Table 4.

Value exchanges of care pathway model design phase 1.

No.	Involved actors	Transaction content	Value attribute
Patient visit 1
1	Radiologist, Patient	The radiologist takes an x-ray of the patient’s hip and provides the patient with information about the procedure. The patient answers any clarifying questions from the radiologist.	Patient: quality Radiologist: efficiency
2	Orthopaedic surgeon, Patient	The orthopaedic surgeon examines and questions the patient for diagnosis. The patient is provided with information about his or her condition, treatment options are advised and discussed, and the patient is reassured. The patient asks any questions he or she has and both actors exchange and discuss their expectations concerning the procedure and the post-operative recovery. Finally the orthopaedic surgeon conducts a physical examination and motivates the patient to recover.	Orthopaedic surgeon: insight, control, quality Patient: insight, satisfaction
Patient visit 2
3	Anaesthetist, Patient	The anaesthetist questions the patient about his or her health and gathers medical data (e.g. drug use, blood pressure). The patient is reassured and discusses the anaesthetic procedure with the anaesthetist. The patient answers and asks questions.	Anaesthetist: insight, safety Patient: comfort
4	Physiotherapist, Patient	During the physiotherapeutic consultation the recovery process and expectations of the patient are discussed. The physiotherapist provides the patient with information and advice. During the consultation the patient is taught to walk with crutches.	Physiotherapist: insight Patient: insight
5	Pharmacist, Patient	The pharmacist phones (dotted line) the patient to check which drugs the patient uses. The patient provides the pharmacist with the needed information.	Pharmacist: safety Patient: comfort
6	Nurse specialist, Patient	The nurse specialist conducts the medical anamnesis by questioning the patient and ensures that the appropriate arrangements are made at home to support discharge on the day of surgery. These are, for example, the availability of an informal caregiver for support on the first day and moving the bed to avoid excessive use of stairs. The nurse specialist prescribes the medication needed after discharge so that it is already available when the patient returns home. The patient provides the needed information and asks questions to remove any uncertainties.	Nurse specialist: quality Patient: comfort, insight
7	Informal caregiver, Patient	continuous The informal caregivers are (generally) present at all value exchanges involving the patient. They reassure the patient, while the patient provides information to the informal caregivers about the care pathway.	Informal caregiver: satisfaction Patient: comfort
8	Patient information application, Patient	continuous The patient information application informs the patient throughout the entire pathway about his or her journey, preparing the patient on what to expect and when. The patient is able to ask urgent questions via the application. The date of surgery is scheduled via this application.	Patient information application: quality, efficiency Patient: insight, comfort