Table 6

Theme: Perceived innovation characteristics

Category

Sub-category

Group


Explicit strategy: adopters (unit I)

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

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


Relative advantage

Advantage

"... but that it's for their own good, getting an eye-opener." (GP, unit I)

"Perhaps it will serve as a wake-up call for some patients, you can always hope." (Others, unit III)

"Yes, that it's here, you have to, in general, deal more with these questions ... and then for the patients themselves to ... if they finally do come to the computer, you begin to think about the questions and how one reflects on your situation." (Others, unit VI)

Dis-advantage

"If it was, thus, some more focus even on smoking [...] miss that part in it, absolutely." (GP, unit I)

"... but sometimes they stand and touch and touch [on the touch screen] and sometimes can't get it to work properly and then it takes time and then they give up." (Nurse, unit II)

"There have even come patients who have thought of doing it and there has been a problem with it, which has happened a few times." (Nurse, unit VI)

Complexity

Complex

"The elderly that don't have computer experience perhaps want you to stand beside and help them out some." (Others, unit I)

"... some who are a little older and not so used to computers, it was like: How do I touch it? How am I to do it?" (Nurse, unit II)

"The elderly don't know what to do, many of them. I mean, they are not used to computers in that way." (GP, unit V)

Not complex

"People were probably afraid at first that it would take a long time but didn't experience that, just the opposite, that it worked." (GP, unit I)

Trialability

Trialable

"I thought it was good, I think it's smart to be able to go and test yourself, since you never know - you can't of course send someone to something when you don't know what it is." (GP, unit I)

"And we had it down here then, so that the personnel could test it ... I thought that was good." (Nurse assistant, unit II)

"Perhaps I click on it first - I click and then see how it works." (GP, unit VI)

Observability

Not observable

"I can miss the fact that, I don't know if they go there afterwards, since they usually do that after the visit [...] so you get no feedback on whether they actually were there." (GP, unit IV)

Reinvention

Suggestions for reinvention at own unit

"Actually, for patients coming in to check their blood pressure, you could even begin on the telephone by telling them to take a look at the lifestyle computer before coming in."

(Nurse, unit I)

"But then there should, of course, be some information in the waiting room, [...] where the touch screen computer is. Since we don't remember to recommend them to go there." (GP, unit III)

"But I do think, actually, that it would have been best if the reception secretary had said that before you go in to the doctor, please fill this in and take the test results with you to the doctor."

(Nurse, unit VI)

Compatibility

Compatible

"As a technical aid ... it is absolutely no bother to refer them to the lifestyle computer, it's not." (Nurse, unit I)

"Couldn't you just say briefly that: You know we have one of those lifestyle computers here, you could try it." (Others, unit IV)

Not compatible

"It is, moreover, anonymous so it's nothing you can use in clinical work." (GP, unit I)

"I can't find any use for it, because I paint with bigger strokes across the entire spectrum when I speak to my patients ..." (GP, unit II)

"It feels a little bit better to be able to show them to our lifestyle reception where there is someone to talk to them and provide complete answers - all these lifestyle factors ..." (GP, unit V)


Quotations supporting the results of the different categories, according to groups based on adoption and implementation strategy.

[...], some words left out; ..., hesitation; [ ] author comment.

Carlfjord et al. BMC Family Practice 2010 11:60   doi:10.1186/1471-2296-11-60

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