Table 3.

Coding Tree

Theme	Sub-Theme	Example Quote
Discrepancy	Current inadequate patient services	We have our problems, as all places do, this new approach could help to fix some of the gaps
	Need for coordination	[We need to] get everybody talking, everybody who’s involved, and make sure the information doesn’t slip through the cracks.
Appropriateness	Enhanced patient services	I think the more you know about [Health Links] the more you understand how it works… and why it’s a good fit
	Integration enhances partner relationships	You seek a clear difference in the way we work with our partner agencies in this approach…sure we’re all still figuring it out but it has clearly enhanced our communications with them
Valence	Personal valence	I hope that the integration will reduce my caseload
	Patient valence	A lot of my clients appreciate having all their contact laid out for them
	Health system valence	This really has the potential to change the system, but only if it’s done right
Self-Efficacy	Formal training	There’s been some sessions organized by [Regional Authority] but nothing particularly helpful
	Informal training	There was a lot of out of the box training that wasn’t organized by [Lead Site] or the Ministry
	Champions	I think I’m sort of a champion for the approach, I’ve done some additional training and people come to me when they have questions… I’ve been told I’ve been helpful
	Change management capability	We may be marginally trained in Health Links, but we are definitely not trained in how to change
Fairness	Procedural fairness	[Name of site] had meetings and meetings with [name of manager] to discuss Health Links and we literally had none
	Outcome fairness	There’s no way this is sustainable without more staff. We don’t have as many people as [other satellite site] –
Trust in management	Perception of middle managers	I have my own feelings about management that…shape my feeling of Health Links
	Perception of Regional Authority	[Regional Authority] doesn’t exactly provide us with clear ways forward.