Structural |
Broader community health influences (eg, outbreaks of illnesses) Communication (connecting with providers outside the practice) Community resources related to intervention—facilitators during the planning and sustainability phases* Educational and networking resources related to IDOCC Macro-level economic and political environment (eg, financial resources from government)
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Organizational |
Change in practice model (eg, to a different type of primary care model) IT and EMR (experiences or beliefs about IT and EMR)—barrier during implementation* Leadership Micro-level financial resources (within the organization) Office efficiency (organization and management)—barrier and facilitator during planning and implementation* Space (characteristics of location or work and office areas) Staff mix (availability and involvement of staff) Time (time available)
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Provider |
Communication between and among staff Personal and staff functioning as part of a team Provider attitude toward the IDOCC intervention—barrier during implementation and sustainability phases* Roles and responsibilities (clarity and scope of practice)—barrier during planning*
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Innovation |
Awareness and insight of practice about processes needing adjusting Charting, flow sheets, and template (attitude and experience)—facilitator during implementation* Comprehending, complying, and agreeing with recommendations from IDOCC audit Patient-physician processes (attitude and experience toward these, such as self-management) PF’s capacity to spread learning from another innovation to the site—facilitator during implementation* Reaction of practice to PF’s involvement and advice—facilitator during implementation* Reminder system (attitude and experience)
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Patient |
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