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Deteriorating health of my father, Hospital policies about appointments…
Deteriorating health of my father
main actors
family doctor
neurologist
geriatrician
physiotherapist
pharmacist
chiropractor
cardiologist
urologist
main care giver/
interpreter
Barriers to Integration
Specialists did not communicate with each other
Physiotherapist and Chiropractor did not consult with family doctor and neurologist to figure out and agree on treatment plan.
Language barrier made it difficult for patient to explain symptoms.
Patient had problems communicating his true symptoms and his caregiver had a hard time explaining the symptoms to different healthcare providers
Long wait time to see specialist
Family doctor must refer patient to specialist
Long wait time for MRI appointment and CT scan appointment
Enablers of Integration
Increase opportunity for specialists to communicate and share diagnoses with each other to develop a shared vision in treatment.
Improve referral system to decrease wait times to see a specialist.
Hire more specialist to meet public demand and decrease wait time for appointment with specialist
Increase number of MRI machines and Hire more technicians to decrease wait time for scan appointment
Multi-way interdependencies
communication between referring doctor and specialist
communication between physiotherapists and doctors so they would develop better understanding of what they have to offer to maximize patient's care and satisfaction
Hospital policies about appointments with specialist