From: Between and within-site variation in qualitative implementation research
Redundant concept | Convergence or divergence | Supporting data |
---|---|---|
Psychologists are co-located in primary care | Convergence | MHL: Multiple revisions to service agreements were needed to tailor the implementation to primary care needs. |
Divergence | PCP: PC/MHI could be expanded to help manage difficult medical patients. | |
Traditional consultation-liaison service | Convergence | MHL: PC/MHI supplements the consultation-liaison (POD) services. |
Convergence | PCMH: POD services are separate from the implementation. | |
Divergence | PCMH: POD restricts access to specialty mental health. | |
Divergence | PCP: POD availability has improved since the implementation, but POD sometimes refers patients back to PC without treatment. | |
Implementation limited by a lack of space | Convergence | PCMH: Reported a growth in referrals since implementation and implemented innovative new procedures to make use of limited co-located staffing. |
Convergence | PCP: Acknowledged improved access, but doubted long-term impact due to lack of space. |