ARCHETYPE Three Delays Model (3DM) (openEHR-EHR-ADMIN_ENTRY.three_delays_model.v0)

ARCHETYPE IDopenEHR-EHR-ADMIN_ENTRY.three_delays_model.v0
ConceptThree Delays Model (3DM)
DescriptionA framework to identify factors that lead to delays or problems in the provision of healthcare and poor outcomes.
UseUse to record information about identified delays in seeking, reaching or receiving healthcare using the "Three Delays" framework.
PurposeTo record information about identified delays in seeking, reaching or receiving healthcare using the "Three Delays" framework.
ReferencesBarnes-Josiah D, Myntti C, Augustin A. The "three delays" as a framework for examining maternal mortality in Haiti. Soc Sci Med. 1998 Apr;46(8):981-93. doi: 10.1016/s0277-9536(97)10018-1. PMID: 9579750. Available from: https://www.sciencedirect.com/science/article/pii/S0277953697100181.

Shah B, Krishnan N, Kodish SR, et al. Applying the Three Delays Model to understand emergency care seeking and delivery in rural Bangladesh: a qualitative study. BMJ Open 2020;10:e042690. doi: 10.1136/bmjopen-2020-042690. Available from: https://bmjopen.bmj.com/content/10/12/e042690.
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2022-06-22
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2022-06-22
Other Details (Language Independent)
  • Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
  • Custodian Organisation: openEHR Foundation
  • References: Barnes-Josiah D, Myntti C, Augustin A. The "three delays" as a framework for examining maternal mortality in Haiti. Soc Sci Med. 1998 Apr;46(8):981-93. doi: 10.1016/s0277-9536(97)10018-1. PMID: 9579750. Available from: https://www.sciencedirect.com/science/article/pii/S0277953697100181. Shah B, Krishnan N, Kodish SR, et al. Applying the Three Delays Model to understand emergency care seeking and delivery in rural Bangladesh: a qualitative study. BMJ Open 2020;10:e042690. doi: 10.1136/bmjopen-2020-042690. Available from: https://bmjopen.bmj.com/content/10/12/e042690.
  • Original Namespace: org.openehr
  • Original Publisher: openEHR Foundation
  • Custodian Namespace: org.openehr
  • MD5-CAM-1.0.1: 0868ACA1E16F36BC7156A5EBE38B989C
  • Build Uid: b2eb0a78-c49d-451b-8e56-8c2c4cd40c17
  • Ip Acknowledgements: This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org.
  • Revision: 0.0.1-alpha
Keywords
Lifecyclein_development
UID9462aaa2-2f5f-4caa-8eb6-6884e7433af5
Language useden
Citeable Identifier1246.145.2879
Revision Number0.0.1-alpha
Archetype Concept CommentThe Three Delays Model was originally developed in the context of maternal mortality in low income settings but has been used in other contexts.
data
Delay categoryDelay category: The type of delay.
For example: delay related to patient factors; delay related to socio-economic factors; or delay related to health facility factors.
Choice of:
  •  Coded Text
    • Seeking care [Deciding to seek additional care]
    • Reaching care [Reaching an appropriate health facility]
    • Receiving care [Receiving appropriate care from the health facility]
  •  Text
Delay presence?Delay presence?: Was the delay recognised as present, relevant to the identified 'Delay category'?
Delay detailsDelay details: Additional details about subcategories of delay or specific delays.
Include:
openEHR-EHR-CLUSTER.delay_details.v0 and specialisations
DescriptionDescription: Narrative description about the delay category.
Solution responsibilitySolution responsibility: The name of the person or organisation assigned responsibility to solve or mitigate the identified delay category.
Include:
openEHR-EHR-CLUSTER.person.v1 and specialisations
Solution timelineSolution timeline: The due date or proposed timeframe for resolution or mitigation of the delay category.
Choice of:
  •  Date/Time
  •  Duration
    Allowed values: years, months, weeks, days
    >=0 days
CommentComment: Narrative description about the delay category, not captured in other fields.
Other contributors
Translators