Tan NC
Correspondence: Dr Tan Ngiap Chuan, tan.ngiap.chuan@singhealth.com.sg
ABSTRACT
Singapore is facing an increasing noncommunicable disease burden due to its ageing population. Singapore’s primary healthcare services, provided by both polyclinic physicians and private general practitioners, are available to the public at differential fees for service. The resultant disproportionate patient loads lead to dissatisfaction for both healthcare providers and consumers. This article describes the ‘PAIR UP’ approach as a potential endeavour to facilitate primary care physicians (PCPs) in public and private sectors to collaborate to deliver enhanced primary care in Singapore. PAIR UP is an acronym referring to Policy, Academic development, Integration of healthcare information system, Research in primary care, Utility and safety evaluation, and Practice transformation. The current healthcare landscape is favourable to test out this multipronged approach. PCPs in both sectors can ride on it and work together synergistically to provide quality primary care in Singapore.
Keywords: care integration, policy, practice transformation, primary care
Singapore Med J2014; 55(3): 110-116; http://dx.doi.org/10.11622/smedj.2014030
REFERENCES
1. Gan KY. Speech by Mr Gan Kim Yong, Minister for Health, at the Ministerial Committee on Ageing (MCA) Aged Care Sector Stakeholder's Dialogue on Friday 20 Jan 2012, 9.30AM, Concorde Hotel. In: Ministry of Health [online]. Available at: http://www.moh.gov.sg/content/moh_web/home/pressRoom/speeches_d/2012/spe.... Accessed November 2, 2013. | ||||
2. Ministry of Health, Singapore. Primary Care Survey 2010 – Profile of Primary Care Patients. In: Ministry of Health [online]. Available at: http://www.moh.gov.sg/content/moh_web/home/Publications/information_pape.... Accessed November 2, 2013. | ||||
3. Central Provident Fund Board. Healthcare Financing Framework In Singapore. In: CPF Board [online]. Available at: http://mycpf.cpf.gov.sg/CPF/my-cpf/Healthcare/PvdHC2.htm. Accessed November 2, 2013. | ||||
4. Ministry of Health, Singapore. Medisave. In: Ministry of Health [online]. Available at: http://www.moh.gov.sg/content/moh_web/home/costs_and_financing/schemes_s.... Accessed November 2, 2013. | ||||
5. Agency for Integrated Care. Community Health Assist Scheme. In: CHAS [online]. Available at: http://www.chas.sg/indexpatients.aspx. Accessed November 2, 2013. | ||||
6. Agency for Integrated Care. Regional Health Systems (RHS). In: Agency for Integrated Care [online]. Available at: http://www.aic.sg/page.aspx?id=137. Accessed November 2, 2013. | ||||
7. Khalik S. More community health centres to support GPs. The Straits Times 2011 Dec 27. | ||||
8. Eastern Health Alliance. Community Health Centre. In: Eastern Health Alliance [online]. Available at: http://www.easternhealth.sg/Pages/programs-chc.aspx. Accessed November 2, 2013. | ||||
9. COS Speech by Minister for Health Gan Kim Yong – Better Health for All (Part 1 of 2), 12 March 2013. In: Ministry of Health [online]. Available at: http://www.moh.gov.sg/content/moh_web/home/pressRoom/speeches_d/2013/COS.... Accessed November 3, 2013. | ||||
10. Singapore Medical Council. Registration for Family Physicians. In: SMC [online]. Available at: http://www.healthprofessionals.gov.sg/content/hprof/smc/en/leftnav/annou.... Accessed November 3, 2013. | ||||
11. Ministry of Health, Singapore. Family Medicine Residency Programme. In: Family Physicians Accreditation Board [online]. Available at: http://www.healthprofessionals.gov.sg/content/hprof/fpab/en/leftnav/beco.... Accessed November 3, 2013. | ||||
12. Fellowship Programme. College of Family Physicians Singapore. [online]. Available at: http://cfps.org.sg/programmes/fellowship-programme-fcfps/. Accessed March 11, 2014. | ||||
13. Ministry of Health, Singapore. National Electronic Health Record (NEHR). In: Ministry of Health [online]. Available at: http://www.moh.gov.sg/content/moh_web/home/Publications/educational_reso.... Accessed November 3, 2013. | ||||
14. Ministry of Health Holding. Healthy.SG [online]. Available at: https://healthy.sg/web/guest/content/about. Accessed March 11, 2014. | ||||
15. Beasley JW, Starfield B, van Weel C, Rosser WW, Haq CL. Global health and primary care research. J Am Board Fam Med 2007; 20:518-26. http://dx.doi.org/10.3122/jabfm.2007.06.070172 | ||||
16. Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE. Knowledge translation of research findings. Implement Sci 2012; 7:50. http://dx.doi.org/10.1186/1748-5908-7-50 | ||||
17. Black N. Why we need observational studies to evaluate the effectiveness of health care. BMJ 1996; 312:1215-8. http://dx.doi.org/10.1136/bmj.312.7040.1215 | ||||
18. Giveon S, Kahan E, Kitai E. Factors associated with family physicians' involvement in research in Israel. Acad Med 1997; 72:388-90. http://dx.doi.org/10.1097/00001888-199705000-00020 | ||||
19. Al-Abdullateef SH. A survey of the attitude and practice of research among doctors in Riyadh Military Hospital Primary Care Centers, Saudi Arabia. J Family Community Med 2012; 19:38-42. http://dx.doi.org/10.4103/2230-8229.94012 | ||||
20. Curtis P, Dickinson P, Steiner J, Lanphear B, Vu K. Building capacity for research in family medicine: is the blueprint faulty? Fam Med 2003; 35:124-30. | ||||
21. Westfall JM, Mold J, Fagnan L. Practice-based research – "Blue Highways" on the NIH Roadmap. JAMA 2007; 297:403-6. http://dx.doi.org/10.1001/jama.297.4.403 | ||||
22. Tan NC, Tan YT, Kin PT. Research consultation clinic: impetus towards facilitating primary care research. Asia Pac Fam Med 2013; 12:4. http://dx.doi.org/10.1186/1447-056X-12-4 | ||||
23. Tudiver F, Click IA, Ward P, Basden JA. Evaluation of a quality improvement curriculum for family medicine residents. Fam Med 2013; 45:19-25. | ||||
24. Czabanowska K, Klemenc-Ketis Z, Potter A, et al. Development of a competency framework for quality improvement in family medicine: a qualitative study. J Contin Educ Health Prof 2012; 32:174-80. http://dx.doi.org/10.1002/chp.21142 | ||||
25. Ministry of Health, Singapore. Adverse Event Reporting to HSA. In: Ministry of Health [online]. Available at: http://www.moh.gov.sg/content/moh_web/healthprofessionalsportal/allhealt.... Accessed November 3, 2013. | ||||
26. Ministry of Health, Singapore. Quality & Innovation. In: Ministry of Health [online]. Available at: http://www.moh.gov.sg/content/moh_web/home/our_healthcare_system/quality.... Accessed November 3, 2013. | ||||
27. Wise J. Department of Health lists indicators for healthcare professionals to use in quality accounts. BMJ 2009; 338:b2089. http://dx.doi.org/10.1136/bmj.b2089 | ||||
28. Fung CH, Lim YW, Mattke S, Damberg C, Shekelle PG. Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med 2008; 148:111-23. http://dx.doi.org/10.7326/0003-4819-148-2-200801150-00006 | ||||
29. Wagner EH, Austin BT, Davis C, et al. Improving chronic illness care: translating evidence into action. Health Aff (Millwood) 2001; 20:64-78. http://dx.doi.org/10.1377/hlthaff.20.6.64 | ||||
30. SingHealth Polyclinics. SHP identifies patients' risk of a heart attack with a click of the mouse. In: SingHealth Polyclinics – Newsroom [online]. Available at: http://polyclinic.singhealth.com.sg/AboutSingHealthPolyclinics/Newsroom/.... Accessed November 3, 2013. | ||||
31. Singapore Workforce Development Agency. Workfare Training Support Scheme. In: Employer-based Funding [online]. Available at: http://www.wda.gov.sg/content/wdawebsite/L102-ForEmployers/L223E-007Empl.... Accessed November 3, 2013. | ||||
32. Ministry of Health, Singapore. Clinical Practice Guidelines. In: Ministry of Health [online]. Available at: http://www.moh.gov.sg/content/moh_web/home/Publications/guidelines/cpg.html. Accessed November 3, 2013. | ||||
33. Nathan RA, Sorkness CA, Kosinski M, et al. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol 2004; 113:59-65. http://dx.doi.org/10.1016/j.jaci.2003.09.008 | ||||
34. Ministry of Health, Singapore. Management of Asthma. In: Ministry of Health [online]. Available at: http://www.moh.gov.sg/content/moh_web/home/Publications/guidelines/cpg/2.... Accessed November 3, 2013. | ||||
35. SingHealth Polyclinics. Patient Care. In: SHP Asthmacare Buddy – SingHealth Polyclinics. Available at: http://polyclinic.singhealth.com.sg/PatientCare/PatientResources/Pages/s.... Accessed November 3, 2013. | ||||
36. Collins N, Litt J, Moore M, Winzenberg T, Shaw K. General practice: professional preparation for a pandemic. Med J Aust 2006; 185(10 Suppl):S66-9. | ||||
37. Horvath JS, McKinnon M, Roberts L. The Australian response: pandemic influenza preparedness. Med J Aust 2006; 185(10 Suppl):S35-8. |