Table 2 Implementation fidelity of intervention components and moderating factors affecting fidelity
Component of Adherence | Intervention Component | % of adherence | Level of implementation fidelity | Moderating factors affecting fidelity |
|---|---|---|---|---|
Content | Referral of suitable patients by specialists at the SOCs | 25 | Low | • Providers’ responsiveness • Context (providers) • Context (organizational) • Context (system) |
Consolidation of care under one dedicated physician | 0 | Low | • Complexity of program; • Context (organizational) | |
Stratification of care according to patients’ needs (simple conditions were referred to primary care and more complex were referred to internal medicine specialists) | 100 | High | • Facilitating strategies | |
Preparation of transition from SOCs to other appropriate sites through patient education, appointment management and provision of referral memo by CC | 90 | High | • Facilitating strategies | |
Support of PCC providers by a team of hospital based providers (specialists, CC, nurse, and AHP: dietician, medical social worker, psychologist, and pharmacist) | 20 | Low | • Context (organizational) | |
Multi-disciplinary case conferences involving specialists, PCC providers and AHP to refine care plans for patients | 2.5 | Low | • Context (organizational) • Context (system) |