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Table 3 Context-Mechanism-Outcome configurations concerning disengagement

From: Understanding the implementation and adoption of a technological intervention to improve medication safety in primary care: a realist evaluation

Context Blocking Mechanism Outcome not achieved
Communication between Clinical Commissioning Group and general practitioners Feedback on alerts requires logging in Potential delays in patients being reviewed
Reliance on alerts being sent out centrally
Information technology use in General Practice Lack of use/not logging in to the system Potential delays in review of patients
Community pharmacists conducting medicine use reviews with patients No access to additional information Opportunity for more appropriate and directed medication review lost
Community Pharmacy Perceived conflict and lack of ownership Limits potential improvements in quality of care for patients
Patients using the electronic medicines optimisation system Facilitated use by healthcare professional Lack of direct access to information to benefit shared care and self-management
Difficulties obtaining passwords and logging on