David B Matchar
Biographic Data
| ID | 5546232 |
|---|---|
| NAME | David B Matchar |
| GIVEN NAMES | David B |
| FAMILY NAME | Matchar |
| SIGNATURE | MATCHAR D B |
| AFFILIATIONS | Duke University |
| ORCID | 0000-0003-3020-2108 |
| VERIFIED | Yes |
| TOTAL WORKS | 26 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 26 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1999 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Implications of Primary Care Scenarios for the ‘Performance’ of Chronic Care Delivery in Switzerland
Switzerland and most high‐income countries are confronted with a growing number of people with chronic conditions who must be treated by healthcare systems that are designed to provide acute care predominantly. A widely supported solution is strengthening the primary care sector to better meet these increasingly complex healthcare needs. We used system dynamics to develop a computer simulation model of the driving factors and their connections to…
Assessing the Utility of a Population Segmentation Tool to Determine Medical Vulnerability Among Adults Experiencing Homelessness
BACKGROUND: Patients experiencing homelessness (PEH) have intersecting medical, social, and behavioral needs. To meet their needs, promising medical respite and integrated care models have been developed. The use of validated population segmentation screening tools is paramount for equitable triage and tailored service delivery. The Simple Segmentation Tool (SST), consisting of global impression categories (GI) and complicating factors (CFs), was…
Expanding diagnostic testing for drug-resistant tuberculosis in high burden settings
In high TB-burden countries, GeneXpert XDR is cost-effective as an additional DR-TB diagnostic test. tNGS is not cost-effective for routine clinical DR-TB testing but has potential for application to high-risk populations, especially with introduction of new TB treatment regimens
You have just got to be careful”—A Qualitative Study Disentangling Health Beliefs and Behaviors Regarding Falls Among Community-Dwelling Older Adults in Singapore
Objectives Understanding older adults’ health beliefs regarding falls is important for the design of participant-centric programs. Although there is evidence on older adults’ perceptions toward falls and falls prevention, there is insufficient understanding of older adults’ adaptive responses to cope with falls. In addition, these perceptions are understudied within the context of Asia for the development of programs in Asia. Methods In-depth int…
Steps to Avoid Falls in the Elderly – a Technology Enhanced Intervention (Safe-Tech) study
NCT06102954|| 22-10-2023
Mapping the value for money of precision medicine
A Causal View of the Role and Potential Limitations of Capitation in Promoting Whole Health System Performance
For several decades, health systems in developed countries have faced rapidly rising healthcare costs without concomitant improvements in health outcomes. Fee for service (FFS) reimbursement mechanisms (RMs), where health systems are paid based on volume, contribute to this trend. In Singapore, the public health service is trying to curb rising healthcare costs by transitioning from a volume-based RM to a capitated payment for a population within…
An Agile Systems Modeling Framework for Bed Resource Planning During Covid-19 Pandemic in Singapore
Background: The COVID-19 pandemic has had a major impact on health systems globally. The sufficiency of hospitals' bed resource is a cornerstone for access to care which can significantly impact the public health outcomes. Objective: We describe the development of a dynamic simulation framework to support agile resource planning during the COVID-19 pandemic in Singapore. Materials and Methods: The study data were derived from the Singapore Genera…
The associations between caregivers’ psychosocial characteristics and caregivers’ depressive symptoms in stroke settings
The study identified subjective burden, quality of care-relationship and expressive social support as significantly associated with caregivers' depressive symptoms. Caregivers' communication skills may also play a role in reducing caregivers' depressive symptoms
Heart Disease and Stroke Statistics—2021 Update
BACKGROUND: The American Heart Association, in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest da…
Primary Care Networks and Starfield’s 4Cs
The primary care network (PCN) was implemented as a healthcare delivery model which organises private general practitioners (GPs) into groups and furnished with a certain level of resources for chronic disease management. A secondary qualitative analysis was conducted with data from an earlier study exploring facilitators and barriers GPs enrolled in PCN's face in chronic disease management. The objective of this study is to map features of PCN t…
The Missed Opportunity of Patient-Centered Medical Homes to Thrive in an Asian Context
