Primary care networks and Starfield’s 4Cs : a case for enhanced chronic disease management
The primary care network (PCN) was implemented as a healthcare delivery model which organises private general practitioners (GPs) into groups and furnished with a certain level of resources for chronic disease management. A secondary qualitative analysis was conducted with data from an earlier study...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Language: | English |
| Published: |
2021
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| Online Access: | https://hdl.handle.net/10356/152093 |
| _version_ | 1826111669477048320 |
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| author | Foo, Chuan De Surendran, Shilpa Jimenez, Geronimo Ansah, John Pastor Matchar, David Bruce Koh, Gerald Choon Huat |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Foo, Chuan De Surendran, Shilpa Jimenez, Geronimo Ansah, John Pastor Matchar, David Bruce Koh, Gerald Choon Huat |
| author_sort | Foo, Chuan De |
| collection | NTU |
| description | The primary care network (PCN) was implemented as a healthcare delivery model which organises private general practitioners (GPs) into groups and furnished with a certain level of resources for chronic disease management. A secondary qualitative analysis was conducted with data from an earlier study exploring facilitators and barriers GPs enrolled in PCN’s face in chronic disease management. The objective of this study is to map features of PCN to Starfield’s “4Cs” framework. The “4Cs” of primary care—comprehensiveness, first contact access, coordination and continuity—offer high-quality design options for chronic disease management. Interview transcripts of GPs (n = 30) from the original study were purposefully selected. Provision of ancillary services, manpower, a chronic disease registry and extended operating hours of GP practices demonstrated PCN’s empowering features that fulfil the “4Cs”. On the contrary, operational challenges such as the lack of an integrated electronic medical record and disproportionate GP payment structures limit PCNs from maximising the “4Cs”. However, the enabling features mentioned above outweighs the shortfalls in all important aspects of delivering optimal chronic disease care. Therefore, even though PCN is in its early stage of development, it has shown to be well poised to steer GPs towards enhanced chronic disease management. |
| first_indexed | 2024-10-01T02:54:36Z |
| format | Journal Article |
| id | ntu-10356/152093 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T02:54:36Z |
| publishDate | 2021 |
| record_format | dspace |
| spelling | ntu-10356/1520932023-03-05T16:44:04Z Primary care networks and Starfield’s 4Cs : a case for enhanced chronic disease management Foo, Chuan De Surendran, Shilpa Jimenez, Geronimo Ansah, John Pastor Matchar, David Bruce Koh, Gerald Choon Huat Lee Kong Chian School of Medicine (LKCMedicine) Centre for Population Health Sciences Science::Medicine Qualitative Starfield The primary care network (PCN) was implemented as a healthcare delivery model which organises private general practitioners (GPs) into groups and furnished with a certain level of resources for chronic disease management. A secondary qualitative analysis was conducted with data from an earlier study exploring facilitators and barriers GPs enrolled in PCN’s face in chronic disease management. The objective of this study is to map features of PCN to Starfield’s “4Cs” framework. The “4Cs” of primary care—comprehensiveness, first contact access, coordination and continuity—offer high-quality design options for chronic disease management. Interview transcripts of GPs (n = 30) from the original study were purposefully selected. Provision of ancillary services, manpower, a chronic disease registry and extended operating hours of GP practices demonstrated PCN’s empowering features that fulfil the “4Cs”. On the contrary, operational challenges such as the lack of an integrated electronic medical record and disproportionate GP payment structures limit PCNs from maximising the “4Cs”. However, the enabling features mentioned above outweighs the shortfalls in all important aspects of delivering optimal chronic disease care. Therefore, even though PCN is in its early stage of development, it has shown to be well poised to steer GPs towards enhanced chronic disease management. Ministry of Health (MOH) National Medical Research Council (NMRC) Published version This study was funded by two grants. The National Medical Research Council (NMRC) and Ministry of Health (MOH), Singapore, Health Service Research Grant (HSRG) (Funding Number: NMRC/HSRG/0086/2018) and the Centre Grant Programme Singapore Population Health Improvement Center (Funding Number: NMRC/CG/C026/2017_NUHS). 2021-11-18T08:51:23Z 2021-11-18T08:51:23Z 2021 Journal Article Foo, C. D., Surendran, S., Jimenez, G., Ansah, J. P., Matchar, D. B. & Koh, G. C. H. (2021). Primary care networks and Starfield’s 4Cs : a case for enhanced chronic disease management. International Journal of Environmental Research and Public Health, 18(6), 2926-. https://dx.doi.org/10.3390/ijerph18062926 1660-4601 https://hdl.handle.net/10356/152093 10.3390/ijerph18062926 33809295 2-s2.0-85102366676 6 18 2926 en NMRC/HSRG/0086/2018 NMRC/CG/C026/2017_NUHS International Journal of Environmental Research and Public Health © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). application/pdf |
| spellingShingle | Science::Medicine Qualitative Starfield Foo, Chuan De Surendran, Shilpa Jimenez, Geronimo Ansah, John Pastor Matchar, David Bruce Koh, Gerald Choon Huat Primary care networks and Starfield’s 4Cs : a case for enhanced chronic disease management |
| title | Primary care networks and Starfield’s 4Cs : a case for enhanced chronic disease management |
| title_full | Primary care networks and Starfield’s 4Cs : a case for enhanced chronic disease management |
| title_fullStr | Primary care networks and Starfield’s 4Cs : a case for enhanced chronic disease management |
| title_full_unstemmed | Primary care networks and Starfield’s 4Cs : a case for enhanced chronic disease management |
| title_short | Primary care networks and Starfield’s 4Cs : a case for enhanced chronic disease management |
| title_sort | primary care networks and starfield s 4cs a case for enhanced chronic disease management |
| topic | Science::Medicine Qualitative Starfield |
| url | https://hdl.handle.net/10356/152093 |
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