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Table 5 Disease and task characteristics that influence uncertainty, and their manifestations in different clinical scenarios

From: Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity science

  

Pace of disease evolution

Patient control over outcomes

Standardized versus customized

Routine versus non-routine

Work-sharing interdependency

Clinical scenario

Preventive care

Less rapid or not applicable, leading to less immediate uncertainty

May influence whether they access care

More standardized, less uncertain

More routine

Not reliant on other tasks, less uncertainty

Chronic disease management

Typically less rapid. Exacerbations may develop in acute, atypical ways

Typically high, requiring patient adherence and engagement

Standardized delivery of recommended chronic care. Exacerbation care may have standardized and customized elements

More routine chronic care, exacerbation care may be routine and non-routine

High interdependence among specialties and settings

Acute presentation of undiagnosed illness

Typically rapid

Lower

Workups may be mix of customized and standard, though some processes of care may be standard

Mixed

Multiple providers involved in care who are reliant on each other, many handoffs

Sub-acute rehabilitation

Typically slow, with need for vigilance for clinical change

Varies

Routine daily care

Mixed

Multiple providers and handoffs, but fewer than inpatient settings