Table 1.
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.