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Hospital-at-home care in Singapore: distilling policy and implementation strategies essential to support scale-up
Shaoying Dylan Goh1, Tze Yang Tan1, Crystal Min Siu Chua2
1Department of Pharmacy and Pharmaceutical Sciences, Faculty of Science, National University of Singapore, Singapore.
Background:
The 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.
Aim:
To explore key strategies for the effective expansion of MIC@Home in Singapore.
Methods:
This 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.
Results:
The 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.
Conclusion:
This 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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