ArticleJournal of the economics of ageing2019
The Long-Term Impact of Functional Disability on Hospitalization Spending in Singapore.
Article in Journal of the economics of ageing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06753643 (Implementing the National Frailty Policy in Singapore's Primary Care), which is not on this map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Implementing the National Frailty Policy in Singapore's Primary Care: A Pilot Feasibility Study of The Intrinsic Capacity ProMotion in PrimAry Care for The Frail Program (IMPACTFrail)
Who cites it
18 citing papers in PubMed, 46 citations in OpenAlex.
- Associations of serum neurofilament light chain concentration with able life and healthy life in older adults: The Cardiovascular Health Study.Archives of gerontology and geriatrics · 2026Article
- Factors associated with morbidities among persons with disabilities in Malaysia.Scientific reports · 2026Article
- Association between life's essential 8 and activities of daily living disability in Chinese adults aged 80 years and older: a cross-sectional study from the CLHLS.Frontiers in aging · 2026Article
- Functional dependency level and later-life incident multimorbidity in older people: longitudinal evidence from 19 countries in China and Europe.BMC public health · 2025Article
- Article
- Artificial neural network-driven approaches to improved forecasting of disability care expenditures in an aging Kingdom of Saudi Arabia population.Scientific reports · 2025Article
- Integrated frailty and intrinsic capacity care model for community-dwelling older adults in Singapore: a rapid qualitative study of anticipated implementation barriers and enablers using the Consolidated Framework for Implementation Research and its Outcomes Addendum.Frontiers in health services · 2025Article
- Patients' Expectations of Doctors' Clinical Competencies in the Digital Health Care Era: Qualitative Semistructured Interview Study Among Patients.JMIR human factors · 2024Article
- Projections of functional dependence among the late middle-aged and older population from 2018-2048 in China: a dynamic microsimulation.Global health research and policy · 2024Article
- Dynamic changes and lifetime effect of functional disability profiles for stroke patients: real-world evidence from South Korea.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Increasing neurologically intact survival after out-of-hospital cardiac arrest among elderly: Singapore Experience.Resuscitation plus · 2024Article
- The Association of Sociodemographic Variables and Unhealthy Behaviors With Limitations in Activities of Daily Living Among Thai Older Adults: Cross-sectional Study and Projected Trends Over the Next 20 Years.Asian/Pacific Island nursing journal · 2023Article
- Association of multimorbidity patterns with incident disability and recovery of independence among middle-aged and older adults.Age and ageing · 2022Article
- Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand.Frontiers in public health · 2022Article
- Projecting future health and service use among older people in Ireland: an overview of a dynamic microsimulation model in The Irish Longitudinal Study on Ageing (TILDA).HRB open research · 2022Article
- Smoking, life expectancy, and chronic disease in South Korea, Singapore, and the United States: A microsimulation model.Health economics · 2021Article
- Associations of ADL Disability With Trunk Muscle Mass and Muscle Quality Indicators Measured by Opportunistic Chest Computed Tomography Imaging Among Older Inpatients.Frontiers in medicine · 2021Article
- Healthcare utilisation in the last year of life in internal medicine, young-old versus old-old.BMC geriatrics · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
20 authors at 6 institutions in 2 countries.
Funding
Abstract
Singapore is one of the fastest-aging populations due to increased life expectancy and lowered fertility. Lifestyle changes increase the burden of chronic diseases and disability. These have important implications for social protection systems. The goal of this paper is to model future functional disability and healthcare expenditures based on current trends. To project the health, disability and hospitalization spending of future elders, we adapted the Future Elderly Model (FEM) to Singapore. The FEM is a dynamic Markov microsimulation model developed in the US. Our main source of population data was the Singapore Chinese Health Study (SCHS) consisting of 63,000 respondents followed up over three waves from 1993 to 2010. The FEM model enables us to investigate the effects of disability compounded over the lifecycle and hospitalization spending, while adjusting for competing risk of multi-comorbidities. Results indicate that by 2050, 1 in 6 elders in Singapore will have at least one ADL disability and 1 in 3 elders will have at least one IADL disability, an increase from 1 in 12 elders and 1 in 5 elders respectively in 2014. The highest prevalence of functional disability will be in those aged 85 years and above. Lifetime hospitalization spending of elders aged 55 and above is US$24,400 (30.2%) higher among people with functional disability compared to those without disability. Policies that successfully tackle diabetes and promote healthy living may reduce or delay the onset of disability, leading to potential saving. In addition, further technological improvements may reduce the financial burden of disability.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.