Author: Josepha Scheffer
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Theory and Design of the Community for successful ageing (ComSA) program in Singapore: connecting BioPsychoSocial health and quality of life experiences of older adults
Abstract Background Despite the emphasis on holistic health promotion in community programs for older people, few studies explicitly consider how BioPsychoSocial (BPS) health elements are interconnected and function to improve Quality of Life (QoL). The Community for Successful Ageing (ComSA) program in Singapore focuses on Community Development (CD) initiatives for older people, accounting for BPS…
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Cost-Effectiveness Analysis of a Procalcitonin-Guided Decision Algorithm for Antibiotic Stewardship Using Real-World U.S. Hospital Data
Abstract Medical decision-making is revolutionizing with the introduction of artificial intelligence and machine learning. Yet, traditional algorithms using biomarkers to optimize drug treatment continue to be important and necessary. In this context, early diagnosis and rational antimicrobial therapy of sepsis and lower respiratory tract infections (LRTI) are vital to prevent morbidity and mortality. In this…
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Exploring the implementation of the Community for Successful Ageing (ComSA)program in Singapore: lessons learnt on program delivery for improving BioPsychoSocial health
Abstract BackgroundThe Community for Successful Ageing (ComSA) program has implemented overlapping BioPsychoSocial (BPS) components as part of a Community Development (CD) grassroots and volunteer-led initiative. Implementation of such multi-component programming is influenced by known program characteristics including novelty, complexity and observability as well as related organizational factors. As such, we explored ComSA CD’s implementation from…
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Veelbelovend onderzoekparadigma voor complexe zorginnovaties
Realist evaluation bij complexe zorginnovaties
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GEÏNTEGREERDE ZORG SUCCESVOL IMPLEMENTEREN IS MOEILIJKER DAN EEN LANDING OP DE MAAN
GEÏNTEGREERDE ZORG SUCCESVOL IMPLEMENTEREN IS MOEILIJKER DAN EEN LANDING OP DE MAAN
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Barriers and Facilitators to Workforce Changes in Integrated Care
This study explores the barriers and facilitators to implementing workforce changes in integrated chronic care interventions. Using a qualitative multimethod approach, the research highlights the impact of delivery structures, health professionals’ skills, IT, funding, culture, and communication on the success of these interventions. Recommendations for future research and practical implications for health managers and policy-makers…
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Is Procalcitonin Biomarker-Guided Antibiotic Therapy a Cost-Effective Approach to Reduce Antibiotic Resistant and Clostridium difficile Infections in Hospitalized Patients?
Explore the cost-effectiveness of procalcitonin-guided antibiotic therapy in reducing antibiotic resistance and Clostridium difficile infections in hospitalized patients with sepsis and COPD. Study conducted in the UK, Germany, and the Netherlands shows significant health and economic benefits.
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Implementation of Integrated Care in Singapore: A Complex Adaptive System Perspective
This study highlights the significance of effective collaboration to further development of integrated health care in Singapore
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Early-stage health technology assessment of fractional flow reserve coronary computed tomography versus standard diagnostics in patients with stable chest pain in The Netherlands
Cost-Effectiveness of FFRct vs Standard Diagnostics for Stable Chest Pain: Early-stage HTA Results
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Impact of including productivity costs in economic analyses of vaccines for C. difficile infections and infant respiratory syncytial virus, in a UK setting
Considering productivity costs in cost-effectiveness analysis of vaccines will contribute to better informed reimbursement decision from a societal perspective.