Pami Shrestha

ORCID: 0000-0003-0410-8812
Publications
Citations
Views
---
Saved
---
About
Contact & Profiles
Research Areas
  • Primary Care and Health Outcomes
  • Interprofessional Education and Collaboration
  • Health Policy Implementation Science
  • Antibiotic Use and Resistance
  • Global Public Health Policies and Epidemiology
  • Healthcare Systems and Reforms
  • Disaster Response and Management
  • COVID-19 epidemiological studies
  • Chronic Disease Management Strategies
  • Healthcare Policy and Management
  • Patient Satisfaction in Healthcare
  • Climate Change and Health Impacts
  • Resilience and Mental Health
  • HIV, Drug Use, Sexual Risk
  • Obesity, Physical Activity, Diet
  • Data-Driven Disease Surveillance
  • scientometrics and bibliometrics research
  • Health and Conflict Studies
  • Global Cancer Incidence and Screening
  • Geriatric Care and Nursing Homes
  • Employment and Welfare Studies
  • Health Systems, Economic Evaluations, Quality of Life
  • Intergenerational Family Dynamics and Caregiving
  • Healthcare professionals’ stress and burnout
  • Sex work and related issues

National University Health System
2018-2025

National University of Singapore
2019-2023

University Health System
2018-2020

Regional Health
2018

Introduction The lack of understanding how complex integrated care programmes achieve their outcomes due to the acceptable methods leads difficulties in development, implementation, adaptation and scaling up similar interventions. In this study, we evaluate an network, National University Health System (NUHS) Regional (RHS), consisting acute hospitals, step down care, primary providers, social services community partners using a theory-driven realist evaluation approach. This study aims...

10.1136/bmjopen-2017-017111 article EN cc-by-nc BMJ Open 2018-03-01

<b>Victoria Haldane and colleagues</b> delve into the characteristics of national responses to covid-19. They suggest actionable steps at a level that can guide states achieve independent panel's recommendations for making this last pandemic

10.1136/bmj-2021-067507 article EN cc-by-nc BMJ 2021-11-28

To cope with rising demand for healthcare services in Singapore, Regional Health Systems (RHS) comprising of health and social care providers across settings were set up to integrate service delivery. Tasked providing the western region, 2012, National University System (NUHS) – RHS developed a transitional program elderly patients complex needs who consumed high levels hospital resources. Through assessment, development personalized plans coordination, aimed to: (i) improve quality care,...

10.1186/s12913-019-3980-x article EN cc-by BMC Health Services Research 2019-03-19

Faced with a backdrop of an increasing chronic disease burden from ageing global population compounded rising healthcare costs, health systems are required to implement cost-effective, safe and equitable care through efficient service delivery models. One approach achieving this is Starfield's 4Cs primary (PHC), which delineates the key attributes high-performing PHC system that upholds pillars coordination, first contact care, continuity comprehensive care. Therefore, study aims explore...

10.1136/bmjgh-2024-017578 article EN cc-by-nc-nd BMJ Global Health 2025-01-01

Antimicrobial Resistance is recognized as a major threat to global health security. The WHO Southeast Asia region dubbed "global hub for AMR emergence", it runs the highest risk emergence among all regions in Asia. Hence, there need Asia-centric, collaborative research aligned with true needs and priorities of region. This study aimed identify understand challenges opportunities such endeavors enhance equitable partnerships. qualitative adopted an interpretative approach involving thematic...

10.3390/antibiotics11060755 article EN cc-by Antibiotics 2022-06-01

Abstract Background Accessibility to efficient and person-centered healthcare delivery drives transformation in many countries. In Singapore, specialist outpatient clinics (SOCs) are commonly congested due increasing demands for chronic care. To improve this situation, the National University Health System (NUHS) Regional (RHS) started an integrated care initiative,the Right-Site Care (RSC) program 2014. Through collaborations between SOCs at Hospital primary community (PCC) western region...

10.1186/s12913-020-05263-w article EN cc-by BMC Health Services Research 2020-05-24

Melisa Tan and colleagues argue that assessments of national pandemic preparedness response capacities should be extended to include social factors, leadership, use evidence The covid-19 has emphasised shortcomings in global systems for measuring the ability countries respond rapidly emerging infectious disease threats. Existing monitoring evaluation processes—including Global Health Security Index, Epidemic Preparedness Joint External Evaluation—have highlighted a lack across countries,...

10.1136/bmj-2021-067512 article EN cc-by-nc BMJ 2021-11-28

Background Antimicrobial resistance (AMR) is a global health security threat requiring research collaboration globally and regionally. Despite repeated calls for international in Asia, literature analyzing the nature of collaborative AMR Asia has been sparse. This study aims to describe characteristics network investigate factors influencing tie formation between organizations. Methods We carried out mixed-methods by combining social analysis (SNA) in-depth interviews. SNA was first...

10.3389/fpubh.2023.1191036 article EN cc-by Frontiers in Public Health 2023-12-07

Introduction The aim of this study is to explore patients’ experiences with community-based care programmes (CCPs) and develop dimensions patient experience salient in Singapore. Most countries like Singapore are transforming its healthcare system from a hospital-centric model person-centered better manage the increasing chronic disease burden resulting an ageing population. It thus critical understand impact hospital community transitions perspective. exploration will guide development...

10.1371/journal.pone.0242610 article EN cc-by PLoS ONE 2020-11-25

This qualitative study aimed to explore the psychological impact of Coronavirus 2019 (COVID-19) pandemic on frontline healthcare professionals (HCPs) both in primary care and hospital emergency departments Singapore, understand (1) experience HCPs during outbreak, new challenges faced job, how they were affected psycho-socially, (2) support received, (3) protective factors distress. Purposive sampling was used identify HCPs, those managerial positions leading clinical teams. Semi-structured...

10.1080/15555240.2023.2237673 article EN Journal of Workplace Behavioral Health 2023-07-22

Abstract Background: Accessibility to efficient and person-centered healthcare delivery drive transformation in many countries. In Singapore, specialist outpatient clinics (SOCs) are commonly congested due increasing demands for chronic care. To improve this situation, the National University Health System (NUHS) Regional (RHS) started an integrated care initiative,the Right-Site Care (RSC) program 2014. Through collaborations between SOCs at Hospital primary community (PCC) western region...

10.21203/rs.2.10435/v2 preprint EN cc-by Research Square (Research Square) 2019-11-14

Abstract Background: Accessibility to efficient and person-centered healthcare delivery drive transformation in many countries. In Singapore, specialist outpatient clinics (SOCs) are commonly congested due increasing demands for chronic care. To improve this situation, the National University Health System (NUHS) Regional (RHS) started an integrated care initiative,the Right-Site Care (RSC) program 2014. Through collaborations between SOCs at Hospital primary community (PCC) western region...

10.21203/rs.2.10435/v1 preprint EN cc-by Research Square (Research Square) 2019-06-20

Abstract Background: Accessibility to efficient and person-centered healthcare delivery drives transformation in many countries. In Singapore, specialist outpatient clinics (SOCs) are commonly congested due increasing demands for chronic care. To improve this situation, the National University Health System (NUHS) Regional (RHS) started an integrated care initiative, Right-Site Care (RSC) program 2014. Through collaborations between SOCs at Hospital primary community (PCC) western region of...

10.21203/rs.2.10435/v3 preprint EN cc-by Research Square (Research Square) 2020-05-05
Coming Soon ...