Table 2 Comparison of TICD determinant mapping across mappers
Determinant themes from AMDE study | TICD domains:determinants selected by mappers | ||
|---|---|---|---|
LD | ARG | Determinant Match | |
PHYSICIAN BELIEFS | |||
AMDEs considered expected or unavoidable and not adverse unless outcomes catastrophic; viewed as more severe in other specialties | Health professional cognitions: expected outcome | Health professional cognitions: expected outcome | Yes |
Health professional cognitions: agreement with the recommendation | – | No | |
AMDEs within 2 years of use were considered unusual | Health professional cognitions: expected outcome | Health professional cognitions: expected outcome | Yes |
Health professional cognitions: agreement with recommendations | – | No | |
Views about cause of AMDEs confounded by multiple factors | Health professional cognitions: agreement with the recommendation | – | No |
– | Health professional knowledge and skills: domain knowledge | No | |
Incidence of AMDEs has decreased, thus devices were thought to be improved | Health professional cognitions: expected outcome | Health professional cognitions: expected outcome | Yes |
Health professional cognitions: agreement with recommendations | – | No | |
Sub-total unique or matching determinants | 3 | 2 | 3/8 (37.5%) |
POLICIES, PROCESSES or SYSTEMS | |||
Follow-up of device-related outcomes beyond short-term results done elsewhere | Recommended behaviour: observability | Recommended behaviour: observability | Yes |
Health professional cognitions: intention and motivation | – | No | |
Health professional behaviour: nature of the behaviour | – | No | |
– | Health professional knowledge and skills: knowledge about own practice | No | |
– | Health professional behaviour: self-monitoring or feedback | No | |
– | Professional interactions: referral processes | No | |
Devices implanted not recorded in patient records | Incentives and resources: information system | Incentives and resources: information system | Yes |
– | Health professional knowledge and skills: knowledge about own practice | No | |
– | Health professional behaviour: capacity to plan change | No | |
– | Health professional behaviour: self-monitoring or feedback | No | |
No hospital, national or international systems for AMDE reporting | Incentives and resources: information system | Incentives and resources: information system | Yes |
Incentives and resources: availability of necessary resources | Incentives and resources: availability of necessary resources | Yes | |
Capacity for organizational change: regulations, rules and policies | Capacity for organizational change: regulations, rules and policies | Yes | |
Health professional knowledge and skills: domain knowledge | – | No | |
– | Health professional cognitions: intention and motivation | No | |
– | Health professional behaviour: self-monitoring or feedback | No | |
– | Incentives and resources: non-financial incentives and disincentives | No | |
– | Incentives and resources: quality assurance and patient safety systems | No | |
– | Capacity for organization change: monitoring and feedback | No | |
Sub-total unique or matching determinants | 7 | 11 | 5/19 (26.3%) |
DEVICE MARKET | |||
Use of specific devices often determined by purchase group contract obligations | Health professional behaviour: capacity to plan change | Health professional behaviour: capacity to plan change | Yes |
Capacity for organizational change: regulations, rules and policies | – | No | |
– | Incentives and resources: financial incentives and disincentives | No | |
– | Capacity for organizational change: mandate, authority and accountability | No | |
– | Social, political and legal factors: economic constraints on the health care budget | No | |
– | Social, political and legal factors: contracts | No | |
Lack of responsiveness to AMDEs from representatives or manufacturers | Health professional cognitions: expected outcome | – | No |
– | Health professional cognitions: intention and motivation | No | |
– | Health professional behaviour: self-monitoring or feedback | No | |
– | Social, political and legal factors: influential people | No | |
Sub-total unique or matching determinants | 3 | 8 | 1/10 (10.0%) |
Total unique or matching determinants | 10 | 19 | 9/37 (24.3%) |