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Table 2 Exemplary comparison of the perceived challenges, noticed MoniKa interaction and the relative advantage per value-orientation group

From: When do physicians perceive the success of a new care model differently?

 

Challenges

Noticed MoniKa-interaction

Relative advantage

Patient-oriented value -

Case example BB

- unpleasant to convince patients to participate and time required

- Limited staff in own practice.

- multiple and parallel projects and technologies

- bureaucracy

- complexity of enrolment documentation

- helpful in social care/ social rights (e.g. applications for power of attorney; care grading)

- positive feedback by patients who has been visited by a MoniKa

tangible positive changes based on the following relative advantages:

- improvements in patient care

- non medical tasks

- care of relatives

- medical care at home

- strengthening practice towards patients

Economic oriented value –

Case example Exp2

- limited time for noticeable changes

- multiple and parallel projects and technologies

- external control

- bureaucracy

- complexity of enrolment documentation

- convincing patients to participate

- limited personal ressources in case of transfer to standard care

- helpful in social care (application for severe disability; provision of medical aids, care grading, applications)

- positive feedback by patients who has been visited by a MoniKa

positive changes based on the following relative advantages not yet noticeable:

- relief of workload

- monetary effect