Table 2

Top six priorities for improvement at the consultation, care structure and health system levels and the complexity for their implementation

Areas of improvement	Complexity to implement actions for improvement Median (IQR)
Priorities at consultation level
To improve pain management	3.5 (3–4.8)
To improve care professionals’ attitude so as not to look down on patients	3.5 (3–5.5)
To improve patients’ journey during the diagnosis of chronic conditions	5 (4–6.2)
To avoid tunnel visioning on one condition and neglecting other medical problems or symptoms	4.5 (3.8–6.2)
To care for patients holistically, and not for his/her organs	4.5 (3–6.2)
To better involve patients in care decisions	3.5 (3–5.5)
Priorities at care structure level
To develop the access to specific emergency care for chronic patients	5 (3–7)
To systematically provide patients copies of medical reports and results	3 (1.5–4.5)
To reduce the delay to obtain appointments	4 (3–6)
To reorganise care structures for multidisciplinary care	4 (3–5)
To organise group visits and tests on same days if possible	6 (4–7)
To improve the coordination between care professionals	3 (2–5)
Priorities at healthcare system level
To transform care professionals' training to improve their knowledge in specific conditions/treatments	7 (4.2–8)
To create a repertoire of care professionals identifying their skills in specific diseases or treatments	6.5 (5–8)
To prevent doctors exceeding the fees reimbursed by the national health insurance system	4 (3.2–5.8)
To transform care professionals' training to improve their interpersonal skills	5 (3–7)
To provide patients ‘official’ documents to prove that they are ill	4 (3–5.8)
To reduce the amount of advances of certain expenses	4 (2.2–5.8)

Complexity was assessed by care professionals, hospital managers and health policy decision makers with ratings ranging from 1 (extremely easy to implement actions) to 10 (extremely difficult to implement actions).
Priorities were identified from the results of a logit model of patients’ ranking data.