Table III Key features of successful and... | Emerald Publishing

Table III

Key features of successful and unsuccessful cases

Domain	Key features	Successful cases	Unsuccessful cases
Condition	Contested ownership of osteoporosis services	High levels	High levels
Technology	Support for logistical and technical requirements of mobile DXA service	Generally strong	Poor
Value proposition	Prioritisation of osteoporosis services in context of local and national healthcare priorities	High priority	Variable priority
	Perceptions of rurality and shared value of mobile services	Overall consistent	Variable
Adopter system	Impact on staff working practices	Significant	Significant
	Presence and continuity of key service champions	Strong	Variable
	Cross-boundary communications and influence	Strong and consistent	Variable quality and patchy
	Patient perspective on service development	Overall positive	Mixed
Health/Care organisation	Configuration and stability of local osteoporosis services	Stable and well established	Unstable or under-developed
	Quality of local operational management support	Variable	Variable
	Existing infrastructure and processes to support mobile services	Absent	Absent
Wider system	Coherence of national healthcare policy	Poor	Poor
	Complexity of relationships between providers	High complexity	High complexity
Embedding and adapting over time	Individual and organisation adaptability and flexibility	High levels	Poor
	Service evaluation, feedback and learning	High levels	Poor

Domain	Key features	Successful cases	Unsuccessful cases
Condition	Contested ownership of osteoporosis services	High levels	High levels
Technology	Support for logistical and technical requirements of mobile DXA service	Generally strong	Poor
Value proposition	Prioritisation of osteoporosis services in context of local and national healthcare priorities	High priority	Variable priority
	Perceptions of rurality and shared value of mobile services	Overall consistent	Variable
Adopter system	Impact on staff working practices	Significant	Significant
	Presence and continuity of key service champions	Strong	Variable
	Cross-boundary communications and influence	Strong and consistent	Variable quality and patchy
	Patient perspective on service development	Overall positive	Mixed
Health/Care organisation	Configuration and stability of local osteoporosis services	Stable and well established	Unstable or under-developed
	Quality of local operational management support	Variable	Variable
	Existing infrastructure and processes to support mobile services	Absent	Absent
Wider system	Coherence of national healthcare policy	Poor	Poor
	Complexity of relationships between providers	High complexity	High complexity
Embedding and adapting over time	Individual and organisation adaptability and flexibility	High levels	Poor
	Service evaluation, feedback and learning	High levels	Poor