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Table 8 CMO configuration “Implementing structural change”

From: A critical realist evaluation of an integrated care project for vulnerable families in Sydney, Australia

Contextual factors

Mechanisms

Outcomes

Level of insight or awareness of difficulties faced by other service providers

The desire to bring about positive change

“Systems thinking” among professionals

Service provider resistance to collaboration

Creative problem solving

Acknowledgement by professionals of systemic barriers to care

Actively seeking to connect with unknown service providers

Extent of buy-in from managers regarding integrated care

Strengthening and simplifying of referral processes

Siloing of funding sources

Enhanced staff knowledge of other services’ roles

Shared training opportunities for staff from different agencies