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 |