Description of Themes and Exemplars
| Domain/Theme: | Description or Exemplar: |
|---|---|
| Domain 1: Patient Perspectives of Their Own Health and Healthcare | |
| Theme 1: Inability to Separate Medical and Social Complexity | Patients describe compounding acute and chronic medical conditions intertwined with substance use, pain, mental health, and past and current trauma, stigma |
| Domain 2: What the SUMMIT A-ICU Provided: | |
| Theme 1: Patients valued team-based care with improved access to needed care | “I was offered the chance to switch over to the Summit Team and I sensed… it’s because I needed more attention. I needed the hour-long appointments, I needed more involvement” (63 yo Male, Pt 106) |
| Theme 2: Patients perceived SUMMT team members as family | “They welcome my dog, they welcome me. They make me feel a part of the family and I have no family. This is all I got.” (59 yo Male, Pt 103) |
| Theme 3: Patients felt destigmatized and treated with respect and dignity | “I’m just grateful to be acknowledged. It’s important for my mental, as well as the spiritual. I’m a human… they made me feel valid and valuable. That’s huge.” (56 yo Male, Pt 117) |
| Theme 4: Patients perceived evolving self-efficacy through engagement in SUMMIT | “I used to get overwhelmed and frustrated with stuff and I would cancel appointments. I wouldn’t go to them…that’s changed. If I got an appointment and it’s all done and she arranges the ride for me…so all I have to do I show up. I can do that.” (69 yo Female, Pt 123) |
Abbreviations: SUMMIT A-ICU, streamlined unified meaningfully managed interdisciplinary team ambulatory-intensive care unit.