Table 2.
Factors that promote and hinder the implementation of DIP payment.
| CFIR construct | CFIR domain | Determinants facilitator/Barrie/Mixed | |
|---|---|---|---|
| Innovation | Effectiveness | Mixed | |
| Comparative advantage | Facilitator | ||
| Trust | Facilitator | ||
| Applicability | Mixed | ||
| Complexity | Barrier | ||
| Supporting policies | Facilitator | ||
| Outer setting | Important events (outer pressure) | Barrier | |
| Outer attitudes | Mixed | ||
| Local policy conditions | Mixed | ||
| Collaborative relationships | Facilitator | ||
| Policy and Laws | Mixed | ||
| Outer incentives (financial aid) | Facilitator | ||
| Inner setting | Team structure | Mixed | |
| Collaboration within the hospital | Facilitator | ||
| Information sharing | Facilitator | ||
| Culture | Mixed | ||
| Urgency of reform | Facilitator | ||
| Compatibility | Mixed | ||
| Relative priority | Facilitator | ||
| Incentive system | Barrier | ||
| Goal alignment | Mixed | ||
| Available Resources | Barrier | ||
| Accessibility of knowledge and information | Facilitator | ||
| Individuals | Roles | Leaders, team members, supporters | Mixed |
| Individual’s adaptability to reform | Barrier | ||
| Individual abilities | Mixed | ||
| Characteristics | Scope of individual power (available resources) | Barrier | |
| Individual motivation | Barrier | ||
| Implementation process | Teamwork | Facilitator | |
| Needs assessment | Barrier | ||
| Environmental assessment | Mixed | ||
| Planning | Facilitator | ||
| Adjust strategy | Facilitator | ||
| Mobilization | Barrier | ||
| Execute | Mixed | ||
| Reflection and evaluation | Facilitator | ||
Facilitators to implementation were predominantly high (39%), with 22% barriers to implementation.