Table 1

Emerged themes from the interviews divided by macro, meso and micro level and by LHA and TH

LHATH
Macro level
Feeling of unpreparednessx 
Role and impact of legislation on the meso and micro-organizationx 
Guidelines from regional commission in line with national and international documentsx 
Prioritization of class a and oncologic patients with consequent remodeling of beds number and surgical capacityxx
Need to plan flexible solutions to recover postponed and delayed activitiesxx
Unmet needs for other pathologies or less urgent patientsxx
Meso level
Care provision reorganization through new spaces and flexible agendas, it services, blood availability, volume of traumas, sanitization and triage procedurexx
Feeling of lack of human resources x
Misalignment between human and logistical resourcesxx
Need for implementation of elasticity and flexibility among professionalsxx
Care provision outsourcingx 
Micro level
Lack of flexibility in the organization of daily/weekly agendas and tasks x
Synergy with the territory care for rehabilitationx 
Fragmentation and inhomogeneity in the organization of physiotherapy x
Lack of human resourcesx 
Sense of fatiguex 
Need for individual and team flexibilityx 
Human resource sharing between different teams and wardsx 
Care provision outsourcingx 
Creation of task force with colleaguesx 
Presence of initial resistance to change (i.e. technological tools) x

Source(s): Authors’ own work using data from the PROMs Observatory coordinated by the MeS Lab

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