Perspectives of primary care providers and endoscopists about current practices, facilitators and barriers for preparation and follow-up of colonoscopy procedures: a qualitative study

BMC Health Services Research

Celeste Waldman¹  John R Walker²  Valerie Michaud³  Dana Moffat³  Harminder Singh³  Gayle Restall⁴  Kathleen Zawaly⁵ 

[1]College of Nursing, Rady Faculty of Health Sciences, University of Manitoba

[2]Department of Clinical Health Psychology, Rady Faculty of Health Sciences University of Manitoba

[3]Department of Internal Medicine, College of Medicine, Rady Faculty of Health Sciences, University of Manitoba

[4]Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba

[5]Interdisciplinary Studies, Faculty of Graduate Studies, University of Manitoba

关键词: Information;    Knowledge translation;    Bowel preparation;    Lower gastrointestinal endoscopy;   

DOI  :  10.1186/s12913-018-3567-y

来源: DOAJ

【 摘 要 】

Abstract Background Colonoscopy has become a common medical procedure due to increased use of colonoscopy for evaluation of symptoms, colorectal cancer screening and surveillance of people with higher risks of developing colorectal cancer. Timely access to colonoscopy is essential for diagnosis of colorectal cancer, as well as diagnosis and management of inflammatory bowel disease and gastrointestinal symptoms such as diarrhea. The purpose of this study was to obtain the perspectives of primary care providers and endoscopists about current practices, barriers and facilitators to following recommended practice for preparation and follow-up after colonoscopy. We also aimed to obtain recommendations for approaches to improve the process. Methods Six focus groups (two with gastroenterologists, two with surgeons who perform colonoscopies and two with primary care providers) were held between October 2015 and January 2016. Analysis was performed using inductive qualitative approaches. Results Variations and challenges in communication for continuity of care and understanding the distribution of responsibility were identified, as were perceived benefits and challenges of a central intake system for colonoscopies. Recommendations were made to improve processes including strengthening communication and information sharing. A comprehensive quality improvement plan would facilitate implementation of recommendations. Conclusions Findings emphasize the need for improved patient-focused information resources for each step of the colonoscopy process and improved communication among practitioners. The findings apply to other services requiring collaboration among patients, primary care providers, and medical specialists.

【 授权许可】

Unknown