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. 2022 Feb 11;22(1):11. doi: 10.5334/ijic.5652

Table 4.

Practitioner and patient 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

Practitioner-level factor

(+) Case manager leadership (skills, attitudes and personal qualities, previous experience, networking) ↑ access to other healthcare providers; leads to better follow-up and ↓ healthcare use (3) ↑ patient-centred care and ↑ access to adapted services (1.1)
↑ continuity of care (1.6)
↓ ED visits (because new CTs (3)

(+) Provider engagement ↑ collaboration, communication and exchange of patient’s information between local community health centre and the hospital (1.2)

(+) Inter-professional collaboration ↑ follow-up and a ↑ response to patient needs (1.1) ↑ sharing and discussion on patient information (1.2)
↓ healthcare use (3)
↑ access to clear and concise patient information (1.3)
↑ continuity of care and care planning (1.5, 1.6)
↑ consultations with other healthcare professional (patient doesn’t need to repeatedly see doctor for referrals) (3)
↑ knowledge of patient’s overall situation (1.1)
↑ communication between healthcare professionals (1.2)
↑ patient knowledge of care plan (1.3)
↓ patient repeating their medical history (1.6)
↑ patient appropriate use of resources (3)

Patient-level factor

(+) Anxious patient ↑ patient confidence (given reassurance from case manager) (2)
↓ ED visits (3)

(+) Patient with self-management skills ↑ patient proactivity in their health and healthy lifestyle choices (2)
↓ ED visits (3)
↑ patient proactivity in their care and healthy lifestyle choices (2)
↓ ED visits (3)

CT: care trajectory; ED: emergency department.