From: Between and within-site variation in qualitative implementation research
Redundant concept | Convergence or divergence | Supporting data |
---|---|---|
Mental health providers are co-located in the primary care setting | Convergence | MHL: Co-location promotes communication and shared understanding, but lack of space limited the implementation. |
Convergence | PCMH: Only three primary care teams have co-located PCMH due to space restrictions. | |
Divergence | PCP: Some primary care providers forced to give up space for PC/MHI—created conflicts; implementation planning was conducted unilaterally by MH. | |
PC/MHI team leader triages consults and assigns them to a PC/MHI provider | Convergence | PCMH: PC referrals to PCMH have increased, particularly for medical conditions such as diabetes management. |
Convergence | PCP: Implementation increased patient compliance with referrals. | |
Divergence | PCP: PCMH helps refer appropriately, but some providers may not refer to PCMH at all. | |
Divergence | PCP: Conflict between PCMH and ER regarding responsibility for urgent patients. |