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Table 4 Barriers and facilitators mentioned in focus groups
| Acute care chain | Barrier | Facilitator |
|---|---|---|
| Implementation care chain (acute abdominal complaints) | Routines | Routines |
| - Work routines differ between organizations involved in the care chain | ||
| - Feedback is not provided formally yet | ||
| - Providing feedback is not a work routine | ||
| - A non-electronic form differs from current routines, as electronic systems are used | ||
| - Procedures of information transfer and feedback are absent | ||
| Organization | Organization | |
| - There is no coordination of the acute care chain | - The redesign should fit into the organization’s policy | |
| Sense of urgency | Sense of urgency | |
| - In practice, the sense of urgency might have been very low | - On a higher organizational level, there was a sense of urgency for improvement | |
| Implementation methods | ||
| - Top down implementation approach | ||
| - Implementation during holiday season | ||
| - Features of the redesign itself | ||
| Other factors | Other factors | |
| - Practical experience shows that care providers were not willing to work according to the redesign | - The redesign is desirable | |
| Control care chains* (acute hip traumas, acute psychiatric care, CVA) | Routines | Routines |
| - Work routines differ between districts and organizations involved in the care chain | ||
| - The redesign differs from the current work routines | ||
| - Organizations are used to work with digital systems instead of paperwork. | ||
| Organization | Organization | |
| - There is no coordination of the acute care chain | - The redesign should fit into the organization’s policy | |
| Sense of urgency | Sense of urgency | |
| - A need for improvement in information transfer and feedback is experienced, although may not be very urgent | ||
| Implementation methods | ||
| - Top down implementation approach | ||
| - Implementation during holiday season | ||
| - Features of the redesign itself | ||
| Other factors | Other factors | |
| - Willingness to work with the redesign depends on whether it is digital or not. As a paper version, willingness would not be very high | - The ideas behind the redesign are probably desirable |
