ArticleAnnals of family medicine2026
Assessing 5-Year Outcomes of a Teamlet Care Model in Singapore Polyclinics: A Matched Difference-in-Difference Analysis.
Article in Annals of family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundA novel teamlet (small team) care model was introduced in 2014 within Singapore polyclinics to improve care continuity and comprehensiveness for patients with chronic disease. Patients were enrolled in smaller teams comprising 2 family physicians, 1 nurse, and 1 care coordinator for coordinated team-based care. This study assessed 5-year outcomes focusing on clinical parameters, care adherence, health care utilization, and economic impact.
methodsWe conducted a retrospective matched cohort study of patients with diabetes, hypertension, or hyperlipidemia enrolled in the teamlet program from 2014 to 2016. Outcomes were compared with matched control patients receiving usual care. We analyzed data from Singapore's Ministry of Health databases using difference-in-differences analysis, controlling for individual and cohort-time fixed effects.
resultsThe teamlet model achieved modest clinical improvements; glycated hemoglobin decreased by 0.1% for subgroups with nonincreasing HbA
conclusionsRestructuring polyclinic workforces into smaller collaborative teams improved care processes and decreased high-cost health care utilization. These findings suggest that scaling team-based care models in high-volume primary care settings might improve overall health care system efficiency and costs.Abstracts available in: يبرع (Arabic), (Chinese), Francais (French), Deutsch (German),हिन्दी (Hindi), Indonesian (Indonesian), (Japanese), Portugues (Portuguese), and Español (Spanish).
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