168 Chapter 6 APPENDIX 4 Supplement material 4 – Full list of CMOCs Macro-level challenges Theory Context Mechanism Proximal outcome Supporting references Resource Response Macro-level barriers Healthcare systems are characterised by complex financial, legal, and regulatory structures. The implementation of MLCC faces systemic constraints, such as financial resources, restrictive legal frameworks governing scope of practice, and regulatory policies that prioritise standard care. Government policies, guidelines, and reports that endorse the potential benefits of MLCC, can help to enable the necessary systemic changes and can be seen as inspirational. Government support and incentives that prioritise MLCC, may lead to maternity care networks embracing MLCC as the preferred model of care. 1-16
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