From: Diffusion of a collaborative care model in primary care: a longitudinal qualitative study
Diffusion process | Evidence | ||
---|---|---|---|
Nurses (N) | Critical mass | Critical mass attained very quickly | See Figure 2 |
Dynamics of the diffusion process | Adoption of the CTM on the basis of its features alone | I am thrilled with [the CTM] that they’re trying to show us. It’s innovative because it isn’t in the hospitals, where the hospital social workers are overwhelmed, that they’re doing it (…). It’s clear that [the CTM] really represents an attempt to do things the best way possible, to find solutions, treatments, tailored caregivers. This is where it’s really innovative. N, early majority | |
Primary Care Physicians (PCPs) | Critical mass | More time was required before a critical mass could be obtained | See Figure 2 |
Dynamics of the diffusion process | Early adopters (champion, opinion leaders) convince the early majority | I believe that it was a long time ago that I was contacted by one of the [physicians]. And then it was off and running. PCP, early majority | |
Then, early adopters and early majority were able to convince the late majority | I met with Dr. X, and I was impressed. I saw that [the CTM] could work very well. He made a very strong impression. PCP, late majority | ||
It’s good to have personal relationships with the doctors in charge of [the CTM], because personal contact is clearly a big help. It gives you an idea of who’s responsible, and if we get along, that makes it easier. So I tried it with one patient, just to see. PCP, late majority | |||
Role of the opinion leader | Profile of the opinion leader: a PCP in the close social network; with similar practice and who has had a positive experience with the CTM | In a way, we have the same background, and my colleague Dr. A is satisfied, too. He has many geriatric patients. Doctors with many geriatric patients need it more. PCP, early majority | |
Importance of the characteristics of the exchange between opinion leaders and other PCPs in terms of timeline and content | I participated in [the model’s] development. I was contacted at the outset, before a team was put together. I know [physician] well. PCP, early adopter | ||
 |  |  | The administrative tasks related to management – those things that are not pure medicine – if I can be freed of them, I’d be thrilled. PCP, early adopter |