Table 3.
Implementation measures
| Domain evaluated | Elements considered | P1 | P2 | P3 | P4 | P5 | P6 | P7 |
|---|---|---|---|---|---|---|---|---|
| Resources | Community and potential partner organizations in the region | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Human | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Financial | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Physical space | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Strategies and approaches (ex. CME) | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Information sharing | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Organizational structure | Decision making roles | ✓ | ✓ | |||||
| Remuneration of health professionals | ✓ | ✓ | ||||||
| Consultation structure within the program | ✓ | ✓ | ✓ | ✓ | ✓ | |||
| Establishing links with partners | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Role of stakeholders in the success of the program | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Follow-up by program clinicians | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Reach within target population | Patients | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Referring health professional | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Medical clinics | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| CSSS | ✓ | ✓ | ||||||
| Support for referring HP | Continuing medical education sessions | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Development of clinical tools and forms | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Communications with referring health professionals | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Support for program HPs | Formal and informal training sessions | ✓ | ✓ | ✓ | ✓ | |||
| Regional professional committees | ✓ | ✓ | ||||||
| Contextual facilitators and barriers | Clinician and stakeholder incentives | ✓ | ✓ | ✓ | ✓ | |||
| Change management strategies | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Confidence and engagement of stakeholder | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Organizational structure of the clinic | ✓ | ✓ | ✓ | ✓ | ✓ | |||
| Organizational structure of services within CSSS | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Building collective knowledge and leadership | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Appropriation by stakeholder | ✓ | ✓ | ||||||
| CSSS external environment | ✓ | ✓ | ||||||
| Waiting time | Delay between reception of the referral to program and the 1st visit | ✓ | ✓ | ✓ | ||||
| Impact on Primary care | Participation in the program | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Physicians perception of impact on patients | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Interprofessional collaboration | ✓ | ✓ | ✓ | ✓ | ✓ | |||
| Perception benefit of the program | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Improvement of knowledge regarding management of patient with chronic condition and resources available | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Use of CCM components and clinical tools | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
| Doctors participating in CME sessions | ✓ | ✓ | ||||||
| Management of individuals with chronic disease (ACIC) | ✓ | ✓ | ✓ | |||||
| Cost | Cost-effectiveness | ✓ | ✓ | |||||
| Cost-benefit | ✓ |
HP health professionals, CME continuing medical education, CSSS centre de santé et de services sociaux, ACIC assessment of chronic illness care