Yee Wei Lim

Yee Wei Lim
National University Health System · Saw Swee Hock School of Public Health

MBBS, PhD

About

67
Publications
25,681
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
2,474
Citations
Additional affiliations
January 2003 - June 2011
RAND Corporation
Position
  • Health policy Researcher

Publications

Publications (67)
Article
Full-text available
Introduction: Hospital-at-home programmes are well described in the literature but not in Asia. We describe a home-based inpatient substitutive care programme in Singapore, with clinical and patient-reported outcomes. Methods: We conducted a retrospective cohort study of patients admitted to a hospital-at-home programme from September 2020 to Se...
Article
Full-text available
Introduction With the increasing complexity of healthcare problems worldwide, the demand for better-coordinated care delivery is on the rise. However, current hospital-based practices remain largely disease-centric and specialist-driven, resulting in fragmented care. This study aimed to evaluate the effectiveness and feasibility of an integrated ge...
Chapter
This chapter describes the current state of urban population and the impact of ageing, and examines the potential role of social innovation could improve the physical, mental, and social wellbeing of urban residents and promote healthspan. The idea of co‐mentoring allows both the younger and older persons to be each other's mentors and learn from o...
Article
Full-text available
We conducted a scoping review of social ventures in obesity and developed a taxonomy of their interventions and business models. Sources included PubMed, Business Source Premier, ABI Inform, Factiva, Google, Facebook, Twitter, social entrepreneurship networks (Ashoka, Skoll, and Schwab), and social entrepreneurship competitions. Our review identifi...
Article
Objective: Hospital at Home (HaH) programs have been shown to improve quality of care and patient satisfaction, and reduce bed occupancy rate in hospitals. Despite the prevalence of HaH in Western countries, studies in Asia are limited and the perception of HaH remains underexplored in Asian context. Understanding the perceptions of stakeholders i...
Article
Background Hospital-at-home (HaH) provides acute healthcare in patients’ homes as an alternative to traditional hospital inpatient care. HaH has been shown to improve clinical outcomes, increase patient satisfaction, and reduce hospitalization costs. Despite its effectiveness, the uptake of HaH remains slow and little is known about factors that im...
Article
Full-text available
Introduction: Hospital-at-Home (HaH) programmes are well-established in Australia, Europe, and the United States. However, there is limited experience in Asia, where the hospital is traditionally seen as a safe and trusted space for healing. This cross-sectional study aimed to explore attitudes and perceptions among patients and caregivers in Singa...
Article
Full-text available
Objectives This study investigated physical activity (PA) and sedentary behaviour (SB) among preschool-aged children in Singapore and potential correlates at multiple levels of the socioecological model from in-school and out-of-school settings. Design A cross-sectional study using a mixed-methods approach. Participants Parent–child dyads from si...
Article
Background: Singapore's health care system is strained by the health care needs of a rapidly aging population. The unprecedented collaboration between a public hospital and a private family practice to set up the Family Medicine Clinic (FMC) to co-manage patients with chronic disease is an example of efforts to shift care to the community. Object...
Article
Full-text available
The family environment is key in influencing children's health behaviours. Encouraging family co-participation in physical activity may therefore be an effective approach to increasing children's physical activity levels. Yet, little is known about how to best assess family co-participation in physical activity. This review summarizes methods to me...
Article
Context: Integrated care is an important strategy for increasing health system performance. Despite its growing significance, detailed evidence on the measurement properties of integrated care instruments remains vague and limited. Our systematic review aims to provide evidence on the state of the art in measuring integrated care. Methods: Our c...
Conference Paper
Objectives: Integrated care has been well-recognized as a solution to improve quality of care and quality of life for patients with complex, long-term problems cutting across multiple services, providers, and settings. As Singapore’s healthcare system increasingly adopts integrated models of care, it is unclear if providers, patients and caregivers...
Article
The rapid economic growth in Asia in the past few decades has contributed to the global increase in childhood obesity prevalence. Yet, little is known about obesity prevention efforts in this region. This systematic review provides an overview of child obesity prevention programmes in Asia. Searches were performed in six electronic databases. Out o...
Article
This Viewpoint describes the efforts of social enterpreneurs, individuals and organizations who develop self-sustaining business models to deliver cost-effective health care and social services to poor and underserved communities around the world.At the expiration of the Millennium Development Goals in 2015, the United Nations noted that “millions...
Article
Full-text available
Background Sedentary behaviours (SB) can be characterized by low energy expenditure in a reclining position (e.g., sitting) often associated with work and transport. Prolonged SB is associated with increased risk for chronic conditions, and due to technological advances, the working population is in office settings with high occupational exposure t...
