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Related Concept Videos

Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Related Experiment Video

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Systemic Population Segmentation Based on the Unified Care Model: An Approach to Health System Transformation.

Yun Hu1, Wah Yean Lee1, Ken Wah Teo2

  • 1Khoo Teck Puat Hospital & Yishun Community Hospital, National Healthcare Group, 90 Yishun Central, Singapore 768828, Singapore.

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Summary

This study developed a Systemic Health System Population Segmentation Model, integrating lifelong and episodic care needs. The model highlights psychosocial factors and resource allocation for better health system planning and population health management.

Keywords:
health system transformationintegrated careneeds-based segmentationpopulation segmentationsystemic designunified care model

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Area of Science:

  • Health Systems Management
  • Population Health
  • Healthcare Planning

Background:

  • Population segmentation is vital for integrated, needs-responsive, and sustainable healthcare systems.
  • Yishun Health developed a Unified Care Model based on person-centred and needs-based principles.
  • Understanding population needs is crucial for effective health system planning.

Purpose of the Study:

  • To develop and evaluate a Systemic Health System Population Segmentation Model.
  • To integrate lifelong and episodic care needs for enhanced operational relevance.
  • To identify key determinants of health outcomes and inform resource allocation.

Main Methods:

  • Developed three interdependent models: Lifelong Care, Needs-Based Sub-Segmentation, and Episodic Care.
  • Stratified residents into mutually exclusive groups based on biopsychosocial needs.
  • Utilized expert-driven design with integrated administrative and clinical data for evaluation.

Main Results:

  • Segmented 78,810 residents into seven lifelong care segments and 14,335 emergency admissions into six episodic care segments.
  • Demonstrated significant differences in healthcare utilization and costs across needs-based sub-segments (p < 0.001).
  • Identified psychosocial issues as key determinants of poorer outcomes, impacting resource allocation and care integration.

Conclusions:

  • The Systemic Health System Population Segmentation Model enhances operational utility for population health transformation.
  • Incorporating psychosocial factors, clarifying accountability, and integrating care needs strengthens health system governance.
  • The model provides a robust framework for global health system redesign and leadership.