Effect of care management program structure on implementation: a normalization process theory analysis

Table 4 Degree of normalization and collective action component by PO and care management structure

Physician Organization	A		B	C		D		E
Care management Structure	1: Central-ized	2: Full-time Practice-Based	Central-ized	1: Full-time Practice-Based	2: Part-time Practice-Based	1: Central-ized	2: Full-time Practice-Based	Full-time Practice-Based
Degree of normalization	✓	✓✓	✓	✓✓	✓✓	✓✓	✓✓	✓✓✓
Collective Action Components
Contextual Integration	✗✓	✓✓	✓	✓✓	✓	✓	✓	✓✓✓
Skill Set Workability	✓✓	✓✓	✓✓	✓✓	✓✓	✓✓	✗ ✓	✓✓✓
Interactional Workability	✗✓	✓✓✓	✗✓	✓✓✓	✓	✓✓	✓✓✓	✓✓✓
Relational Integration	✗ ✓	✓✓	✗ ✓	✓✓✓	✓	✓	✓✓✓	✓✓✓

Key: ✓ = low; ✓✓ = medium; ✓✓✓ = high; ✗□✓ = both not evident and evident depending on the practice

ISSN: 1472-6963