C.TEO1, A.TAN1, Y.HU1, Y.F.NG1
Khoo Teck Puat Hospital1
In line with MOH directives of “three beyond”, RHSes are getting equipped to work with community partners and residents to reshape care delivery, move upstream to target prevention in the community, to improve health outcomes and experience. While conventional patient experience survey (PES) are routinely implemented to assess the experience and quality in healthcare settings, resident’s experience of health in the community, an integral component of quality and value, has not been looked into. This paper aims to define resident’s experience of health, for RHSes to understand residents’ needs in the community.
To explore domains of experience of health and healthcare, a review of health studies in community and health systems (including primary and tertiary care) was conducted.
From the review and gaps in existing experience surveys, seven domains defining resident-centered experience of health were proposed: 1) Availability of services (including preventive health initiatives, trusted health information, social support), 2) affordability of services and health resources, 3) Usefulness of services, 4) quality of service delivery, 5) service integration, 6) affiliation with healthcare provider and 7) environmental determinants.
While some of the domains are measured in PES, the scope of the proposed domains extends beyond healthcare, to include health necessities, preventive care initiatives, and social support system in community. The domains identified are becoming increasingly relevant for RHSes which have extended their care to residents in the community. The concept and domains defined will guide service planning in the community and development of a tool to measure resident’s experience of health.