Table 1 Topic guide with exemplary questions from the interview guideline
Theme: Coordination | |
Topic | Examples of questions |
1. Problems/Barriers in health care coordination | Can you recall a multimorbid patient of yours with complex care needs? |
2. Patient groups with need for coordination | Are there any other patient groups that you think are particularly affected by coordination difficulties? |
3. Achievements in the coordination of health care | Can you think of an example where coordination went well? |
4. Improvements in the coordination of health care | You mentioned some problems and achievements, do you have additional suggestions on what you would like to improve in coordination? |
5. Coordination within your practice | Could you imagine that one or more people in your practice take on coordinative tasks? |
6. Coordination offers outside the general practice | There are concepts and projects that introduce so-called extern navigators - these are additional people who are supposed to take on specific coordinative tasks but are not permanently located in the GP practice. Do you have any experience with this? |
Theme: Delegation | |
7. Delegation of medical services from doctor to medical practice assistant in the practice | Which additional tasks would you hand over to your medical practice assistant? |
8. Recognition of the professional group of the medical practice assistant | What could be an appropriate appreciation/compensation for the additional services and responsibilities of the medical practice assistant? |
9. Team collaboration | How do you exchange information about patients in your team? |
10. Multidisciplinary collaboration | Could you imagine having an employee in your practice who is neither a medical doctor nor a medical assistant, but belongs to a new professional group and takes on tasks of care and coordination? |
Theme: Optimal Care | |
11. Definition of optimal patient care from a primary care perspective and viewpoint of the MPA | What would optimal care mean for your sample patient from the question in the beginning? |
Theme: Community Care | |
12. Use of social and medical support services in the region | What are your experiences regarding medical and social support services? Which ones do your patients use? |