Atkins, E. orcid.org/0000-0002-9455-6960, Kellar, I. orcid.org/0000-0003-1608-5216, Birmpili, P. et al. (4 more authors) (2024) Patient experience of the process to diagnosis of chronic limb‐threatening ischaemia: a qualitative study. Journal of Foot and Ankle Research, 17 (3). e12042. ISSN 1757-1146
Abstract
Introduction
Delays exist at each stage of the chronic limb-threatening ischaemia (CLTI) care pathway, but there is little known about patient factors influencing delay to diagnosis of CLTI. This study explores the experiences and perceptions of patients recently diagnosed with CLTI.
Methods
A qualitative interview study was conducted. Sixteen participants underwent semi-structured interviews. Reflexive thematic analysis was performed on the data, aiming to understand factors which can influence delay in the CLTI care pathway.
Results
Five interrelated themes were developed: CLTI is a devastating condition; Reluctance to ask for help; When we are empowered we get better care; Luck plays a role in the process to diagnosis; and Vascular units can do better, comprising sub-themes of information transfer—consider communication and arterial versus non-arterial centres—proximity isn't everything.
Conclusions
The five themes generated from the interview data describe factors relevant to delay given meaning by participants who have lived experience of CLTI. Theme content should be noted by clinicians, commissioners and providers looking to improve care pathways for patients with CLTI. The importance of awareness for the public, patients and clinicians linked ideas in some themes and interventions to raise awareness should be considered.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2024 The Author(s). Journal of Foot and Ankle Research published by John Wiley & Sons Australia, Ltd on behalf of Australian Podiatry Association and The Royal College of Podiatry. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
Keywords: | chronic limb threatening ischaemia; patients; vascular surgery |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 23 Jul 2024 13:53 |
Last Modified: | 23 Jul 2024 13:53 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1002/jfa2.12042 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:215034 |