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Journal articles on the topic 'Medical care Singapore'

Author: Grafiati

Published: 11 December 2022

Last updated: 26 January 2023

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1

Pwee, Keng Ho. "Health technology assessment in Singapore." International Journal of Technology Assessment in Health Care 25, S1 (2009): 234–40. http://dx.doi.org/10.1017/s0266462309090692.

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The Republic of Singapore is an island city-state in Southeast Asia. Its population enjoys good health and the Singapore Ministry of Health's mission is to promote good health and reduce illness, ensure access to good and affordable health care, and pursue medical excellence. This is achieved through a healthcare system that includes both private and public sector elements. The financing philosophy of Singapore's healthcare delivery system is based on individual responsibility and community support. Health care in Singapore is financed by a combination of taxes, employee medical benefits, comp

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Holt, Kathleen D., Rebecca S. Miller, Lauren M. Byrne, and Susan H. Day. "The Positive Effects of Accreditation on Graduate Medical Education Programs in Singapore." Journal of Graduate Medical Education 11, no. 4s (2019): 213–17. http://dx.doi.org/10.4300/jgme-d-19-00429.

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ABSTRACT Background There is worldwide interest in assessing the impact of accreditation systems to quantify their benefits to medical education and, through this, health care at the local and global levels. Objective We analyzed ACGME-I Resident Survey data from Singapore for 2011–2018 to assess the impact of accreditation on residents' evaluations of their programs. Methods We focused on 7 questions from the annual Resident Survey, which would be affected by accreditation compliance, along with a single global rating of respondents' overall perception of their program. We assessed for differ

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Soh, George. "Medical care for institutionalised elderly people in Singapore." Australian Journal of Public Health 16, no. 1 (2010): 103–6. http://dx.doi.org/10.1111/j.1753-6405.1992.tb00034.x.

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Lim, Crystal, Jamie Xuelian Zhou, Natalie Liling Woong, Min Chiam, and Lalit Kumar Radha Krishna. "Addressing the Needs of Migrant Workers in ICUs in Singapore." Journal of Medical Education and Curricular Development 7 (January 2020): 238212052097719. http://dx.doi.org/10.1177/2382120520977190.

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Background: With nearly 400 000 migrant workers in Singapore, many from Bangladesh, India and Myanmar, language and cultural barriers posed a great many challenges during the COVID-19 pandemic. This was especially so as majority of the COVID-19 clusters in Singapore emerged from their communal dormitories. With concerns arising as to how this minority group could be best cared for in the intensive care units, the need for medical interpreters became clear. Main: In response, the Communication and Supportive Care (CSC) workgroup at the Singapore General Hospital developed the ‘Medical Interpret

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S, Deep, and Vidisha V. "Medical Tourism." Journal of Biomedical Research & Environmental Sciences 3, no. 2 (2022): 179–80. http://dx.doi.org/10.37871/jbres1418.

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Transnational medical travel, widely quoted as medical combines health care with leisure travel. Asia-Pacific is the leading contributor to the global market revenue in medical tourism and the global turnover is expected cross over USD 31.21 billion by 2026. With protracted and expensive visa and medical services patients seek sophisticated but inexpensive healthcare unavailable in their country. These issues are capitalized by many developing and developed countries like Thailand, India, Malaysia and Singapore by the virtue of their marked cost differentials, economical airfare, advanced medi

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SOKOLOV, E. V., and D. A. GRECHKIN. "COMPARATIVE ANALYSIS OF FINANCING AND ORGANIZATION OF MEDICAL CARE IN SINGAPORE AND RUSSIA." EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA 1, no. 10 (2020): 128–33. http://dx.doi.org/10.36871/ek.up.p.r.2020.10.01.015.

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The article analyzes the financing and organization of medical services for the population in Singapore and Russia. The main difference is revealed, which is that in Singapore funds transferred within the framework of compulsory health insurance by enterprises for medical care of citizen’s workings for them go not to funds and insurance companies, as in Russia, but to personal medical savings accounts of citizens. Interest is charged on them, and these funds are inherited, which motivates citizens to increase labor productivity and a healthy lifestyle.

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McNamara, Karen M. "Rhythms of Care: Medical Travels beyond the Borders of Bangladesh." East Asian Science, Technology and Society 14, no. 1 (2020): 61–83. http://dx.doi.org/10.1215/18752160-8233817.

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Abstract This article examines the experiences of Bangladeshi patients and their families as they travel transnationally within Asia for medical care. I explain how failures of biomedicine in Bangladesh feed into idealized expectations of care abroad. This medical imaginary is fueled by the hope that more expensive treatment in wealthier countries will result in better care, and it is sustained by the way the medical tourism industry operates and the way Bangladeshi patients and their families make choices and engage in the doing of care abroad. A detailed case study of a Bangladeshi cancer pa

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Chia, Hui Shan, and Esther Siew Joo Bek. "Deprescribing in Primary Care in Singapore: Barriers and Facilitators." Consultant Pharmacist 33, no. 11 (2018): 637–48. http://dx.doi.org/10.4140/tcp.n.2018.637.

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Chia, J. K. K., K. B. Tay, P. Suresh, et al. "Medical care delivery at the Inaugural Youth Olympic Games Singapore 2010." British Journal of Sports Medicine 45, no. 16 (2011): 1283–88. http://dx.doi.org/10.1136/bjsports-2011-090234.

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Loh, Kiley Wei-Jen, Terence Ng, Su Pin Choo, et al. "Cancer Supportive and Survivorship Care in Singapore: Current Challenges and Future Outlook." Journal of Global Oncology, no. 4 (December 2018): 1–8. http://dx.doi.org/10.1200/jgo.17.00117.

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Despite being a relatively young nation, Singapore has established itself as a leading multifaceted medical hub, both regionally and globally. Although Singapore continues to pursue excellence in oncology care, cancer supportive care and survivorship care remain in the infancy stage. In an effort to advance this important aspect of oncology care in Singapore, the first cancer supportive and survivorship care forum was held in December 2016, involving 74 oncology practitioners. The primary goals of this forum were to raise awareness of the importance of cancer supportive and survivorship care a

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Rowlands, Allison. "Medical Social Work Practice and SARS in Singapore." Social Work in Health Care 45, no. 3 (2007): 57–83. http://dx.doi.org/10.1300/j010v45n03_04.

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Soong, John Tshon Yit, Derek Bell, and Marcus Eng Hock Ong. "Meeting today’s healthcare needs: Medicine at the interface." Annals of the Academy of Medicine, Singapore 51, no. 12 (2022): 787–92. http://dx.doi.org/10.47102/annals-acadmedsg.2022196.

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The demographic of Singapore has undergone dramatic change. Historically, younger patients with communicable diseases predominated, whereas patients are now older with chronic multimorbidity and functional impairment. This shift challenges existing health and social care systems in Singapore, which must pivot to meet the changing need. The consequences of mismatched health and social care to patient needs are the fragmentation of care, dysfunctional acute care utilisation and increasing care costs. In Singapore and internationally, there is an inexorable rise in acute care utilisation, with pa

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Tapawan, Sarah Jane Corpuz, Furene SJ Wang, Ming Wei Lee, et al. "Perspectives on Palliative Care Among Duchenne Muscular Dystrophy Patients and Their Families in Singapore." Annals of the Academy of Medicine, Singapore 49, no. 2 (2020): 72–77. http://dx.doi.org/10.47102/annals-acadmedsg.2019163.

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Introduction: With better medical care, patients with Duchenne muscular dystrophy (DMD) now live longer but face more complex medical and social needs. This study described the perceptions of DMD patients and their families of disease-specific palliative care services in Singapore. Materials and Methods: A multicentre, crosssectional study involving DMD patients and their families was carried out. Structured questionnaires were administered to them to collect data on their understanding of palliative care, health services accessed and desired by them and quality of life. Results: A total of 30

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Dimian, Adel, and Anne-Valerie Ohlsson. "Hospice Care Association: Turnaround of a Healthcare Nonprofit Organization." Asian Case Research Journal 17, no. 01 (2013): 161–80. http://dx.doi.org/10.1142/s0218927513500077.

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This is the case of a Singapore-based nonprofit organization in need of strategic turnaround. Funding changes from the Singapore government were the primary cause of Hospice Care Association's (HCA) critical financial situation. Additionally, staffing response to changes in operations was severe and negative. Dr. Akhileswaran is thrust into a position of leadership that initially overwhelms and surprises him, given that his expected role — and the role he had agreed to take on — was that of Medical Director. The urgent need for the organization was strategic leadership, without which it is ver

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Oh, Jean-Yin, and Kumudhini Rajasegaran. "Adolescent health in Asia: insights from Singapore." International Journal of Adolescent Medicine and Health 28, no. 3 (2016): 309–13. http://dx.doi.org/10.1515/ijamh-2016-5015.

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Abstract The introduction of adolescent medicine as a medical subspecialty in Singapore was a welcome in an evolving health care system that is unique in terms of both efficiency, in financing and the results achieved in community health outcomes. The Ministry of Health (MOH) already recognized the need to accommodate the health care concerns related to adolescent psychosocial health risk behaviors and an increased prevalence of young people living with chronic illness. The challenge for the pioneer team of physicians trained in adolescent medicine was to develop and sustain a model of care th

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Ting, C. H., and W. P. Lim. "Weathering the Silver Tsunami: Dementia Community Services in Singapore." European Psychiatry 33, S1 (2016): S474. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1730.

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IntroductionThe prevalence of dementia rises with the rapidly increasing elderly population in developed world. In Singapore, 10% of the elderly population is estimated to have dementia. Other than physical and psychological needs, social welfare should also be addressed with the support of specialised geriatric care sources to improve their quality of life.ObjectiveTo study a case of an elderly with dementia, who was identified and managed through a multi-agency approach and to describe different services involved for dementia care.AimTo highlight the various elderly care organizations availa

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Ooi, G. L. "Chinese Medicine in Malaysia and Singapore: The Business of Healing." American Journal of Chinese Medicine 21, no. 03n04 (1993): 197–212. http://dx.doi.org/10.1142/s0192415x93000236.

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Traditional Chinese medicine as it persists in several East and Southeast Asian countries, has undergone major changes. Such changes have reinforced the trading aspects of traditional Chinese medical practice with relatively little advantage for the medical care component. This paper examines the nature of changes in contemporary ethnic Chinese medical practice in Malaysia and Singapore with the aim of understanding their implications for the persistence of this medical tradition.

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Chan, Roy K. W., Hiok Hee Tan, Martin T. W. Chio, Priya Sen, Kar Woon Ho, and Mee Lian Wong. "Sexually transmissible infection management practices among primary care physicians in Singapore." Sexual Health 5, no. 3 (2008): 265. http://dx.doi.org/10.1071/sh07079.

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Background: Primary care physicians manage a significant number of sexually transmissible infections (STI); however, there has not been a survey to assess the standard of medical care, completeness of notifications, provision of counselling and contact tracing by primary care physicians in Singapore. Methods: An anonymous postal survey was conducted in which 1557 questionnaires were mailed out to general practitioners (GP), and government primary care and emergency department doctors. Results: In all, 736 questionnaires (47.3%) were returned, and the majority of respondents were graduates from

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Goh, Lee Gan. "Persons with Intellectual Disability in Singapore Today – An Overview." Singapore Family Physician 48, no. 6 (2022): 6–10. http://dx.doi.org/10.33591/sfp.48.6.u1.

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Singapore has come a long way in enabling persons (people) with intellectual disability (ID) to be truly integrated into our community. In this presentation, we take a historical overview in the journey of care and integration from the time of the setting up of Singapore Children’s Society in 1952 to the first Enabling Masterplan (EMP1) for the period 2007-2011. We are now in the Third Enabling Masterplan (EMP3) for the period 2017-2021. To support persons with disabilities in acquiring relevant vocational and independent living skills and emerge stronger from the COVID-19 pandemic, the Temase

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Coffman, Thomas M., Choong Meng Chan, Lina Hui-Lin Choong, Ian Curran, Hak Koon Tan, and Chorh Chuan Tan. "Perspectives on COVID-19 from Singapore: Impact on ESKD Care and Medical Education." Journal of the American Society of Nephrology 31, no. 10 (2020): 2242–45. http://dx.doi.org/10.1681/asn.2020050721.

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Sim, LK, Evon YW Tay, and JA Low. "P-65 Advance care planning in multi-ethnic Singapore." BMJ Supportive & Palliative Care 5, Suppl 2 (2015): A63.3—A64. http://dx.doi.org/10.1136/bmjspcare-2015-000978.195.

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Ling, Moi Lin, Angela Ang, Molly Wee, and Grace Chee Yang Wang. "A Nosocomial Outbreak of MultiresistantAcinetobacter baumanniiOriginating From an Intensive Care Unit." Infection Control & Hospital Epidemiology 22, no. 1 (2001): 48–49. http://dx.doi.org/10.1086/501827.

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AbstractAn outbreak of a multiresistantAcinetobacter baumanniiin February through September 1996 affected 103 patients in a regional hospital in Singapore. We describe the effectiveness of closure of the outbreak area and the importance of good teamwork in the management of the outbreak.

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Roslan, Shahidah Binte, and Mei Ling Lim. "Nurses’ perceptions of bedside clinical handover in a medical-surgical unit: An interpretive descriptive study." Proceedings of Singapore Healthcare 26, no. 3 (2016): 150–57. http://dx.doi.org/10.1177/2010105816678423.

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Background: Clinical handover is the transfer of relevant and important information and responsibility for patient care from one healthcare provider to another. An effective clinical handover is determined by the transition of critical information and the continuity of quality care for the patient. In the inpatient settings, bedside clinical handover mainly occurs during shift changes (morning to afternoon shift, afternoon to night shift and night to morning shift). Bedside clinical handover can take place in a cohort room of up to six patients or a single-bedded room with only one patient. Va

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Chan, Jack Junjie, Yirong Sim, Samuel Guan Wei Ow, et al. "The impact of COVID-19 on and recommendations for breast cancer care: the Singapore experience." Endocrine-Related Cancer 27, no. 9 (2020): R307—R327. http://dx.doi.org/10.1530/erc-20-0157.

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The ensuing COVID-19 pandemic poses unprecedented and daunting challenges to the routine delivery of oncological and supportive care to patients with breast cancer. Considerations include the infective risk of patients who are inherently immunosuppressed from their malignancy and therapies, long-term oncological outcomes from the treatment decisions undertaken during this extraordinary period, and diverted healthcare resources to support a coordinated whole-of-society outbreak response. In this review, we chronicle the repercussions of the COVID-19 outbreak on breast cancer management in Singa

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Lim, Zoe Zon Be, Mumtaz Mohamed Kadir, Mimaika Luluina Ginting, Hubertus Johannes Maria Vrijhoef, Joanne Yoong, and Chek Hooi Wong. "Early Implementation of a Patient-Centered Medical Home in Singapore: A Qualitative Study Using Theory on Diffusion of Innovations." International Journal of Environmental Research and Public Health 18, no. 21 (2021): 11160. http://dx.doi.org/10.3390/ijerph182111160.

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Patient-Centered Medical Home (PCMH) has been found to improve care for complex needs patients in some countries but has not yet been widely adopted in Singapore. This study explored the ground-up implementation of a PCMH in Singapore by describing change strategies and unpacking initial experience and perception. In-depth interviews were conducted for twenty-two key informants from three groups: the implementers, their implementation partners, and other providers. “Diffusion of innovations” emerged as an overarching theory to contextualize PCMH in its early implementation. Three core “innovat

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Chung, I., C. Wong, C. Oh, and S. Y. Ho. "IMPLEMENTING A NATIONAL ADVANCE CARE PLANNING (ACP) PROGRAMME IN SINGAPORE." BMJ Supportive & Palliative Care 3, no. 2 (2013): 256.3–257. http://dx.doi.org/10.1136/bmjspcare-2013-000491.82.

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Lui, Nai Lee, and Chek Hooi Wong. "Junior Doctors’ Attitudes Towards Older Adults and its Correlates in a Tertiary-care Public Hospital." Annals of the Academy of Medicine, Singapore 38, no. 2 (2009): 125–29. http://dx.doi.org/10.47102/annals-acadmedsg.v38n2p125.

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Introduction: The medical community in Singapore is faced with a rapidly ageing demo- graphic. This would result in an increase in the interaction between medical professionals and older adults. In anticipation of an increased exposure to elderly patients, we sought to determine the attitudes of our house officers (HO), medical officers (MO) and Registrars towards the elderly. Materials and Methods: A descriptive pilot study of junior doctors from the Division of Medicine carried out during a luncheon in the largest tertiary-care public hospital in Singapore. A validated self-administered stru

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Yam, Carrie H. K., Sian M. Griffiths, S. Liu, Eliza L. Y. Wong, Vincent C. H. Chung, and E. K. Yeoh. "Medical Regulation." Journal of Medical Regulation 102, no. 1 (2016): 16–27. http://dx.doi.org/10.30770/2572-1852-102.1.16.

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The licensing and regulation of physicians is an important topic worldwide and is often tied to discussions in various countries of health care system reform. We conducted a review of current practices for regulating physicians as a key group of health care professionals in eight jurisdictions in Asia and other parts of the world in order to draw implications for the development of future regulatory policies in Hong Kong. Jurisdictions studied included Australia, Canada, China, Malaysia, New Zealand, Singapore, the United Kingdom and the United States. A literature search, supplemented by inte

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Goh, Kiat Sern, Serena Kiat Mun Low, Di Zhang, et al. "Mortality predictors in an acute care geriatric unit in Singapore." Proceedings of Singapore Healthcare 27, no. 4 (2018): 265–69. http://dx.doi.org/10.1177/2010105818762915.

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Aim: Admission to an acute care geriatric unit may lead to adverse outcomes. It is therefore important to identify high-risk patients early so that appropriate management can be instituted to prevent or delay onset of adverse events. The aim of this study is to evaluate one-year mortality and its associated risk factors among hospitalized patients. Methods: This is a retrospective cohort study on consecutive patients admitted to an acute geriatric ward in a Singapore hospital from March to April 2013.Demographic and clinical information was collected from patient medical records. Linkage with

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Ng, David Chee Chin, Yii Jen Lew, Eileen Yi Ling Koh, et al. "Sickness certification in Singapore’s public primary healthcare system: A cross-sectional analysis." Proceedings of Singapore Healthcare 27, no. 3 (2017): 167–74. http://dx.doi.org/10.1177/2010105817741661.

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Objectives: Sickness absenteeism has been rising in Singapore with sickness certification commonly performed by primary care physicians. The Primary Care Survey 2014 reported increased primary care demand driven by a rapidly ageing population and the prevalence of chronic disease. This article aims to determine the magnitude of outpatient sickness certification in all the polyclinics in Singapore and identify the demographic characteristics and factors influencing the taking of sick leave by the local multi-ethnic Asian patients. Design: A one-week, cross-sectional survey using computer-assist

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Borg, Erik A., and Kjell Ljungbo. "International market-oriented strategies for medical tourism destinations." International Journal of Market Research 60, no. 6 (2018): 621–34. http://dx.doi.org/10.1177/1470785318770134.

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Patients seeking medical care are traveling greater distances for treatment. The globalization of health care has given rise to a thriving global medical services industry. The ability to gain access to more advanced treatments and differences in cost and inflexible national health care systems encourage patients to seek treatment abroad. In the new information age, patients seek information about available treatment opportunities with less regard to national boundaries. International hospitals are seeking new marketing strategies for their services. Today, much of the marketing takes place on

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Xu, Hanzhang, Ying Xian, Fung Peng Woon, et al. "Emergency medical services use and its association with acute ischaemic stroke evaluation and treatment in Singapore." Stroke and Vascular Neurology 5, no. 2 (2020): 121–27. http://dx.doi.org/10.1136/svn-2019-000277.

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BackgroundEmergency medical services (EMS) is a critical link in the chain of stroke survival. We aimed to assess EMS use for stroke in Singapore, identify characteristics associated with EMS use and the association of EMS use with stroke evaluation and treatment.MethodsThe Singapore Stroke Registry combines nationwide EMS and public hospital data for stroke cases in Singapore. Multivariate regressions with the generalised estimating equations were performed to examine the association between EMS use and timely stroke evaluation and treatment.ResultsOf 3555 acute ischaemic patients with sympto

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Sum, Grace, Mumtaz Mohamed Kadir, Soon Hoe Ho, Joanne Yoong, Junxing Chay, and Chek Hooi Wong. "Cost analysis of a Patient-Centred Medical Home for community-dwelling older adults with complex needs in Singapore." Annals of the Academy of Medicine, Singapore 51, no. 9 (2022): 553–66. http://dx.doi.org/10.47102/annals-acadmedsg.2022165.

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Introduction: The Patient-Centred Medical Home (PCMH) demonstration in Singapore, launched in November 2016, aimed to deliver integrated and patient-centred care for patients with biopsychosocial needs. Implementation was based on principles of comprehensiveness, coordinated care and shared decision-making. Method: We conducted a prospective single-arm pre-post study design, which aimed to perform cost analysis of PCMH from the perspectives of patients, healthcare providers and society. We assessed short-to-intermediate-term health-related costs by analysing data on resource use and unit costs

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Mahboob Ali, Muhammad, and Anita Medhekar. "Globalization, medical travel and healthcare management in Bangladesh." Problems and Perspectives in Management 14, no. 2 (2016): 360–75. http://dx.doi.org/10.21511/ppm.14(2-2).2016.12.

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There is an increasing evidence of people from Bangladesh travelling to neighboring countries of Asia, such as India, Thailand, Malaysia and Singapore for medical treatment due to poor quality of healthcare services, high cost, and non-availability of speciality medical treatment and facilities. Medical travel is a practise where patients travel to other countries for diagnostic, pathological and complex invasive surgeries due to various push factors in their home country which prevents them for getting affordable, accessible and accredited quality of medical treatment in a timely manner, due

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Chlebicki, Maciej Piotr, Moi Lin Ling, Tse Hsien Koh, et al. "First Outbreak of Colonization and Infection With Vancomycin-ResistantEnterococcus faeciumin a Tertiary Care Hospital in Singapore." Infection Control & Hospital Epidemiology 27, no. 9 (2006): 991–93. http://dx.doi.org/10.1086/507289.

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We report the first outbreak of vancomycin-resistantEnterococcus faeciumcolonization and infection among inpatients in the hematology ward of an acute tertiary care public hospital in Singapore. Two cases of bacteremia and 4 cases of gastrointestinal carriage were uncovered before implementation of strict infection control measures resulted in control of the outbreak.

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Wouters, Olivier J., Jonathan Cylus, Wei Yang, Sarah Thomson, and Martin McKee. "Medical savings accounts: assessing their impact on efficiency, equity and financial protection in health care." Health Economics, Policy and Law 11, no. 3 (2016): 321–35. http://dx.doi.org/10.1017/s1744133116000025.

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AbstractMedical savings accounts (MSAs) allow enrolees to withdraw money from earmarked funds to pay for health care. The accounts are usually accompanied by out-of-pocket payments and a high-deductible insurance plan. This article reviews the association of MSAs with efficiency, equity, and financial protection. We draw on evidence from four countries where MSAs play a significant role in the financing of health care: China, Singapore, South Africa, and the United States of America. The available evidence suggests that MSA schemes have generally been inefficient and inequitable and have not p

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Lim, Wei-Yen, Ding Fang Chuang, Koy Min Chue, et al. "Stroke Literacy in Singapore: Data From a Survey of Public Housing Estate Residents." Annals of the Academy of Medicine, Singapore 43, no. 9 (2014): 454–63. http://dx.doi.org/10.47102/annals-acadmedsg.v43n9p454.

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Introduction: Knowledge of stroke symptoms is associated with seeking medical attention early, and knowledge of risk factors is an essential factor in stroke prevention. In this study, we evaluated the level of stroke literacy in Singapore. Materials and Methods: A cross-sectional study of Singapore citizens and permanent residents aged 21 years and above was conducted in a public housing estate. Participants were randomly sampled using multi-stage stratified sampling. Assessment of awareness of stroke symptoms and risk factors was performed using open-ended questions. In total, 687 respondent

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Mittal, Rakhi, M. E. Young, C. S. Tan, et al. "Trends of Patients’ Characteristics Admitted Into a Multi-Professional Home Medical Care Service From 2000 to 2009 in Singapore." Home Health Care Management & Practice 29, no. 1 (2016): 35–45. http://dx.doi.org/10.1177/1084822316662196.

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The main aim of this study is to present the socio-demographic, clinical, and functional characteristics of home medical care patients admitted into one of the oldest home care service over a 10-year period. Data were manually retrospectively extracted from the non-computerized medical records of all patients admitted into Code 4 Home Medical Service from January 1, 2000, to December 31, 2009. Records of 1,069 patients were examined. Over the 10-year period, there was an increasing proportion of patients older than 70 years ( B [95% CI], 1.08 [0.43, 1.73]) and dependency on foreign domestic wo

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Dutta, Oindrila, Priya Lall, Paul Victor Patinadan, et al. "Patient autonomy and participation in end-of-life decision-making: An interpretive-systemic focus group study on perspectives of Asian healthcare professionals." Palliative and Supportive Care 18, no. 4 (2019): 425–30. http://dx.doi.org/10.1017/s1478951519000865.

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AbstractObjectivesAsia's first national advance care planning (ACP) program was established in Singapore in 2011 to enhance patient autonomy and self-determination in end-of-life (EoL) care decision-making. However, no known study has examined the extent to which ACP in Singapore successfully met its aims. The purpose of the current study was to examine the attitudes of local healthcare professionals on patients’ autonomy in decision-making at the EoL since they strongly influence the extent to which patient and family wishes are fulfilled.MethodsGuided by the Interpretive-Systemic Framework a

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Anantharaman, V. "Disaster-Site Medical Support Organization in a Small Country." Prehospital and Disaster Medicine 6, no. 1 (1991): 43–46. http://dx.doi.org/10.1017/s1049023x00028065.

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AbstractOptimal, initial medical care given at the disaster site to victims of civil disasters requires an organized, pre-planned, disaster-site medical support system. Such a system has been developed in Singapore.On notification of a serious civil disaster, the Coordinating Health Agency (CHA) initially dispatches up to three medical teams. Each team consists of two doctors, four nurses, and an allotment of pre-packaged medical supplies. A Disaster-site Medical Command (DSMC) head-quarters (HQ) is established, consisting of a Medical Commander (MC), a Deputy Medical Commander (Dy MC), three

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Lee, Tau-Hong, Joshua GX Wong, David CB Lye, et al. "Medical and psychosocial factors associated with antibiotic prescribing in primary care: survey questionnaire and factor analysis." British Journal of General Practice 67, no. 656 (2017): e168-e177. http://dx.doi.org/10.3399/bjgp17x688885.

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BackgroundAcute upper respiratory infections (AURI) are the leading causes of antibiotic prescribing in primary care although antibiotics are often not indicated.AimTo gain an understanding of the knowledge, attitudes, and practices (KAP) of GPs in Singapore and the associated latent factors to guide the implementation of an effective programme to reduce antibiotic use in primary care.Design and setting:An anonymous survey on the KAP of antibiotic use in AURI of GPs in Singapore.MethodKAP survey questionnaires were posted to all GPs from a database. To ascertain the latent factors affecting pr

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Tay, Mindy KX, Joyce YC Lee, Ian YJ Wee, and Helen ML Oh. "Evaluation of Intensive Care Unit-acquired Urinary Tract Infections in Singapore." Annals of the Academy of Medicine, Singapore 39, no. 6 (2010): 460–65. http://dx.doi.org/10.47102/annals-acadmedsg.v39n6p460.

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Introduction: Urinary tract infections remain one of the most frequently encountered acquired complications in an intensive care unit (ICU). The objective of this study was to determine the incidence, risk factors, microbial sensitivity patterns, and clinical outcomes of patients with UTIs acquired during their admission to an ICU in an acute care hospital in Singapore. Materials and Methods: This was a 14-week prospective study. All ICU patients ≥18 years who remained in the ICU for ≥48 hours were eligible for this study. Patients were reviewed daily and the presence of an ICU-acquired UTI wa

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Kailasam, Manimegalai, Wenjia Guo, Yin Maw Hsann, and Kok Soong Yang. "Prevalence of care fragmentation among outpatients attending specialist clinics in a regional hospital in Singapore: a cross-sectional study." BMJ Open 9, no. 3 (2019): e022965. http://dx.doi.org/10.1136/bmjopen-2018-022965.

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ObjectiveTo measure the extent of multispecialty care fragmentation among outpatients receiving specialist care and identify associated risk factors for fragmented care.DesignA retrospective cross-sectional study.SettingSpecialist outpatient clinics (SOCs) in a Singapore regional hospital.ParticipantsA total of 40 333 patients aged 21 and above with at least two SOC visits in the year 2016. Data for 146 792 physician consultation visits were used in the analysis and visits for allied health services and medical procedures were excluded.Outcome measuresThe Fragmentation of Care Index (FCI) was

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Zhuang, Qingyuan, Joanna SE Chan, Lionel KY See, et al. "Characteristics of unplanned hospitalisations among cancer patients in Singapore." Annals of the Academy of Medicine, Singapore 50, no. 12 (2021): 882–91. http://dx.doi.org/10.47102/annals-acadmedsg.2021212.

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Introduction: Cancer is a pervasive global problem with significant healthcare utilisation and cost. Emergency departments (EDs) see large numbers of patients with oncologic emergencies and act as “gate-keepers” to subsequent hospital admissions. A proportion of such hospital admissions are rapidly discharged within 2 days and may be potentially avoidable. Methods: Over a 6-month period, we conducted a retrospective audit of active cancer patients presenting to the ED with subsequent admission to the Department of Medical Oncology. Our aims were to identify independent factors associated with

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Turner, Leigh. "“Medical Tourism” and the Global Marketplace in Health Services: U.S. Patients, International Hospitals, and the Search for Affordable Health Care." International Journal of Health Services 40, no. 3 (2010): 443–67. http://dx.doi.org/10.2190/hs.40.3.d.

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Health services are now advertised in a global marketplace. Hip and knee replacements, ophthalmologic procedures, cosmetic surgery, cardiac care, organ transplants, and stem cell injections are all available for purchase in the global health services marketplace. “Medical tourism” companies market “sun and surgery” packages and arrange care at international hospitals in Costa Rica, India, Mexico, Singapore, Thailand, and other destination nations. Just as automobile manufacturing and textile production moved outside the United States, American patients are “offshoring” themselves to facilities

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Vasoo, Shawn, Kamaljit Singh, Carol Chow, et al. "Health Care-associated Methicillin-resistant Staphylococcus aureus Colonization in Children Attending Day Care Centers in Singapore." Pediatric Infectious Disease Journal 31, no. 2 (2012): 213–14. http://dx.doi.org/10.1097/inf.0b013e318243e209.

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Lau, Yie Hui, Chee Hong Loh, Wee Kim Fong, et al. "Point-of-Care Ultrasound Training Among Intensivists in Singapore: A Multicentre Survey." Annals of the Academy of Medicine, Singapore 49, no. 9 (2020): 630–42. http://dx.doi.org/10.47102/annals-acadmedsg.2020108.

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Introduction: Point of care ultrasound (POCUS) has become essential in the management of critically ill patients. Multiple POCUS training courses exist, but are not widely adopted in Singapore. Given the discordance between training supply and demand, we aimed to uncover the learning needs and barriers among intensive care medicine (ICM) doctors locally. Materials and Methods: An anonymous online survey was carried out from January to April 2019 among ICM doctors from 6 major teaching hospitals in Singapore. Results: 66 out of 160 ICM specialists and trainees responded (41.3%). Although only 6

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Wee, Liang En, Gerald CH Koh, Linda S. Auyong, et al. "The Medical, Functional and Social Challenges Faced by Older Adults with Intellectual Disability." Annals of the Academy of Medicine, Singapore 42, no. 7 (2013): 338–49. http://dx.doi.org/10.47102/annals-acadmedsg.v42n7p338.

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Introduction: Little is known about the sociodemographic and clinical profile of older adults with intellectual disabilities (ID) in Singapore. We studied the sociodemographic and clinical profile of older adults with ID and investigated factors associated with caregiver availability and identity in this population. Materials and Methods: The study population involved all adults with ID aged ≥40 years receiving services from the Movement for the Intellectually Disabled of Singapore (MINDS), the largest such provider in Singapore. Information on sociodemographic and clinical profiles, functiona

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Ozdemir, Semra, Chetna Malhotra, Irene Teo, et al. "Palliative Care Awareness Among Advanced Cancer Patients and Their Family Caregivers in Singapore." Annals of the Academy of Medicine, Singapore 48, no. 8 (2019): 241–46. http://dx.doi.org/10.47102/annals-acadmedsg.v48n8p241.

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Introduction: We investigated the awareness of palliative care (PC) services in advanced cancer patients and their family caregivers and whether negative perceptions was a possible barrier to PC utilisation in Singapore. Materials and Methods: Patients with stage 4 solid cancer and their caregivers were interviewed between July 2016 and March 2018 at outpatient clinics located in the medical oncology departments of 2 major public hospitals in Singapore. Patients and caregivers were asked whether they were aware of PC services, how they first learned about them, who first recommended PC to the

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Tiew, L. H., V. Drury, and D. Creedy. "Singapore nursing students' perceptions about spirituality and spiritual care: a qualitative study." BMJ Supportive & Palliative Care 1, no. 1 (2011): 84. http://dx.doi.org/10.1136/bmjspcare-2011-000053.63.

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