ArticleInternational journal of environmental research and public health2021
Primary Care Networks and Starfield's 4Cs: A Case for Enhanced Chronic Disease Management.
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 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Access or continuity: a zero sum game? A systematic review of the literature examining the relationship between access and continuity in primary healthcare.BMC primary care · 2025Pooled it
- [Validity of Starfield́s model in the chronic care strategies of the Canary Islands (2015-2024)].Atencion primaria · 2026Article
- Building bridges: the integral presence of audiologists and speech-language pathologists in comprehensive interprofessional primary care teams.Primary health care research & development · 2026Article
- Barriers and facilitators to implementing a national guideline on foot assessment in people with diabetes in primary care: a qualitative study with insights to advance guideline practice, Singapore.BMC health services research · 2026Article
- Facilitating and Hindering Factors of Health Help-Seeking Behavior in Patients with Chronic Diseases: A Qualitative Study.Healthcare (Basel, Switzerland) · 2025Article
- Healthier SG: a gateway for evolving public-private-population partnerships in population health.The Lancet regional health. Western Pacific · 2025Review
- Advanced Access in Primary Healthcare and Its Effects on Emergency Department Utilization: A Rapid Review.Healthcare (Basel, Switzerland) · 2025Review
- An innovative multimorbidity patient-centered care model in Chile: implementation evaluation results.Archives of public health = Archives belges de sante publique · 2025Article
- Comprehensiveness in Primary Care: A Scoping Review.The Milbank quarterly · 2025Article
- Starfield's 4Cs of NCD management in primary healthcare: a conceptual framework development from a case study of 19 countries.BMJ global health · 2025Article
- Patterns and Factors of Intrinsic Capacity Impairment in Older Adults with Chronic Diseases: A Latent Class Analysis.Clinical interventions in aging · 2025Article
- Integrated patient-centred care for type 2 diabetes in Singapore Primary Care Networks: a mixed-methods study.BMJ open · 2024Article
- What are the experiences of medical students and their trainers regarding undergraduate training in primary health care at four South African medical schools? A qualitative study.Frontiers in medicine · 2024Article
- Patient perspectives of diabetes care in primary care networks in Singapore: a mixed-methods study.BMC health services research · 2023Article
- Osteoporosis management by primary care physicians in Singapore: a survey on osteoporosis guidelines utilisation and barriers to care.Archives of osteoporosis · 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
- Patient experiences during the COVID-19 pandemic: a qualitative study in Dutch primary care.BJGP open · 2022Article
- Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study.BMC health services research · 2022Article
- Elements of chronic disease management service system: an empirical study from large hospitals in China.Scientific reports · 2022Article
- Diagnostic Policies Optimization for Chronic Diseases Based on POMDP Model.Healthcare (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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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Registered trials
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.