{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:16:15Z","timestamp":1788437775080,"version":"build-2803163510"},"reference-count":42,"publisher":"Ubiquity Press, Ltd.","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Integr Care"],"abstract":"<jats:p>Introduction: A Cardiology Integrated Chronic Care (ICC) clinic was established at a polyclinic through collaboration between a tertiary hospital and a polyclinic. This novel model in Singapore prompted a study exploring explore how stakeholders conceptualise and operationalise integration when implementing the clinic in primary care, aiming to understand if common cardiology conditions can be anchored in primary care.\nMethods: Nine semi-structured interviews were conducted with a cardiologist, intervention\u2019s director, family physician, polyclinic head, coordinators and advanced practice nurse. Twelve documents \u2014including implementation monitoring reports, steering committee reports and meeting minutes \u2014 were analysed using Singer and colleagues\u2019 conceptual model of integration types.\nResults: Co-located consultation rooms, direct access investigations and remote consultations between healthcare providers promoted structural integration. Interpersonal integration was fostered through teamwork. Functional integration was accomplished via comprehensive care management protocols and training. Low patient numbers reduced polyclinic revenue but positively impacted care efficiency. Provider satisfaction remained high, with participants gaining knowledge and confidence in managing cases.\nConclusion: The clinic demonstrated operational integration but may lack a broader healthcare system perspective. For sustainable larger-scale evolution, economic and policy scrutiny is needed focusing on operational feasibility and outcomes, given low patient volume constraints affecting financial viability and scalability potential.<\/jats:p>","DOI":"10.5334\/ijic.10197","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T10:20:34Z","timestamp":1788430834000},"page":"13","source":"Crossref","is-referenced-by-count":0,"title":["Integration Strategies in the Implementation of a Cardiology Chronic Care Clinic in a Primary Care Setting: A Qualitative Study"],"prefix":"10.5334","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9534-2166","authenticated-orcid":false,"given":"Shilpa","family":"Surendran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1890-7765","authenticated-orcid":false,"given":"Rakhi","family":"Vashishtha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2988-2169","authenticated-orcid":false,"given":"Brigitte Fong Yeong","family":"Woo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ash Yusi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3020-2108","authenticated-orcid":false,"given":"David Bruce","family":"Matchar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3285","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"key20260903102021_B1","article-title":"Global, regional, and national burdens of ischemic heart disease and stroke attributable to exposure to long working hours for 194 countries, 2000\u20132016: A systematic analysis from the WHO\/ILO Joint Estimates of the Work-related Burden of Disease and Injury","volume":"154","year":"2021","journal-title":"Environ Int"},{"key":"key20260903102021_B2","unstructured":"RB S, Xiaoyin Y, Philimon G, et al. 50 year trends in atrial fibrillation prevalence, incidence, risk factors, and mortality in the Framingham Heart Study: a cohort study. 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