Research & theory
“It’s Difficult, There’s No Formula”: Qualitative Study of Stroke Related Communication Between Primary and Secondary Healthcare Professionals
Authors:
- Maria Raisa Jessica (Ryc) AquinoEmail Maria Raisa Jessica (Ryc) Aquino
- Ricky Mullis
- Caroline Moore
- Elizabeth Kreit
- Lisa Lim
- Christopher McKevitt
- Bundy Mackintosh
- Jonathan Mant
Abstract
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 and enablers.
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.
- Volume: 20
- Page/Article: 11
- DOI: 10.5334/ijic.5465
- Submitted on 9 Dec 2019
- Accepted on 15 Jul 2020
- Published on 10 Nov 2020
- Peer Reviewed