Table 2

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

Areas of improvementComplexity to implement actions for improvement
Median (IQR)
Priorities at consultation level
 To improve pain management3.5 (3–4.8)
 To improve care professionals’ attitude so as not to look down on patients3.5 (3–5.5)
 To improve patients’ journey during the diagnosis of chronic conditions5 (4–6.2)
 To avoid tunnel visioning on one condition and neglecting other medical problems or symptoms4.5 (3.8–6.2)
 To care for patients holistically, and not for his/her organs4.5 (3–6.2)
 To better involve patients in care decisions3.5 (3–5.5)
Priorities at care structure level
 To develop the access to specific emergency care for chronic patients5 (3–7)
 To systematically provide patients copies of medical reports and results3 (1.5–4.5)
 To reduce the delay to obtain appointments4 (3–6)
 To reorganise care structures for multidisciplinary care4 (3–5)
 To organise group visits and tests on same days if possible6 (4–7)
 To improve the coordination between care professionals3 (2–5)
Priorities at healthcare system level
 To transform care professionals' training to improve their knowledge in specific conditions/treatments7 (4.2–8)
 To create a repertoire of care professionals identifying their skills in specific diseases or treatments6.5 (5–8)
 To prevent doctors exceeding the fees reimbursed by the national health insurance system4 (3.2–5.8)
 To transform care professionals' training to improve their interpersonal skills5 (3–7)
 To provide patients ‘official’ documents to prove that they are ill4 (3–5.8)
 To reduce the amount of advances of certain expenses4 (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.