Table 5

Specialization CBUs hospital A and B

Hospital AHospital B
SpecializationProvision of care: Care tasks for conditions addressed by CBUs are mostly divided across multiple functional departments, each responsible for certain steps
Some integration occurs, such as combined clinics and task-sharing between departments in the breast and prostate cancer CBU, reducing specialization in parts of the process. However, most steps remain specialized across departmentsIn the chronic pelvic pain CBU, intake and diagnosis are integrated into a single process within the CBU, while treatment remains with functional departments. Similarly, the pulmonary hypertension CBU conducts combined diagnostic consultations. This integration reduces specialization in parts of the care process. In the acute pancreatitis CBU, most steps in the care process remain specialized across departments
Improving care process: The CBUs are responsible for improving care across the entire care process for their medical condition/patient group. Professionals involved in the CBU collaborate to identify and implement improvements that span the entire care process
Improvement initiatives are primarily focused on clinical improvements in the care process, and to a lesser extent on organizational improvements to the care process and patient journeyImprovement initiatives are primarily focused on organizational improvements to the care process and patient journey
These tasks are not limited to a single step or department, which results in a lower degree of specialization in improvement tasksThese tasks are not limited to a single step or department, which results in a lower degree of specialization in improvement tasks
Source(s): Authors’ own work

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