Table 5.

Factors enabling and constraining the improvement process in West‐Friesland

	Enabling factors	Constraining factors
Micro (operational) level	Facilitation of intervision meetings Informal setting Safe environment Broad composition of professionals participating in meetings Commitment of participating professionals Personal relationships and trust among professionals from different organisations	Discrepancy between goal of intervision meetings and needs of participating professionals Lack of continuity in intervision meeting attendance Lack of time due to staff shortages and high case load
Meso (managerial) level	Process facilitation and management Broad composition of steering group Commitment on managerial level of participating organisations Personal relationships and trust among managers from different organisations Shared sense of urgency	Lack of continuity in steering group meeting attendance Lack of ownership and accountability among steering group members Conflicting organisational cultures and interests
Macro (regional and national) level	Regional policy to improve collaboration Complementary collaborative initiatives in the region	Limiting privacy regulations Lack of shared IT‐system Separate payment systems Lack of shared accountability

The enabling and constraining factors presented in this table were identified based on interviews, meeting notes and field notes.