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Experiences and Reported Outcomes of Patients and Caregivers Enrolled in an Integrated Care Program for Thoracic Surgery: A Qualitative Evaluation Cover

Experiences and Reported Outcomes of Patients and Caregivers Enrolled in an Integrated Care Program for Thoracic Surgery: A Qualitative Evaluation

International Journal of Integrated Care
Volume 23 (2023): Issue 1
By: Meghan O’Neill,  Kathy Kornas,  Catherine Liang,  Lori Diemert,  Tsoleen Ayanian,  Melissa Chang and  Laura C. Rosella  
Open Access
|May 2023
Figures & tables

Figures & Tables

Table 1

Description of the criteria for enrollment into low, medium, and high care path with corresponding resources and supports provided to patients.

THORACIC SURGERY PATHINTERVENTIONRESOURCES AND SUPPORTS
Low

  • Lung & Mediastinal Resection (VATS/RATS)

  • Thymectomy (Video Assisted)

  • Pleuroscopy

  • Other miscellaneous low volume surgeries

  • Patient is on pathway for 30 days (but can be extended for up to 90 days)

  • Proactive IC lead check-in calls

  • + additional calls and homecare supports as the need arises

Medium

  • Decortication (Video Assisted)

  • Pneumonectomy

  • Thoracotomy

  • Sternotomy

  • Tracheal Resection & Repair (includes t-tube)

  • Lung Volume Reduction

  • Trans Thoracic Hiatus Hernia Repair; Fundoplication; Peroral Endoscopic Myotomy; Esophageal Repair

  • Chest Reconstruction (with or without flap)

  • Patient is on pathway for 60 days (but can be extended for up to 90 days)

  • Proactive check-in calls

  • Standard homecare supports (nursing, allied health, personal support, supplies and equipments)

  • + additional calls and homecare supports as the need arises

High

  • Extrapleural Pneumonectomy

  • Pulmonary Endarterectomy

  • Esophagectomy

  • Patient is on pathway for 90 days

  • Proactive check-in calls

  • Standard homecare supports (nursing, allied health, personal support, supplies and equipments)

  • Pre-hab/pre-surgery homecare, as needed

  • + additional calls and homecare supports as the need arises

Figure 1

Themes mapped across the patient trajectory.

DOI: https://doi.org/10.5334/ijic.6540 | Journal eISSN: 1568-4156
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Language: English
Submitted on: Mar 4, 2022
Accepted on: Apr 19, 2023
Published on: May 4, 2023
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
integrated care,
person-centered care,
thoracic surgery,
qualitative study,
evaluation

© 2023 Meghan O’Neill, Kathy Kornas, Catherine Liang, Lori Diemert, Tsoleen Ayanian, Melissa Chang, Laura C. Rosella, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 23 (2023): Issue 1
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