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IPP will have a positive indirect effect on implementation effectiveness operating through implementation climate perceptions.
Perceptions of implementation climate will have a direct positive effect on implementation effectiveness.
Organizational factors will have an indirect effect on implementation effectiveness operating through IPP and perceptions of implementation climate.
Therefore, our fourth hypothesis is as follows: H4: Organizational factors will have an indirect effect on implementation effectiveness operating through IPP and perceptions of implementation climate.
Therefore, our second hypothesis is as follows: H2: Perceptions of implementation climate will have a direct positive effect on implementation effectiveness.
Therefore, our first hypothesis is as follows: IPP will have a positive indirect effect on implementation effectiveness operating through implementation climate perceptions.
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We also proposed that personal characteristics would have both direct effects on implementation effectiveness as well as indirect effects on implementation effectiveness operating through climate perceptions.
Physician characteristics will have both direct and indirect effects on implementation effectiveness operating through perceptions of implementation climate.
Therefore, our third hypothesis is as follows: H3: Physician characteristics will have both direct and indirect effects on implementation effectiveness operating through perceptions of implementation climate.
In addition, physician factors such as CCOP PI status, age, radiological oncologists, and non-oncologist specialists significantly influenced enrollment as well as CCOP organizational size and structure, which had indirect effects on implementation effectiveness through IPP and implementation climate.
Research into the feasibility of different options and their effects on implementation could help health care planners make informed decisions on the best way to deliver case management.
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