Table 3 Implementation measures
Domain evaluated | Elements considered | P1 | P2 | P3 | P4 | P5 | P6 | P7 |
|---|---|---|---|---|---|---|---|---|
Resources | Community and potential partner organizations in the region | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Human | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Financial | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Physical space | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Strategies and approaches (ex. CME) | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Information sharing | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Organizational structure | Decision making roles | ✓ | ✓ | |||||
Remuneration of health professionals | ✓ | ✓ | ||||||
Consultation structure within the program | ✓ | ✓ | ✓ | ✓ | ✓ | |||
Establishing links with partners | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Role of stakeholders in the success of the program | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Follow-up by program clinicians | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Reach within target population | Patients | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Referring health professional | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Medical clinics | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
CSSS | ✓ | ✓ | ||||||
Support for referring HP | Continuing medical education sessions | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Development of clinical tools and forms | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Communications with referring health professionals | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Support for program HPs | Formal and informal training sessions | ✓ | ✓ | ✓ | ✓ | |||
Regional professional committees | ✓ | ✓ | ||||||
Contextual facilitators and barriers | Clinician and stakeholder incentives | ✓ | ✓ | ✓ | ✓ | |||
Change management strategies | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Confidence and engagement of stakeholder | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Organizational structure of the clinic | ✓ | ✓ | ✓ | ✓ | ✓ | |||
Organizational structure of services within CSSS | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Building collective knowledge and leadership | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Appropriation by stakeholder | ✓ | ✓ | ||||||
CSSS external environment | ✓ | ✓ | ||||||
Waiting time | Delay between reception of the referral to program and the 1st visit | ✓ | ✓ | ✓ | ||||
Impact on Primary care | Participation in the program | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Physicians perception of impact on patients | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Interprofessional collaboration | ✓ | ✓ | ✓ | ✓ | ✓ | |||
Perception benefit of the program | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Improvement of knowledge regarding management of patient with chronic condition and resources available | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Use of CCM components and clinical tools | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Doctors participating in CME sessions | ✓ | ✓ | ||||||
Management of individuals with chronic disease (ACIC) | ✓ | ✓ | ✓ | |||||
Cost | Cost-effectiveness | ✓ | ✓ | |||||
Cost-benefit | ✓ |