In recent years, there is growing interest internationally to implement patient-centered medical homes (PCMHs), and Singapore is no exception. However, studies understanding the influence of contextual policy factors on the implementation of PCMHs are limited. We conducted 10 semi-structured in-depth interviews with general practitioners working in seven out of the nine PCMHs. Audio recordings were transcribed and analyzed by two study team membe…
Examining the Influence of Social Interactions and Community Resources on Caregivers’ Burden in Stroke Settings
Since the introduction of the integrated care model, understanding how social interactions and community resources can alleviate caregivers' burden is vital to minimizing negative patients' outcomes. This study ( n = 214) examined the associations between these factors and caregivers' burden in stroke settings. It used 3-month and 1-year post-stroke data collected from five tertiary hospitals. Subjective and objective caregivers' burdens were mea…
Using Cost-Effectiveness Analysis in Mixed Methods Research
Traditional evaluation techniques are often not suitable for studying health interventions operating in real-world settings, particularly when interventions operate through complex causal pathways. We describe a mixed methods design for evaluating an integrated home care and social support service targeting mature and older adults (55+ years) in Singapore. Here, nurses and community health workers visit patients’ homes to address health and socia…
Heart Disease and Stroke Statistics—2018 Update
Each chapter listed in the Table of Contents (see next page) is a hyperlink to that chapter. The reader clicks the chapter name to access that chapter. Each chapter listed here is a hyperlink. Click on the chapter name to be taken to that chapter. Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together in …
Complexities and Challenges of Singapore Nurses Providing Postacute Home Care in Multicultural Communities
Introduction: Studies are needed to inform the preparation of community nurses to address patient behavioral and social factors contributing to unnecessary readmissions to hospital. This study uses nurses’ input to understand challenges faced during home care, to derive a framework to address the challenges. Methods: Semistructured interviews were conducted to saturation with 16 community nurses in Singapore. Interviews were transcribed verbatim …
Educational differences in the compression of disability incidence in the United States
To our knowledge, no prior studies have examined educational difference in compression of disability incidence and conducted formal tests for statistical significance. Educational differences in life span variation in mortality correspond closely with life span variation in disability incidence. One long-range implication of this work is growing inequality in life-span variation in disability incidence given trends in educational differences in l…
Evaluation methodology for a home-based integrated care program targeting frequently hospitalized older adults in Singapore
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Heart Disease and Stroke Statistics—2015 Update
Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics related to heart disease, stroke, and other cardiovascular and metabolic diseases and presents them in its Heart Disease and Stroke Statistical Update. The Statistical Update represents a critical resource for the lay pu…
Community-Based Long-Term Care Services
Caregivers are critically involved in the decision of using CBLTC services, and their perception of service characteristics is significantly associated with the uptake of CBLTC services. It is important to incorporate both care recipients' and caregivers' needs and preferences when designing and promoting integrated health care delivery models
The impact of population dynamics and foreign labour policy on dependency
Heart Disease and Stroke Statistics—2014 Update
Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics on heart disease, stroke, other vascular diseases, and their risk factors and presents them in its Heart Disease and Stroke Statistical Update. The Statistical Update is a critical resource for researchers, clinicians, h…
Heart Disease and Stroke Statistics—2013 Update
Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics on heart disease, stroke, other vascular diseases, and their risk factors and presents them in its Heart Disease and Stroke Statistical Update*The Statistical Update is a valuable resource for researchers, clinicians, he…
Heart Disease and Stroke Statistics—2011 Update
Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics on heart disease, stroke, other vascular diseases, and their risk factors and presents them in its Heart Disease and Stroke Statistical Update. The Statistical Update is a valuable resource for researchers, clinicians, h…
Treating Qalys With a Heavy Dose of Social Values
