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Table 3 Comparison of determinant mapping across theoretical frameworks

From: Comparing the application of two theoretical frameworks to describe determinants of adverse medical device event reporting: secondary analysis of qualitative interview data

Determinant themes from AMDE study TDF domains selected TICD domains:determinants selected Apparent match in underlying meaning
Both mappers One mapper Both mappers One mapper
PHYSICIAN BELIEFS
 AMDEs considered expected or unavoidable and not adverse unless outcomes catastrophic; viewed as more severe in other specialties Beliefs about consequences Social-professional role and identity Health professional cognitions: expected outcome Health professional cognitions: agreement with the recommendation Yes (expected outcome)
 AMDEs within 2 years of use were considered unusual Beliefs about consequences – Health professional cognitions: expected outcome Health professional cognitions: agreement with the recommendation Yes (expected outcome)
 Views about cause of AMDEs confounded by multiple factors – Beliefs about consequences, Knowledge – Health professional cognitions: agreement with the recommendation, Health professional knowledge and skills: domain knowledge Yes (knowledge)
 Incidence of AMDEs has decreased, thus devices were thought to be improved – Beliefs about consequences, optimism Health professional cognitions: expected outcome Health professional cognitions: agreement with the recommendation Yes (expected outcome)
POLICIES, PROCESSES OR SYSTEMS
 Follow-up of device-related outcomes beyond short-term results done elsewhere Environmental context and resources Social-professional role and identity Recommended behaviour: observability Health professional cognitions: intention and motivation, Health professional behaviour: nature of the behaviour, Health professional knowledge and skills: knowledge about own practice, Health professional behaviour: self-monitoring or feedback, Professional interactions: referral processes Yes (professional role or behaviour, observability or knowledge of own behaviour)
 Devices implanted not recorded in patient records Environmental context and resources – Incentives and resources: information system Health professional knowledge and skills: knowledge about own practice, Health professional behaviour: self-monitoring or feedback, Health professional behaviour: capacity to plan change Yes (resources or information system)
 No hospital, national or international systems for AMDE reporting Environmental context and resources Knowledge, Reinforcement, Behavioural regulation Incentives and resources: information system, Incentives and resources: availability of necessary resources, Capacity for organizational change: regulations, rules and policies Health professional knowledge and skills: domain knowledge, Health professional cognitions: intention and motivation, Health professional behaviour: self-monitoring or feedback, Incentives and resources: non-financial incentives and disincentives, Incentives and resources: quality assurance and patient safety systems, Capacity for organizational change: monitoring and feedback Yes (resources or information system, knowledge, reinforcement or non-financial incentives or disincentives, regulation or self- or organizational monitoring)
DEVICE MARKET
 Use of specific devices often determined by purchase group contract obligations Environmental context and resources – Health professional behaviour: capacity to plan change Capacity for organizational change: regulations, rules and policies, Incentives and resources: financial incentives and disincentives, Capacity for organizational change: mandate, authority and accountability, Social, political and legal factors: economic constraints on the health care budget, Social, political and legal factors: contracts Yes (context and resources or policies, financial incentives and disincentive, authority, budget, contracts)
 Lack of responsiveness to AMDEs from industry Reinforcement Knowledge, Optimism, Beliefs about consequences, Environmental context and resources – Health professional cognitions: expected outcome, Health professional cognitions: intention and motivation, Health professional behaviour: self-monitoring or feedback, Social, political and legal factors: influential people Yes (reinforcement or feedback or influential people, expected outcome, optimism or motivation)
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BMC Health Services Research

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