Figure 1
Methodology of the two complementary study phases (CC: care coordinator, GP: general practitioner; CPh: community pharmacist; HCP: healthcare professional).
Table 1
Task analysis: stakeholder involvement at each step in the integrated care pathway.
| STEP | PLANNED STAKEHOLDERS | ACTUAL STAKEHOLDERS | ||||
|---|---|---|---|---|---|---|
| H | HCP | CC | H | HCP | CC | |
| 1. SET-UP | X | X | X | ↗ | = | = |
| 2. MEDICATION REVIEW | X | = | ||||
| 3. INITIATION OF A PERSONAL DRUG PLAN | X | (X) | ↗ | = | ↗ | |
| 4. LOCAL CLINICAL COORDINATION TEAM | X | (X) | = | ↗ | ||
| 5. ASSESSMENTS | X | = | ↗ | |||
| 6. SUMMARY | X | ↘ | ↗ | |||
| 7. IMPLEMENTATION AND MONITORING | X | ↘ | ↗ | |||
| 8. CLOSE-DOWN | X | ↗ | ||||
[i] X: planned intervention by the stakeholder.
(X): optional intervention by the stakeholder.
↗: unexpectedly involved in a task, or more involved in the task than planned.
↘: less involved in the task than planned.
=: involved to the extent planned.
H: hospital staff; HCP: healthcare professional; CC: care coordinator.
Table 2
A summary of the general practitioners and community pharmacists’ perceptions about the care coordinator’s task.
| THE CARE COORDINATOR’S TASKS | COMMUNICATION | COORDINATION | ADMINISTRATION | OTHER TASKS |
|---|---|---|---|---|
| The general practitioners’ perceptions | Communication about the project: essential, needs to be reinforced Communication between the healthcare professionals: appreciated Communication about the patient (summary): to be reinforced | Overall coordination of actions: appreciated Conflicts of authority, according to some general practitioners | Administrative support: essential, appreciated Substantial time savings: much appreciated | The issue of physician-patient confidentiality was raised The lack of an IT platform was highlighted |
| The community pharmacists’ perceptions | Communication about the project: essential, needs to be reinforced Communication between the care coordinator and healthcare professionals: generally appreciated but hinders direct communication between community pharmacists and general practitioners. Meetings attended by all the healthcare professionals were wished for Communication about the patient (summary): to be reinforced. | Overall coordination of actions: appreciated Meetings attended by all the healthcare professionals were wished for | Administrative support: appreciated Substantial time savings: much appreciated |