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Table 4 Cultural differences found between specialist care and primary care for patients with home care needs

From: Development of a patient-centred care pathway across healthcare providers: a qualitative study

Activity Specialist care Primary care
Planning Short perspective – major changes in a short time Long perspective – small changes over time
Assessment Diagnosis with advanced technology Functional ability, patient preferences and degree of self-management
Diseases Attention to one disease at a time Simultaneous attention to all of the diseases patients have; a majority of patients have multiple diseases
Clinical guidelines Strong adherence to clinical guidelines Clinical guidelines for multi-morbidity hardly exist
Patient role Passive; health personnel decide what has to be done At home the patient decides; focus is on resuming daily activities
Decision making Often in teams, many involved, and in a confirmed hierarchical structure Often by health personnel alone or by few; more autonomous