pubmed/37646366
http://dx.doi.org/10.1177/08404704231196816
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author Lee, Alex
Rekman, Janelle
Lamb, Tyler
Reid, Morgann
Rajendran, Luckshi
Turner, Anastasia
Moloo, Husein
Balaa, Fady
author_facet Lee, Alex
Rekman, Janelle
Lamb, Tyler
Reid, Morgann
Rajendran, Luckshi
Turner, Anastasia
Moloo, Husein
Balaa, Fady
author_sort Lee, Alex
collection PubMed
description Shared Care Models (SCMs), in which a team of clinicians share in patient care and resource utilization, represent an opportunity for surgeon-level system change. We aimed to identify the queues and stakeholders within a complex gastrointestinal surgical care pathway to demonstrate the implications of a SCM on system efficiency. A multidisciplinary group of surgeons and care navigators working in SCMs were asked to develop a patient encounter map through consensus to illustrate relevant queues and stakeholders within a SCM. Fifteen surgeon-related queues were identified, each representing a point of potential delay to care in the patient’s journey that could be addressed by shared care. A final patient encounter map was created, and advantages and challenges of SCMs were also described from multidisciplinary group discussions. The numerous queues identified in this map ultimately reflected opportunities for more efficient care navigation under a SCM through increased surgeon availability and shared resource utilization.
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spelling pubmed-106044192023-10-28 Mapping a shared care model in complex gastrointestinal surgery: A qualitative study of queues and stakeholders within a Canadian general surgery practice Lee, Alex Rekman, Janelle Lamb, Tyler Reid, Morgann Rajendran, Luckshi Turner, Anastasia Moloo, Husein Balaa, Fady Healthc Manage Forum Original Articles Shared Care Models (SCMs), in which a team of clinicians share in patient care and resource utilization, represent an opportunity for surgeon-level system change. We aimed to identify the queues and stakeholders within a complex gastrointestinal surgical care pathway to demonstrate the implications of a SCM on system efficiency. A multidisciplinary group of surgeons and care navigators working in SCMs were asked to develop a patient encounter map through consensus to illustrate relevant queues and stakeholders within a SCM. Fifteen surgeon-related queues were identified, each representing a point of potential delay to care in the patient’s journey that could be addressed by shared care. A final patient encounter map was created, and advantages and challenges of SCMs were also described from multidisciplinary group discussions. The numerous queues identified in this map ultimately reflected opportunities for more efficient care navigation under a SCM through increased surgeon availability and shared resource utilization. SAGE Publications 2023-08-30 2023-11 /pmc/articles/PMC10604419/ /pubmed/37646366 http://dx.doi.org/10.1177/08404704231196816 Text en © 2023 The Canadian College of Health Leaders. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Articles
Lee, Alex
Rekman, Janelle
Lamb, Tyler
Reid, Morgann
Rajendran, Luckshi
Turner, Anastasia
Moloo, Husein
Balaa, Fady
Mapping a shared care model in complex gastrointestinal surgery: A qualitative study of queues and stakeholders within a Canadian general surgery practice
title Mapping a shared care model in complex gastrointestinal surgery: A qualitative study of queues and stakeholders within a Canadian general surgery practice
title_full Mapping a shared care model in complex gastrointestinal surgery: A qualitative study of queues and stakeholders within a Canadian general surgery practice
title_fullStr Mapping a shared care model in complex gastrointestinal surgery: A qualitative study of queues and stakeholders within a Canadian general surgery practice
title_full_unstemmed Mapping a shared care model in complex gastrointestinal surgery: A qualitative study of queues and stakeholders within a Canadian general surgery practice
title_short Mapping a shared care model in complex gastrointestinal surgery: A qualitative study of queues and stakeholders within a Canadian general surgery practice
title_sort mapping a shared care model in complex gastrointestinal surgery: a qualitative study of queues and stakeholders within a canadian general surgery practice
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10604419/
https://www.ncbi.nlm.nih.gov/pubmed/37646366
http://dx.doi.org/10.1177/08404704231196816
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