The Missed Opportunity of Patient-Centered Medical Homes to Thrive in an Asian Context.

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 f

SUBMITTER: Surendran S 

PROVIDER: S-EPMC7917999 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature