Lian Leng Low
Biographic Data
| ID | 6009375 |
|---|---|
| NAME | Lian Leng Low |
| GIVEN NAMES | Lian Leng |
| FAMILY NAME | Low |
| SIGNATURE | LOW L L |
| AFFILIATIONS | SingHealth |
| ORCID | 0000-0003-4228-2862 |
| VERIFIED | Yes |
| TOTAL WORKS | 30 |
| TOTAL CITATIONS | 4 |
| AUTHOR COUNT | 30 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2013 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Aging in place
Background: As populations age rapidly, community-based care is crucial to support aging-in-place. Yet, few models successfully integrate health promotion, social engagement and care coordination at scale. Singapore's Active Aging Centers (AACs) represent a novel, nationally coordinated and funded model that integrates health promotion, social engagement, and care coordination for older adults. Despite the increasing policy importance, little is …
Understanding intergenerational interactions and programs in Singapore
Introduction: As the population rapidly ages, older adults are faced with a multitude of physical, psychological, and social challenges that limit their ability to age well. Intergenerational programs have gained traction as a potential solution to address social isolation and loneliness among older adults, while also improving intergenerational solidarity among young adults. The study aimed to explore and compare the experiences, facilitators, a…
Exploring older adults’ perceptions of intergenerational relationships and programs
Introduction: As the global population ages at an unprecedented rate, rapid shifts in demographics and evolving family structures have placed increasing pressure on countries to ensure the health and well-being of an aging population. Intergenerational programs have emerged as a potential solution in improving the physical, social, and psychological outcomes of older adults. While research has primarily focused on intergenerational relationships …
Validation of the extended Nordic Musculoskeletal Questionnaire among healthcare professionals in Singapore
Background Work-related musculoskeletal disorders are highly prevalent among healthcare professionals and contribute to disability, reduced productivity and compromised patient care delivery. The Extended Nordic Musculoskeletal Questionnaire is a comprehensive tool used for gathering data on musculoskeletal symptoms and their impact, however its measurement properties have not been validated in Singapore. This study aimed to evaluate the reliabil…
Community Nurse-led Geriatric Service Care Model
Background: Frailty leads to increased socioeconomic burden, higher healthcare costs and poorer quality of life. The SGH-GSH programme to delay frailty was piloted with exploration on care needs of SGH-GSH patients and the impact on acute care utilization. Approach: In 2019, five hospitals, including Singapore General Hospital (SGH), launched pilot program for Geriatric Service Hub (GSH) funded by MOH. The hub aims to provide community-anchored a…
Mixed methods evaluation of Social Prescribing Program conducted in SingHealth Community Hospitals using the PRISM Framework and PNSAT
Background: Social Prescribing (SP) has been implemented in SingHealth Community Hospitals (SCH) as a non-pharmacological intervention to integrate patients with suboptimal social determinants of health (SDOH) back into the community in Singapore. In SCH, social prescribing was first introduced in July 2019 and the practice was locally adapted to meet the social needs of the aging population. Hence, we aim to evaluate the program conducted in SCH…
Models of community hospitals and state of research in high-income countries
Introduction: Existing literature have not reviewed the growing spectrum of care models in Community Hospitals (CH) along with the scope of research. We fill this gap by reviewing CHs models in high-income countries. Methods: We conducted a scoping review according to Arksey & O'Malley's framework. We searched for articles published between January 2016 to April 2024 in EMBASE, PubMed, and Scopus. Additional studies were identified through snowba…
From the WHO framework to integrated senior health and wellness hub program
Introduction: As global populations age, ensuring older adults maintain functional ability and wellbeing is a critical public health priority. The Integrated Senior Health and Wellness (ISHW) Hub program, developed by Singapore General Hospital (SGH), operationalizes the World Health Organization's (WHO) Integrated Care for Older People (ICOPE) framework within community-based models of care. Implemented in partnership with Active Aging Centers (…
Operationalizing preventive care
PopulaDons across the globe are ageing at an unprecedented pace. By 2050, one in four people 1 in the region is projected to be over 60 years old, creaDng escalaDng demands on health and social care systems. In response, governments have increasingly emphasised prevenDve health and primary care as cornerstones of sustainable health reform, aiming to reduce the burden of chronic disease and promote healthy longevity.Singapore has long been prepari…
Enhancing Seamless and Integrated Care Transitions between Acute and Community Hospitals in Singapore through Co-designed Care Pathways
