Table 2. Networks of care domains and subdomains and their definitions.
Domain | Subdomain | Definition |
---|---|---|
I: Agreement & enabling environment | Policy | Mandate and decision-making power |
Financing | Affordability of services for the user, and appropriate budgeting for continued network of care operation | |
Purposeful arrangements | What makes for effective network of care and differentiates them from a set of sites that have not invested effort in purposeful arrangements among them | |
Buy-in and trusting relationships | Pertains to stakeholder engagement, professional culture, relationships with communities to be served | |
II: Operational standards | Referrals | Standards and systems for communication, transport and processes in complex cases |
Monitoring | Data recording, reporting and use to identify weaknesses | |
Supply and infrastructure | Effective procurement and supply chain management for drugs, equipment, water and power | |
Workforce | Efficient mix of workers, all skilled within their scope of practice, well distributed in adequate numbers | |
III: Quality, efficiency, responsibility | Coordination of care | Sense of shared agenda and shared responsibility |
Clinical guidance, documentation and review | Clear guidance for workers and robust data illustrating how the guidance is being applied—so they can “do the right thing, at the right time, by the right person” | |
Benchmarking: skills, measurement and improvement | Systems for measuring and maximising clinical competence and quality of care | |
IV: Learning and adaptation | Client-centredness | Recognition that needs and preferences vary—increasing access for more vulnerable groups |
Flexibility; extending reach | Tendency to be flexible and attempt new approaches to extend reach, especially when providing services for hard-to-reach groups | |
Evolution & resilience | The introduction of new approaches and technologies is a principal way that NOC evolve |
Source: Adapted from Carmone et al 2020 [6]