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

Author:

Lee Alex1ORCID,Rekman Janelle1,Lamb Tyler1,Reid Morgann2,Rajendran Luckshi1,Turner Anastasia1,Moloo Husein1,Balaa Fady1

Affiliation:

1. University of Ottawa, Ottawa, Ontario, Canada.

2. University of Toronto, Toronto, Ontario, Canada.

Abstract

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.

Publisher

SAGE Publications

Subject

Health Policy

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