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Table 2 Determinants influencing the implementation of the 15-method in 12 general practices in the region of Southern Denmark. Ratings of consolidated framework for implementation research (CFIR) determinants

From: Determinants of implementing the 15-method in Danish general practice using the consolidated framework for implementation science

Name

Practice number

Overall determinant rating

1

2

3

4

5

6

7

8

9

10

11

12

I. Innovation Domain1

 

Innovation Evidence-Base

+1

M

M

M

M

M

0

M

+1

+1

M

M

M

Innovation Relative Advantage

+2

+1

0

0

0

+1

+1

+2

+1

0

0

+1

+2

Innovation Adaptability

+1

+1

M

0

+1

0

+1

0

M

0

+1

+1

+2

Innovation Complexity (reverse rated)

Mixed

+2

0 X

0

-1

-1 X

+1 X

+1

+1 X

+1 X

-2

0 X

0 X

Innovation Design

Mixed

-2

+1

-1

+1

-1 X

+1

+1 X

+1

+1 X

-1

0

0

Innovation Cost

Mixed

M

0

0

M

M

-1

+1

M

M

M

M

0

II. Outer Setting domain2

 

Local Attitudes

-1

M

-1

M

M

M

M

-1

0

-1

-1

-1

-1

Local Conditions

-1

M

M

M

-1

M

M

M

M

M

0

M

-2

Partnerships & Connections

-1

M

M

-1

M

0

-1

M

M

M

M

M

-1

III. Inner Setting domain3

 

Structural Characteristics a

Information Technology Infrastructurea

Work Infrastructurea

 

-1

M

-1

M

-1

M

-1

M

M

-1

M

M

M

-1

0

-1

0

-2

-1

M

-1

-1

-1

-2

-1

-1

Communications a

+1 (mixed)

+2

M

M

-1

-1

+2

+2

+1

M

M

M

+1

Culture a

Recipient-Centerednessa

Deliverer-Centerednessa

Learning-Centerednessa*

 

+1

+2

M

M

M

M

+1

+1

0

M

0

+2

+1

+1 (mixed)

+1

M

M

-1

-1

+2

+1

M

M

+1

M

M

+1

+2

-

-

-

-

+1

+1

-

-

+1

-

-

Tension for Change b

+1

+1

+1

+2

+1

M

+1

+1

+1

+1

+2

M

+1

Compatibility b

+1

+2

-1

0

0

0 X

+1

+1

+1 X

+1

M

0

+1

Relative Priority b

Mixed

+2

0

0

-1

0

+2

+1

0

-1

+1 X

-1

-1

Incentive Systems b *

Mixed

+1

-

-

0

-

-1

0

-

-

-

-

-2

Access to Knowledge & Information b

+1 (mixed)

+2

M

+1

0

0

+2

+1

0

0

-1

-1

M

V. Implementation Process Domain4

 

Teaming

+1

+2

+1

M

M

M

+2

+2

M

0

0

M

+1

Assessing Needs

Innovation Deliverers

Innovation Recipients

 

Mixed

M

-1

M

M

-1

+1

M

M

0

+2

M

M

+1

+1

M

M

M

M

+1

0

M

0

+2

0

M

Assessing Context

+1 (mixed)

M

+1

M

0

-1

0

+2

0

+1

0

M

+2

Planning

-1 (mixed)

+1

-1

M

-2

-2

+1

M

0

-1

0

-2

M

Tailoring Strategies *

0

-

-

-

-

0 X

-

+1

0

0

+1

0

-

Engaging

Innovation Deliverers

Innovation Recipients

 

Mixed

M

-1

M

M

-1

+2

M

M

0

+1

M

M

Mixed

M

-1

M

M

M

-1

0 X

+1

0

-1

0

-1

Doing

Mixed

+2

M

+1

-2

-1

+2

+1

0 X

-1

0

+1

+1

Reflecting & Evaluating

Implementation

Innovation

 

Mixed

+2

M

-1

-2

-2

+1

0

M

M

+2

+1

+1

0

M

M

M

M

+1

+1

M

M

M

0

0

0

Adapting

+1

+1

0

M

M

0

M

+1

M

M

+1

+1

+1

  1. The table presents determinants with available data from ≥3 practices. *Not included in interview guide but included during analysis. M, missing. X, mixed positive and negative statement valence. Strength of valence rages from -2 to +2. 1Relates to the “thing” being implemented, i.e. the 15-method. 2 The setting in which the Inner Setting exists. In this case, the Region of Southern Denmark and Danish primary health care sector in which the practices exist. 3The setting in which the innovation is implemented, i.e. the individual practices. 4The actions and/or strategies applied to use and/or implement the innovation, e.g. the degree to which the healthcare professionals teamed up (determinant “teaming”) to coordinate and collaborate on interdependent tasks to implement the innovation. a Determinant exist regardless of the innovation or the implementation/delivery thereof, the determinant is inherent in the Inner Setting. b Determinant is specific to the implementation and/or delivery of the innovation