Both Singapore General Hospital (SGH) and Outram Community Hospital (OCH) are the largest acute and community hospitals in Singapore respectively, and account for a total bed complement of more than 2,100 hospital beds. OCH, is co-located with SGH to deliver a seamless continuum of care, offering integrated care pathways for patients requiring sub-acute care and rehabilitation before reintegrating into the community. This initiative, in alignment…
The One Care Plan Application
Background: Singapore faces challenges arising from a rapidly ageing population and an increasing prevalence of chronic diseases. The imperative is to strengthen connections between acute hospitals and primary, intermediate, long-term, and home care sectors, ensuring the provision of appropriate and accessible care in the community. Currently, services across the social-health continuum are provided by multiple providers. Limited visibility of pa…
An mHealth application (DrBuddy) to improve remote patient monitoring in a Hospital at Home Program in Singapore
Background: Doctor Buddy (DB) is a novel Remote Patient Monitoring (RPM) and mHealth application deployed in SGH@Home – a hospital at home program in Singapore General Hospital (SGH). It comprises: 1.Digital forms for patient registration and health data reporting; 2.Clinician dashboard for RPM; and 3.Multi-lingual, interactive bot on Telegram and WhatsApp Messenger for a.Patient communication and education; and b.Provider alerts for abnormal rea…
HealthStart
Achieving consistent follow-up rates in community-based health screenings is a challenge. Fewer than 75% of patients receive follow-up care in cancer screening programs in the United States. One in four people screened in community health screenings had not returned for a doctor’s follow-up after a year in Singapore. This issue is compounded by the severe shortage of healthcare workers - the World Health Organisation (WHO) estimates a projected g…
Motivations of Healthcare Professionals Volunteering in an Intergenerational, Interprofessional Home Visit Service for Frequently Readmitted Hospital Patients
The global shortfall of healthcare workers as well as the growing issue of healthcare worker (HCW) burnout have placed health systems under increased pressure. This has emphasised the importance of supporting resources such as healthcare-related volunteerism, in which volunteer healthcare professionals (HCVs) play a niche and critical role, often serving as force multipliers for the volunteer teams with whom they serve. This qualitative study loo…
Towards evidence-based approaches to monitoring and evaluating age-friendly cities and communities
Age-Friendly Cities and Communities (AFCC) is a key global WHO initiative aimed at fostering environments that promote healthy aging for everyone. As AFCC initiatives continue to expand, there is an increasing need to enhance monitoring and evaluation systems to effectively assess their progress and impact. However, significant knowledge gaps persist, particularly in the development of evaluation methods and AFCC indicators. Drawing on discussion…
Development of a behaviour change intervention for improving physical activity amongst stroke survivors with physical disabilities
Using behaviour change theory and a co-design approach involving multiple stakeholders, a complex intervention was developed to target physical inactivity after stroke. The intervention titled MOTIVATE is currently being tested in a type 1 hybrid effectiveness-implementation trial
Factors Influencing Influenza Vaccination Uptake Among Community-Dwelling Older Adults
Background: Despite making the influenza vaccine accessible and affordable, vaccination rates remained low among community-dwelling older adults. Therefore, this study aimed to explore the factors influencing vaccine uptake and impact of COVID-19 on vaccine uptake among community-dwelling older adults in Singapore. Methods: A mixed methods study involving a survey and face-to-face semi-structured interviews were conducted between September 2020 a…
Empowering Patients With Diabetes Using Profiling and Targeted Feedbacks Delivered Through Smartphone App and Wearable (Empower)
Introduction: Type 2 diabetes mellitus (T2DM) poses huge burden and cost on the healthcare system. Mobile health (mHealth) interventions that incorporate wearables may be able to improve diabetes self-management. The aim of this randomized controlled trial (RCT) is to investigate the clinical and cost-effectiveness of personalized educational and behavioral interventions delivered through an EMPOWER mobile application (app) among patients with T2…
Personal Goals, Barriers to Self-Management and Desired mHealth Application Features to Improve Self-Care in Multi-Ethnic Asian Patients with Type 2 Diabetes
(1) Introduction: The ubiquity of mobile phones suggests the potential of mobile health applications to reach patients with type 2 diabetes and engage them to improve self-care. This study aimed to explore personal goals, barriers to self-management and desired mobile health application features to improve self-care among multi-ethnic Asian patients with type 2 diabetes. (2) Methods: We conducted semi-structured interviews with patients with type…
