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Area of Science:

  • Health Services Research
  • Health Policy
  • Public Health

Background:

  • Singapore's healthcare system faces challenges from an aging population, chronic diseases, and rising costs.
  • The Ministry of Health aims to transform care models for better accessibility, affordability, and quality by 2020.
  • Regional Health Systems (RHS) are a key strategy for integrated care to improve health outcomes and patient satisfaction.

Purpose of the Study:

  • To explore the introduction and development of integrated care in Singapore.
  • To analyze the roles of policy transfer and policy translation in shaping integrated care.
  • To focus on the SingHealth (SGH Campus) Regional Health System (RHS) as a case study.

Main Methods:

  • Qualitative study involving 31 elite stakeholders from five policy agent clusters.
  • Analysis of organizational documents to understand policy implementation.
  • Examination of the SingHealth (SGH Campus) RHS development.

Main Results:

  • Integrated care development is influenced by multi-scalar networks and contextual factors.
  • Interpretations of 'integrated care' and 'policy' are diverse and require negotiation.
  • Institutional factors within RHS, private, and intermediate and long-term care (ILTC) sectors impact policy embedding.

Conclusions:

  • The implementation of integrated care policy in Singapore is complex and context-dependent.
  • Understanding policy transfer and translation is crucial for successful integrated care initiatives.
  • Addressing institutional, spatial, and temporal factors is essential for effective integrated care policy embedding.