Emerged themes from the interviews divided by macro, meso and micro level and by LHA and TH
| LHA | TH | |
|---|---|---|
| Macro level | ||
| Feeling of unpreparedness | x | |
| Role and impact of legislation on the meso and micro-organization | x | |
| Guidelines from regional commission in line with national and international documents | x | |
| Prioritization of class a and oncologic patients with consequent remodeling of beds number and surgical capacity | x | x |
| Need to plan flexible solutions to recover postponed and delayed activities | x | x |
| Unmet needs for other pathologies or less urgent patients | x | x |
| Meso level | ||
| Care provision reorganization through new spaces and flexible agendas, it services, blood availability, volume of traumas, sanitization and triage procedure | x | x |
| Feeling of lack of human resources | x | |
| Misalignment between human and logistical resources | x | x |
| Need for implementation of elasticity and flexibility among professionals | x | x |
| Care provision outsourcing | x | |
| Micro level | ||
| Lack of flexibility in the organization of daily/weekly agendas and tasks | x | |
| Synergy with the territory care for rehabilitation | x | |
| Fragmentation and inhomogeneity in the organization of physiotherapy | x | |
| Lack of human resources | x | |
| Sense of fatigue | x | |
| Need for individual and team flexibility | x | |
| Human resource sharing between different teams and wards | x | |
| Care provision outsourcing | x | |
| Creation of task force with colleagues | x | |
| Presence of initial resistance to change (i.e. technological tools) | x | |
| LHA | TH | |
|---|---|---|
| Feeling of unpreparedness | x | |
| Role and impact of legislation on the meso and micro-organization | x | |
| Guidelines from regional commission in line with national and international documents | x | |
| Prioritization of class a and oncologic patients with consequent remodeling of beds number and surgical capacity | x | x |
| Need to plan flexible solutions to recover postponed and delayed activities | x | x |
| Unmet needs for other pathologies or less urgent patients | x | x |
| Care provision reorganization through new spaces and flexible agendas, it services, blood availability, volume of traumas, sanitization and triage procedure | x | x |
| Feeling of lack of human resources | x | |
| Misalignment between human and logistical resources | x | x |
| Need for implementation of elasticity and flexibility among professionals | x | x |
| Care provision outsourcing | x | |
| Lack of flexibility in the organization of daily/weekly agendas and tasks | x | |
| Synergy with the territory care for rehabilitation | x | |
| Fragmentation and inhomogeneity in the organization of physiotherapy | x | |
| Lack of human resources | x | |
| Sense of fatigue | x | |
| Need for individual and team flexibility | x | |
| Human resource sharing between different teams and wards | x | |
| Care provision outsourcing | x | |
| Creation of task force with colleagues | x | |
| 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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