Could Values and Social Structures in Singapore Facilitate Attainment of Patient-Focused, Cultural, and Linguistic Competency Standards in a Patient-Centered Medical Home Pilot?

Autor: J Nwando Olayiwola MD, MPH, FAAFP, Jenny A Shih AB, Sue-Anne Toh Ee Shiow MBBChir, MA, MSc, DABIM, Hwee-Lin Wee PhD
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Patient Experience, Vol 2 (2015)
Druh dokumentu: article
ISSN: 2374-3743
2374-3735
23743735
DOI: 10.1177/2374373515615975
Popis: Primary care practices in the United States are transforming into patient-centered medical homes (PCMHs) at a rapid pace. Newer PCMH standards have emphasized culturally and linguistically appropriate services (CLAS), but at this time, only some states in the United States have proposed or passed cultural competency training for health care professionals. Other countries are moving to PCMH models. Singapore, a small, ethnically diverse island nation, has national values and social structures that emphasize cultural and linguistic cohesion. In this piece, we examine Singapore’s first PCMH pilot with a national academic center and primary care practice group. Features such as common shared values, self-reliance, racial and religious harmony, patient experience surveillance, and incorporation of CLAS standards in routine health care transactions may predict success for the PCMH in Singapore, with some implications for the United States.
Databáze: Directory of Open Access Journals