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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...

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Autores principales: Foo, Chuan De, Surendran, Shilpa, Jimenez, Geronimo, Ansah, John Pastor, Matchar, David Bruce, Koh, Gerald Choon Huat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8001119/
https://www.ncbi.nlm.nih.gov/pubmed/33809295
http://dx.doi.org/10.3390/ijerph18062926
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author Foo, Chuan De
Surendran, Shilpa
Jimenez, Geronimo
Ansah, John Pastor
Matchar, David Bruce
Koh, Gerald Choon Huat
author_facet Foo, Chuan De
Surendran, Shilpa
Jimenez, Geronimo
Ansah, John Pastor
Matchar, David Bruce
Koh, Gerald Choon Huat
author_sort Foo, Chuan De
collection PubMed
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.
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spelling pubmed-80011192021-03-28 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 Int J Environ Res Public Health Article 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. MDPI 2021-03-12 /pmc/articles/PMC8001119/ /pubmed/33809295 http://dx.doi.org/10.3390/ijerph18062926 Text en © 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/).
spellingShingle Article
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 Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8001119/
https://www.ncbi.nlm.nih.gov/pubmed/33809295
http://dx.doi.org/10.3390/ijerph18062926
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