Table 3 Data collection activities in each stage of the study

 Determine local context of existing IPCP in maternal referral services for pregnancy with heart diseases

Policy factors

Organizational factors

Team factors

Individual factors

Medical record review (obstetric cases in 2017)

Collecting document form

Existing referral system and IPCP

Medical record

In-depth interviews and Focus group discussions (FGDs)

Interview and FGD guideline

Audio recording

Contributing factor in IPCP implementation

Heads of obstetrics and gynaecology, and cardiology

Person in charge (PIC) of maternal referral from each health care facility. Patients

 ICPs development

Agreed ICPs

Review of source

–

Principal investigator

Consensus: Delphi method

JEFFSATIC

PINCOM-Q

Modified McMaster Ottawa Scale

Audio recording

Attitude and

Perception of IPCP on developing ICPs

Senior community obstetrician and cardiologist.

The liaison officers

The representatives of municipality health office.

The representatives of the BPJS

Senior health professionals

 IPCP implementation

Description of IPCP implementation using ICPs

One day training of ICPs and IPCP implementation

IPCP quiz JEFFSATIC

PINCOM-Q

Audio-visual recording

Participant responses

All health professionals, representative from the municipality health office, co-researchers and consultant who contribute in designing the model

Medical record review

Observation

Modified McMaster Ottawa Scale

Collaborative Communication

Share leadership

conflict resolution

Team functioning

Role and responsibility

All health professionals who use the ICPs

 Evaluation and improvement of IPCPs implementation

ICPs refinement

In-depth interview

Audio recording. Interview and FGD guideline

Implementation outcome:

Acceptability

Appropriateness

Adoption

Feasibility

Implementation cost

All health professionals, co-researchers and patient/family who employ the ICP in patient management

FGDs