Table 3.

Structural, environmental, and organizational characteristics influencing integrated care, self-management and health services use for each case.

CATEGORIES EMERGING CHARACTERISTICS	OUTCOMES
	CASE A	CASE B	CASE C	CASE D	CASE E	CASE F
Structural and environmental-level factor
(+) Proximity between providers		↑patient support (1.1)		↑ communications between healthcare professionals (1.2) ↑ healthcare transition (1.6)	↑ communications between healthcare professionals (1.2) ↑ healthcare transition (smaller ↑ for remote services) (1.6)	↑ collaboration with medical teams leading to ↑ comprehensive care and ↑ understanding of patient needs (1.1) ↑ communication between case manager, managers and healthcare professionals (1.2)
Organizational-level factor
(–) Staff turnover and healthcare teams’ instability		↓continuity of care (1.6)		↓ case manager follow-up with healthcare professionals (1.2)	↓ continuity of care and ↑ repetition of patient medical history (1.6)	↓ consistency of patient support (1.1) ↓ patient information (1.2) ↓ continuity of care (1.6)
(+/–) Information access/No information access			↑response to patient needs (1.1) ↓ inadequate use of healthcare services given emergency nurses’ access to ISP* (3)	↓ assessment of patient situation (1.3) ↓ continuity of care between hospital and clinics (1.6) ↓ continuity of care when ISP not accessible to all healthcare professionals (1.6)	↑ response to patient needs (1.1) ↑ communication between case manager, ED physicians, and liaison and mental health nurses (1.2)	↑ health care transitions (1.6)
(+) Manager support		↑ service access for patients with most complex needs (1.1) ↑ service trajectories (1.6) ↓ use of health and social care services (3)				↑ case manager legitimacy and autonomy → new trajectories of care and ↑ continuity of care (1.6) ↓ use of healthcare services (3)

ISP: Individualized services plan.