TY - STD TI - Population and Vital Statistics. https://www.moh.gov.sg/resources-statistics/singapore-health-facts/population-and-vital-statistics. UR - https://www.moh.gov.sg/resources-statistics/singapore-health-facts/population-and-vital-statistics ID - ref1 ER - TY - JOUR AU - Vogeli, C. AU - Shields, A. E. AU - Lee, T. A. AU - Gibson, T. B. AU - Marder, W. D. AU - Weiss, K. B. AU - Blumenthal, D. PY - 2007 DA - 2007// TI - Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs JO - J Gen Intern Med VL - 22 UR - https://doi.org/10.1007/s11606-007-0322-1 DO - 10.1007/s11606-007-0322-1 ID - Vogeli2007 ER - TY - JOUR AU - Tan, C. PY - 2016 DA - 2016// TI - Innovating for future health JO - Singap Med J VL - 57 UR - https://doi.org/10.11622/smedj.2016164 DO - 10.11622/smedj.2016164 ID - Tan2016 ER - TY - JOUR AU - Tan, W. PY - 2009 DA - 2009// TI - Singapore healthcare: challenges today and building a better tomorrow JO - Singapore Med Assoc News VL - 2009 ID - Tan2009 ER - TY - JOUR AU - Stange, K. C. PY - 2009 DA - 2009// TI - The problem of fragmentation and the need for integrative solutions JO - Ann Fam Med VL - 7 UR - https://doi.org/10.1370/afm.971 DO - 10.1370/afm.971 ID - Stange2009 ER - TY - STD TI - Khalik S. Long waits at A&Es despite more beds. 2017. ID - ref6 ER - TY - STD TI - Ministry of Health. Healthcare 2020: Improving Accessibility, Quality & Affordability. 2012. ID - ref7 ER - TY - STD TI - Reorganisation of healthcare system into three integrated clusters to better meet future healthcare needs. https://www.moh.gov.sg/news-highlights/details/reorganisation-of-healthcare-system-into-three-integrated-clusters-to-better-meet-future-healthcare-needs. UR - https://www.moh.gov.sg/news-highlights/details/reorganisation-of-healthcare-system-into-three-integrated-clusters-to-better-meet-future-healthcare-needs ID - ref8 ER - TY - JOUR AU - Saxena, N. AU - You, A. X. AU - Zhu, Z. AU - Sun, Y. AU - George, P. P. AU - Teow, K. L. AU - Chong, P. -. N. AU - Sim, J. AU - Wong, J. E. L. AU - Ong, B. PY - 2017 DA - 2017// TI - Singapore's regional health systems—a data-driven perspective on frequent admitters and cross utilization of healthcare services in three systems JO - Int J Health Plann Manag VL - 32 UR - https://doi.org/10.1002/hpm.2300 DO - 10.1002/hpm.2300 ID - Saxena2017 ER - TY - JOUR AU - Bauer, M. AU - Fitzgerald, L. AU - Haesler, E. AU - Manfrin, M. PY - 2009 DA - 2009// TI - Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence JO - J Clin Nurs VL - 18 UR - https://doi.org/10.1111/j.1365-2702.2008.02685.x DO - 10.1111/j.1365-2702.2008.02685.x ID - Bauer2009 ER - TY - JOUR AU - Coleman, E. PY - 2003 DA - 2003// TI - Falling through the cracks: challenges and opportunities for improving transitional Care for Persons with continuous complex care needs JO - J Am Geriatr Soc VL - 51 UR - https://doi.org/10.1046/j.1532-5415.2003.51185.x DO - 10.1046/j.1532-5415.2003.51185.x ID - Coleman2003 ER - TY - STD TI - Shepperd S, Lannin NA, Clemson LM, McCluskey A, Cameron ID, Barras SL. Discharge planning from hospital to home. Cochrane Database Syst Rev. 2013;1. ID - ref12 ER - TY - JOUR AU - Joo, J. Y. AU - Huber, D. PY - 2014 DA - 2014// TI - An integrative review of nurse-led community-based case management effectiveness JO - Int Nurs Rev VL - 61 UR - https://doi.org/10.1111/inr.12068 DO - 10.1111/inr.12068 ID - Joo2014 ER - TY - JOUR AU - Wong, F. K. Y. AU - Chow, S. K. Y. AU - Chan, T. M. F. AU - Tam, S. K. F. PY - 2014 DA - 2014// TI - Comparison of effects between home visits with telephone calls and telephone calls only for transitional discharge support: a randomised controlled trial JO - Age Ageing VL - 43 UR - https://doi.org/10.1093/ageing/aft123 DO - 10.1093/ageing/aft123 ID - Wong2014 ER - TY - JOUR AU - Biese, K. AU - LaMantia, M. AU - Shofer, F. AU - McCall, B. AU - Roberts, E. AU - Stearns, S. C. AU - Principe, S. AU - Kizer, J. S. AU - Cairns, C. B. AU - Busby-Whitehead, J. PY - 2014 DA - 2014// TI - A randomized trial exploring the effect of a telephone call follow-up on care plan compliance among older adults discharged home from the emergency department JO - Acad Emerg Med VL - 21 UR - https://doi.org/10.1111/acem.12308 DO - 10.1111/acem.12308 ID - Biese2014 ER - TY - JOUR AU - Allen, J. AU - Hutchinson, A. M. AU - Brown, R. AU - Livingston, P. M. PY - 2014 DA - 2014// TI - Quality care outcomes following transitional care interventions for older people from hospital to home: a systematic review JO - BMC Health Serv Res VL - 14 UR - https://doi.org/10.1186/1472-6963-14-346 DO - 10.1186/1472-6963-14-346 ID - Allen2014 ER - TY - JOUR AU - Bryant-Lukosius, D. AU - Carter, N. AU - Reid, K. AU - Donald, F. AU - Martin-Misener, R. AU - Kilpatrick, K. AU - Harbman, P. AU - Kaasalainen, S. AU - Marshall, D. AU - Charbonneau-Smith, R. PY - 2015 DA - 2015// TI - The clinical effectiveness and cost-effectiveness of clinical nurse specialist-led hospital to home transitional care: a systematic review JO - J Eval Clin Pract VL - 21 UR - https://doi.org/10.1111/jep.12401 DO - 10.1111/jep.12401 ID - Bryant-Lukosius2015 ER - TY - JOUR AU - Wee, S. AU - Loke, C. AU - Liang, C. AU - Ganesan, G. AU - Wong, L. AU - Cheah, J. PY - 2014 DA - 2014// TI - Effectiveness of a National Transitional Care Program in reducing acute care use JO - J Am Geriatr Soc VL - 62 UR - https://doi.org/10.1111/jgs.12750 DO - 10.1111/jgs.12750 ID - Wee2014 ER - TY - STD TI - Regional Health System - Our Programmes. http://www.nuhs.edu.sg/regional-health-system/programmes.html. UR - http://www.nuhs.edu.sg/regional-health-system/programmes.html ID - ref19 ER - TY - JOUR AU - Carroll, C. AU - Patterson, M. AU - Wood, S. AU - Booth, A. AU - Rick, J. AU - Balain, S. PY - 2007 DA - 2007// TI - A conceptual framework for implementation fidelity JO - Implement Sci VL - 2 UR - https://doi.org/10.1186/1748-5908-2-40 DO - 10.1186/1748-5908-2-40 ID - Carroll2007 ER - TY - JOUR AU - Hasson, H. AU - Blomberg, S. AU - Duner, A. PY - 2012 DA - 2012// TI - Fidelity and moderating factors in complex interventions: a case study of a continuum of care program for frail elderly people in health and social care JO - Implement Sci VL - 7 UR - https://doi.org/10.1186/1748-5908-7-23 DO - 10.1186/1748-5908-7-23 ID - Hasson2012 ER - TY - STD TI - Hasson