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Table 2 Mapping of CCM-NC components to Expanded CCM

From: Development of a Chronic Care Model for Neurological Conditions (CCM-NC)

Components of CCM-NC

Corresponding expanded CCM component

Socio-economic and political context

Community

• Acceptance and Openness to NC

• Create Supportive Environment

• Investments and Funding

• Create Supportive Environment

o Enhance health and community services by mobilizing technology

 

o Support training of HCP and caregivers

 

• Evidence-informed Policy

• Build Healthy Public Policy

o Needs-based/Reflective of neurological conditions

 

o Encourages independence

 

o Supports seamless transitions

 

o Standardized across provinces

 

Community integration

Community and health system

• Supported Transitions across care settings and lifespan

• Create Supportive Environment and Delivery System Design

• Caregiver Support

• Strengthen Community Action

• Life enhancing Resources (Education, Employment, Housing, Transportation)

• Create Supportive Environment

Health system

Health system

• Knowledge and Awareness among HCP

• Decision Support and Information Systems

o Guidelines

 

o Online resources

 

o Training in self-management principles

 

• Knowledge and Awareness among clients

• Self-management/Develop Personal Skills

o Self-management support for youth and parents

 

• Availability and Access to services

• Delivery System Design

o Need for person-centred care

 

o Integrative case planning for smooth transitions

 

o Lack of services in rural areas

 

Intersectoral collaboration

Productive interactions and relationships

• Activated and Informed Person/Family

• Informed Activated Patient

• Proactive Team of Service Providers

• Prepared Proactive Team

• Person-centred Health system

• Activated Community

• Healthy Public Policy Across Sectors

• Prepared Proactive Community Partners