. 2023 Jun 14;23:630. doi: 10.1186/s12913-023-09618-x

Table 1.

Additional supporting quotes for the NHSSM limiting factors

Limiting Factor	Supporting Quotes
Senior Leadership Engagement	Research team participants shared: “I’m going to say that this [senior leader support] is important but perhaps a little less important than having the staff and healthcare providers that are directly involved in using the tool”. [C001, research team] Software development team participants also shared similar sentiments: “This is not so relevant to me in particular because my role has a somewhat narrower scope […] I think that [senior leadership engagement] is more from the broader perspective of use within the hospital.” [S001, software developer]
Infrastructure for Sustainability	“I think in terms of infrastructure you would just need a computer, which by now most family health teams have. There are still some clinics that I think are still using paper so I guess that would impact the scalability of it.” [C001, MD]
“I could see it as a product that has a long-term benefit and solution to multiple stakeholders but it still needs some tweaking […] so just kind of adapting it into our system in the healthcare system in Canada is kind of a challenge.” [R002, research team]

Limiting Factor

Supporting Quotes

Senior Leadership Engagement

Research team participants shared:

“I’m going to say that this [senior leader support] is important but perhaps a little less important than having the staff and healthcare providers that are directly involved in using the tool”. [C001, research team]

Software development team participants also shared similar sentiments:

“This is not so relevant to me in particular because my role has a somewhat narrower scope […] I think that [senior leadership engagement] is more from the broader perspective of use within the hospital.” [S001, software developer]

Infrastructure for Sustainability

“I think in terms of infrastructure you would just need a computer, which by now most family health teams have. There are still some clinics that I think are still using paper so I guess that would impact the scalability of it.” [C001, MD]

“I could see it as a product that has a long-term benefit and solution to multiple stakeholders but it still needs some tweaking […] so just kind of adapting it into our system in the healthcare system in Canada is kind of a challenge.” [R002, research team]