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Table 5 Theme: Dissemination

From: Key factors influencing adoption of an innovation in primary health care: a qualitative study based on implementation theory





Explicit strategy: adopters (unit I)

Explicit strategy: non-adopters (units II-III)

Implicit strategy: non-adopters (units IV-VI)

Decision making


"One was, in any case, curious and positive." (Others, unit I)

"There was, I guess, no great enthusiasm from any of us, no, you couldn't say that." (GP, unit II)

"We were somewhat sceptical [...] we have much to do anyway and because, perhaps, you should manage your own affairs..." (GP, unit V)


"We had agreed on that, of course, but ... but we did not, perhaps try hard enough to get as familiar with it as we probably should have." (Nurse, unit III)

"It was a fun or a good thing to bring in." (Others, unit VI)



"There was mostly talk about where to put it, sort of, but not that anyone was opposed to it, as far as I can remember." (GP, unit I)

"Yes, I guess we discussed it, but there was no one who questioned, it was just said that it would come." (Nurse, unit III)

"Yes ... we took it up more as a group whether we were for or against it ... right?" (GP, unit V)


"Well it seemed it was already decided, when the manager said it, wasn't it at a meeting ...? That it would come ..." (Others, unit IV)



"Then the manager mentioned it, she was very interested, and keen on bringing it here, then at the personnel meeting everyone got to know when it would arrive." (GP, unit I)

"Yes, there was someone who informed us at a personnel meeting, whoever that was ..." (Others, unit II)

"We went through it properly. All prerequisites for it and how it worked were presented, is what I think." (GP, unit IV)


"We were all informed and it has worked ever so well." (Nurse assistant, unit V)



"I believe practically all personnel were up here testing and comparing results, what we got and ..." (Others, unit I)

"Yes, I believe everyone ... has done it [the test] ..." (Nurse, unit II)



"Yes, of course we talk, our S is in the group, she reminds us: Don't forget to refer to the lifestyle computer or write it down. She does ... she reminds us, of course, all the time." (Others, unit I)

"But we do access the statistics, we do." (GP, unit III)

"You need a little push now and again, otherwise..." (Nurse, unit IV)


Routine not established

"And then I forget about it, and then they come for something else, because they are, of course, half sick, or are feverish or, you know, like that ... yes, I forget about it." (Nurse, unit I)

"I forget ... I have had, yes I have told some, yes, I did, but not so many, to be honest." (Others, unit III)

"But it is, you have to remember it when you're sitting there, it has to become a habit, a routine, to refer to it [the computer]." (Nurse, unit IV)


Staff performance

"Blood pressure patient or diabetic, it is often those you think of first and refer them." (Nurse, unit I)

"It is sort of an ongoing project and ... it's been how it's been ..." (GP, unit III)

"Of course I haven't recommended all my patients to go to this computer, I haven't done that, I must admit it, but we must get tougher about that, all of us." (Nurse, unit VI)




"You could, perhaps, call it bad timing" (Nurse, unit V)

  1. Quotations supporting the results of the different categories, according to groups based on adoption and implementation strategy.
  2. [...], some words left out; ..., hesitation; [ ] author comment.