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Optimizing Bariatric Surgery Multidisciplinary Follow-up: a Focus on Patient-Centered Care
Mary-Anne Aarts1, Nardhana Sivapalan2, Seyed-Ehsan Nikzad2
1University of Toronto, Toronto, Canada. maart@tegh.on.ca.
Post-bariatric surgery follow-up is crucial for patient success. Patients value therapeutic continuity, especially with dietitians, highlighting the need for personalized care to reduce drop-out rates.
Area of Science:
- Bariatric surgery outcomes
- Patient adherence and retention
Background:
- Inadequate post-bariatric surgery follow-up is linked to increased complications, reduced weight loss, and nutritional deficiencies.
- Optimizing patient engagement is vital for successful bariatric surgery outcomes.
Purpose of the Study:
- To explore patient experiences with follow-up care in a bariatric surgery program.
- To identify key elements for improving follow-up adherence and patient retention.
Main Methods:
- Qualitative telephone interviews were conducted with patients who underwent bariatric surgery.
- Inductive thematic analysis was employed to analyze interview data.
Main Results:
- Therapeutic continuity, particularly with dietitians, was identified as the most critical aspect of follow-up care.
- Patients appreciated specialized care, ongoing support, and perceived their family doctors lacked sufficient expertise.
- Reasons for discontinuing follow-up included diminishing perceived usefulness, system barriers, and confidence in primary care.
Conclusions:
- Patient-centered follow-up care focusing on continuity and relationships is essential for maintaining diet and health post-bariatric surgery.
- Personalized care strategies, tailored to individual needs and integrated with local resources, can potentially decrease patient attrition.
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