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. 2020 Dec 2;20(4):22. doi: 10.5334/ijic.5437

Table 4.

CMO configuration for Service Collaboration.

Characteristic Of Programme Context Mechanism Outcome

Service collaboration Health system characteristics:
  • – Siloed health system

  • – Resistant to cross-service collaboration

  • – Lack of clarity about sharing of client information

Systemic barriers:
  • – Socio-economic determinants of health

  • – historical perceptions of health services

  • – Poor health literacy

  • – Geographical isolation from services

Programme characteristics:
  • – Complexity of HHAN programme making it difficult to explain to other services

Client characteristics:
  • – Vulnerability

Shared provider decision-making Recognition of established referral pathways
Recognition of benefits of integrated care
Motivation to collaborate
Identification of collaboration opportunities
Informal and formal communication
Breakdown of silos
Collaboration between services
Recognition by service partners
Utilising appropriate services
Acknowledgement and acceptance of HHAN
Foundations for integration