“It’s difficult, there’s no formula”: Qualitative study of stroke related communication between primary and secondary healthcare professionals
International Journal of Integrated Care
Utrecht University, Maastricht University, Groningen University
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Aquino, R., Mullis, R., Moore, C., Kreit, L., Lim, L., McKevitt, C., Mackintosh, B., & et al. “It’s difficult, there’s no formula”: Qualitative study of stroke related communication between primary and secondary healthcare professionals. International Journal of Integrated Care https://doi.org/10.17863/CAM.54824
Introduction Stroke survivors have complex health needs requiring long-term, integrated care. This study aimed to elicit generalists’ and specialists’ experience of stroke-related interprofessional communication, including perceived barriers Design and Setting Qualitative study involving generalist (primary care) and specialist services (acute and community) in England. Six focus groups (n= 48) were conducted. Method Healthcare professionals were purposively selected and invited to participate. Audio-recordings were transcribed verbatim and analysed using Framework Analysis. Results Four themes were identified: 1) Generalists and specialists have overlapping roles but are working in silos; 2) Referral decision-making process as influential to generalist-specialist communication; 3) Variable quality of communication; and 4) Improved dialogue between generalist and specialist services. Conclusions Generalists and specialists recognise the need for better communication with each other. Current care is characterised by silo-based working that ignores the contribution of other sectors. Failure to bridge this communication gap will result in people with stroke continuing to experience unmet stroke needs and fragmented care.
The study is part of an NIHR Programme Grant for Applied Research (PTC-RP-PG-0213-20001). JM is an NIHR Senior Investigator. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
National Institute for Health Research (NIHR) (via Cambridgeshire and Peterborough Clinical Commissioning Group (CCG)) (PTC-RP-PG-0213-20001)
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This record's DOI: https://doi.org/10.17863/CAM.54824
This record's URL: https://www.repository.cam.ac.uk/handle/1810/307731
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