Primary Care Networks and Starfield’s 4Cs

A Case for Enhanced Chronic Disease Management

Bibliographic Data

ID15514691
AuthorsChuan De Foo (0000-0001-7254-4881, National University Health System, corresponding author), Shilpa Surendran (0000-0001-9534-2166, National University Health System), Gerónimo Jiménez (0000-0002-1304-426X, Nanyang Technological University), John Pastor Ansah (0000-0001-9157-4218, National University of Singapore), David B Matchar (0000-0003-3020-2108, National University of Singapore), Gerald Choon Huat Koh (0000-0002-6453-6897, National University Health System)
Year2021
Volume18
Issue6
Pages2926-2926
Publication date2021-03-12
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18062926
PMID33809295
OpenAlexW3136539142
LanguageEN
Citations received4
References cited45

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

Chronic care · Chronic disease · Disease · Disease management · Family medicine · Global Positioning System · Pathology · Payment · Primary care · Telecommunications · World Wide Web · Chronic Disease Management Strategies · Computer Science · Diabetes Management and Education · Medicine · Primary Care and Health Outcomes

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