ArticleJBI evidence implementation2025
Hospital-at-home care in Singapore: distilling policy and implementation strategies essential to support scale-up using Policy Labs.
Article in JBI evidence implementation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Designing care at home as an integrated continuum: insights from Singapore and application to U.S. health systems.npj health systems · 2026Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Mobile Inpatient Care at Home (MIC@Home) initiative was implemented as a promising solution to address challenges brought about by rising demand for hospital services due to an aging population. This initiative leveraged technology and remote care delivery.
aimTo explore key strategies for the effective expansion of MIC@Home in Singapore.
methodsThis study examined local qualitative insights reported in the literature and explored the implementation and policy implications through the Policy Labs method. Thirty-two clinicians, administrators, and policymakers participated in the study. Data were collected through facilitated discussions in three Policy Lab sessions. The findings were analyzed and key strategies were identified to prioritize plans for implementation improvements and policy redesign.
resultsThe priorities that would aid in upscaling MIC@Home in Singapore included (1) policy redesign: optimize manpower, shift stakeholder mindsets, enhance third-party providers, and integrate mainstream financing options to support effective implementation; (2) guidelines and clinical operations: emphasize innovative IT solutions for triage, quality-focused training programs, operational efficiency through standardized protocols, nationalized logistics, and collaboration across MIC@Home clusters; and (3) leadership and governance: advocate a clear mandate to establish professional societies for accreditation and create a balanced governance structure that addresses MIC@Home's unique complexities.
conclusionThis study offers valuable insights into the challenges and strategies affecting the MIC@Home model's scalability, highlighting critical areas for implementation and policy redesign. By addressing the identified challenges through targeted strategies, Singapore can champion the MIC@Home model as a viable and sustainable alternative to traditional inpatient care. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A340.
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