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Impact of Health and Health-Related Domains on Professionals’ Perceptions of Care Complexity, Their Preferences for Integrated Care Planning and Interprofessional Collaboration Cover

Impact of Health and Health-Related Domains on Professionals’ Perceptions of Care Complexity, Their Preferences for Integrated Care Planning and Interprofessional Collaboration

Open Access
|Jul 2025

Figures & Tables

Table 1

Modeled complexity by ICF-domain represented by two elements.

ICF-DOMAINELEMENTOPERATIONALIZATION (FROM LOW TO HIGH)
Personal factorsChronic health condition
  1. No health record

  2. Asthma

  3. Hypoventilation syndrome

Medical needs
  1. No medication

  2. Home medication

  3. Night-time non-invasive ventilation

External factorsSocial security
  1. Average income

  2. Welfare benefit

  3. Statutory debt restructuring

Social network
  1. Parents with good social network

  2. Single parent with unstable social network

  3. Divorced parent without social network

Body functionsMetabolic/urogenital functions
  1. Urinates spontaneously

  2. White blood cells in urine, fever

  3. Hydronephrosis

Sensory/mental functions
  1. Headache

  2. Pain when urinating

  3. Pain in left flank, confused

ActivitiesMobility
  1. Mobilizes without support

  2. Mobilizes with support

  3. Does not mobilize

Self-care
  1. Sufficient oral intake

  2. Insufficient oral intake

  3. No oral intake

ParticipationLeisure activities
  1. Engages in team sport

  2. Engages in a solitary hobby

  3. No sport or hobby engagement

Education
  1. Attends regular school

  2. Attends special education

  3. High school absenteeism

Table 2

Overview of outcome variables with operationalizations and scales.

OUTCOME VARIABLEOPERATIONALIZATIONSCALE
Perception of care complexity
Perceived complexityHow do you evaluate the situation of the described patient at this moment?Very simple (0) to
Very complex (100)
Preference for integrated care planning
Need for integrated care planningHow do you evaluate the importance of an integrated care plan for the described patient?Very unimportant (0) to
Very important (100)
Need for a MDTMDo you think that a multidisciplinary team meeting should take place to create an integrated care plan for the described patient?No (0)
Yes (1)
Preference for interprofessional collaboration
You indicated that a multidisciplinary team meeting is necessary.
Who should be optional or definitely present?
Person-focused integration
FamilyParentNo (0)
Optional (0)
Definitely (1)
Horizontal integration
Medical doctorsPediatrician, pediatric urologist, another medical specialistNo (0)
Optional (0)
Definitely (1)
Nursing professionalsPediatric nurse, pediatric nurse specialist, other nursing specialistNo (0)
Optional (0)
Definitely (1)
Allied health professionalsDietician, physiotherapist, other allied health professionalNo (0)
Optional (0)
Definitely (1)
Social professionalsSocial worker, pedagogical specialist, psychologistNo (0)
Optional (0)
Definitely (1)
Vertical integration
External health professionalsGeneral practitioner, other external health professionalNo (0)
Optional (0)
Definitely (1)
ijic-25-3-8997-g1.png
Figure 1

Regression coefficients and 95% confidence intervals for the impact of ICF-domains on perceived complexity for medical doctors and nursing professionals.

ijic-25-3-8997-g2.png
Figure 2

Regression coefficients and 95% confidence intervals for the impact of ICF-domains on need for integrated care planning for medical doctors and nursing professionals.

ijic-25-3-8997-g3.png
Figure 3

Absolute risk differences for the inclusion of family and professionals from different occupations in MDTMs between occupational group (reference: nursing professionals) and levels of work experience (reference: work experience >5 years).

DOI: https://doi.org/10.5334/ijic.8997 | Journal eISSN: 1568-4156
Language: English
Submitted on: Oct 1, 2024
Accepted on: Jun 27, 2025
Published on: Jul 9, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Lisa-Maria van Klaveren, Vincent G. M. Geukers, Rien de Vos, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.