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Adult outpatient tracheostomy care: practices and perspectives
Justin M Garner1, Michael Shoemaker-Moyle, Christine B Franzese
1Department of Otolaryngology and Communicative Sciences, The University of Mississippi Medical Center, Jackson, Mississippi 39216, USA. jmgarner@ent.umsmed.edu
Otolaryngologists and internists show disparities in outpatient tracheostomy care knowledge and comfort. Standardizing discharge and follow-up protocols is crucial for effective patient management.
Area of Science:
- Otolaryngology
- Internal Medicine
- Healthcare Disparities
Background:
- Outpatient tracheostomy care requires collaboration between surgeons and primary care physicians.
- Current practices and physician perspectives on tracheostomy management are not well-defined.
Purpose of the Study:
- To assess surgeon and primary care physician attitudes, opinions, and practices regarding adult outpatient tracheostomy care.
- Identify gaps in knowledge and training for tracheostomy management.
Main Methods:
- A multidisciplinary physician survey was conducted.
- Response rates: 53.4% for otolaryngologists and 28.9% for internists.
Main Results:
- 47% of otolaryngologists lack standardized tracheostomy discharge protocols.
- 97% of internists received minimal residency training in tracheostomy care, correlating with lower comfort and willingness.
- Disciplinary differences exist in comfort, willingness, and knowledge of tracheostomy care.
Conclusions:
- Effective tracheostomy care necessitates a collaborative approach among patients, surgeons, primary physicians, and the interdisciplinary team.
- Standardization of discharge, education, and follow-up practices by otolaryngologists is recommended.
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