Table 2.

Descriptive characteristics and classification of input, process, output and outcome of CCM

Dimension of CCM	Minimum	Maximum	Mean	SD	Classified*
Input of ACIC in 14CHWs-16HCPs	203.0	352.0	262.3	41.23	High
Organization of healthcare systems	16.0	38.0	28.3	6.18	Med
Community linkage	13.0	44.0	28.6	8.07	Med
Self-management support	19.0	44.0	31.0	7.68	Med
Decision support	17.0	44.0	32.5	6.72	Med
Delivery system design	29.0	66.0	49.1	8.81	Med
Clinical information systems	29.0	55.0	42.4	7.56	Med
Integration of CCM	38.0	66.0	50.3	9.26	High
Process of DSMS in FCT-144	149.0	231.0	198.4	14.44	High
Goal setting	21.0	49.0	41.2	5.31	High
Data collection	19.0	35.0	30.0	2.57	High
Data processing and evaluation	12.0	28.0	23.5	2.48	High
The decision	24.0	42.0	36.2	3.30	High
Action	18.0	42.0	36.9	3.20	High
Self- reflection	19.0	35.0	30.5	2.69	High
PACIC in T2dm Pt-n-138	46.0	82.0	63.12	8.09	High
Self -efficacy	14.0	33.0	29.5	3.56	High
Social support	15.0	39.0	33.4	4.43	High
Output in CCM T2DM T2DM Pt-n-138
Patient’s satisfaction	30.0	60.0	47.3	7.22	High
Diabetic self-management 5 aspects	33.0	99.0	78.058	13.69	High
Outcome in CCM T2DM Pt-n-138
FPG[mg/dl] **	83.0	392.0	151.2	49.15	High
HbA1c [%]**	4.5	12.5	7.8	1.58	High

FPG fasting plasma glucose, HbA1c hemoglobin A1C, SD standard deviation, PACIC Patient Assessment of Chronic Illness Care

*Classified mean 3 level; < mean ± 2 SD is low level, mean ± 2SD is medium (Med), >mean ± 2 SD is High

**Classified by ADA criteria (2019) (≤65 y-o, A1C < 7%, FPG <130 mg/dl, >65y-o < 7.5%, FPG <150 mg/dl)