Article
Full-text available
Introduction: The conceptual ambiguity of the integrated care concept precludes a full understanding of what constitutes a well- integrated health system, posing a significant challenge in measuring the level of integrated care. Most available measures have been developed from a disease-specific perspective and only measure certain aspects of integ...
Article
Full-text available
Valid, reliable critical appraisal tools advance quality improvement (QI) intervention impacts by helping stakeholders identify higher quality studies. QI approaches are diverse and differ from clinical interventions. Widely used critical appraisal instruments do not take unique QI features into account and existing QI tools (eg, Standards for QI R...
Article
Full-text available
Objective Effective learning across related scientific investigations through evidence synthesis is critical to promoting evidence based approaches to healthcare. Synthesis of findings from quality improvement intervention (QII) publications, however, poses challenges. We aimed to develop a critical appraisal instrument (the Minimum Quality Criteri...
Article
Full-text available
Integrated care has been suggested as a means to improve the accessibility and quality of healthcare, with the ultimate end of enhancing the health and wellbeing of patients and communities. However, the variations in the concept of integrated care across different stakeholders pose a considerable challenge to an otherwise expanding research area....
Article
Full-text available
In response to the rapidly aging population of Singapore and the increasing demands on healthcare, the Singapore healthcare system was reorganized into six regional health systems (RHS) according to geographic locations to provide a better integrated health system. In each of the RHS, an acute hospital works closely with the community hospital, nur...
Article
Full-text available
In response to the rapidly aging population of Singapore and the increasing demands on healthcare, the Singapore healthcare system was reorganized into six regional health systems (RHS) according to geographic locations to provide a better integrated health system. In each of the RHS, an acute hospital works closely with the community hospital, nur...
Article
Background: Osteoporosis is a major contributor to the propensity to fracture among older adults, and various pharmaceuticals are available to treat it. Purpose: To update a review about the benefits and harms of pharmacologic treatments used to prevent fractures in adults at risk. Data sources: Multiple computerized databases were searched be...
Article
Full-text available
It is crucial to adapt and improve the (primary) health care systems of countries to prepare for future patient profiles and their related needs. The main aim of this study was to acquire a comprehensive overview of the perceptions of primary care experts in Singapore about the state of primary care in Singapore, and to compare this with the state...
Article
Full-text available
The aim of this study was to establish an EQ-5D-3L value set using the time trade-off (TTO) method to elicit the health preferences of the general Singaporean population. The values of 80 EQ-5D-3L health states were elicited from a general Singaporean population sample using a TTO method. In face-to-face interviews, participants were asked to value...
Article
Full-text available
Background: Natural history models of breast cancer progression provide an opportunity to evaluate and identify optimal screening scenarios. This paper describes a detailed Markov model characterising breast cancer tumour progression. Methods: Breast cancer is modelled by a 13-state continuous-time Markov model. The model differentiates between in...
Article
Full-text available
Achieving quality improvement (QI) aims often requires local innovation. Without objective evidence review, innovators may miss previously tested approaches, rely on biased information, or use personal preferences in designing and implementing local QI programmes. To develop a practical, responsive approach to evidence review for QI innovations aim...
Article
Aim: Genetic factors have been found to affect warfarin maintenance dose and a key factor for the successful clinical implementation of warfarin pharmacogenetic testing (WPGT) is economic sustainability. We aimed to estimate the willingness-to-pay (WTP) and preferences for WPGT in Singaporean Chinese subjects. Methods & subjects: A total of 197 wa...
Article
The Singapore Mental Health Study (SMHS) is a population-based, cross-sectional, epidemiological study on the Singapore multi-ethnic adult population. This article provides an overview of the research design and methods used which took into consideration the unique characteristics of the country and its multi-ethnic population. A face-to-face house...
Article
Full-text available
The second author’s name was incorrect in the original publication. It is correct in this erratum.
Article
Mental illnesses are not only a growing public health concern but also a major social and economic issue affecting individuals and families throughout the world. The prevalence of mental disorders, the extent of disability caused by these disorders, and services utilisation of these patients has been well studied in developed countries. The aim of...
Article
Purpose There is no global definition of well-being. Cultural differences in the perception of well-being and the social and behavioral contexts further limit its measurement. Existing instruments are developed in Western societies that differ in their conceptualization of well-being from Asian populations. Moreover, very few instruments address th...
