Evidence map›Paper›PMID 41811605›Full record

Trial reportJournal of general internal medicine2026

PACE-It: An Integrated Multidisciplinary Technology-Assisted Approach to Person-Centered Care for Individuals with Complex Care Needs.

Prawira Oka, Zhen Sinead Wang, Pei Lin Hu, Chien Earn Lee, Chirk Jenn Ng

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Prawira OkaDepartment of Research, SingHealth Polyclinics, Singapore, Singapore. prawiraoka91@gmail.com.ORCID 0000-0002-6314-201X
Zhen Sinead WangSingHealth-Duke NUS Family Medicine Academic Clinical Program, Singapore, Singapore.
Pei Lin HuDepartment of Research, SingHealth Polyclinics, Singapore, Singapore.
Chien Earn LeeSingHealth Office of Regional Health, Singapore, Singapore.
Chirk Jenn NgDepartment of Research, SingHealth Polyclinics, Singapore, Singapore.

Funding

EmPaTHy program 14/FY2021/G2/01-A167
6 · The paper itself

Abstract

backgroundProviding quality care for individuals with multimorbidity requires the integration of care across health and social care systems; however, the two systems often work in silos, resulting in information asymmetry, fragmented care, and the duplication of services.

aimTo describe a model integrating health and social care for individuals with complex care needs.

settingA public primary care organization in Singapore.

participantsIndividuals with poorly controlled diabetes mellitus and complex psychosocial needs. PROGRAM DESCRIPTION: PACE-It (PrimAry CarE based Integrated community care Team) program comprising an integrated multidisciplinary team and a technology-enabled secure communication platform. PROGRAM EVALUATION: A pilot randomized controlled trial (n = 41) was conducted between December 2020 and February 2022. Individuals enrolled in the PACE-It program had better clinical outcomes than those receiving usual care, with more achieving HbA1c < 7.5% (22.2% vs 9.1%) and LDL < 2.6 mmol/L (80.0% vs 57.1%) at 12 months. They also reported greater patient activation and medication adherence from baseline (PAM score 3 and 4, 43.8% vs 23.3%; MARS-5 ≥ 20, 9.5% vs 4.4%). DISCUSSION: Preliminary findings show improved clinical and patient-reported outcomes. Additionally, the co-development of PACE-It led to stronger relationships and collaboration between health and social care workers.

Indexed as

Delivery of Health Care, IntegratedDiabetes MellitusPatient Care TeamPatient-Centered CareAgedDigital HealthFemaleHumansMaleMiddle AgedPilot ProjectsPrimary Health CareSingapore

Identifiers

PMID41811605
PMCPMC13241540

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Registered trials

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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.