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Institutional capacity of health services before, during and after the implementation of a model for chronic care conditions (MACC)
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Keywords

Chronic condition
Health evaluation
Primary health care
Health care

How to Cite

Institutional capacity of health services before, during and after the implementation of a model for chronic care conditions (MACC). (2021). Electronic Journal Collection Health, 13(1), e5802. https://doi.org/10.25248/reas.e5802.2021

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Abstract

Objective: To evaluate the institutional capacity of health services in the professionals' perception inside the context of ther Chronic Conditions Care Model implementation, exploring the differences between basic health units. Methods: This work concerns a panel study with evaluation before (2013), during (2015) and after (2018) the implementation of the Chronic Conditions Care Model (CCCM) in the health system, focusing on three chronic conditions: Diabetes Mellitus, Hypertension and pregnant women. Among the three moments, health professionals from primary and specialized care units assessed institutional capacity using the Assessment of Chronic Illness Care (ACIC) instrument. Results: After the CCCM implantation, it is observed a statistically significant increase in the ACIC scores for all the dimensions in all health units. Conclusion: Towards the evaluation of the professionals, an important gain was pointed out in the municipality institutional capacity to care for chronic conditions after intervention in the health system.

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