ArticleInternational journal of environmental research and public health2021
The Missed Opportunity of Patient-Centered Medical Homes to Thrive in an Asian Context.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 15 citations in OpenAlex.
- Care transition processes in the Singapore healthcare system: process mapping and perspectives of private primary care practitioners.Singapore medical journal · 2026Article
- A Qualitative Study Examining the Unintended Consequences from Implementing a Case Management Team to Reduce Avoidable Hospital Readmission in Singapore.Health services insights · 2025Article
- An Integrated Patient-Centred Medical Home (PCMH) Care Model Reduces Prospective Healthcare Utilisation for Community-Dwelling Older Adults with Complex Needs: A Matched Observational Study in Singapore.International journal of environmental research and public health · 2023Observational
- Identifying Key Themes of Care Coordination for Patients with Chronic Conditions in Singapore: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Evaluating the Effects of Capacity Building Initiatives and Primary Care Networks in Singapore: Outcome Harvesting of System Changes to Chronic Disease Care Delivery.International journal of environmental research and public health · 2023Article
- Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study.BMC health services research · 2022Article
- Reply to Ngoh et al. Comment on "Surendran et al. The Missed Opportunity of Patient-Centered Medical Homes to Thrive in an Asian Context.International journal of environmental research and public health · 2022Article
- Comment on Surendran et al. The Missed Opportunity of Patient-Centered Medical Homes to Thrive in an Asian Context.International journal of environmental research and public health · 2022Article
- Early Implementation of a Patient-Centered Medical Home in Singapore: A Qualitative Study Using Theory on Diffusion of Innovations.International journal of environmental research and public health · 2021Article
- Impact of a patient-centered medical home demonstration on quality of life and patient activation for older adults with complex needs in Singapore.BMC geriatrics · 2021Article
- Integration Strategies in the Implementation of a Cardiology Chronic Care Clinic in a Primary Care Setting: A Qualitative Study.International journal of integrated careArticle
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In recent years, there is growing interest internationally to implement patient-centered medical homes (PCMHs), and Singapore is no exception. However, studies understanding the influence of contextual policy factors on the implementation of PCMHs are limited. We conducted 10 semi-structured in-depth interviews with general practitioners working in seven out of the nine PCMHs. Audio recordings were transcribed and analyzed by two study team members in NVivo 12 Software using grounded theory techniques. Power dynamics between the stakeholders and lack of shared decision-making among them in selecting the locale of the PCMH and formulating the practice fee and pharmacy structure were the key factors which negatively affected the implementation of PCMHs on a larger scale. Over time, lack of funding to hire dedicated staff to transfer patients and misalignment of various stakeholders' interest to other right-siting programs also resulted in low number of patients with chronic conditions and revenue. Countries seeking to implement a successful PCMH may benefit from building trust and relationship between stakeholders, engaging in shared decision-making, ongoing cost-efficiency efforts, and formulating a clear delineation of responsibilities between stakeholders. For a healthcare delivery model to succeed in the primary care landscape, policies should be developed keeping mind the realities of primary care practice.
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Registered trials
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