Diffusion of a collaborative care model in primary care: a longitudinal qualitative study.

ABSTRACT:

Background

Although collaborative team models (CTM) improve care processes and health outcomes, their diffusion poses challenges related to difficulties in securing their adoption by primary care clinicians (PCPs). The objectives of this study are to understand: (1) how the perceived characteristics of a CTM influenced clinicians' decision to adopt -or not- the model; and (2) the model's diffusion process.

Methods

We conducted a longitudinal case study based on the Diffusion of Innovations Theory. First, diffusion curves were developed for all 175 PCPs and 59 nurses practicing in one borough of Paris. Second, semi-structured interviews were conducted with a representative sample of 40 PCPs and 15 nurses to better understand the implementation dynamics.

Results

Diffusi

SUBMITTER: Vedel I 

PROVIDER: S-EPMC3558442 | biostudies-literature | 2013 Jan

REPOSITORIES: biostudies-literature