Lecture - : Another adapted version of CCM = ICCC framework
9 important questions on Lecture - : Another adapted version of CCM = ICCC framework
What is ICCC framework
What kind of places in the world deal the most with problems with more chronic diseases?
= double burden
What are current problems faced in setting with limited primary care infrastructure -> different levels micro niveau
- Micro (individu) = patient interaction problems
- failure to empower patients to improve health outcomes
- lack of emphasis of interactions with their health professionals -> pt doet niet mee en prof spoort niet aan
- self management and medication adherence are not consistently discussed in clinical setting
- Macro
- Policy problems
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What are current problems faced in setting with limited primary care infrastructure -> different levels meso niveau
- Meso = problems with HC organizations and links with community
- failure to organise care for chronic conditions
- healthcare professionals lack the expertise and tools -> mainly trained for acute practise
- care is not systematically informed by scientific evidence -> medications, equipments that are necessary for following guidelines are not always available
- information systems are not in place in many places (barrier for proactive care) -> bijv. no reminders for follow up
What is the aim of ICCC and in short what can you see?
- More prominent role of the policy invironment
- role of community is strengthened
- both community and health care organizations have a even share of responsibility for chronic care
- emphasis of integration and coordination (core principal)
This indicates that policy environment on a macro level should be well communicated with the community and health care organization on the meso level!
adapts better in the context of health policy development in low and middle income countries
Where is the micro level in the ICCC?
- Prepared and informed community partners
- prepared and motivated health care team
- prepared patients and family
micro level = patient interaction level!
interactions are differently framed as I remembered from original CCM productive interactions between patients and health care professionals in the ICCC extending with also community partners and families in partnerships.
CCM: informed and activated patients
ICCC: informed motivated and prepared (its insufficient to be only activated)
Where is the meso level in ICCC?
- Community is stronger emphasized (echt als aanvulling)
- Healthcare factors reframed -> reflect context of less developed health care
Health care organizations CCM: equipped health care team, providing decision support
Health care organizations ICCC: lack of a lot -> access to labs and essential medications
chronically patients spend most time living in their own communities -> mobile communiy nurses (aids care), raising awarness and stigma -> fullfill gaps
strong emphasis on continuity and coordination is different in both models: coordination between primary health services and hospital providers is found to be a frequent problem in developing countries
Where is the macro level in ICCC?
What could be barriers to the implementation of chronic care at different levels of the ICCC?
- Poor coordination across different sectors
- lack of leadership
- inappropriate fit of policies
- different streams of funding
- micro level lack of decision tools
The question on the page originate from the summary of the following study material:
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