Co-Designing an eHealth application to facilitate integrated care coordination between healthcare and social care providers
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 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Impact of Covid-19 Measures on Discharge Planning and Continuity of Integrated Care in the Community for Older Patients in Singapore
Introduction: The COVID-19 pandemic affects the process of care transition for patients with underlying chronic conditions. This study aims to explore the impact of the pandemic measures on discharge planning and continuum of care for vulnerable older patients from multi-stakeholder perspectives. Methods: We conducted focus group discussions and individual interviews with healthcare workers, community partners, government officials and family car…
Covid-19 Vaccine Hesitancy—A Scoping Review of Literature in High-Income Countries
Vaccine hesitancy forms a critical barrier to the uptake of COVID-19 vaccine in high-income countries or regions. This review aims to summarize rates of COVID-19 hesitancy and its determinants in high-income countries or regions. A scoping review was conducted in Medline®, Embase®, CINAHL®, and Scopus® and was reported in accordance with the PRISMA-SCr checklist. The search was current as of March 2021. Studies which evaluated COVID-19 vaccine he…
Factors associated with emergency room visits and hospitalisation amongst low-income public rental flat dwellers in Singapore
In this public rental flat population, functional status, coping and adherence, and having a religion were independently associated with emergency room visits and hospitalisation. Residents who had seen a primary care practitioner in the last 6 months had lower odds of visiting the emergency room
Community Health Post - Enabling seniors to better manage their health
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 5.120 (2020 JCR, received in June 2021)
Public rental housing and its association with mortality – a retrospective, cohort study
Socioeconomic status (SES) is a well-established determinant of health status and home ownership is a commonly used composite indicator of SES. Patients in low-income households often stay in public rental housing. The association between public rental housing and mortality has not been examined in Singapore. A retrospective, cohort study was conducted involving all patients who utilized the healthcare facilities under SingHealth Regional Health …
Transitional care for the highest risk patients
Clinicaltrials.gov, no NCT02325752
Transitional Home Care Program Utilizing the Integrated Practice Unit Concept (THC-IPU)
Delivering transitional care to patients with functional dependence in the form of home visits and organized into an IPU reduced acute hospital utilization in this patient segment. Extending the program into the pre-hospital discharge phase to include discharge planning can have incremental effectiveness in reducing avoidable hospital readmissions
Risk stratification for patients with high care needs
Background: Hospital readmissions are serious and expensive events, and are potentially preventable. [3-5] A good risk stratification tool will enable us to direct intensive care integration efforts towards patients who are most in need and allow the interventions to produce the greatest impact in system improvement
Transitional care for the highest risk patients
Clinicaltrials.gov, no NCT02325752
A Real-time Frequent Hospital Admitter Risk Stratification Model (FAM-Face-SG score) to predict “Familiar Faces 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
Identifying communities at high risk of re-admission in Singapore and understanding their needs during transition of care from hospital to home
Introduction: Frequent admitters account for a disproportionate amount of healthcare utilization. Poor social support and unaddressed care needs are known contributing factors. This study aims to identify high risk communities with frequent hospital admissions in Singapore and understand their care needs during transition from hospital to home.Methods: Using electronic health records (EHR), geospatial mapping of patients with frequent hospital ad…
Transitional Home Care Program Utilizing the Integrated Practice Unit Concept (THC-IPU)
Delivering transitional care to patients with functional dependence in the form of home visits and organized into an IPU reduced acute hospital utilization in this patient segment. Extending the program into the pre-hospital discharge phase to include discharge planning can have incremental effectiveness in reducing avoidable hospital readmissions
Public rental housing and its association with mortality – a retrospective, cohort study
Socioeconomic status (SES) is a well-established determinant of health status and home ownership is a commonly used composite indicator of SES. Patients in low-income households often stay in public rental housing. The association between public rental housing and mortality has not been examined in Singapore. A retrospective, cohort study was conducted involving all patients who utilized the healthcare facilities under SingHealth Regional Health …
Factors associated with emergency room visits and hospitalisation amongst low-income public rental flat dwellers in Singapore
