Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12879-017-2580-9
DC FieldValue
dc.titleComparing patient and healthcare worker experiences during a dengue outbreak in Singapore: Understanding the patient journey and the introduction of a point-of-care test (POCT) toward better care delivery
dc.contributor.authorTan Q.
dc.contributor.authorHildon Z.J.-L.
dc.contributor.authorSingh S.
dc.contributor.authorJing J.
dc.contributor.authorThein T.L.
dc.contributor.authorCoker R.
dc.contributor.authorVrijhoef H.J.M.
dc.contributor.authorLeo Y.S.
dc.date.accessioned2020-09-01T07:52:10Z
dc.date.available2020-09-01T07:52:10Z
dc.date.issued2017
dc.identifier.citationTan Q., Hildon Z.J.-L., Singh S., Jing J., Thein T.L., Coker R., Vrijhoef H.J.M., Leo Y.S. (2017). Comparing patient and healthcare worker experiences during a dengue outbreak in Singapore: Understanding the patient journey and the introduction of a point-of-care test (POCT) toward better care delivery. BMC Infectious Diseases 17 (1) : 503. ScholarBank@NUS Repository. https://doi.org/10.1186/s12879-017-2580-9
dc.identifier.issn14712334
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/173837
dc.description.abstractBackground: In the aftermath of an upsurge in the number of dengue cases in 2013 and 2014, the SD BIOLINE Dengue Duo rapid diagnostic Point-of-Care Test (POCT) kit was introduced in Tan Tock Seng Hospital, Singapore in June 2013. It is known that the success of POCT usage is contingent on its implementation within the health system. We evaluated health services delivery and the Dengue Duo rapid diagnostic test kit application in Singapore from healthcare workers' perspectives and patient experiences of dengue at surge times. Methods: Focus group discussions were conducted with dengue patients, from before and after the POCT implementation period. In-depth interviews with semi-structured components with healthcare workers were carried out. A patient centred process mapping technique was used for evaluation, which mapped the patient's journey and was mirrored from the healthcare worker's perspective. Results: Patients and healthcare workers confirmed a wide range of symptoms in adults, making it challenging to determine diagnosis. There were multiple routes to help seeking, and no 'typical patient journey', with patients either presenting directly to the hospital emergency department, or being referred there by a primary care provider. Patients groups diagnosed before and after POCT implementation expressed some differences between speed of diagnoses and attitudes of doctors, yet shared negative feelings about waiting times and a lack of communication and poor information delivery. However, the POCT did not in its current implementation do much to help waiting times. Healthcare workers expressed that public perceptions of dengue in recent years was a major factor in changing patient management, and that the POCT kit was helpful in improving the speed and accuracy of diagnoses. Conclusions: Health service delivery for dengue patients in Singapore was overall perceived to be of an acceptable clinical standard, which was enhanced by the introduction of the POCT. However, improvements can be focused on Adapting to outbreaks by reducing and rendering Waiting experiences more comfortable; Advancing education about symptom recognition, while also Recognising better communication strategies; and Expanding follow-up care options. This is presented as the Dengue AWARE model of care delivery. © 2017 The Author(s).
dc.publisherBioMed Central Ltd.
dc.sourceUnpaywall 20200831
dc.subjectadult
dc.subjectArticle
dc.subjectclinical article
dc.subjectcomparative study
dc.subjectdengue
dc.subjectdengue rapid test
dc.subjectdiagnostic accuracy
dc.subjectdiagnostic value
dc.subjectemergency ward
dc.subjectepidemic
dc.subjectfemale
dc.subjecthealth care delivery
dc.subjecthealth care quality
dc.subjecthealth personnel attitude
dc.subjecthelp seeking behavior
dc.subjecthuman
dc.subjectmale
dc.subjectpatient attitude
dc.subjectpoint of care testing
dc.subjectsemi structured interview
dc.subjectSingapore
dc.subjectsymptom
dc.subjectdengue
dc.subjectdiagnostic kit
dc.subjectepidemic
dc.subjecthealth care personnel
dc.subjecthealth personnel attitude
dc.subjectinformation processing
dc.subjectmiddle aged
dc.subjectpoint of care system
dc.subjectpublic opinion
dc.subjecttime factor
dc.subjectdiagnostic kit
dc.subjectAdult
dc.subjectAttitude of Health Personnel
dc.subjectDelivery of Health Care
dc.subjectDengue
dc.subjectDisease Outbreaks
dc.subjectFemale
dc.subjectFocus Groups
dc.subjectHealth Personnel
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPoint-of-Care Systems
dc.subjectPublic Opinion
dc.subjectReagent Kits, Diagnostic
dc.subjectSingapore
dc.subjectTime Factors
dc.typeArticle
dc.contributor.departmentSAW SWEE HOCK SCHOOL OF PUBLIC HEALTH
dc.description.doi10.1186/s12879-017-2580-9
dc.description.sourcetitleBMC Infectious Diseases
dc.description.volume17
dc.description.issue1
dc.description.page503
dc.published.statePublished
Appears in Collections:Elements
Staff Publications

Show simple item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
10_1186_s12879-017-2580-9.pdf3.33 MBAdobe PDF

OPEN

NoneView/Download

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.