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Enhancing interprofessional collaboration between general practitioners and intensivists in the digital age: are we making progress?
Mémoire de Master / Thèse d'exercice   Open Access

Enhancing interprofessional collaboration between general practitioners and intensivists in the digital age: are we making progress?

Léna Prevôt
Masters , Université de Montpellier
25/09/2024

Résumé

Interprofessional communication Digital Era Coopération médicale Relations interprofessionnelles dans le domaine de la santé Réanimation Soins intensifs Technologies de l'information et de la communication Unités de soins intensifs Technologie numérique Intensive care units General practitioners
Existing data on interprofessional communication between intensivists and general practitioners (GPs) are outdated and insufficient for guiding reliable improvements measures in the digital age. Methods: a prospective study was conducted between June and November 2023, involving patients in various French Intensive Care Units (ICUs). After a phone contact with their attending physician following discharge, an electronic questionnaire was sent to 501 GPs, asking them about their communication with the intensivists concerning their patient included in the study (primary endpoint), as well as their collaboration expectations. Satisfaction with interprofessional communication was measured using a numerical scale from 0 (completely dissatisfied) to 10 (completely satisfied). A multivariate analysis was performed to identify factors associated with dissatisfaction, with inclusion criteria set at p > 0.20. Results: of the 501 GPs contacted, 204 (40.7%) responded to the questionnaire. About the primary endpoint, the median satisfaction score was 6/10 [4.25, 8]. Independent factors associated with dissatisfaction included surgical admission to the ICU (odds ratio (OR)=3.32, p=0.018) and patient death in the ICU (OR=4.51, p=0.005). Factors associated with higher satisfaction included infrequent difficulties during post-ICU consultations and direct contact during the ICU stay (OR=0.08, p=0.017). Conclusion: collaboration between GPs and intensivists remains insufficient, despite advancements in digital communication tools. Protocols for improvement must be evaluated, such as systematic GP notification upon ICU admission, use of secure messaging systems, and timely delivery of discharge summaries.

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