Resultsįive key themes relating to successful implementation of shared care were identified as (1) clinician-led solutions, (2) redistributing teams, (3) building inter-disciplinary trust, (4) using evidence for buy-in, and (5) standardized care protocols. Data were analyzed using a realist framework to identify the contexts, mechanisms of action, and outcomes of sustained and emerging shared care schemes. Semi-structured interviews were conducted with 21 key health system stakeholders (clinicians, managers, administrators, policy-makers) in Finland, United Kingdom and Australia between October 2018 and February 2020. This study aims to understand factors which support successful implementation and scalability of these models of care. These models have demonstrated positive outcomes for health systems including increased access for patients, service efficiency and cost-savings. Several health systems have implemented innovative models of care which share the management of patients with chronic eye diseases between ophthalmologists and optometrists.
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