Table 1 Summary of contextual factors influencing the introduction of the rehabilitation guarantee as reported in one or several county councils
Contextual factors reported to help the implementation process | |
- | The financial incentive |
- | Support from key stakeholders in facilitating and developing project organizations |
- | The establishment and support of project organizations |
- | Positive attitudes towards teams and teambuilding |
- | Previous experiences from working with similar initiatives |
Contextual factors reported to hinder the implementation process | |
- | The project form, including annual renegotiations and narrow time window for implementation |
- | Delayed decisions concerning criteria for selection and financial incentives |
- | Unspecified treatment modalities |
- | Lack of well-defined criteria for patient selection |
- | Late introduction of time- and resource-intensive treatment |
- | The lack of competence in PT at the clinical level |
- | Recruitment difficulties |
- | Negative attitudes to the choice of PTs included in the RG |
- | Fragmentation of a comprehensive county primary care |
- | Turnover of experienced physicians at the health care units hindering the possibility to work in well-functioning teams |