Table 4 Self-management by default and asymmetric encounters configurations testable prediction

With respect to decisional needs relating to ‘prioritization’, ‘use of services’ and ‘prescription’, negative outcomes (including poor health outcomes and caregiver burden) seem more likely when decisions are made independently by patients/caregivers or practitioners (between or during clinical encounters). The following conditions seem to contribute to negative outcomes: PCCNs’ mental health issues or social vulnerability, unsatisfactory patient-practitioner communication or interprofessional coordination, and non-use of appropriate PCCN-oriented tools, strategies, or programs (no practical attempt to decrease complexity).