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Table 5 Chaotic configuration testable prediction

From: Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis

Across all types of PCCNs decisional needs, negative outcomes are more likely when four conditions are met: (a) patients face a crisis, are not reachable, fall through the cracks of the fragmented health and social care systems, and/or are unable to navigate its complexities; (b) patient-practitioner communication and interprofessional coordination are unsatisfactory; (c) decisions are made independently by patients between clinical encounters because they mistrust services, i.e., patients perceive themselves as excluded from the health and social care systems (and other systems) and practitioners see these patients as an unwanted burden; and (d) no PCCN-oriented high intensity program is applied or applicable.