Woan Shin Tan

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OBJECTIVE To determine the predictors of hospital length of stay (LOS) of stroke patients at the point of admission. DESIGN A retrospective cohort study. SETTING An acute hospital rehabilitation center in Singapore. PARTICIPANTS Stroke patients (N=491) admitted between March 2005 and December 2006. INTERVENTIONS None. MAIN OUTCOME MEASURES(More)
INTRODUCTION Electronic prescribing has been proposed as an important strategy to reduce medication errors, improve the quality of patient care and create savings in health care costs. Despite these potential advantages, user satisfaction plays a significant role in the success of its implementation. Hence, this study aims to examine users' satisfaction and(More)
OBJECTIVES We evaluated the impact of Singapore's Medisave for Chronic Disease Management Program (CDMP) program for type 2 diabetes mellitus (T2DM) patients. STUDY DESIGN A longitudinal study comparing differences in compliance with recommended diabetes care processes and management strategies, hospitalization, and costs among the Medisave for CDMP(More)
INTRODUCTION This paper aims to illustrate the use of computer simulation in evaluating the impact of a prototype automated dispensing system on waiting time in an outpatient pharmacy and its potential as a routine tool in pharmacy management. MATERIALS AND METHODS A discrete event simulation model was developed to investigate the impact of a prototype(More)
INTRODUCTION This study determines the extent of, and factors associated with, delayed discharges for stroke patients from inpatient rehabilitation. MATERIALS AND METHODS A retrospective cohort study utilising medical notes review was conducted at an inpatient rehabilitation centre in Singapore. Acute stroke patients (n = 487) admitted between March 2005(More)
BACKGROUND Cost of informal care constitutes an important component of total dementia care cost. It also reflects resource utilization by patients and caregivers. We aim to quantify the informal cost of care for mild to moderate dementia patients. METHODS We recruited 165 patient-caregiver dyads with mild to moderate dementia. Informal care burden was(More)
INTRODUCTION Depression in the elderly is a major public health issue. Socioeconomic status (SES) and social support are strong risk factors for depression. This study aimed to investigate the influence of SES and social support in elderly depression, and the modifying effect of social support on the relationship between SES and depression. MATERIALS AND(More)
BACKGROUND The study objective was to compare physical function documented in the medical records with interview data, and also to evaluate hospital mortality predictions using pre-admission and on-admission functional status derived from these two data sources. METHODS A prospective cohort study of 1402 subjects aged 65 years and older to the general(More)
INTRODUCTION The treatment of chronic obstructive pulmonary disease (COPD) involves different care providers across care sites. This fragmentation of care increases the morbidity and mortality burden, as well as acute health services use. The COPD-Integrated Care Pathway (ICP) was designed and implemented to integrate the care across different sites from(More)
BACKGROUND Due to limited end-of-life discussions and the absence of palliative care, hospitalisations are frequent at the end of life among nursing home residents in Singapore, resulting in high health-care costs. AIM Our objective was to evaluate the economic impact of Project Care at the End-of-Life for Residents in homes for the Elderly (CARE)(More)