Table 4. Open answers: experienced bottlenecks in collaboration between GPs/NHPs (their perspectives) and HPs, and between HPs (their perspectives) and GPsa
Physicians by care setting
GP, n = 259HP, n = 205NHP, n = 83
Communication and/or consultation, n 120Quote:'Too little communication, would like to be called by hospital about diagnosis, discharge, prognosis etc, now I know sometimes nothing, neither about the wishes of the patient than I know nothing.' (GP 95)98Quote:'Especially the difficult accessibility of general practitioners both in and outside working hours is a problem. In addition, not all details of the GP are known and readily available.' (HP 116)47Quote:'Communication about the seriousness of the situation and limited treatment possibilities is sometimes not provided. The nursing home must then still bring the bad news.' (NHP 82)
Exchange of information, n 102Quote:'Too late information: patient is with me after hospital visit without me being informed, and wants to talk to me about decisions to be made. Especially a problem in case of interim changes.' (GP 31)21Quote:'Not always feedback from a general practitioner when care is transferred, only then suddenly contact again in an emergency situation.' (HP 122)46Quote:'Rarely enough information about the patient’s wishes around end of life.' (NHP 66)
No or few bottlenecks, n 15172
  • a421 responders reported ≥1 bottlenecks in collaboration with care physicians from other care settings. Open answers were coded to themes, with a maximum of four themes for one answer. Some examples of quotes are given in the table. HP = hospital physician. NHP = nursing home physician.