IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i8p4778-d794188.html
   My bibliography  Save this article

A Patient-Centred Medical Home Care Model for Community-Dwelling Older Adults in Singapore: A Mixed-Method Study on Patient’s Care Experience

Author

Listed:
  • Mimaika Luluina Ginting

    (Geriatric Education and Research Institute, Singapore 768024, Singapore)

  • Chek Hooi Wong

    (Geriatric Education and Research Institute, Singapore 768024, Singapore
    Tsao Foundation, Singapore 168730, Singapore
    Health Services & Systems Research, Duke-NUS, Singapore 169857, Singapore)

  • Zoe Zon Be Lim

    (Geriatric Education and Research Institute, Singapore 768024, Singapore)

  • Robin Wai Munn Choo

    (Geriatric Education and Research Institute, Singapore 768024, Singapore)

  • Sheena Camilla Hirose Carlsen

    (Geriatric Education and Research Institute, Singapore 768024, Singapore)

  • Grace Sum

    (Geriatric Education and Research Institute, Singapore 768024, Singapore)

  • Hubertus Johannes Maria Vrijhoef

    (Panaxea, B.V., 1098 XH Amsterdam, The Netherlands
    Department of Patient & Care, Maastricht University Medical Center+, 6229 HX Maastricht, The Netherlands)

Abstract

Patient-Centred Medical Home (PCMH) is a strategy to enhance patient-centredness to improve care experience. We aimed to understand patient experience of an integrated PCMH model for complex community-dwelling older adults in Singapore. We used a mixed-method design with a prospective single-group pre-post quantitative component and a concurrent qualitative component. Participants were administered the validated Consumer Assessment of Health Providers and Systems Clinician & Group Survey (CG-CAHPS) at baseline (N = 184) and 6-month (N = 166) post-enrolment. We conducted focus group discussions (FGDs) on a purposive sample of 24 participants. Both methods suggest better care experience in PCMH relative to usual care. There were improvements in the CG-CAHPS measures on patient–provider communication, care coordination, office staff interactions, support for patients in caring for their own health, and provider rating in PCMH relative to usual care. In the FGDs, participants reported benefits of consolidated appointments and positive experience in sustained patient–provider relationship, shared-decision making, and family/caregiver engagement in PCMH. Participants may not fully comprehend the concept of integrated care, hindering both the effective communication of the intended care model and perceived benefits such as the provision of multidisciplinary team-based care.

