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Establishing Continuity of Care Through a Team-Based Care Approach: Implementation Challenges
Swetha S Kumar1, Chirk Jenn Ng1,2, Prawira Oka1,3
1SingHealth Polyclinics, Singapore, Singapore.
Journal of Primary Care & Community Health
|August 29, 2025
Summary
Implementing team-based care models faces challenges in delivering continuity of care (CoC). Systemic barriers like IT issues and manpower allocation hinder successful integration of CoC in primary care.
Area of Science:
- Healthcare Management
- Primary Care Research
- Team-Based Care Models
Background:
- Continuity of care (CoC) enhances patient-doctor relationships and health outcomes.
- Challenges in team-based CoC delivery are under-explored.
- This study identifies implementation barriers in a new team-based care model.
Purpose of the Study:
- Identify implementation challenges of CoC within a team-based care model.
- Explore barriers to integrating CoC into existing clinical pathways.
- Inform strategies for successful CoC delivery in team settings.
Main Methods:
- Qualitative study using semi-structured interviews.
- 39 healthcare providers and 7 patients interviewed.
- Thematic analysis of transcribed interviews conducted in NVivo.
Main Results:
- Patients and providers value CoC but face implementation difficulties.
- Key barriers include manpower shortages, unclear team roles, and information access issues.
- Patients struggled to grasp the '1-patient, 1-team' concept.
Conclusions:
- Team-based care is well-received, but systemic barriers impede CoC.
- Addressing IT systems and manpower is crucial for embedding CoC.
- Recommendations focus on optimizing team-based care for CoC in Singapore's primary care.
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