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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doaj-52010440fbac43b180d7d7bfc2df02b12021-03-13T00:06:36ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-03-01182926292610.3390/ijerph18062926Primary Care Networks and Starfield’s 4Cs: A Case for Enhanced Chronic Disease ManagementChuan De Foo0Shilpa Surendran1Geronimo Jimenez2John Pastor Ansah3David Bruce Matchar4Gerald Choon Huat Koh5Department of Health Systems and Behavioural Sciences, Saw Swee Hock School of Public Health, National University Singapore, 117549 Singapore, SingaporeDepartment of Health Systems and Behavioural Sciences, Saw Swee Hock School of Public Health, National University Singapore, 117549 Singapore, SingaporeCentre for Population Health Sciences (CePHaS), Lee Kong Chian School of Medicine, Nanyang Technological University, 308232 Singapore, SingaporeHealth Services and Systems Research, Duke-National University of Singapore Graduate Medical School, 169857 Singapore, SingaporeHealth Services and Systems Research, Duke-National University of Singapore Graduate Medical School, 169857 Singapore, SingaporeDepartment of Health Systems and Behavioural Sciences, Saw Swee Hock School of Public Health, National University Singapore, 117549 Singapore, SingaporeThe 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 (<i>n</i> = 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”.<i> </i>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.https://www.mdpi.com/1660-4601/18/6/2926qualitativeStarfield4Cschronic disease managementprimary health care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chuan De Foo Shilpa Surendran Geronimo Jimenez John Pastor Ansah David Bruce Matchar Gerald Choon Huat Koh |
spellingShingle |
Chuan De Foo Shilpa Surendran Geronimo Jimenez John Pastor Ansah David Bruce Matchar Gerald Choon Huat Koh Primary Care Networks and Starfield’s 4Cs: A Case for Enhanced Chronic Disease Management International Journal of Environmental Research and Public Health qualitative Starfield 4Cs chronic disease management primary health care |
author_facet |
Chuan De Foo Shilpa Surendran Geronimo Jimenez John Pastor Ansah David Bruce Matchar Gerald Choon Huat Koh |
author_sort |
Chuan De Foo |
title |
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_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_sort |
primary care networks and starfield’s 4cs: a case for enhanced chronic disease management |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-03-01 |
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 (<i>n</i> = 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”.<i> </i>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. |
topic |
qualitative Starfield 4Cs chronic disease management primary health care |
url |
https://www.mdpi.com/1660-4601/18/6/2926 |
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