H. Systematic evaluation of implementation fidelity of complex interventions in health and social care. Implement Sci. 2010;5:67–67. ID - ref22 ER - TY - STD TI - Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008;337. ID - ref23 ER - TY - JOUR AU - Low, L. L. AU - Vasanwala, F. F. AU - Ng, L. B. AU - Chen, C. AU - Lee, K. H. AU - Tan, S. Y. PY - 2015 DA - 2015// TI - Effectiveness of a transitional home care program in reducing acute hospital utilization: a quasi-experimental study JO - BMC Health Serv Res VL - 15 UR - https://doi.org/10.1186/s12913-015-0750-2 DO - 10.1186/s12913-015-0750-2 ID - Low2015 ER - TY - JOUR AU - Low, L. L. AU - Tay, W. Y. AU - Tan, S. Y. AU - Chia, E. H. S. AU - Towle, R. M. AU - Lee, K. H. PY - 2017 DA - 2017// TI - Transitional home care program utilizing the integrated practice unit concept (THC-IPU): effectiveness in improving acute hospital utilization JO - Int J Integr Care VL - 17 UR - https://doi.org/10.5334/ijic.3050 DO - 10.5334/ijic.3050 ID - Low2017 ER - TY - JOUR AU - Lee, K. H. AU - Low, L. L. AU - Allen, J. AU - Barbier, S. AU - Ng, L. B. AU - Ng, M. J. M. AU - Tay, W. Y. AU - Tan, S. Y. PY - 2015 DA - 2015// TI - Transitional care for the highest risk patients: findings of a randomised control study JO - Int J Integr Care VL - 15 UR - https://doi.org/10.5334/ijic.2003 DO - 10.5334/ijic.2003 ID - Lee2015 ER - TY - STD TI - Ang I, Tan C, Nurjono M, Tan X, Tan S, Koh G, N S, Vrijhoef H, Toh S-A: A Retrospective Evaluation of Healthcare Utilisation and Mortality of Two Post-Discharge Care Programmes in Singapore. BMJ Open. [Submitted] 2018. ID - ref27 ER - TY - JOUR AU - Nurjono, M. i. l. a. w. a. t. y. AU - Shrestha, P. a. m. i. AU - Lee, A. l. i. c. e. AU - Lim, X. i. n. Y. a. AU - Shiraz, F. a. r. a. h. AU - Tan, S. h. e. r. m. i. n. AU - Wong, S. h. i. n. g. H. e. i. AU - Foo, K. a. h. M. u. n. AU - Wee, T. h. o. m. a. s. AU - Toh, S. u. e. -. A. n. n. e. AU - Yoong, J. o. a. n. n. e. AU - Maria Vrijhoef, H. u. b. e. r. t. u. s. J. o. h. a. n. n. e. s. PY - 2018 DA - 2018// TI - Realist evaluation of a complex integrated care programme: protocol for a mixed methods study JO - BMJ Open VL - 8 UR - https://doi.org/10.1136/bmjopen-2017-017111 DO - 10.1136/bmjopen-2017-017111 ID - Nurjono2018 ER - TY - STD TI - Ross S, Curry N, Goodwin N. Case management: what it is and how it can best be implemented. 2011. ID - ref29 ER - TY - JOUR AU - Toomey, E. l. a. i. n. e. AU - Matthews, J. a. m. e. s. AU - Hurley, D. e. i. r. d. r. e. A. PY - 2017 DA - 2017// TI - Using mixed methods to assess fidelity of delivery and its influencing factors in a complex self-management intervention for people with osteoarthritis and low back pain JO - BMJ Open VL - 7 UR - https://doi.org/10.1136/bmjopen-2016-015452 DO - 10.1136/bmjopen-2016-015452 ID - Toomey2017 ER - TY - JOUR AU - Borrelli, B. AU - Sepinwall, D. AU - Ernst, D. AU - Bellg, A. J. AU - Czajkowski, S. AU - Breger, R. AU - DeFrancesco, C. AU - Levesque, C. AU - Sharp, D. L. AU - Ogedegbe, G. PY - 2005 DA - 2005// TI - A new tool to assess treatment fidelity and evaluation of treatment fidelity across 10 years of health behavior