Expanding the role of community hospitals to promote population health in Singapore

IF 8.1 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES The Lancet Regional Health: Western Pacific Pub Date : 2025-02-01 Epub Date: 2025-01-22 DOI:10.1016/j.lanwpc.2025.101477
Ken Wah Teo , Lian Leng Low , Wee Hoe Gan , Luke Sher Guan Low , Chien Earn Lee
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Abstract

Population health encompasses health outcomes, their determinants, and the distribution within the group of individuals. A life course approach, involving residents regardless of health status and disease complexity, and addressing their needs holistically and contextually is a key policy for improving population health. Healthier SG represents Singapore’s transformation towards population health. Under this initiative, Singapore’s three healthcare clusters have been tasked with new roles as population health managers and regional health managers, on top of being healthcare service providers. We propose that beyond intermediate and post-acute care, community hospitals, as service providers, have an opportunity to (a) innovate new models of integrated and appropriate care, (b) adopt life-course approaches which include prevention and end-of-life care extended to community settings, (c) strengthen person-centred and holistic care approaches through social prescribing, (d) lead capability building and sector development for person-centred care, and (e) galvanize the health-social care ecosystem.
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扩大社区医院在促进新加坡人口健康方面的作用
人口健康包括健康结果、其决定因素和个人群体内的分布。生命历程方针是改善人口健康的一项关键政策,使居民不论其健康状况和疾病复杂程度如何都能参与其中,并从整体和具体情况出发解决他们的需要。更健康的SG代表了新加坡向人口健康的转变。根据这一举措,新加坡的三个医疗保健集群除了成为医疗保健服务提供者之外,还被赋予了人口健康管理人员和区域健康管理人员的新角色。我们建议,除了中级和急症后护理之外,社区医院作为服务提供者有机会(a)创新综合和适当护理的新模式;(b)采用包括推广到社区环境的预防和临终护理在内的生命过程方法;(c)通过社会处方加强以人为本的整体护理方法;(d)领导以人为本的护理的能力建设和部门发展。(e)激励卫生-社会保健生态系统。
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来源期刊
The Lancet Regional Health: Western Pacific
The Lancet Regional Health: Western Pacific Medicine-Pediatrics, Perinatology and Child Health
CiteScore
8.80
自引率
2.80%
发文量
305
审稿时长
11 weeks
期刊介绍: The Lancet Regional Health – Western Pacific, a gold open access journal, is an integral part of The Lancet's global initiative advocating for healthcare quality and access worldwide. It aims to advance clinical practice and health policy in the Western Pacific region, contributing to enhanced health outcomes. The journal publishes high-quality original research shedding light on clinical practice and health policy in the region. It also includes reviews, commentaries, and opinion pieces covering diverse regional health topics, such as infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, aging health, mental health, the health workforce and systems, and health policy.
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