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Based on the current evidence, the CCM contains 6 key dimensions of care: Organization of health care, clinical information systems, delivery system design, decision support, self-management support, and community resources.
The CCM was conceptualized from a primary care perspective and advocates improvements in six essential elements: self-management support, clinical information systems, delivery system redesign, decision support, healthcare organization, and community resources (8).
The model describes six elements that health care organizations need to optimize chronic illness care: decision support, self-management support, clinical information systems, delivery system design, organizational leadership and support, and community linkages [ 2].
The model identifies key elements as essential to the provision of high-quality care to patients with chronic illnesses, i.e. self-management support, provision of clinical information systems, delivery system redesign, decision support, improved health care organization, and the use of community resources.
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Formerly senior information systems service delivery manager, Land Registry.
These were related to organisational influence (especially leadership), information systems, and delivery system design (especially care planning and follow-up) Interest and capacity at the highest levels of management appear key to establishing satisfactory QI systems in AMSs.
Most frameworks acknowledge the importance of core systems areas including the health workforce, financing, information systems, service delivery and governance which together can lead to the achievement of better health status.
In terms of scope, HSR addresses any or several of the health system building blocks: human resources for health, policy and governance, financing, health information systems, service delivery, and medical technology and supplies [ 1].
Its focus on elements of a healthcare system that are important for chronic disease management, specifically self-management support, decision support, clinical information systems, and delivery system design, reflect the understanding that the healthcare system in which care is delivered influences chronic disease management [ 16].
These functions include the development of human resources, a health information system, service delivery, financing, and governance.
These efforts aim at mainstreaming information systems in the delivery of healthcare.
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