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Table 2 Managers' and healthcare professionals' current practices and perceived issues

From: Healthcare professionals and managers' participation in developing an intervention: A pre-intervention study in the elderly care context

Managers' and Healthcare Professionals' Current Practices and Perceived Issues
Challenges created by the complex and multidimensional chronic conditions of older persons
Primary Care Physician (PCP) as the key clinician
   • Essential role of the PCP
   • Older persons' loyalty to their PCPs
Inadequate needs assessment process within primary care
   • Medical-centered. Lack of multidimensional needs assessment.
   • Dichotomy between medical needs assessment/other assessments
Inadequate coordination of primary care services
   • No one is responsible for coordinating services. PCPs' lack of time. Poor knowledge of services.
   • Lack of communication between professionals.
   • Fee-for-service remuneration
Inadequate coordination of primary and secondary care
   • Poor planning of services at discharge
   • Little continuity of care. No information on hospitalization provided to PCP
   • Unavailability of direct hospitalization or geriatric expertise
Perceived Consequences:
   • Unmet needs
   • Inappropriate use of services. Unwanted institutionalization
   • High family burden