Ann Acad Med Singap
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Ann Acad Med Singap · Sep 2022
Cost analysis of a Patient-Centred Medical Home for community-dwelling older adults with complex needs in Singapore.
The Patient-Centred Medical Home (PCMH) demonstration in Singapore, launched in November 2016, aimed to deliver integrated and patient-centred care for patients with biopsychosocial needs. Implementation was based on principles of comprehensiveness, coordinated care and shared decision-making. ⋯ The PCMH care model was associated with reduced costs to the health system and patients for usual primary care, and did not significantly change societal costs.
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Ann Acad Med Singap · Sep 2022
Review Meta AnalysisPeriodontal disease and systemic health: An update for medical practitioners.
Chronic periodontal disease is a highly prevalent dental condition affecting tooth-supporting tissues. Scientific evidence is accumulating on links between periodontal disease and various systemic conditions. This narrative review provides a holistic yet succinct overview that would assist medical practitioners to deliver integrated care for better clinical outcomes. ⋯ Oral-systemic links are multifaceted and complex. While evidence linking periodontal disease with a variety of systemic conditions is still emerging, the nature of the relationship is becoming clearer. The updated understanding of these associations warrants the attention of medical experts and policymakers for a concerted effort to develop a patient-centric, integrated model for the treatment of comorbid dental and medical conditions.