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  4. Improving collaboration between specialists and general practitioners in services for individuals with chronic spinal cord injury living in rural areas of Switzerland: Baseline results from the SCI-Co study

Improving collaboration between specialists and general practitioners in services for individuals with chronic spinal cord injury living in rural areas of Switzerland: Baseline results from the SCI-Co study

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2022.2097996 · Published: May 1, 2024

Spinal Cord InjuryHealthcare

Simple Explanation

This study investigates how well general practitioners (GPs) and spinal cord injury (SCI) specialists work together in rural Switzerland. The goal is to understand if a collaborative care model is feasible to improve the long-term care of individuals with SCI. The researchers surveyed GPs and SCI specialists to assess their satisfaction with current collaboration, focusing on aspects like communication, organization, and professional expertise. The survey aimed to identify areas where collaboration could be improved. The findings reveal that both GPs and specialists are generally satisfied with their collaboration. However, GPs expressed concerns about the discharge process from specialists and the quality of their referrals, indicating potential areas for improvement.

Study Duration
August to October 2020
Participants
8 GPs and 13 SCI specialists
Evidence Level
Not specified

Key Findings

  • 1
    Overall, satisfaction ratings for the collaboration between GPs and SCI specialists were high, indicating a positive working relationship between primary and specialized care providers.
  • 2
    GPs expressed a desire to improve the quality of their referrals to specialists, suggesting a need for better guidelines or communication strategies in the referral process.
  • 3
    GPs were discontent about discharge organization by specialists, highlighting potential issues with communication and coordination during the transition of patients from specialized to primary care.

Research Summary

The study aimed to explore the collaboration between general practitioners (GPs) and spinal cord injury (SCI) specialists in rural Switzerland to evaluate the feasibility of a collaborative care model. The results indicated high satisfaction with collaboration among both GPs and specialists, particularly in communication, but identified areas for improvement in referral and discharge processes. The findings suggest potential for developing a shared care model that integrates specialized medicine into the long-term care of individuals with SCI in rural areas, addressing the challenges of fragmented healthcare.

Practical Implications

Improved Education

Future collaborative education should incorporate both general and specialized topics to stimulate exchange between physicians.

Community Care Development

More approaches to improve SCI community care need to be developed, focusing on role definition and willingness to shift responsibilities.

Engagement Strategies

Possibilities to engage GPs who are less interested in participating in intervention studies should be explored, potentially through policy-driven improvement schemes.

Study Limitations

  • 1
    Limited sample size due to the design of the intervention study.
  • 2
    SCI is a health condition with low prevalence, which may limit the generalizability of the findings.
  • 3
    The study is specific to the Swiss healthcare system, which may differ from other countries.

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