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Table 3 Coding Tree

From: Examining health care providers’ and middle-level managers’ readiness for change: a qualitative study

ThemeSub-ThemeExample Quote
DiscrepancyCurrent inadequate patient servicesWe have our problems, as all places do, this new approach could help to fix some of the gaps
Need for coordination[We need to] get everybody talking, everybody who’s involved, and make sure the information doesn’t slip through the cracks.
AppropriatenessEnhanced patient servicesI think the more you know about [Health Links] the more you understand how it works… and why it’s a good fit
Integration enhances partner relationshipsYou seek a clear difference in the way we work with our partner agencies in this approach…sure we’re all still figuring it out but it has clearly enhanced our communications with them
ValencePersonal valenceI hope that the integration will reduce my caseload
Patient valenceA lot of my clients appreciate having all their contact laid out for them
Health system valenceThis really has the potential to change the system, but only if it’s done right
Self-EfficacyFormal trainingThere’s been some sessions organized by [Regional Authority] but nothing particularly helpful
Informal trainingThere was a lot of out of the box training that wasn’t organized by [Lead Site] or the Ministry
ChampionsI think I’m sort of a champion for the approach, I’ve done some additional training and people come to me when they have questions… I’ve been told I’ve been helpful
Change management capabilityWe may be marginally trained in Health Links, but we are definitely not trained in how to change
FairnessProcedural fairness[Name of site] had meetings and meetings with [name of manager] to discuss Health Links and we literally had none
Outcome fairnessThere’s no way this is sustainable without more staff. We don’t have as many people as [other satellite site] –
Trust in managementPerception of middle managersI have my own feelings about management that…shape my feeling of Health Links
Perception of Regional Authority[Regional Authority] doesn’t exactly provide us with clear ways forward.