ArticlePloS one2017
Patient-provider disconnect: A qualitative exploration of understanding and perceptions to care integration.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The renewed Development Model for Integrated Care: a systematic review and model update.BMC health services research · 2025Pooled it
- Factors Influencing Healthcare-Seeking Preferences Among Patients in County Medical Consortium in China: A Discrete Choice Experiment.Patient preference and adherence · 2026Article
- Article
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- Identifying Key Themes of Care Coordination for Patients with Chronic Conditions in Singapore: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Experiences of Patients and Their Caregivers Admitted to a Hospital-at-Home Program in Singapore: a Descriptive Qualitative Study.Journal of general internal medicine · 2023Article
- Development and pilot testing of a decision aid for navigating breast cancer survivorship care.BMC medical informatics and decision making · 2022Article
- Patients' perception of colorectal cancer surveillance in the community: an exploratory study.BMC public health · 2022Article
- A qualitative study of challenges and enablers faced by private general practitioners providing primary care to patients with complex needs in Singapore.BMC primary care · 2022Article
- Macro and meso level influences on distributed integrated COPD care delivery: a social network perspective.BMC health services research · 2021Article
- Asian Attitudes and Perceptions Toward Hospital-At-Home: A Cross-Sectional Study.Frontiers in public health · 2021Article
- Factors affecting dental service utilisation among older Singaporeans eligible for subsidized dental care - a qualitative study.BMC public health · 2019Article
- Implementation of Integrated Care in Singapore: A Complex Adaptive System Perspective.International journal of integrated care · 2018Article
- Interaction at the primary-secondary care interface: Patients' and physicians' perceptions of teleconsultations.Digital healthArticle
- The Integrated Care World is a Stage: Applying Goffman's Theory of Dramaturgy to the Activities of Integrated Care.International journal of integrated careArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntegrated care has been well-recognized as a solution to improve quality of care for patients with complex needs. As Singapore increasingly develops and promotes integrated models of care, it is unclear if providers, patients, and caregivers share similar understanding of changes in the healthcare system.
objectivesThis study aims at exploring three dimensions of care integration: a) understanding of integration; b) challenges and c) changes perceived as essential among three distinct stakeholder groups: providers, patients and caregivers.
methodsThis qualitative study was conducted among 41 care providers (clinicians and administrators) and care consumers (patients and caregivers) in Singapore utilizing 29 semi-structured interviews and 2 focus group discussions. Study participants were selected by purposive, snowball sampling from various clinical settings. Data were transcribed, familiarized, coded and analyzed using a conceptual framework.
resultsUnderstanding of care integration was generally lacking among patient and caregivers. Most of them focused on healthcare costs and accessibility of services. Providers characterized care integration in clinical process terms and had a more systems view of the concept. Most participants viewed resource constraints as a key challenge in integrating care. Additionally, providers expressed the need for patients and their families to play a greater role in managing their health. Individuals and the community are key components of an integrated care system in the future. Reliance on the healthcare system alone is not sustainable.
conclusionsPatients, caregivers and providers have varying degrees of understanding towards care integration. The success of engaging stakeholders on the ground to be active participants in the healthcare system integration process requires policymakers and healthcare leaders to increase patient engagement efforts and to better appreciate the challenges faced by the healthcare workers in the rapidly changing national and global healthcare landscape.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.