Table 3

Coding examples with exemplary quotes for the data analysis for RQ1 and RQ2

Interfaces in multi-provider context
QuoteInterfaceInterface collated
“I go there alone and suggest that the customer invites their relatives to join, and often they will. I interview the customer and carry out some tests, then I discuss, first with the relative and then all together, what services would be best for the customer.” (Care coordinator)
“We go to a new customer and knowing that they have not yet been provided with any services, we immediately start to put the service puzzle together, not only concentrating on loneliness.” (NGO worker)
Initial care plan meeting at homeMultidisciplinary meeting
“I make the care plan which I type up on the computer and send to the home care team … then within the month, when the nurses to be responsible for this particular customer have been chosen, they go through the care plan and evaluate whether it is still valid and if something has changed or needs to be added.” (Care coordinator)Care plan evaluation meetings
“If there is a care meeting at the ward, there is a doctor, nurses from the ward, relatives and me. If it is necessary, we discuss [about services] when discharging from the ward to home.” (Care coordinator)
“After the child has visited all the members of the Downteam, we come together and discuss the outcomes of the separate visits. In doing so, we combine all our knowledge and make sure nothing has been forgotten.” (Physiotherapist)
Meetings at ward
“I participate every six months, or sometimes more often, in their team meetings and we discuss home care customers and whether they [the team] need my help in deciding how to cope with the customer.” (Care coordinator)Home care team meeting
“We have a meeting in which all the care coordinators participate and we discuss our practices or have some training, for example about the criteria for moving a customer to housing services.” (Care coordinator)
“Every six months I sit together with my team and I look at what is going well and what can be improved. We evaluate ourselves” (Paediatrician)
Team evaluation meeting
Challenges relates to the delivery of integrated patient care
QuoteObserved inter/intra-organizational challengeObserved inter/intra-organizational challenge collated
“When customers talk about the services they need, they do not talk about our home care or social services but services for day-to-day living, such as a hairdresser, shopping, transportation. We professionals do not know about these services” (Social worker)
“We could always use more information, there is never enough” (Public home care worker)
“You are not aware of the kind of activities that other disciplines perform” (ENT-doctor)
“I once did not want to visit the physiotherapist because my son does not have any issues related to this discipline. However, this was not possible and we found it inconvenient” (Carer)
Missing overview of care contentLack of transparency

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