Table 1 Inputs, mechanisms of action, and outcomes of the build and refine program development stage of the Rural and Northern Community Focused Model of Care (RaNCoM)
From: Development and evaluation of the Rural and Northern Community Focused Model of COPD Care (RaNCoM)
Inputs | Mechanisms of Action | Outcomes |
|---|---|---|
Infrastructure ⦁ Spirometry equipment ⦁ Tele-health technology ⦁ New clinic facility ⦁ Medication ⦁ Funds | Improved Facility ⦁ Increased space ⦁ Provision of multi-level care | Access ⦁ Local spirometry access ⦁ Enhanced medication coverage and use |
Software ⦁ Electronic Medical Record ⦁ Quality data | Operations and Policies ⦁ Implement standardized procedures and workflow ⦁ Frequent quality assessment cycles ⦁ Apply best practices and guidelines from health and professional authorities ⦁ Network between regional services, local integration | Capacity ⦁ Improved patient and physician self-efficacy ⦁ Improved patient outcomes |
Human Resources ⦁ Adequate clinic staff ⦁ Engaged patient pool Time | Patient Outreach ⦁ Targeted messaging to at-risk groups ⦁ EMR screening | Relationships ⦁ Building patient and community trust ⦁ Practicing patient-centred, shared care |
Training and Education ⦁ Respiratory technician training ⦁ Cultural safety training |