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| Name | Class |
|---|---|
| Tsao Foundation | UNKNOWN |
| National Healthcare Group, Singapore | OTHER_GOV |
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This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore.
This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore. This study aims to evaluate the impact of ComSA PCMH on health service utilisation, healthcare cost, clinical quality and effectiveness, as well as patient activation, quality of life, satisfaction and experience of care. The first component of the study is a single arm prospective pre-post cohort design, which aims to evaluate the impact on enrolled patients' self-reported health outcomes, experience of care, and cost effectiveness. The second component of the study evaluates the quality of the implementation processes via clinical quality indicators. The third component is a match-controlled retrospective pre-post study design, which aims to evaluate the impact on healthcare utilisation. Data sources include both survey data and administrative data.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient-centred care home (PCMH) | Other | New model of care defined by care provision by a team of people centered in the community that is both proactive and coordinated to improve the health and wellness of the people in that community. |
| Measure | Description | Time Frame |
|---|---|---|
| Healthcare utilisation: Primary care | Primary care visits | Change from baseline to post-3 months, and to post-6 months |
| Healthcare utilisation: Inpatient visits | Inpatient visits | Change from baseline to post-3 months, and to post-6 months |
| Healthcare utilisation: Specialist outpatient care | Specialist outpatient clinic visits | Change from baseline to post-3 months, and to post-6 months |
| Healthcare utilisation: A&E | A&E visits | Change from baseline to post-3 months, and to post-6 months |
| Patient-reported outcome measure for patient activation | PAM-13 | Change from baseline to post-3 months, and to post-6 months |
| Patient-reported outcome measure for quality of life | EQ-5D-5L | Change from baseline to post-3 months, and to post-6 months |
| Patient-reported outcome measure for quality of life in old age | CASP-19 | Change from baseline to post-3 months, and to post-6 months |
| Patient experience of care | CAHPS |
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Key inclusion criteria:
i. Aged 40 years and above ii. Lives in Whampoa, Singapore iii. Enrolled in PCMH after 1 September 2017
Exclusion criteria:
i. Aged less than 40 years ii. Does not live in Whampoa Singapore
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Older adults aged 40 years and above who reside in Whampoa, Singapore, and have complex healthcare needs.
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| Name | Affiliation | Role |
|---|---|---|
| Chek Hooi Wong | Geriatric Education and Research Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Geriatric Education and Research Institute | Singapore | 768024 | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34769680 | Derived | Lim ZZB, Mohamed Kadir M, Ginting ML, Vrijhoef HJM, Yoong J, Wong CH. Early Implementation of a Patient-Centered Medical Home in Singapore: A Qualitative Study Using Theory on Diffusion of Innovations. Int J Environ Res Public Health. 2021 Oct 24;18(21):11160. doi: 10.3390/ijerph182111160. |
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| 6 months |
| Economic evaluation and cost analysis | Cost comparison between intervention group and non-intervention group | Change from baseline to post-3 months, and to post-6 months |