Healthcare policy for <scp>COVID</scp>‐19 patients on haemodialysis: Adapting to the changing needs of the Omicron variant

Koh, Deanna Xiuting; Chen, James Jianhong; Lee, Martin Yong Kwong; Tan, Chieh Suai; Tan, Elizabeth Wan Ling; Chong, Si Jack; Dan, Yock Young

doi:10.1111/nep.14082

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Nephrology

2022

DOI: 10.1111/nep.14082

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Healthcare policy for COVID‐19 patients on haemodialysis: Adapting to the changing needs of the Omicron variant

Deanna Xiuting Koh

James Jianhong Chen

Martin Yong Kwong Lee

et al.

Abstract: Singapore's COVID-19 healthcare policies strive for resource-efficient ways to ensure safety of the community and individual patient groups-including the 7500 people here on Haemodialysis (HD). 1These have higher COVID-19 infection and mortality risk than the general population 2 and operationally-demanding healthcare needs.Delta (dominant October 2021) was a COVID-19 variant of concern due to its 60% greater hospitalization rate and higher mortality compared to its predecessors. 3 The policy then was therefore Show more

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Management of haemodialysis patients with COVID‐19 in the Omicron BA.4 and BA.5 wave

et al. 2022

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Management of haemodialysis patients with COVID‐19 in the Omicron BA.4 and BA.5 wave

et al. 2022

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Singapore’s Experience in Managing the COVID-19 Pandemic: Key Lessons from the Ground

Koh,

Fong,

Chong

et al. 2023

Ann Acad Med Singap

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Singapore managed the COVID-19 pandemic in the past three years and gleaned valuable lessons on patient management when the public healthcare system was inundated with COVID-19 patients. There were several initiatives, which included setting up of community treatment facilities to help hospitals manage in-patient loads that did not require acute monitoring, leveraging telemedicine, and developing heuristics to sort patients based on their clinical disposition to various care pathways and to effectively manage patients of different medical needs. These initiatives were implemented in the second year of the epidemic in 2021 and did not include the dormitory-based migrant workers and migrant workers in the construction, maritime and production sectors who were under the care of the Assurance, Care and Engagement Group (ACE) in the Ministry of Manpower that had its own set of treatment management measures. The different care pathways ensured that patients received appropriate levels of care and allowed healthcare facilities to focus on more acute cases. In 2022 alone, 23,159 patients were discharged from community treatment facilities against the background of 1.9 million COVID-19 patients. These initiatives would not be possible without the oversight of an advisory board comprising senior leadership from the healthcare clusters and the Ministry of Health to align clinical governance with medical policies, and prompt and immense support from medical specialist panels. The strong public-private partnership forged in the process was instrumental in the successful operation of community facilities and implementation of patient care protocols, coupled with harnessing information technology and leveraging on emerging data to refine care protocols.

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Singapore’s Experience in Managing the COVID-19 Pandemic: Key Lessons from the Ground

Koh,

Fong,

Chong

et al. 2023

Ann Acad Med Singap

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Healthcare policy for COVID‐19 patients on haemodialysis: Adapting to the changing needs of the Omicron variant

Cited by 3 publications

References 3 publications

Management of haemodialysis patients with COVID‐19 in the Omicron BA.4 and BA.5 wave

Management of haemodialysis patients with COVID‐19 in the Omicron BA.4 and BA.5 wave

Singapore’s Experience in Managing the COVID-19 Pandemic: Key Lessons from the Ground

Singapore’s Experience in Managing the COVID-19 Pandemic: Key Lessons from the Ground

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