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Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study.

Publication ,  Journal Article
Surendran, S; Foo, CD; Matchar, DB; Ansah, JP; Car, J; Koh, GCH
Published in: BMC Health Serv Res
June 15, 2022

BACKGROUND: Integrating healthcare services across and between the different health system levels can be achieved in a few ways; however, examining the social side of integration is essential and challenging. This paper explores the concept of integration perceived by general practitioners (GPs) and primary care network (PCN) representatives from the regional health systems (RHS) in a GP-RHS PCN and their perceived partnership success. METHODS: In this study, we explored three GP-RHS PCNs in Singapore. We used a qualitative research design and, overall, performed 17 semi-structured in-depth interviews with GPs (n = 11) and PCN representatives (n = 6) from the RHS. All interviews were audiotaped and transcribed verbatim. We conducted thematic analysis to inductively identify themes from the data. Singer's conceptual model of integration types was used as guiding principles to derive relevant and salient themes for integration. RESULTS: GPs and the RHS perceived the concept of integration through a series of interrelated strategies. Within the normative dimension, a sense of urgency motivated GPs to integrate improvements into their general practice. Participants perceived teamwork and relational climate as appropriate enablers for achieving interpersonal integration in a primary care partnership. While developing a trusted relationship was a perceived success of this partnership across the network, developing camaraderie and gaining knowledge in chronic disease management through the components of functional integration was a perceived success at an individual general practice level. The data also revealed some operational challenges within the structural dimension and some inabilities of the PCN to achieve complete process integration. CONCLUSIONS: Our study points to multi-faceted integration, comprising various forms that need to be manifested at all levels of care to achieve coordinated, seamless, and comprehensive care for patients suffering from chronic conditions. The present iteration of the PCN has been shown to offer integration at a level that warrants praise but still requires structural and process integration improvement.

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Published In

BMC Health Serv Res

DOI

EISSN

1472-6963

Publication Date

June 15, 2022

Volume

22

Issue

1

Start / End Page

782

Location

England

Related Subject Headings

  • Singapore
  • Qualitative Research
  • Primary Health Care
  • Humans
  • Health Policy & Services
  • General Practitioners
  • Attitude of Health Personnel
  • 4206 Public health
  • 4205 Nursing
  • 4203 Health services and systems
 

Citation

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Surendran, S., Foo, C. D., Matchar, D. B., Ansah, J. P., Car, J., & Koh, G. C. H. (2022). Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study. BMC Health Serv Res, 22(1), 782. https://doi.org/10.1186/s12913-022-08165-1
Surendran, Shilpa, Chuan De Foo, David Bruce Matchar, John Pastor Ansah, Josip Car, and Gerald Choon Huat Koh. “Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study.BMC Health Serv Res 22, no. 1 (June 15, 2022): 782. https://doi.org/10.1186/s12913-022-08165-1.
Surendran S, Foo CD, Matchar DB, Ansah JP, Car J, Koh GCH. Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study. BMC Health Serv Res. 2022 Jun 15;22(1):782.
Surendran, Shilpa, et al. “Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study.BMC Health Serv Res, vol. 22, no. 1, June 2022, p. 782. Pubmed, doi:10.1186/s12913-022-08165-1.
Surendran S, Foo CD, Matchar DB, Ansah JP, Car J, Koh GCH. Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study. BMC Health Serv Res. 2022 Jun 15;22(1):782.
Journal cover image

Published In

BMC Health Serv Res

DOI

EISSN

1472-6963

Publication Date

June 15, 2022

Volume

22

Issue

1

Start / End Page

782

Location

England

Related Subject Headings

  • Singapore
  • Qualitative Research
  • Primary Health Care
  • Humans
  • Health Policy & Services
  • General Practitioners
  • Attitude of Health Personnel
  • 4206 Public health
  • 4205 Nursing
  • 4203 Health services and systems