Case complexity (patient state) | Care complexity (coordinating and providing care) |
1. Medical health state: What are the patient’s physical and mental comorbidities, and how may they interact in treatment? 2. Demographics: How do age, sociocultural, and economic characteristics of the patient impact diagnosis and treatment? 3. Adherence and compliance: What are the patient’s health objectives and barriers to adherence and compliance? 4. Personal resources: What is the patient’s level of understanding, energy and capacity for coping with disease, treatment and changes? | 5. Care team: Who are the different care actors and what are their roles and interdependencies? Are treatment roles and objectives well-defined, aligned and shared? 6. Complexity perceptions: What is complex for whom? 7. Coordination barriers: What are the potential barriers to cross-disciplinary, cross-professional and cross-level coordination? 8. Coordination tools: Which coordination and communication tools are feasible and appropriate? |
9. Controllability: What sources of complexity can/should I control, coordinate, delegate or defer? 10. Change: How may the sources of complexity develop in the future? |