research JO - J Consult Clin Psychol VL - 73 UR - https://doi.org/10.1037/0022-006X.73.5.852 DO - 10.1037/0022-006X.73.5.852 ID - Borrelli2005 ER - TY - JOUR AU - O'Cathain, A. AU - Murphy, E. AU - Nicholl, J. PY - 2010 DA - 2010// TI - Three techniques for integrating data in mixed methods studies JO - BMJ VL - 341 UR - https://doi.org/10.1136/bmj.c4587 DO - 10.1136/bmj.c4587 ID - O'Cathain2010 ER - TY - JOUR AU - Curry, L. A. AU - Krumholz, H. M. AU - O’Cathain, A. AU - Plano Clark, V. L. AU - Cherlin, E. AU - Bradley, E. H. PY - 2013 DA - 2013// TI - Mixed methods in biomedical and health services research JO - Circulation Cardiovascular quality and outcomes VL - 6 UR - https://doi.org/10.1161/CIRCOUTCOMES.112.967885 DO - 10.1161/CIRCOUTCOMES.112.967885 ID - Curry2013 ER - TY - JOUR AU - Muntinga, M. E. AU - Leeuwen, K. M. AU - Schellevis, F. G. AU - Nijpels, G. AU - Jansen, A. P. D. PY - 2015 DA - 2015// TI - From concept to content: assessing the implementation fidelity of a chronic care model for frail, older people who live at home JO - BMC Health Serv Res VL - 15 UR - https://doi.org/10.1186/s12913-014-0662-6 DO - 10.1186/s12913-014-0662-6 ID - Muntinga2015 ER - TY - JOUR AU - Daele, T. AU - Audenhove, C. AU - Hermans, D. AU - Bergh, O. AU - Broucke, S. PY - 2014 DA - 2014// TI - Empowerment implementation: enhancing fidelity and adaptation in a psycho-educational intervention JO - Health Promot Int VL - 29 UR - https://doi.org/10.1093/heapro/das070 DO - 10.1093/heapro/das070 ID - Daele2014 ER - TY - STD TI - Ong SE, Tyagi S, Lim JM, Chia KS, Legido-Quigley H. Health systems reforms in Singapore: a qualitative study of key stakeholders. Health Policy. 2018. ID - ref36 ER - TY - JOUR AU - Storm, M. AU - Siemsen, I. M. D. AU - Laugaland, K. AU - Dyrstad, D. N. AU - Aase, K. PY - 2014 DA - 2014// TI - Quality in transitional care of the elderly: key challenges and relevant improvement measures JO - Int J Integr Care VL - 14 UR - https://doi.org/10.5334/ijic.1194 DO - 10.5334/ijic.1194 ID - Storm2014 ER - TY - STD TI - Chong S, Abdin E, Vaingankar JA, Kwok K, Subramaniam M. Where do people with mental disorders in Singapore go to for help? Ann Acad Med Singapore. 2012;41(4):154–160. ID - ref38 ER - TY - STD TI - Chong SA, Abdin E, Picco L, Pang S, Jeyagurunathan A, Vaingankar JA, Kwok KW, Subramaniam M: Recognition of mental disorders among a multiracial population in Southeast Asia. BMC Psychiat. 2016;16:121. ID - ref39 ER - TY - JOUR AU - Yuan, Q. AU - Abdin, E. AU - Picco, L. AU - Vaingankar, J. A. AU - Shahwan, S. AU - Jeyagurunathan, A. AU - Sagayadevan, V. AU - Shafie, S. AU - Tay, J. AU - Chong, S. A. PY - 2016 DA - 2016// TI - Attitudes to mental illness and its demographic correlates among general population in Singapore JO - PLoS One VL - 11 UR - https://doi.org/10.1371/journal.pone.0167297 DO - 10.1371/journal.pone.0167297 ID - Yuan2016 ER - TY - JOUR AU - Pang, S. h. i. r. l. e. n. e. AU - Liu, J. i. a. n. l. i. n. AU - Mahesh, M. i. t. h. i. l. a. AU - Chua, B. o. o. n. Y. i. a. n. g. AU - Shahwan, S. h. a. z. a. n. a. AU - Lee, S. i. a. u. P. h. e. n. g. AU - Vaingankar, J. a. n. h. a. v. i. A. j. i. t. AU - Abdin, E. d. i. m. a. n. s. y. a. h. AU - Fung, D. a. n. i. e. l. S. h. u. e. n. S. h. e. n. g. AU - Chong, S. i. o. w. A. n. n. AU - Subramaniam, M. y. t. h. i. l. y. PY - 2017 DA - 2017// TI - Stigma among Singaporean youth: a cross-sectional study on adolescent attitudes towards serious mental illness and social tolerance in a multiethnic population JO - BMJ Open VL - 7 UR - https://doi.org/10.1136/bmjopen-2017-016432 DO - 10.1136/bmjopen-2017-016432 ID - Pang2017 ER - TY - STD TI - Chong SA, Subramaniam M, Verma S, Chua HC. Responding to the Challenge of Multimorbidity in People with Serious Mental Illness. Ann Acad Med Singapore. 2013;42(10):489–91. ID - ref42 ER - TY - JOUR AU - Coleman, E. AU - Roman, S. PY - 2015 DA - 2015// TI - Family Caregivers' experiences during transitions out of hospital JO - J Healthc Qual VL - 37 UR - https://doi.org/10.1097/01.JHQ.0000460117.83437.b3 DO - 10.1097/01.JHQ.0000460117.83437.b3 ID - Coleman2015 ER - TY - JOUR AU - Heim, N. o. o. r. AU - Rolden, H. e. r. b. e. r. t. AU - van Fenema, E. s. t. h. e. r. M. AU - Weverling - Rijnsburger, A. n. n. e. l. i. e. s. W. E. AU - Tuijl, J. o. l. i. e. n. P. AU - Jue, P. e. t. e. r. AU - Oleksik, A. n. n. a. M. AU - de Craen, A. n. t. o. n. J. M. AU - Mooijaart, S. i. m. o. n. P. AU - Blauw, G. e. r. a. r. d. J. a. n. AU - Westendorp, R. u. d. i. G. J. AU - van der Mast, R. o. o. s. C. AU - van Everdinck, I. r. m. a. E. C. PY - 2016 DA - 2016// TI - The development, implementation and evaluation of a transitional care programme to improve outcomes of frail older patients after hospitalisation JO - Age and Ageing VL - 45 UR - https://doi.org/10.1093/ageing/afw098 DO - 10.1093/ageing/afw098 ID - Heim2016 ER - TY - JOUR AU - Sturmberg, J. AU - Lanham, H. J. PY - 2014 DA - 2014// TI - Understanding health care delivery as a complex system JO - J Eval Clin Pract VL - 20 UR - https://doi.org/10.1111/jep.12142 DO - 10.1111/jep.12142 ID - Sturmberg2014 ER - TY - JOUR AU - Allen, D. D. AU - Penn, M. A. AU - Nora, L. M. PY - 2006 DA - 2006// TI - Interdisciplinary healthcare education: fact or fiction? JO - Am J Pharm Educ VL - 70 UR - https://doi.org/10.5688/aj700239 DO - 10.5688/aj700239 ID - Allen2006 ER - TY - JOUR PY - 2006 DA - 2006// TI - Interdisciplinary Care for Older Adults with complex needs: American Geriatrics Society position statement JO - J Am Geriatr Soc VL - 54 UR - https://doi.org/10.1111/j.1532-5415.2006.00707.x DO - 10.1111/j.1532-5415.2006.00707.x ID - ref47 ER - TY - STD TI - Valentijn PP. Rainbow of Chaos: A study into the Theory and Practice of Integrated Primary Care: Pim P. Valentijn, [S.l.: s.n.], 2015 (Print Service Ede), pp. 195, Doctoral Thesis Tilburg University, The Netherlands, ISBN: 978–94–91602-40-5. Int J Integr Care. 2016;16(2):3. ID - ref48 ER - TY - JOUR AU - Baxter, S. AU - Johnson, M. AU - Chambers, D. AU - Sutton, A. AU - Goyder, E. AU - Booth, A. PY - 2018 DA - 2018// TI - The effects of integrated care: a systematic review of UK and international evidence JO - BMC Health Serv Res VL - 18 UR - https://doi.org/10.1186/s12913-018-3161-3 DO - 10.1186/s12913-018-3161-3 ID - Baxter2018 ER -