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. 2020 May 24;20:452. doi: 10.1186/s12913-020-05263-w

Table 2.

Implementation fidelity of intervention components and moderating factors affecting fidelity

Component of Adherence Intervention Component % of adherence Level of implementation fidelity Moderating factors affecting fidelity
Content Referral of suitable patients by specialists at the SOCs 25 Low

• Providers’ responsiveness

• Context (providers)

• Context (organizational)

• Context (system)

Consolidation of care under one dedicated physician 0 Low

• Complexity of program;

• Context (organizational)

Stratification of care according to patients’ needs (simple conditions were referred to primary care and more complex were referred to internal medicine specialists) 100 High • Facilitating strategies
Preparation of transition from SOCs to other appropriate sites through patient education, appointment management and provision of referral memo by CC 90 High • Facilitating strategies
Support of PCC providers by a team of hospital based providers (specialists, CC, nurse, and AHP: dietician, medical social worker, psychologist, and pharmacist) 20 Low • Context (organizational)
Multi-disciplinary case conferences involving specialists, PCC providers and AHP to refine care plans for patients 2.5 Low

• Context (organizational)

• Context (system)

SOC specialist outpatient clinic, CC care coordinator, PCC primary and community care, AHP allied health professionals