Supporting surgeons in patient-centred complex decision-making: a qualitative analysis of the impact of a perioperative physician clinic.

ABSTRACT:

Objective

Patients with comorbidities can be referred to a physician-led high-risk clinic for medical optimisation prior to elective surgery at the discretion of the surgical consultant, but the factors that influence this referral are not well understood. The aims of this study were to understand the factors that influence a surgeon's decision to refer a patient to the clinic, and how the clinic impacts on the management of complex patients.

Design

Qualitative study using theoretical thematic analysis to analyse transcribed semi-structured interviews.

Setting

Interviews were held in either the surgical consultant's private office or a quiet office/room in the hospital ward.

Participants

Seven surgical consultants who were eligible to refer patients to the clin

SUBMITTER: Pham CT 

PROVIDER: S-EPMC7008411 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature