Table 2

Complexity checklist

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?