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Table 3 Sample respondent comments used to identify beliefs/perceptions content

From: A cognitive perspective on health systems integration: results of a Canadian Delphi study

Content Sample respondent comments
Strategy Mental Model
Consequences of integrating • “To be successful each participant must see benefit for him/her as well as the collective”
• “Without willingness to accept and acknowledge the value of integration, it will be difficult to make progress”
Appropriateness of selected strategy • “Need to include the concept of agreement with the goals, long-term vision and methods”
• “Although there may be shared knowledge unless there is acceptance and commitment there will be challenges”
Integrity of decision-making processes • “Decisions [must] have clear rationale that can be publicly defended”
• “Important to have all views represented at the decision-making table”
Readiness for change • “Add a concept about willingness to put energy into finding out, testing hypotheses, innovation”
• “Include individual’s belief about their perceived freedom or ability to make change or execute integration activities”
Relationships Mental Model
Appropriateness of role structure • “It goes beyond knowledge to understanding, appreciation and agreement on the roles”
• “Knowledge without buy-in is not sufficient”
Identification with the integration initiative • “Each participant must have enthusiasm and investment in the initiative and must think beyond their current boundaries”
• “Crucial to know why they are there: voluntarily or a directed (forced) integration?”
Recognition of shared responsibility • “If the involved parties don’t recognize the need for specific organization engagement, the overall integration activity may not gain traction”
• “More emphasis on interdependence, being more collaborative, recognizing that each brings expertise”
Importance of client involvement • “The key issue is the integration of patient/family into interprofessional teamwork and this is dependent on changing current attitudes about practice and patient involvement”
• “Most important players in planning and implementing integration are the persons and their families”