Suggested Citation

  • Mimaika Luluina Ginting & Chek Hooi Wong & Zoe Zon Be Lim & Robin Wai Munn Choo & Sheena Camilla Hirose Carlsen & Grace Sum & Hubertus Johannes Maria Vrijhoef, 2022. "A Patient-Centred Medical Home Care Model for Community-Dwelling Older Adults in Singapore: A Mixed-Method Study on Patient’s Care Experience," IJERPH, MDPI, vol. 19(8), pages 1-24, April.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4778-:d:794188
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/8/4778/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/8/4778/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Zoe Zon Be Lim & Mumtaz Mohamed Kadir & Mimaika Luluina Ginting & Hubertus Johannes Maria Vrijhoef & Joanne Yoong & Chek Hooi Wong, 2021. "Early Implementation of a Patient-Centered Medical Home in Singapore: A Qualitative Study Using Theory on Diffusion of Innovations," IJERPH, MDPI, vol. 18(21), pages 1-20, October.
    2. James Rufus John & Hir Jani & Kath Peters & Kingsley Agho & W. Kathy Tannous, 2020. "The Effectiveness of Patient-Centred Medical Home-Based Models of Care versus Standard Primary Care in Chronic Disease Management: A Systematic Review and Meta-Analysis of Randomised and Non-Randomise," IJERPH, MDPI, vol. 17(18), pages 1-42, September.
    3. Campbell, S. M. & Roland, M. O. & Buetow, S. A., 2000. "Defining quality of care," Social Science & Medicine, Elsevier, vol. 51(11), pages 1611-1625, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Grace Sum & Silvia Yu Hui Sim & Junxing Chay & Soon Hoe Ho & Mimaika Luluina Ginting & Zoe Zon Be Lim & Joanne Yoong & Chek Hooi Wong, 2023. "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 Singapo," IJERPH, MDPI, vol. 20(19), pages 1-15, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Basile, Luigi Jesus & Carbonara, Nunzia & Pellegrino, Roberta & Panniello, Umberto, 2023. "Business intelligence in the healthcare industry: The utilization of a data-driven approach to support clinical decision making," Technovation, Elsevier, vol. 120(C).
    2. Senn, Nicolas & Breton, Mylaine & Ebert, Sonja T. & Lamoureux-Lamarche, Catherine & Lévesque, Jean-Frédéric, 2021. "Assessing primary care organization and performance: Literature synthesis and proposition of a consolidated framework," Health Policy, Elsevier, vol. 125(2), pages 160-167.
    3. Magnus Lindelow, 2003. "Understanding spatial variation in the utilization of health services: does quality matter?," Economics Series Working Papers WPS/2004-12, University of Oxford, Department of Economics.
    4. Sharon Ngoh & Wern Ee Tang & Edwin Chng & Phui-Nah Chong, 2022. "Comment on Surendran et al. The Missed Opportunity of Patient-Centered Medical Homes to Thrive in an Asian Context. Int. J. Environ. Res. Public Health 2021, 18 , 1817," IJERPH, MDPI, vol. 19(8), pages 1-4, April.
    5. Vanessa Zorrilla-Muñoz & María Silveria Agulló-Tomás & Carmen Rodríguez-Blázquez & Alba Ayala & Gloria Fernandez-Mayoralas & Maria João Forjaz, 2022. "Ageing Perception as a Key Predictor of Self-Rated Health by Rural Older People—A Study with Gender and Inclusive Perspectives," Land, MDPI, vol. 11(3), pages 1-13, February.
    6. Grace Sum & Silvia Yu Hui Sim & Junxing Chay & Soon Hoe Ho & Mimaika Luluina Ginting & Zoe Zon Be Lim & Joanne Yoong & Chek Hooi Wong, 2023. "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 Singapo," IJERPH, MDPI, vol. 20(19), pages 1-15, September.
    7. Ashill, Nicholas J. & Rod, Michel, 2011. "Burnout processes in non-clinical health service encounters," Journal of Business Research, Elsevier, vol. 64(10), pages 1116-1127, October.
    8. Liu, Hu-Chen, 2013. "A theoretical framework for holistic hospital management in the Japanese healthcare context," Health Policy, Elsevier, vol. 113(1), pages 160-169.
    9. Margo MC van Mol & Trudi GW Boeter & Lisbeth Verharen & Erwin JO Kompanje & Jan Bakker & Marjan D Nijkamp, 2017. "Patient‐ and family‐centred care in the intensive care unit: a challenge in the daily practice of healthcare professionals," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(19-20), pages 3212-3223, October.
    10. Tiago Gonçalves & Carla Curado, 2021. "Individual and Organizational Conditions Leading to Quality of Care in Healthcare: A Fuzzy-Set Qualitative Comparative Analysis," Merits, MDPI, vol. 1(1), pages 1-16, December.
    11. Hiranya Sritart & Kuson Tuntiwong & Hiroyuki Miyazaki & Somchat Taertulakarn, 2021. "Disparities in Healthcare Services and Spatial Assessments of Mobile Health Clinics in the Border Regions of Thailand," IJERPH, MDPI, vol. 18(20), pages 1-24, October.
    12. Huma Saeed & Hassaan Malik & Umair Bashir & Aiesha Ahmad & Shafia Riaz & Maheen Ilyas & Wajahat Anwaar Bukhari & Muhammad Imran Ali Khan, 2022. "Blockchain technology in healthcare: A systematic review," PLOS ONE, Public Library of Science, vol. 17(4), pages 1-31, April.
    13. Lappegard, Øystein & Hjortdahl, Per, 2014. "Perceived quality of an alternative to acute hospitalization: An analytical study at a community hospital in Hallingdal, Norway," Social Science & Medicine, Elsevier, vol. 119(C), pages 27-35.
    14. Cordero Ferrera, Jose Manuel & Alonso Morán, Edurne & Nuño Solís, Roberto & Orueta, Juan F. & Souto Arce, Regina, 2013. "Efficiency assessment of primary care providers: A conditional nonparametric approach," MPRA Paper 51926, University Library of Munich, Germany.
    15. Alwiena J. Blignaut & Siedine K. Coetzee & Hester C. Klopper, 2014. "Nurse qualifications and perceptions of patient safety and quality of care in South Africa," Nursing & Health Sciences, John Wiley & Sons, vol. 16(2), pages 224-231, June.
    16. Akinade, Temitope & Kheyfets, Anna & Piverger, Naissa & Layne, Tracy M. & Howell, Elizabeth A. & Janevic, Teresa, 2023. "The influence of racial-ethnic discrimination on women's health care outcomes: A mixed methods systematic review," Social Science & Medicine, Elsevier, vol. 316(C).
    17. Nakaima, April & Sridharan, Sanjeev & Gardner, Bob, 2013. "Towards a performance measurement system for health equity in a local health integration network," Evaluation and Program Planning, Elsevier, vol. 36(1), pages 204-212.
    18. Jinrong Hu & Yuyuan Zhang & Le Wang & Victor Shi, 2022. "An Evaluation Index System of Basic Elderly Care Services Based on the Perspective of Accessibility," IJERPH, MDPI, vol. 19(7), pages 1-16, April.
    19. Syeda Jaazba Zehra & Uroosa Arshad, 2019. "Brand Trust And Image: Effect On Customers’ Satisfaction," Journal of Marketing and Logistics (JML), Khadim Ali Shah Bukhari Institute of Technology (KASBIT), vol. 2, pages 50-64, January.
    20. Fonseca Jaime R. S. & Ramos Rosária M. P. & Santos Ana M. P. & Fonseca Ana P. S. S., 2015. "Policy Effects on the Quality of Public Health Care: Evaluating Portuguese Public Hospitals’ Quality through Customers’ Views," Central European Journal of Public Policy, Sciendo, vol. 9(2), pages 122-131, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4778-:d:794188. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.