General practitioners' views and experiences in caring for patients after sepsis: a qualitative interview study. 2021

Sabine Gehrke-Beck, and Jochen Gensichen, and Katrina M Turner, and Christoph Heintze, and Konrad Fr Schmidt, and
Institute of General Practice and Family Medicine, Charite University Medicine Berlin, Berlin, Germany.

Patients surviving critical illnesses, such as sepsis, often suffer from long-term complications. After discharge from hospital, most patients are treated in primary care. Little is known how general practitioners (GPs) perform critical illness aftercare and how it can be improved. Within a randomised controlled trial, an outreach training programme has been developed and applied. The aim of this study is to describe GPs' views and experiences of caring for postsepsis patients and of participating a specific outreach training. Semistructured qualitative interviews. 14 primary care practices in the metropolitan area of Berlin, Germany. 14 GPs who had participated in a structured sepsis aftercare programme in primary care. Themes identified in sepsis aftercare were: continuity of care and good relationship with patients, GP's experiences during their patient's critical illness and impact of persisting symptoms. An outreach education as part of the intervention was considered by the GPs to be acceptable, helpful to improve knowledge of the management of postintensive care complications and useful for sepsis aftercare in daily practice. GPs provide continuity of care to patients surviving sepsis. Better communication at the intensive care unit-GP interface and training in management of long-term complications of sepsis may be helpful to improve sepsis aftercare. ISRCTN61744782.

UI MeSH Term Description Entries
D005858 Germany A country in central Europe, bordering the Baltic Sea and the North Sea, between the Netherlands and Poland, south of Denmark. The capital is Berlin.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001291 Attitude of Health Personnel Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc. Staff Attitude,Attitude, Staff,Attitudes, Staff,Health Personnel Attitude,Health Personnel Attitudes,Staff Attitudes
D001604 Berlin The capital of Germany.
D058005 General Practitioners Physicians whose practice is not restricted to a specific field of MEDICINE. Physicians, General Practice,General Practice Physician,General Practice Physicians,General Practitioner,Physician, General Practice,Practice Physicians, General,Practitioner, General,Practitioners, General
D018805 Sepsis Systemic inflammatory response syndrome with a proven or suspected infectious etiology. When sepsis is associated with organ dysfunction distant from the site of infection, it is called severe sepsis. When sepsis is accompanied by HYPOTENSION despite adequate fluid infusion, it is called SEPTIC SHOCK. Bloodstream Infection,Pyaemia,Pyemia,Pyohemia,Blood Poisoning,Poisoning, Blood,Septicemia,Severe Sepsis,Blood Poisonings,Bloodstream Infections,Infection, Bloodstream,Poisonings, Blood,Pyaemias,Pyemias,Pyohemias,Sepsis, Severe,Septicemias
D036301 Qualitative Research Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997) Research, Qualitative

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