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. 2021 Nov 22;11(11):e051013. doi: 10.1136/bmjopen-2021-051013

Table 1.

Perceived controllability (ie, ability to diagnose, availability and scope of treatment options; ability to exercise treatment options) of complexity-contributing factors according to provider experience level

Complexity-contributing factors Provider experience*
Low High
Case complexity drivers
Multimorbidity and polypharmacy Low/medium Medium/high
Changing health state Low Low
Mental health Low Medium
Patient level complexity moderators
Age Low Low
Managing patient’s extended care network (eg, family) Low Medium
Cultural and language differences Low/medium Low/medium
Non-adherence to treatment Low Low/medium
Diverging patient–provider health objectives Low Low/medium
Disease knowledge and literacy Low/medium Low/medium
Energy Medium Medium
Financial resources Low/medium Low/medium
Care provider-level moderators
Recognising weak indicators of complexity Low High
Managing non-standard/non-guideline cases Low High
Allotting time to complex patients Low/medium Low/medium
Care context level moderators
Cross-disciplinary coordination Medium High
Resolving cross-professional (eg, nurse–doctor) information asymmetries Low/medium High
Cross-level coordination Low High

*Provider experience is anchored ‘low’: <3 years postgraduation; ‘high’:>3 years postgraduation.