Observed challenges in the delivery of integrated patient care
| Observed challenge in integration of services | Dimension of integrated patient care | Type of interface | Interface orientation | Interface supporting integration of services |
|---|---|---|---|---|
| [Lack of protocols] Lack of protocols for interaction between service providers | Coordination across facilities and support systems |
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| [Overlap in services] Not enough knowledge about other service providers causing overlapping | Coordination across facilities and support systems |
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| [Lack of information transfer] Lack of tools for information transfer | Coordination across professionals |
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| [Lack of proactive actions] Service providers do not actively check with customers whether services are still up to date | Continuous proactivity |
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| [Lack of awareness] Service providers are not aware of the medical history of a customer | Continuous familiarity |
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| [Lack of shared professional language] The information exchanged is documented in a language that is not understood by other service providers involved | Continuous familiarity |
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| [Lack of common goal] Lack of common goals for care across the providers | Tailored to the patient's needs and preferences |
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| [Lack of transparency] Overview of care content is missing | Shared responsibility |
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| Observed challenge in integration of services | Dimension of integrated patient care | Type of interface | Interface orientation | Interface supporting integration of services |
|---|---|---|---|---|
| [Lack of protocols] | Coordination across facilities and support systems | C-C interface C-C interface | Intra-organizational Intra-organizational | Planning rules Planning scheme |
| [Overlap in services] | Coordination across facilities and support systems | C-C interface C-C interface | Inter-organizational Inter-organizational | Work description Service description |
| [Lack of information transfer] | Coordination across professionals | C-I interface C-I interface | Inter- and intra-organizational Inter-organizational | National IT protocol Open software |
| [Lack of proactive actions] | Continuous proactivity | C-C interface C-C interface | Inter-organizational Inter-organizational | Check-up call Needs assessment |
| [Lack of awareness] | Continuous familiarity | O-I interface | Inter-organizational | Multidisciplinary meeting |
| [Lack of shared professional language] | Continuous familiarity | O-I interface | Inter-organizational | Standard documentation format |
| [Lack of common goal] | Tailored to the patient's needs and preferences | O-I interface O-I interface | Inter-organizational Inter-organizational | Shared care plan Multidisciplinary meeting |
| [Lack of transparency] | Shared responsibility | O-C interface | Inter- and intra-organizational | Overview of available components and modules |
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