Should ICU clinicians follow patients after ICU discharge? Yes
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The trajectory of recovery from critical illness is often portrayed as a continuum. At one extremity lies an unstable patient dependent on life-sustaining treatments in the intensive care unit. At the other extremity stands an independent community-dwelling individual with restored personal, social and cultural wellbeing. A progressive transition from illness to recovery reflected by gradual de-intensification of healthcare occurs over many weeks to months. This notion of a continuous arc of recovery is reflected poorly in the design of modern healthcare systems. Patients with similar care needs tend to be co-located for operational and economic reasons. This creates arbitrary institutional and professional boundaries that transect the care pathway.