Dr Matchar is Professor of Medicine and Director, Duke Center for Clinical Health Policy Research, Durham, North Carolina. Address correspondence to: David B. Matchar, MD, Center for Clinical Health Policy Research, First Union Tower, Suite 230, 2200 W Main St, Durham, NC 27705
Community-Based Long-Term Care Services
Caregivers are critically involved in the decision of using CBLTC services, and their perception of service characteristics is significantly associated with the uptake of CBLTC services. It is important to incorporate both care recipients' and caregivers' needs and preferences when designing and promoting integrated health care delivery models
Determining Clinically Important Differences in Health Status Measures
Treating Qalys With a Heavy Dose of Social Values
Dr Matchar is Professor of Medicine and Director, Duke Center for Clinical Health Policy Research, Durham, North Carolina. Address correspondence to: David B. Matchar, MD, Center for Clinical Health Policy Research, First Union Tower, Suite 230, 2200 W Main St, Durham, NC 27705
Heart Disease and Stroke Statistics—2011 Update
Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics on heart disease, stroke, other vascular diseases, and their risk factors and presents them in its Heart Disease and Stroke Statistical Update. The Statistical Update is a valuable resource for researchers, clinicians, h…
Heart Disease and Stroke Statistics—2013 Update
Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics on heart disease, stroke, other vascular diseases, and their risk factors and presents them in its Heart Disease and Stroke Statistical Update*The Statistical Update is a valuable resource for researchers, clinicians, he…
Heart Disease and Stroke Statistics—2014 Update
Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics on heart disease, stroke, other vascular diseases, and their risk factors and presents them in its Heart Disease and Stroke Statistical Update. The Statistical Update is a critical resource for researchers, clinicians, h…
Heart Disease and Stroke Statistics—2015 Update
Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics related to heart disease, stroke, and other cardiovascular and metabolic diseases and presents them in its Heart Disease and Stroke Statistical Update. The Statistical Update represents a critical resource for the lay pu…
Community-Based Long-Term Care Services
Caregivers are critically involved in the decision of using CBLTC services, and their perception of service characteristics is significantly associated with the uptake of CBLTC services. It is important to incorporate both care recipients' and caregivers' needs and preferences when designing and promoting integrated health care delivery models
The impact of population dynamics and foreign labour policy on dependency
Evaluation methodology for a home-based integrated care program targeting frequently hospitalized older adults in Singapore
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Heart Disease and Stroke Statistics—2018 Update
Each chapter listed in the Table of Contents (see next page) is a hyperlink to that chapter. The reader clicks the chapter name to access that chapter. Each chapter listed here is a hyperlink. Click on the chapter name to be taken to that chapter. Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together in …
Complexities and Challenges of Singapore Nurses Providing Postacute Home Care in Multicultural Communities
Introduction: Studies are needed to inform the preparation of community nurses to address patient behavioral and social factors contributing to unnecessary readmissions to hospital. This study uses nurses’ input to understand challenges faced during home care, to derive a framework to address the challenges. Methods: Semistructured interviews were conducted to saturation with 16 community nurses in Singapore. Interviews were transcribed verbatim …
Educational differences in the compression of disability incidence in the United States
To our knowledge, no prior studies have examined educational difference in compression of disability incidence and conducted formal tests for statistical significance. Educational differences in life span variation in mortality correspond closely with life span variation in disability incidence. One long-range implication of this work is growing inequality in life-span variation in disability incidence given trends in educational differences in l…
Using Cost-Effectiveness Analysis in Mixed Methods Research
Traditional evaluation techniques are often not suitable for studying health interventions operating in real-world settings, particularly when interventions operate through complex causal pathways. We describe a mixed methods design for evaluating an integrated home care and social support service targeting mature and older adults (55+ years) in Singapore. Here, nurses and community health workers visit patients’ homes to address health and socia…
Heart Disease and Stroke Statistics—2021 Update
BACKGROUND: The American Heart Association, in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest da…
