The Remarkable Healthcare Performance in Singapore

Ramesh, M.; Bali, Azad Singh

doi:10.1093/oso/9780198843719.003.0003

Cited by 12 publications

(7 citation statements)

References 21 publications

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“…During this process, most hospitals (more than 80% hospital beds) were changed to public ownership. After the transformation, public hospitals could enjoy operational autonomy and still participate in market competition, but their strategies were under government control (Ramesh & Bali, 2018). However, to support its integrated healthcare vision, which aims to facilitate the continuity of care for patients, Singapore further reorganized the two clusters into a Regional Healthcare Services (RHS) framework in 2010 (Shum & Lee, 2014).…”

Section: Overview Of Healthcare In Singaporementioning

confidence: 99%

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

Klecuń

Zhou

Kankanhalli

et al. 2019

Journal of Information Technology

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Through electronic health record implementation, national healthcare systems are aiming for care integration and enhancement. However, the path to large-scale electronic health record implementation is seldom smooth, involving multiple stakeholders with diverse interests and influences. This study proposes a framework that draws on both stakeholder and institutional theories to understand the complex dynamics of stakeholder interactions and institutional pressures over time during electronic health record systems implementation. This framework is utilized to analyze the national electronic health record programs of Singapore and England, which provide contrasting perspectives on how two top-down system implementations took place with different outcomes. Our results suggest that in the Singapore case, the presence of boundary spanners, supporting implementation agency that included IT staff from healthcare organizations, and greater engagement with medical professionals were associated with more positive dynamics of stakeholder interactions (e.g. limited pushback from professionals or the press) during electronic health record implementation than in England. Differences in the healthcare structures and systems, electronic health record project organization, and the combined influences of institutional pressures shed light on the varying implementation paths and outcomes in the two cases. This study adds to the health information technology literature through a comparative examination of the organizational and social processes during complex national healthcare integration projects. It also contributes to the institutional and stakeholder literatures in several ways, in particular by depicting the processes and outcomes of the dynamics of isomorphic pressures played out under different institutional conditions. Finally, our proposed framework provides a useful conceptual tool for analyzing such complex IT implementations across multiple stakeholders.

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Section: Overview Of Healthcare In Singaporementioning

confidence: 99%

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

Klecuń

Zhou

Kankanhalli

et al. 2019

Journal of Information Technology

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“…Patients' attitudes towards mobile health in Singapore: a cross-sectional study Asia (population: 5.6 million) with an efficient and technology-driven public healthcare system (12)(13)(14). It has one of the highest mobile phone penetrations (147.3% in August 2018) in the world, with an estimated 76% of the population using smartphones (15,16).…”

Section: Introductionmentioning

confidence: 99%

Patients’ attitudes towards mobile health in Singapore: a cross-sectional study

Hossain¹,

Ang²,

Chng³

et al. 2019

mHealth

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Background: Smartphone-mediated mobile health (mHealth) has the potential to assist patients with medication adherence and disease monitoring. This study aimed to describe the awareness and usage of, and attitudes towards, mHealth among smartphone-owning patients in a tertiary hospital in Singapore.Methods: A self-administered cross-sectional survey was systematically offered to patients at the Singapore General Hospital from August to September 2018. Participants were included if they were at least 18 years old, owned a smartphone, and could speak and read simple English. No identifiable data was collected.Responses were summarized using descriptive statistics. Multiple logistic regression analysis was used to identify factors associated with awareness and usage of, and attitudes towards, mHealth.Results: Four-hundred and two eligible responses were received, with most participants reporting having completed tertiary education (63.7%) and having chronic medical conditions (71.1%), with a mean age of about 43 years. On average, participants were aware of 3.7 out of 7 mHealth functions and used 1.9 functions. Most patients were aware that smartphones could be used for general health/fitness tracking, obtaining health information, and appointment management. Most (76.3%) participants were keen to learn to use mHealth in future, and 63.2% agreed that mHealth could help them better manage their health.Conclusions: Although mHealth usage among patients was low, most patients held positive attitudes towards mHealth. For mHealth to fulfill its potential, strategies to improve the awareness and usage among patients need to be explored.

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“…For example, Mukherjee and Giest ( 2019 ) show how individual policy entrepreneurs’ capacity to form and maintain coalitions has enabled effective use of individual, organizational and system-level capacities in digital transformation in the EU. Similarly, Ramesh and Bali ( 2019 ) demonstrate how operational capabilities in Singapore’s health system were amplified by sustained political capacity and trust in government. However, these studies and others in this review do not develop generalizable propositions that can be empirically examined on the complementarities and synergies among different types of capacities in different contexts.…”

Section: Policy Capacity Requisites For Effective Policy Design: Emermentioning

confidence: 99%

Policy capacities and effective policy design: a review

2021

Self Cite

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Effectiveness has been understood at three levels of analysis in the scholarly study of policy design. The first is at the systemic level indicating what entails effective formulation environments or spaces making them conducive to successful design. The second reflects more program level concerns, surrounding how policy tool portfolios or mixes can be effectively constructed to address complex policy objectives. The third is a more specific instrument level, focusing on what accounts for and constitutes the effectiveness of particular types of policy tools. Undergirding these three levels of analysis are comparative research concerns that concentrate on the capacities of government and political actors to devise and implement effective designs. This paper presents a systematic review of a largely scattered yet quickly burgeoning body of knowledge in the policy sciences, which broadly asks what capacities engender effectiveness at the multiple levels of policy design? The findings bring to light lessons about design effectiveness at the level of formulation spaces, policy mixes and policy programs. Further, this review points to a future research agenda for design studies that is sensitive to the relative orders of policy capacity, temporality and complementarities between the various dimensions of policy capacity.

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The Remarkable Healthcare Performance in Singapore

Cited by 12 publications

References 21 publications

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries

Patients’ attitudes towards mobile health in Singapore: a cross-sectional study

Policy capacities and effective policy design: a review

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