Clinical |
Transitions: defined as time points where a change in care delivery occurred or a transition to a new treatment needed to take place (CAU, Scotland); communication across settings (General practice with care homes, England)); staff focus, experience and working relationships (Outpatient clinics, England); care based on needs rather than diagnosis (Outpatient clinics, England) |
Resources |
Adequate resources (General practice with care homes, England); temporal constraints (for example, not having enough time to do your job) (General practice with care homes, England); personnel and temporal resources (Outpatient clinics, England); patients’ views and wishing to not burden the system or staff (Outpatient clinics, England) |
Individual views about entitlements |
Patients’ views and wishing to not burden the system or staff (Outpatient clinics, England) |
Relationships |
Communication across settings (General practice with care homes, England); staff focus, experience and working relationships (Outpatient clinics, England) |
Characteristics of the health system |
Communication across settings (General practice with care homes, England); management systems, efficiency and decisions (Outpatient clinics, England); system clarity (Outpatient clinics, England) |