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Table 4 CMOc of programme manager

From: Realist approach to community-based participatory research on a community health break-down in Japan: mechanism reasoning, knowledge and a trust partnership

Mechanism (reasoning)(Purpose)

Knowledge: Acquisition of methodology of awareness change (four-screen thinking) for sustainable problem solving and learning the community-integrated care system Trust: Good communication among participants.

Outcome (key evidences)

Over 10 years, 428 members finished the training course and we held the 30 meetings. During this programme, we started a residency programme for GPs at Nanto Municipal Hospital, a study group for community nurses and rehabilitation staff and an activity group for local residents. We resolved the problem of healthcare breakdown, because of the increase in doctors, community nurses, as well as the aid of local residents.