Process evaluation of implementation fidelity of the integrated chronic disease management model in two districts, South Africa.

ABSTRACT:

Background

The Integrated Chronic Disease Management (ICDM) model has been implemented in South Africa to enhance quality of clinical services in Primary Healthcare (PHC) clinics in a context of a high prevalence of chronic conditions and multi-morbidity. This study aimed to assess the implementation fidelity (adherence to guidelines) of the ICDM model.

Methods

A cross-sectional study in 16 PHC clinics in two health districts in South Africa: Dr. Kenneth Kaunda (DKK) and West Rand (WR). A fidelity assessment tool with 89 activities and maximum score of 158 was developed from the four interrelated ICDM model components: facility re-organization, clinical supportive management, assisted self-management and strengthening of support systems. Value stream mapping of patient flow

SUBMITTER: Lebina L 

PROVIDER: S-EPMC6916104 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature