For patients with multiple
medical conditions, a routine
visit to the doctor can uncover
health issues beyond the
scope of a single consultation.
My Care Team (MCT) is a
multidisciplinary healthcare team that
oversees a patient's healthcare journey and
provides integrated care to help the patient
achieve his or her health goals.
Joining hands
for holistic healthcare
From its inception as a pilot programme
at Eunos and Punggol Polyclinics in July
2022, the strength of the MCT initiative
lies in the formation of multidisciplinary
care teams in the polyclinic setting. Each
team consists of four doctors, two Care
Managers or nurses, and two trained
ancillary staff known as Health Pals.
These teams care for patients enrolled
in Healthier SG with whom they
develop personalised care plans for
better health outcomes.
In this assembly of healthcare expertise,
doctors take the lead in addressing patients’
medical needs, while Care Managers
conduct clinical assessments, provide
health counselling and recommendation,
and coordinate with community partners
to address patients’ social needs. Rounding
up the care experience are the Health Pals,
who go beyond appointment scheduling
to provide recommendation on preventive
care and close the care gaps by making such
appointments for them as well.
“With each member having distinct but
complementary roles and responsibilities,
the MCT initiative also supports the national
Healthier SG’s vision of ‘one resident, one
doctor’ or ‘one team’,” said Dr Ng Lok Pui,
Director of Regional Clinical Services (East),
and the Programme Lead for MCT.
This strategic alignment within the MCT
supports the national shift in healthcare
delivery to preventive care upstream. “With
an ageing population and the increasing complexity of our patients’ care needs, it can
be challenging to deliver comprehensive
care, especially in the busy polyclinic
context,” explained Dr Ng. “With MCT, after
managing all the complex chronic problems
during the consultation, doctors then entrust
the care to their Care Managers and Health
Pals who will continue conversations with
patient on preventive care.”
Connections
beyond check-ups
MCT also seeks to build enduring, longterm
relationships and foster trust between
patients and their care team.
“Relationship building is critical to meet
the intent of empowering and engaging
patients to take charge of their health,
which is the cornerstone to the national
initiative of Healthier SG,” said Dr Ng.
“Recommendations of preventive care such
as vaccinations and cancer screenings are
healthcare information that are available to
all patients. The key lies in empowering and
activating our patients to take action. Our
MCT members engage patients through their
relationships, provide recommendations,
address concerns, and close the last mile by
coordinating such appointments for them.”
The mindsets that patients have when
it comes to caring for their own health
varies. While some patients may agree to
treatments that resolve their issues directly,
they may be sceptical or uncomfortable
with taking further steps on their own towards preventive care. Care Managers and
Health Pals, in particular, bridge this gap by
connecting with patients and encouraging
steps towards preventive care.
Ms Nur Zanaria Binte Zulkifli, Senior
Patient Service Associate and a Health Pal
at Marine Parade Polyclinic, recounted an
encounter with a diabetic patient in her 50s
who was diligent with her appointments
but had reservations about screenings and
vaccinations. After hearing the patient’s
concerns, Ms Nur Zanaria advised her on
the importance of vaccinations in preventing
infections and improving immunity, and
explained the procedures in fuller detail to
allay her concerns. “As her concerns and
doubts were clarified, she thanked me for
helping her to understand these procedures
as she felt truly cared for,” recalled Ms Nur
Zanaria. “It was encouraging that I was able
to directly contribute to the patient’s health.”
MCT fosters stronger bonds not only
between the team members and their
patients, but also among the members
themselves. Under this collaborative approach
to better healthcare, a strong relationship
and harmonious coordination between
MCT members is emphasised so as to serve
patients better. “My colleagues and I feel more
involved in the care journey of our patients,”
said Ms Nur Zanaria. “Prior to being Health
Pals, we were separated from the concept
of caring for patients as our role was mostly
about appointment bookings. Now, instead of
having to refer patients to nurses and doctors for everything medical-related, we can advise
better on certain aspects using the medical
knowledge that we have been given access
to. We have now become stronger partners to
doctors and nurses.”
As of December 2023, SingHealth
Polyclinics has enrolled approximately
80,000 patients. Nevertheless, Dr Ng pointed
out that both Healthier SG and MCT are
still in their infancy stage, and it would be
optimal for more to be enrolled in Healthier
SG and thus MCT. “Enrolled patients can be
looked after by a regular team of healthcare
providers journeying with them in pursuit
of their health, where care can not only be
delivered by doctors but also by other trained
MCT members,” she said.
Mr Ho is one patient who appreciates
the integrated care offered by MCT.
“The enrolment process was very fast.
My doctor and I discussed and agreed on
a set of health goals, which enables me to
better manage my diet and lifestyle,” shared
Mr Ho, who also highlighted the enhanced
communication and stronger rapport he
enjoys with his assigned care team. “The
Health Pals from my MCT also remind me
of my required vaccinations and make sure
I am always up-to-date with them,” he added.
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