Table 3 Themes, subthemes, and cite frequencies

1. Inter-entity organization and management

1-1. Lack of policy integration between government departments

• Role, Standpoint

• Government Administrative

• Process, Procedure

1-2. Lack of understanding of the new policy among service agencies

• Inter-organization, Department, Linkage

1-3. Lack of integration of vision and scope of service among service agencies

• Service Agencies

2. Coordination of care

2-1. Barriers to coordination between government care manager and agency case managers

2-2. Agencies’ lack of understanding of care coordination

• Case Management、Service Plan Development

• Link the Resources

3. Integrated information systems

3-1. Challenges to information sharing among service agencies

• Multi-information, Mix-information, Data, medical record

4. Integrated financing

4-1. Uncertainty about costs of recruiting new clients

4-2. Uncertainty about finance mechanisms

• Payment, Charge

• Cost