Evidence map›Paper›PMID 37600927›Full record

ArticleFrontiers in health services2023

Health System Transformation Playbook and Unified Care Model: an integrated design, systems & complexity thinking approach to health system transformation.

Ken Wah Teo, Yun Hu, Kwee Tiang Chew, Wee Yang Pek, Hong Choon Chua, David Bruce Matchar, Yeuk Fan Ng

Abstract read
In one paragraph

Article in Frontiers in health services, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Barriers and enablers for health system reform.Frontiers in health services · 2026
    Article
  3. Article
  4. Use of integrated services in antenatal care: A case study of Mabvuku Polyclinic, Zimbabwe.African journal of primary health care & family medicine · 2025
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ken Wah TeoCorporate Development, Khoo Teck Puat Hospital, Yishun Health, National Healthcare Group, Singapore, Singapore.
Yun HuCorporate Development, Khoo Teck Puat Hospital, Yishun Health, National Healthcare Group, Singapore, Singapore.
Kwee Tiang ChewHospital Administration, Khoo Teck Puat Hospital, Yishun Health, National Healthcare Group, Singapore, Singapore.
Wee Yang PekHospital Administration, Khoo Teck Puat Hospital, Yishun Health, National Healthcare Group, Singapore, Singapore.
Hong Choon ChuaCEO's Office, Khoo Teck Puat Hospital, Yishun Health, National Healthcare Group, Singapore, Singapore.
David Bruce MatcharProgramme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.
Yeuk Fan NgCorporate Development, Khoo Teck Puat Hospital, Yishun Health, National Healthcare Group, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health system transformation is a complex journey that often results in unintended consequences. Existing methods to drive health system transformation have intrinsic limitations which impede successful implementation in local contexts. The Health System Transformation Playbook is a design-, systems-, and complexity-thinking enabled methodology to systematically design, prioritize and test health system and services transformation actions, anchored on iterative story telling, model building and pathfinding processes that tackles the scale of socially and technologically complex adaptive systems through time. The Unified Care Model and its associated cascade of models are examples of ongoing application of Health System Transformation Playbook in a regional population health system in Singapore. Use of Health System Transformation Playbook enables stewards of health systems to gain a more systematic and coherent understanding of health systems and services planning and organization development, to accelerate transformation towards people-centered, integrated and value-driven health systems.

Indexed as

care modelchange managementcomplex adaptive systemscomplexity thinkingdesign thinkinghealthcare organizationhealth system transformationsystems thinking

Identifiers

PMID37600927
PMCPMC10433688

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.