Article
Full-text available
Instruments to measure mental health and well-being are largely developed and often used within Western populations and this compromises their validity in other cultures. A previous qualitative study in Singapore demonstrated the relevance of spiritual and religious practices to mental health, a dimension currently not included in exiting multi-dim...
Article
Full-text available
The term continuous quality improvement (CQI) is often used to refer to a method for improving care, but no consensus statement exists on the definition of CQI. Evidence reviews are critical for advancing science, and depend on reliable definitions for article selection. As a preliminary step towards improving CQI evidence reviews, this study aimed...
Book
Methods of assessing the need for systematic reviews to be updated have been published, but agreement among them is unclear. To compare two methods for assessing the need to update an evidence review, using three evidence reports on the effects of omega-3 fatty acids on cancer, cognition and aging, and cardiovascular diseases (with separate analyse...
Article
Full-text available
The electronic health record (EHR) is seen by many as an ideal vehicle for measuring quality of health care and monitoring ongoing provider performance. It is anticipated that the availability of EHR-extracted data will allow quality assessment without the expensive and time-consuming process of medical record abstraction. A review of the data requ...
Article
Workers' compensation systems increasingly use mandatory treatment guidelines to guide clinicians and for utilization management. This article describes the steps for selecting such guidelines. On the basis of experience with the RAND/University of California, Los Angeles project to help California select guidelines, we identified the necessary cho...
Article
Full-text available
Previous reviews have shown inconsistent effects of publicly reported performance data on quality of care, but many new studies have become available in the 7 years since the last systematic review. To synthesize the evidence for using publicly reported performance data to improve quality. Web of Science, MEDLINE, EconLit, and Wilson Business Perio...
Article
Full-text available
Rigorous guideline development methods are designed to produce recommendations that are relevant to common clinical situations and consistent with evidence and expert understanding, thereby promoting guidelines' acceptability to providers. No studies have examined whether this technical quality consistently leads to acceptability. To examine the cl...
Article
Full-text available
Acute lower respiratory infections (ALRIs) are the primary killer of children in developing countries. Many children with ALRIs are not properly diagnosed, and overuse of antibiotics has led to increasing drug resistance. The introduction of simple and widely accessible diagnostic tests could significantly reduce deaths among children with ALRIs an...
Article
Full-text available
Stunting affects ~ 147 million children in developing countries. Studies have pointed to a relationship between stunting and different pathogens that are associated with diarrhoeal illness. New easy-to-use tools for diagnosing these pathogens could help to identify children at risk for growth shortfall, and reduce the prevalence of stunting and the...
Article
Full-text available
Malaria kills > 1 million children aged < 5 years in sub-Saharan Africa annually. Current control efforts are hampered by increasing drug resistance, unreliable diagnostics, widespread overtreatment and rising drug costs. In this environment, new and widely available malaria diagnostics have the potential to save lives and drastically reduce overtr...
Article
Full-text available
Developing a strategy for investment in diagnostic technologies requires an understanding of the need for, and the health impact of, potential new tools, as well as the necessary performance characteristics and user requirements. In this paper, we outline an approach for modelling the health benefits of new diagnostic tools.
Article
Use of the emergency department (ED) for asthma care is a costly form of health care that is largely preventable. However, little is known about how to reduce the number of people using the ED for asthma care. To identify modifiable factors related to ED visits for asthma among a diverse nonelderly adult population. This study used cross-sectional...
Article
Women have become a major segment of the homeless population, yet little is known about their access to health care or the relationship between access to care and vulnerability of homelessness. To examine homeless women's access to health care using the Expanded Behavioral Model for Vulnerable Populations. Population-based cross-sectional study usi...
Article
This study was designed to assess the burden of disease and injury in the Los Angeles County population using Disability-Adjusted Life Years (DALYs), a composite measure of premature mortality and disability that equates to years of healthy life lost. DALYs, stratified by gender and race/ethnicity, were calculated for 105 health conditions and aggr...
Article
Full-text available
To determine the prevalence of hospital web sites, the types of information provided within these sites, and the relationship of information to institutional characteristics. Online search of hospital web sites over a 6-week period in late 1999. Web sites were abstracted for content. Bivariate comparisons were made of hospital profit status and own...

Network

Cited By