{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T20:42:49Z","timestamp":1792701769559,"version":"4.5.0"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National University Health System seed grant"},{"name":"National University Polyclinics Publishing Fund"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction\/Objectives<\/jats:title>\n                    <jats:p>In Singapore, breast cancer survivorship follow-up is largely specialist-led, creating sustainability challenges and leaving psychosocial needs unmet. Although primary care and shared-care models are adopted internationally, they remain underdeveloped locally. This study explored breast cancer survivors\u2019 and caregivers\u2019 perspectives on the current oncologist-led model and potential primary care involvement in survivorship care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative descriptive study was conducted using semi-structured interviews with 37 breast cancer survivors and caregivers recruited purposively from a tertiary cancer centre. Interviews were audio-recorded, transcribed verbatim, and analysed inductively using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two themes and seven subthemes were identified.\n                      <jats:italic toggle=\"yes\">Experiences with Specialist Outpatient Clinic (SOC) care<\/jats:italic>\n                      included trust and continuity with specialists, fragmented care, service coordination, and unmet caregiver support needs.\n                      <jats:italic toggle=\"yes\">Perspectives on primary care involvement in survivorship care<\/jats:italic>\n                      included concerns about primary care provider (PCP) expertise and resources, conditions for greater primary care involvement, and benefits of PCP care. Participants identified continuity, communication, specialist oversight, PCP capability, and care coordination as conditions that increased their comfort with greater primary care involvement in survivorship follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Survivors and caregivers prioritised continuity, trust, holistic support, and psychosocial care over care settings. While SOC care provided reassurance, participants expressed openness to greater primary care involvement when appropriate safeguards, communication, and continued access to specialist support were maintained. These findings can inform more patient-centred survivorship pathways in Singapore.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319261500470","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T22:27:24Z","timestamp":1792448844000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["What Matters in Breast Cancer Survivorship Care? Survivors\u2019 and Caregivers\u2019 Perspectives on Specialist and Potential Primary Care Involvement in Singapore"],"prefix":"10.1177","volume":"17","author":[{"given":"Fong Seng","family":"Lim","sequence":"first","affiliation":[{"name":"Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5265-6680","authenticated-orcid":false,"given":"Marie Ann Mae En","family":"Wong","sequence":"additional","affiliation":[{"name":"Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore"},{"name":"National University Polyclinics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong-Gu","family":"He","sequence":"additional","affiliation":[{"name":"Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benny","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Ow","sequence":"additional","affiliation":[{"name":"Department of Haematology-Oncology, National University Cancer Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sufyan","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose","family":"Fok","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology, National Cancer Centre Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doris","family":"Young","sequence":"additional","affiliation":[{"name":"Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose M","family":"Valderas","sequence":"additional","affiliation":[{"name":"Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore"},{"name":"Department of Family and Community Medicine, University of Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Pang","sequence":"additional","affiliation":[{"name":"Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"e_1_3_8_2_2","volume-title":"Global cancer observatory: cancer today","author":"Ferlay J","year":"2020","unstructured":"Ferlay J, Ervik M, Lam F, et al. 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