Occupational Rehabilitation in Singapore and Malaysia

Chan, Kay-Fei; Tan, Charlie W. C.; Yeo, Doreen; Tan, Heidi Siew Khoon; Tan, Foo Lan; Tan, E. W.; Szeto, Grace P. Y.; Cheng, Andy S. K.

doi:10.1007/s10926-011-9289-1

Cited by 9 publications

(5 citation statements)

References 14 publications

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“…There were also 6 papers identified describing CR but they did not report primary data (Germany, Hong Kong, Singapore, Switzerland and Thailand [34][35][36][37][38][39] ). These publications were summarized in the text only.…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

A Review of Cardiac Rehabilitation Delivery Around the World

Pesah

Supervía

Turk-Adawi

et al. 2017

Progress in Cardiovascular Diseases

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Herein, 28 publications describing cardiac rehabilitation (CR) delivery in 50 of the 113 countries globally suspected to deliver it are reviewed, to characterize the nature of services. Government funding was the main source of CR reimbursement in most countries (73%), with private and patient funding in about ¼ of cases.Myocardial infarction patients and those having revascularization were commonly served. The main professions delivering CR were physicians, nurses, and physiotherapists. Programs offered a median of 20 sessions, although this varied. Most programs offered the core components of exercise training, patient education and nutrition counselling. Alternative models were not commonly offered. Lack of human and/or financial resources as well as space constraints were reported as the major barriers to delivery. Overall, CR delivery has been characterized in less than half of the countries where it is offered. The nature of services delivered is fairly consistent with major CR guidelines and statements.Keywords: cardiac rehabilitation, global health, secondary prevention Alphabetical List of Abbreviations: AS= administrative support CABG = coronary artery bypass graft CB = community-based A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT2 CR = cardiac rehabilitation CPR= cardiopulmonary resuscitation CVD = cardiovascular disease ECG = electrocardiogram EQ= equipment ET = exercise training FR= financial resources HB = home-based HF = heart failure HR= human resources IA = initial assessment IB = internet-based IHD = ischemic heart disease LMIC = low-and middle-income country MI = myocardial infarction NC = nutrition counseling NZ = New Zealand PAW= patient awareness PCI = percutaneous coronary intervention PE = patient education PR= patient referral RF = risk factor management SC = smoking cessation SM = stress management and/or psychosocial support/counselling TI = transportation issues UAE = United Arab Emirates VAD = ventricular assist device A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT3 By 2030, it is expected 84 million individuals will be diagnosed with cardiovascular disease (CVD) 1 .Moreover, it is among the leading causes of disability around the world, and contributes to 10% of disabilityadjusted life years lost world-wide 2 . With improved survival (in high-income countries 3 ), clearly there is a great need for secondary prevention, such as is offered in cardiac rehabilitation (CR) programs.Many meta-analyses demonstrate that participation in CR is associated with improved quality of life, as well as decreased morbidity and mortality [4][5][6][7] . CR is also cost-effective 8 . Accordingly, it is a class 1 level A recommendation in clinical practice guidelines for CVD patients 9,10 . 19 , have established guidelines to ensure consistent provision and quality of CR delivery in order to achieve the greatest population health benefits. They all outline the nature of patients indicated for services, and make recommendations regarding the composition of a multi-disciplinary...

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Section: Accepted M Manuscriptmentioning

confidence: 99%

A Review of Cardiac Rehabilitation Delivery Around the World

Pesah

Supervía

Turk-Adawi

et al. 2017

Progress in Cardiovascular Diseases

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“…Comparing the occupational rehabilitation programs in Malaysia and Singapore, it was found that there are serious gaps in the continuous process from clinical care of injured workers to rehabilitation (in preparation for return-to-work) [8]. It is recommended that comprehensive development and coordination of rehabilitation for RTW programs that incorporate both clinical and community-based facilities.…”

Section: A Rehabilitation and Therapymentioning

confidence: 99%

Game-Based Rehabilitation Program for Community-Based Centers in Malaysia

Latif¹,

Ismail²,

Mahidin³

2020

Int. J. Adv. Sci. Eng. Inf. Technol.

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Rehabilitation and intervention therapy is a program medically structured for disabled patients due to unfortunate events or born with disabilities. Rehabilitation and intervention therapy require prolonged, continuous, and intensive recovery activities that can be time-consuming, difficult, costly, and tedious. Based on studies conducted, rehabilitation and intervention programs are not well-received by many patients due to some reasons. Hence, innovative home-based and community-based rehabilitation and intervention programs are to be advocated and endorsed to engage these disabled patients continuing their required treatments for better success in rehab. Focus groups consist of three community-based rehabilitation centers in Putrajaya, Malaysia, were studied; the goal is to investigate the objectivity of current rehabilitation and intervention programs held. Rehabilitation and intervention programs conducted are designed and implemented based on the disability types of each patient (trainees), executed by teachers, and also professional therapists. Among the many programs held, it had been identified that for revamp; it can be done within one of the programs, which will boost the current rehabilitation and intervention program; the focus should be at the Prepare for School program. The program focuses on younger trainees (aged 5-9 years old), preparing them to enter school. The program uses multimedia courseware as one medium of delivery. Respondents highly recommended that there is a need to infuse and improve the current game elements within the courseware. The change is imperative and necessitated for community-based rehabilitation and intervention program.

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“…of stakeholders At present, the current legislations governing workplace safety and health in Singapore are focused on accident rates, work injury incidences and claim amounts [1,2]. Though RTW is a primary measure of the effectiveness of workers' compensation system [11], there is an absence of a work injury management framework to guide various stakeholders on achieving positive RTW outcomes in Singapore [29]. Thus stakeholders tend to focus more on the process of compensation, rather than rehabilitation back to work, after a work injury.…”

Section: Legislation and Policy Awarenessmentioning

confidence: 99%

“…Thus, referrals for RTW services are dependent on the individual primary physician's level of knowledge and awareness of occupational rehabilitation. For injured workers with more severe disabilities, they may be referred to community rehabilitation agencies for vocational assessment, training and placements [29]. There is a potential for the hospital-based RTWC model of care to coordinate and synergise the existing range of occupational rehabilitation services available in the hospital and community settings and to establish more comprehensive care for injured workers.…”

Section: Coordination and Synergy Of Servicesmentioning

confidence: 99%