Primary Care Networks and Starfield’s 4Cs
The primary care network (PCN) was implemented as a healthcare delivery model which organises private general practitioners (GPs) into groups and furnished with a certain level of resources for chronic disease management. A secondary qualitative analysis was conducted with data from an earlier study exploring facilitators and barriers GPs enrolled in PCN's face in chronic disease management. The objective of this study is to map features of PCN t…
The Missed Opportunity of Patient-Centered Medical Homes to Thrive in an Asian Context
In recent years, there is growing interest internationally to implement patient-centered medical homes (PCMHs), and Singapore is no exception. However, studies understanding the influence of contextual policy factors on the implementation of PCMHs are limited. We conducted 10 semi-structured in-depth interviews with general practitioners working in seven out of the nine PCMHs. Audio recordings were transcribed and analyzed by two study team membe…
Examining the Influence of Social Interactions and Community Resources on Caregivers’ Burden in Stroke Settings
Since the introduction of the integrated care model, understanding how social interactions and community resources can alleviate caregivers' burden is vital to minimizing negative patients' outcomes. This study ( n = 214) examined the associations between these factors and caregivers' burden in stroke settings. It used 3-month and 1-year post-stroke data collected from five tertiary hospitals. Subjective and objective caregivers' burdens were mea…
An Agile Systems Modeling Framework for Bed Resource Planning During Covid-19 Pandemic in Singapore
Background: The COVID-19 pandemic has had a major impact on health systems globally. The sufficiency of hospitals' bed resource is a cornerstone for access to care which can significantly impact the public health outcomes. Objective: We describe the development of a dynamic simulation framework to support agile resource planning during the COVID-19 pandemic in Singapore. Materials and Methods: The study data were derived from the Singapore Genera…
The associations between caregivers’ psychosocial characteristics and caregivers’ depressive symptoms in stroke settings
The study identified subjective burden, quality of care-relationship and expressive social support as significantly associated with caregivers' depressive symptoms. Caregivers' communication skills may also play a role in reducing caregivers' depressive symptoms
Mapping the value for money of precision medicine
A Causal View of the Role and Potential Limitations of Capitation in Promoting Whole Health System Performance
For several decades, health systems in developed countries have faced rapidly rising healthcare costs without concomitant improvements in health outcomes. Fee for service (FFS) reimbursement mechanisms (RMs), where health systems are paid based on volume, contribute to this trend. In Singapore, the public health service is trying to curb rising healthcare costs by transitioning from a volume-based RM to a capitated payment for a population within…
Steps to Avoid Falls in the Elderly – a Technology Enhanced Intervention (Safe-Tech) study
NCT06102954|| 22-10-2023
Expanding diagnostic testing for drug-resistant tuberculosis in high burden settings
In high TB-burden countries, GeneXpert XDR is cost-effective as an additional DR-TB diagnostic test. tNGS is not cost-effective for routine clinical DR-TB testing but has potential for application to high-risk populations, especially with introduction of new TB treatment regimens
You have just got to be careful”—A Qualitative Study Disentangling Health Beliefs and Behaviors Regarding Falls Among Community-Dwelling Older Adults in Singapore
Objectives Understanding older adults’ health beliefs regarding falls is important for the design of participant-centric programs. Although there is evidence on older adults’ perceptions toward falls and falls prevention, there is insufficient understanding of older adults’ adaptive responses to cope with falls. In addition, these perceptions are understudied within the context of Asia for the development of programs in Asia. Methods In-depth int…
Implications of Primary Care Scenarios for the ‘Performance’ of Chronic Care Delivery in Switzerland
Switzerland and most high‐income countries are confronted with a growing number of people with chronic conditions who must be treated by healthcare systems that are designed to provide acute care predominantly. A widely supported solution is strengthening the primary care sector to better meet these increasingly complex healthcare needs. We used system dynamics to develop a computer simulation model of the driving factors and their connections to…
Medicine (23 works) · Family medicine (7 works) · Gerontology (7 works) · Nursing (7 works) · Business (6 works) · Computer Science (6 works) · Disease (6 works) · Health care (6 works) · Population (6 works) · Psychology (6 works)