Table 4.
Global theme: Co-location as driver for cross-sectoral collaboration.
| Thematic network analysis [54] | ||
|---|---|---|
| Basic themes: Factors influencing co-location as a driver for cross-sectoral collaboration with GPs as coordinators (interviews containing the code cf. Table 2) | Organizing themes: Dimensions | Global theme |
| Co-location facilitates – non-planned cross-sectoral communication (b, c, f, i, j, k, l, m, o, p, r) | Personal relations, trust and communication as drivers | Co-location as driver for cross-sectoral collaboration with GPs as coordinators in health centre |
| Increased communication – raise awareness of the identity of other actors thereby developing relationships (a, h, i, j, m, p, q) | ||
| GPs’ work schedules and treatment approaches impede cross-sectoral collaboration generated by co-location (a, g, j, k, l, n, o, p, q) | GPs’ work routines and professional identity as barriers | |
| GPs perceive that they work in a ‘Doctors Clinic’ instead of a ‘Health Centre’ (a, j, k, l, m, t) | ||
| GPs not interested in social activities or general meetings with co-located health professionals (b, j, k, m, r, s, t) | ||
| GPs’ collective agreement undermines implementation of strategic agreements (‘Health Agreement’ and ‘Plan for GP’) that commits GPs to be cross-sectoral coordinators in health centre (a, b, j, k, l, m) | Unaligned economic incentives as a barrier | |
| GPs activity-based remuneration and municipal health professionals’ monthly salaries impede cross-sectoral collaboration (a, b, c, f, g, j, k, l, m, r) | ||
| Lack of evidence/suggestions concerning cross-sectoral collaboration with GPs as coordinators (a, c, e, h, i, j, l, r) | Lack of clarity concerning the content of collaboration as a barrier | |
| Lack of clarity concerning the location of responsibility for developing content of cross-sectoral collaboration (a, b, c, j, k, m, n, o, t) | ||
| Health centre effectively functions as rental co-op (no admission criteria for private health professionals other than willingness to pay rent) (b, c, f, g, r, t) | Organisational issues as barriers | |
| Cross-sectoral collaboration driven by co-location primarily included in initial project description in order to obtain national funding (d, l) | ||
| Both local and regional government administrative levels and health professionals within the health centre are passive and fail explicitly to request cross-sectoral collaborations involving GPs (a, c, e, f, g, h, i, j, l, m, n, p, r, s, t) | ||
| Lack of common vision/goals/organisation concerning cross-sectoral collaboration with GPs as coordinators in the health centre (a, b, c, f, g, l, n, r, t) | ||