Evidence map›Paper›PMID 40878833›Full record

ArticleJournal of primary care & community health

Establishing Continuity of Care Through a Team-Based Care Approach: Implementation Challenges.

Swetha S Kumar, Chirk Jenn Ng, Prawira Oka, Chui Yee Loke, Stephanie Teo Swee Hong, Lok Pui Ng

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Swetha S KumarSingHealth Polyclinics, Singapore, Singapore.ORCID 0000-0003-4557-9549
Chirk Jenn NgSingHealth Polyclinics, Singapore, Singapore.ORCID 0000-0002-8320-1603
Prawira OkaSingHealth Polyclinics, Singapore, Singapore.ORCID 0000-0002-6314-201X
Chui Yee LokeSingHealth Polyclinics, Singapore, Singapore.
Stephanie Teo Swee HongSingHealth Polyclinics, Singapore, Singapore.
Lok Pui NgSingHealth Polyclinics, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinuity of care (CoC) has been proven to improve patient-doctor relationship and patient health outcomes. However, challenges in providing CoC by a team, instead of a single care provider, is seldom explored. This study aimed to identify the implementation challenges in delivering CoC through a newly implemented team-based care model.

methodsA qualitative study involving interviews of 39 healthcare providers and 7 patients was conducted across 2 polyclinics between January and April 2023. Two researchers conducted the interviews using semi-structured interview guides. The interviews were audio-recorded, transcribed verbatim, and analysed in NVivo using a thematic approach.

resultsWhile patients and providers recognised the importance of CoC, incorporating the concept into the existing clinical care pathway was challenging. The key barriers that hindered establishing CoC were: lack of manpower and prioritisation of the team-based care model, uncertainty of 'who' is in the team, lack of access to relevant and timely information to address patients' care needs, and patients' difficulty in understanding the '1-patient, 1-team' concept.

conclusionWhile the team-based care model was well received, systemic barriers hindered its implementation. Addressing issues like IT system redesign and manpower allocation is essential for successfully embedding CoC within team-based care in Singapore's primary care setting.

Indexed as

Continuity of Patient CarePatient Care TeamAdultFemaleHumansInterviews as TopicMaleMiddle AgedPhysician-Patient RelationsPrimary Health CareQualitative Researchbarrierscollaborative practicecontinuity of careprimary careteam-based care

Identifiers

PMID40878833
PMCPMC12397604

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.