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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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Published on: February 16, 2011

Systemic Health System Measurement Framework: An Approach Based on the Unified Care Model for Whole Systems

Ther Lim1, Yun Hu1, Ada Wah Yean Lee1

  • 1Khoo Teck Puat Hospital & Yishun Community Hospital, NHG Health, 90 Yishun Central, Singapore 768828, Singapore.

Healthcare (Basel, Switzerland)
|May 13, 2026
PubMed
Summary

A new Systemic Health System Measurement Framework (SHSMF) helps measure population health integration. It reveals psychosocial complexity drives costs, suggesting targeted care redesign can improve outcomes and efficiency.

Keywords:
health systems reformintegrated carepopulation health measurementpopulation segmentationquality indicatorssystemic designunified care model

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Last Updated: May 14, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Health Systems Science
  • Population Health Management
  • Healthcare Measurement

Background:

  • Global health systems are shifting to population-based, person-centered care.
  • Existing measurement systems often remain provider-centric or disease-specific.
  • There is a need for frameworks to measure health system integration success.

Purpose of the Study:

  • To present the Systemic Health System Measurement Framework (SHSMF).
  • To demonstrate how SHSMF addresses measurement gaps in health system transformation.
  • To complete a conceptual trilogy for systemic health system design and transformation.

Main Methods:

  • Conceptual framework development and implementation case study.
  • Utilized the Health System Transformation Playbook (HSTP) methodology.
  • Developed performance and governance dashboards at Yishun Health, Singapore.

Main Results:

  • Descriptive analytics identified systemic patterns not visible with conventional methods.
  • Psychosocial complexity was linked to disproportionate costs, independent of medical acuity.
  • Quality indicators were not worse in complex segments, but costs were higher, suggesting care redesign potential.

Conclusions:

  • The SHSMF enhances health system accountability and governance through needs-based population segmentation.
  • The framework provides a transferable methodology for whole-systems measurement.
  • Implementation demonstrated potential for value-based population health management improvements.