Crane et al32
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Grover et al38
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Access to medical, social and community resources
Involvement of the diverse providers and services in a comprehensive approach to the patient
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Shah et al33
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Access to medical, social and community resources
Connectivity to social resources
Close relationships between care managers, local hospitals and providers in clinics
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Care plan by the case manager
Health navigation.
Frequent in-person contacts
Patients graduated from the programme when they understood how to make appointments, receive medication and follow-up on goals
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Pillow et al34
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Practitioners felt buy-in for the process
Highly qualified interdisciplinary care team
Well-trained case manager
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Multidisciplinary care plan
Review of the care plan
Easy access to key healthcare information
Care plan integrated into the ED tracking system (interface)
Practitioner can edit care plan and refer patient to get care plan
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Rinke et al35
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Tadros et al36
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Wetta-Hall37
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