Fig 1.

Hybrid conceptual model. PARiHS framework domains and components. Evidence research evidence, clinical experience, patient preferences/experiences, and local information. Context culture, leadership, and evaluation capability. Facilitation factors which enable partnerships, development of individual potential and project management. Andersen behavioral model constructs. Healthcare system resources and organization. Geography rurality, distance from care, and ease of transportation. Patient characteristics burden of a disease within a community as well as patient predisposing characteristics, enabling resources and risk perception