Practical implications
To derive ways to improve implementation in primary care practices, we draw on the similarities of our identified configurations. First, in both configurations, we see the readiness to change (i.e., A second similarity of the two configurations is the combination of internal and external factors. While the two configurations feature different conditions, they both require (at least) the presence of one internal and one external condition. Thus, our findings imply that primary care practices need both internal and external support for successful implementation. Thus, as well as inside motivation, our findings suggest that future implementation projects should always ensure additional external enabling factors. Our findings confirm that practices not only react to input from the outside, but also create their own learning environment [