Table 1 Example of mapping questions to domains of Greenhalgh (“Outer Context” domain shown below)
Greenhalgh’s aspects | Question | Response options | Aspect | Factor | ||||
|---|---|---|---|---|---|---|---|---|
Regulatory federal | Health system provincial | Health services community facility | Practice community attitudes | Facilitator | Barrier | |||
Incentives and mandates | Have you previously ordered and stocked at your office or facility any medications for sale to your patients? (samples not applicable) | Yes No | X | National regulatory support for abortion (CMA code of ethics) | MD office to buy and stock medication | |||
Inter-organizational norm setting and networks | Who will be responsible for ordering mifepristone at your facility? | I will be The medical director or another physician A pharmacist at our facility or in our community A non-physician, non-pharmacist staff member No one will take responsibility under current regulations Uncertain at this time [please elaborate] Other [please elaborate] | X | Provincial regulatory support for abortion (licensing) | Physician office to buy and stock medication | |||
Will you travel to provide medical abortion? (i.e., outside the community where you primarily practice) | Yes No | X | ||||||
If “yes” to 19, how far is the community where you will provide medical abortion from your home? | [number] km | X | ||||||
If “yes” to 19, how will you travel? | Road Ferry Air | X | ||||||
Please indicate the number of women per month you currently see for abortion who travel for 3 h or more to reach your service. | [number] | X | Distance between woman and abortion service | |||||
Are there abortion services currently available in your community? | Surgical abortion Medical abortion Both Neither | X | Established community or facility mandate | The community may have no prior abortion services | ||||