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Fig. 2 | BMC Health Services Research

Fig. 2

From: Relationships between structure, process and outcome to assess quality of integrated chronic disease management in a rural South African setting: applying a structural equation model

Fig. 2

Pathways for operationalising Donabedian’s theory in the ICDM model of care in South Africa. a Unidirectional path: Good structure should promote good process and good process in turn should promote good outcome. b Mediation path: Good structure directly promotes good outcome, good structure promotes good process and good process in turn promotes good outcome. c Non-recursive (reciprocal) path: Good stucture promotes good process, good process promotes good outcome and good outcome in turn promotes good process

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