How the Esther Network model for coproduction of person-centred health and social care was adopted and adapted in Singapore: a realist evaluation.

Esther Li Ping LimGiat Yeng KheeJohan ThorBoel Andersson GäreJulian ThumbooMonika Allgurin

Published in: BMJ open (2022)

The enabling role of leaders (macrosystem level), the bridging role of practitioners (mesosystem level) and the unifying role of service users (microsystem level) all contributed to EN's success in Singapore. Understanding these roles helps us understand how staff at various levels can contribute to the adoption and adaptation of EN and similar complex innovations systemwide.

Keyphrases

healthcare
mental health
public health
primary care
palliative care
quality improvement
general practice
risk assessment
pain management
chronic pain
health information
climate change
health insurance