Table 1.

Overview of selected community projects

Case	Region	Focus	Patients / year	Start	Composition multidisciplinary group	Core staff
1	1	Patients treated with a prostatectomy from first appointment with specialist till post-surgical control	200	2005	Representatives of hospital (n = 6) and all primary care services involved (n = 18)	Staff members of hospital, home care service and SELa, all members of core staff changed during project
2	2	Patients referred to specialist for prostatectomy till follow-up	250	2005	Representatives of hospital (n = 1) and primary care (n = 5)	Staff of a home care service
3	2	Initial period “follow-up for patients with breast cancer” changed into “from referral till second post-op consultation”	200	2002	Specialists (n = 3), general practitioners (n = 3) and a specialized nurse since September 2008	1. Staff member of hospital and researcher; 2. General practitioner and specialist
4	3b	Surgical breast care patient from discharge from hospital till start of after treatment	160	2006	Representatives of hospital (n = 9) and primary care, including patient representatives (n = 16)	1. Staff member of hospital and SELa; 2. Specialist, general practitioner and staff member of hospital
5	4b	Surgical breast care patient from discharge from hospital till start of after treatment	200	2006	Representatives of hospital (n = 10) and primary care including patient representatives (n = 16)	Staff member of hospital and SELa

^aSEL provides a platform of consultation to assist and extend home care, beyond the boundaries of the own organization, office or discipline.

^bCare pathways in these cases were developed in cooperation with different hospitals but with partially overlapping primary care.