Table 2 An illustration of the domains, themes, and subthemes
Barriers | Poor System Integration | Poor Communication |
Difficulty Navigating the System | ||
Barriers to Information Exchange | ||
Lack of Consistency Throughout System | ||
Inconsistent Follow-Up Care | ||
Limited Access to Services | Policy and Funding Restraints | |
Complicated Specialist Access and Referrals | ||
Inadequate Transportation | ||
Facilitators | Person and Family-Focused Care | Holistic Care |
Inclusion of Informal Caregivers | ||
Self-Management Resources | Supportive Programs | |
Education and Training | ||
Support Groups | ||
Successful Collaborative Practice | Team-Based Care Delivery | |
Case Conferences | ||
Providers Who Enhance Patient Experience | ||
Recommended System Improvements | Expanding and Integrating Care Teams | Incorporating Diverse Providers |
Inter-professional Collaboration | ||
System Navigation | Patient Advocacy | |
Awareness of Community Resources | ||
Development of Standardized Assessments, Information Systems, and Care Pathways | Standardized Assessments | |
Standardized Information Systems | ||
Standardized Service Delivery/Care Pathways |