Patients | Physicians | Nursing staff | Pharmacists | Health insurers | DPH | Companies proposing CDM prog. | ||
---|---|---|---|---|---|---|---|---|
Barriers | Lack of autonomy and freedom of practise with CDM | x | x | x | ||||
Corporatism | x | x | x | x | ||||
Shortage of physicians and inappropriate GP/specialists ratio | x | x | x | x | x | |||
Inertia with lack of interest | x | x | x | x | x | |||
GP’s lack of motivation | x | x | x | x | x | |||
Facilitators | Mentality and culture change to accept CDM | x | x | x | ||||
Common will | x | x | x | x | ||||
Definition of the role of each professionals’ | x | x | x | x | ||||
Designation of a care coordinator | x | x | x | x | x | |||
GP as the care coordinator | x | x | x | |||||
Availability of CDM training | x | x | x | x | x | |||
Incentives | Quality incentives | x | x | x | x | x | x | x |
Financial incentives | x | x | x | x | x | x | x | |
Integration of CDM into services usually reimbursed | x | x | x |