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Table 2 Coding scheme with count and percentage [n (%)] of codes

From: Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study

Theme

Subtheme

Code

Structural integration

Legal ties

Contract details stakeholdersā€™ roles and responsibilities (13/17, 76%)

Operational ties and problems

Mandatory data entry challenging (10/11, 90%)

Coordination issues due to multiple clinic management system vendors (2/6, 33%)

Coordination issues in deploying ancillary services (2/6, 33%)

Lack of personal attention (3/11, 27%)

Regional division of the network helps to build relationships, better coordination, and share the workload among the GP leads (4/6, 67%)

Functional integration

Protocols for activities

Joint decision-making for developing protocols for fund management and continuous medical education curriculum development (15/17, 88%)

GPs decide how to utilise disbursed care plus fee (11/17, 65%)

Gain knowledge on chronic disease management (11/11, 100%)

Normative integration

Shared vision

Recruit GPs with an interest in chronic disease management (4/6, 67%)

Early to comment of PCNā€™s effectiveness in improving chronic disease care since its functions were disrupted due to the coronavirus infectious disease 2019 pandemic (4/17, 27%)

Sense of urgency

Adopted clinic management system (11/11, 100%)

Early to comment of PCNā€™s effectiveness since Ministry of Health constantly updates the care indicators for data collection. (1/17, 5%)

Culture of communication

Two-way communication process (9/11, 81%)

Transparent communication (11/11, 100%)

Interpersonal integration

Teamwork

Administrative and social support (17/17, 100%)

GP lead donated remuneration (4/17, 24%)

Relational climate

Solve problems collaboratively (6/6, 100%)

Trusting relationship (17/17, 100%)

Reservations about raising their concerns (6/11, 55%)

No differences in opinion (17/17,100%)

Camaraderie among the GPs (11/11, 100%)

Process integration

Incomplete closed referral loops

Patients not discharged back to referring GP (2/11, 18%)

  1. GP General practitioner, PCN Primary Care Network