All the simulation, planning, delivery, and information systems were newly installed and commissioned.
Using the WHO "building blocks" framework of a health system [ 13], they outline the elements of this sub-system: service delivery, workforce, information systems, supply systems, finance and leadership and governance.
The health system is a complex system comprising a set of functions that generally include leadership and governance, financing, planning, commodities, workforce, service delivery and information systems with the ultimate goal to improve health outcomes [ 14, 17].
We describe and analyse the health system changes according to the WHO Health System Building Blocks, including health workforce, service delivery, health information systems, equipment and supplies, with leadership and finance combined (10).
Sometimes it is the delivery or information system that creates fragmentation in the customer experience.
The American QIC, also involving seventeen general practices, led to successful changes in the depression delivery and information system, which were also the most often sustained over time [ 41].
The ACIC (Assessment of Chronic Illness Care) is a practical quality-improvement tool to evaluate the delivery of care for chronic illness in six areas: community linkages; self-management support; decision support; delivery system design; information systems and organisation of care [ 79].
Access to medicines needs to be fully integrated with health financing, human resource planning, service delivery, information and governance systems.
The impacts on commodities are built into the service delivery component, while information systems are regarded as part of the governance function.
Finding ways to incorporate measures of specialty care and other aspects of health care delivery into electronic information systems can facilitate evaluation of current practices and contribute to the redesign of future specialty care referral processes.
