Background
diabetes
DISEASE, CHRONIC DISEASES, DIABETES
Over recent decades, significant efforts have been made internationally to ensure that health services (and especially primary care) support the growing numbers of people with chronic diseases to manage these effectively in the context of their daily lives [The concept of person-centredness is variously explained and interpreted but includes notions of health professionals focusing on the person not just the disease, working respectfully The implementation of person-centred support for self-management requires widespread adoption of person-centred values (including by institutional leadership); professional acquisition of relevant skills (including microskills of communication); and development of organisational structures (including information systems) to underpin delivery, including by preparing patients [One of the most established approaches to person-centred support for self-management, especially in the UK, is personalised Care and Support Planning (CSP) [In Singapore, CSP was first introduced for patients being treated for diabetes in a hospital setting in 2017. The endocrinologists involved recognised that the approach could also be appropriate for primary care, including within polyclinics. Polyclinics are multi-professional public sector organisations that (separately from private sector family doctors) provide a broad range of primary healthcare services at subsidised prices for many of the rising numbers of people with diabetes [We report here on a qualitative study of health professionals’ experiences of CSP, conducted to complement both the PACE-D trial and an associated study of patients’ experiences. We aimed to investigate professional perspectives on the introduction of CSP with a view to informing any more widespread adoption of CSP in Singapore. We were particularly aware, from research in UK and Australian settings, that health professionals can vary in their interpretations (including value emphases) and enactments of person-centred support for self-management [