A5020699158- Chronic Disease Management Strategies
- Health disparities and outcomes
- Diabetes Management and Education
- Emergency and Acute Care Studies
- Geriatric Care and Nursing Homes
- Global Health Care Issues
- Mobile Health and mHealth Applications
- Frailty in Older Adults
- Primary Care and Health Outcomes
- Heart Failure Treatment and Management
- Health Systems, Economic Evaluations, Quality of Life
- Medication Adherence and Compliance
- Palliative Care and End-of-Life Issues
- Intergenerational Family Dynamics and Caregiving
- Technology Use by Older Adults
- Healthcare Systems and Reforms
- Hip and Femur Fractures
- Health Promotion and Cardiovascular Prevention
- Healthcare Policy and Management
- Diabetes Management and Research
- Healthcare professionals’ stress and burnout
- Digital Mental Health Interventions
- COVID-19 and healthcare impacts
- COVID-19 and Mental Health
- Global Public Health Policies and Epidemiology
SingHealth
2017-2025
Duke-NUS Medical School
2016-2025
Singapore General Hospital
2016-2025
SingHealth Duke-NUS Academic Medical Centre
2018-2025
Community Hospital
2022-2024
Sultanah Aminah Hospital
2023
University Kebangsaan Malaysia Medical Centre
2023
Regional Health
2020-2022
National University of Singapore
2015-2021
Ministry of Social and Family Development
2020-2021
Vaccine hesitancy forms a critical barrier to the uptake of COVID-19 vaccine in high-income countries or regions. This review aims summarize rates and its determinants A scoping was conducted Medline
Background: Poor medication adherence can lead to adverse health outcomes and increased healthcare costs. Although reasons for have been widely studied, less is explored about factors affecting patients in non-Western setting from Asian cultures. This study aimed explore cultural perspectives on influencing among with chronic diseases a multi-ethnic setting. Methods: We conducted qualitative involving in-depth interviews conditions purposively recruited community hospital Singapore until...
The LACE index (length of stay, acuity admission, Charlson comorbidity index, CCI, and number emergency department visits in preceding 6 months) derived Canada is simple may have clinical utility Singapore to predict readmission risk. We compared the performance with a model identifying 30-day readmissions from population general medicine patients Singapore. Additional variables include patient demographics, comorbidities, laboratory during prior healthcare utilization year. 5,862 were...
Improving healthcare utilization is essential as health systems around the world grapple with escalating demands for acute hospital resources. Evidence suggests that transitional care programs are effective to improve of healthcare. However, evidence enhance home medical model and provide multi-disciplinary patient-centered not well established. We evaluated if a program operated by Singapore General Hospital was in reducing utilization. performed quasi-experimental study using pre-post...
<h3>Importance</h3> Multimorbidity is a growing health care problem in aging societies and strongly associated with epidemiologic characteristics sociodemographic factors. Knowledge of these associations important for the design effective preventive management strategies. <h3>Objectives</h3> To determine association between multimorbidity factors (age, socioeconomic status [SES], sex, race/ethnicity) mental diseases physical diseases, as well their implications types costs use. <h3>Design,...
Background Emerging evidence from the virtual ward care model showed that multidisciplinary case management are inadequate to reduce readmissions or death for high risk patients. There is consensus interventions should encompass both pre-hospital discharge and post-discharge transitional be effective. Integrated practice units (IPU) had been proposed as an approach of restructuring organization work processes teams achieve value in healthcare. Our primary objective evaluate if novel...
<h3>Importance</h3> Triage in the emergency department (ED) is a complex clinical judgment based on tacit understanding of patient's likelihood survival, availability medical resources, and local practices. Although scoring tool could be valuable risk stratification, currently available scores have demonstrated limitations. <h3>Objectives</h3> To develop an interpretable machine learning parsimonious list variables at ED triage; provide simple, early, accurate estimate patients' death;...
Background In a rapidly digitalizing world, the inability of older adults to leverage digital technology has been associated with weaker social connections and poorer health outcomes. Despite widespread adoption in Singapore, adults, especially those lower socioeconomic status (SES), still face difficulties adopting information communications are typically digitally excluded. Objective We aimed examine impact volunteer-led, one-on-one, home-based literacy program on health-related outcomes...
Diabetes is a global public health issue, causing burden on healthcare system and increasing risk of mortality. Mobile applications (apps) can be promising approach to facilitate diabetes self-management. An increasingly utilized engagement with mobile (mHealth) technology involve potential users in the creation technology.The aim this study was use co-design for type 2 mellitus (T2DM) self-management mHealth development.Three rounds iterative rapid prototyping panel sessions were conducted...
Residence in public rental housing is an area-level measure of socioeconomic status, but its impact as a social determinant health Singapore has not been studied. We therefore aimed to examine the association with readmission risk and increased utilization hospital services Singapore.We conducted retrospective cohort study using 2014 data from General Hospital's electronic records. Variables known affect health-care were identified priori include patient demographics, comorbidities,...
To reduce readmissions, it may be cost-effective to consider risk stratification, with targeting intervention programs patients at high of readmissions. In this study, we aimed derive and validate a prediction model including several novel markers hospitalization severity, compare the LACE index (Length stay, Acuity admission, Charlson comorbidity index, Emergency department visits in past 6 months), an established stratification tool.This was retrospective cohort study all ≥ 21 years age,...
OBJECTIVE With rising health care costs and finite resources, understanding the population needs of different type 2 diabetes mellitus (T2DM) patient subgroups is important. Sparse data exist for application segmentation on among Asian T2DM patients. We aimed to segment patients into distinct classes evaluate their differential use, diabetes-related complications, mortality patterns. RESEARCH DESIGN AND METHODS Latent class analysis was conducted a retrospective cohort 71,125 indicators...