Electronic Thesis and Dissertation Repository


Master of Science


Health and Rehabilitation Sciences


Shannon Sibbald


It currently estimated that three in five Canadians suffer from some form of chronic disease with recent trends showing rates of such conditions still rising. Moreover, in Canada, the cost of treating chronic illness is increasing faster than national economic growth. In response to this growing concern, various programs and initiatives have been implemented to mitigate the personal, social and economic effects of chronic disease. The objective of this study is to identify factors influencing the implementation of technology-based chronic care model within the team-based, primary care setting. Data for this single-embedded case study was collected using a variety of methods including; observation, semi-structured interviews, and document analysis. Coding of data was conducted using a deductive code list based on the Consolidated Framework for Implementation Research. Coder reliability was tested with the assistance of two additional coders. The findings from this study will provide case-specific glance into various factors contributing to the implementation of a chronic care model in the team-based, primary care setting. While each healthcare team is unique in composition and is influenced by different environmental and contextual factors, the aim of this study is to identify elements of program implementation that could be improved in future efforts.