Table 3.

Main NASSS categories and sub-categories derived from analysis of findings

Main categories (based on NASSS domains)	Sub-categories (derived from interview data sorted under specific domain)
Domain 1: The condition	The innovation is not closely connected to any specific condition or specific patient group
	Regardless of the patient's condition, every patient's need ought to dictate how care for him or her is delivered
Domain 2: The technology	The technology works but is perceived as clumsy and needs to improve in functionality
	Always Open's content ought to generate added knowledge
	Always Open experiences tough competition
	Always Open will require continuous maintenance of the required software and hardware
	Further development of Always Open's role in Region Stockholm is hindered because it is not available from a computer
	There is a perceived risk that people will give up on the app
Domain 3: The value proposition	Always Open ought to contribute to accessibility and continuity
	Always Open has resulted in new ways of delivering care
	Always Open provides staff with more detailed patient information
	Always Open has made care visits more accessible to patients
	Digital visits save time and energy for patients
	Digital visits can increase the quality of specific visits
	Digital group visits require more resources than physical ones
	Always Open has affected daily work in a positive way
	Always Open has the possibility to change SLSO's role in Region Stockholm
Domain 4: The adopters	Employees experience a lack of continuity and structure when working with and training in Always Open
	Many patients have adapted well toward a new type of care visits, but health care needs to be attentive to each patient's preferred type visit
Domain 5: The organisation	The organisation's capacity to change
	The organisation's readiness for the technology
	The extent of changes to work routines related to Always Open
Domain 6: The wider system	Regulations may hinder further development of digital care
	Micromanaged reimbursement models may hinder further development of digital care
	Society is stuck on the idea of traditional primary care facilities
	The region's acute hospitals do not have enough knowledge about Always Open and that they can use the app at their own facility
Domain 7: Embedding and adaptation over time	Several improvements were made to the app during the first year of the pandemic