In this public rental flat population, functional status, coping and adherence, and having a religion were independently associated with emergency room visits and hospitalisation. Residents who had seen a primary care practitioner in the last 6 months had lower odds of visiting the emergency room
Community Health Post - Enabling seniors to better manage their health
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 5.120 (2020 JCR, received in June 2021)
Covid-19 Vaccine Hesitancy—A Scoping Review of Literature in High-Income Countries
Vaccine hesitancy forms a critical barrier to the uptake of COVID-19 vaccine in high-income countries or regions. This review aims to summarize rates of COVID-19 hesitancy and its determinants in high-income countries or regions. A scoping review was conducted in Medline®, Embase®, CINAHL®, and Scopus® and was reported in accordance with the PRISMA-SCr checklist. The search was current as of March 2021. Studies which evaluated COVID-19 vaccine he…
Empowering Patients With Diabetes Using Profiling and Targeted Feedbacks Delivered Through Smartphone App and Wearable (Empower)
Introduction: Type 2 diabetes mellitus (T2DM) poses huge burden and cost on the healthcare system. Mobile health (mHealth) interventions that incorporate wearables may be able to improve diabetes self-management. The aim of this randomized controlled trial (RCT) is to investigate the clinical and cost-effectiveness of personalized educational and behavioral interventions delivered through an EMPOWER mobile application (app) among patients with T2…
Personal Goals, Barriers to Self-Management and Desired mHealth Application Features to Improve Self-Care in Multi-Ethnic Asian Patients with Type 2 Diabetes
(1) Introduction: The ubiquity of mobile phones suggests the potential of mobile health applications to reach patients with type 2 diabetes and engage them to improve self-care. This study aimed to explore personal goals, barriers to self-management and desired mobile health application features to improve self-care among multi-ethnic Asian patients with type 2 diabetes. (2) Methods: We conducted semi-structured interviews with patients with type…
Co-Designing an eHealth application to facilitate integrated care coordination between healthcare and social care providers
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 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Impact of Covid-19 Measures on Discharge Planning and Continuity of Integrated Care in the Community for Older Patients in Singapore
Introduction: The COVID-19 pandemic affects the process of care transition for patients with underlying chronic conditions. This study aims to explore the impact of the pandemic measures on discharge planning and continuum of care for vulnerable older patients from multi-stakeholder perspectives. Methods: We conducted focus group discussions and individual interviews with healthcare workers, community partners, government officials and family car…
Factors Influencing Influenza Vaccination Uptake Among Community-Dwelling Older Adults
Background: Despite making the influenza vaccine accessible and affordable, vaccination rates remained low among community-dwelling older adults. Therefore, this study aimed to explore the factors influencing vaccine uptake and impact of COVID-19 on vaccine uptake among community-dwelling older adults in Singapore. Methods: A mixed methods study involving a survey and face-to-face semi-structured interviews were conducted between September 2020 a…
Development of a behaviour change intervention for improving physical activity amongst stroke survivors with physical disabilities
Using behaviour change theory and a co-design approach involving multiple stakeholders, a complex intervention was developed to target physical inactivity after stroke. The intervention titled MOTIVATE is currently being tested in a type 1 hybrid effectiveness-implementation trial
Models of community hospitals and state of research in high-income countries
Introduction: Existing literature have not reviewed the growing spectrum of care models in Community Hospitals (CH) along with the scope of research. We fill this gap by reviewing CHs models in high-income countries. Methods: We conducted a scoping review according to Arksey & O'Malley's framework. We searched for articles published between January 2016 to April 2024 in EMBASE, PubMed, and Scopus. Additional studies were identified through snowba…
From the WHO framework to integrated senior health and wellness hub program
Introduction: As global populations age, ensuring older adults maintain functional ability and wellbeing is a critical public health priority. The Integrated Senior Health and Wellness (ISHW) Hub program, developed by Singapore General Hospital (SGH), operationalizes the World Health Organization's (WHO) Integrated Care for Older People (ICOPE) framework within community-based models of care. Implemented in partnership with Active Aging Centers (…
Operationalizing preventive care
PopulaDons across the globe are ageing at an unprecedented pace. By 2050, one in four people 1 in the region is projected to be over 60 years old, creaDng escalaDng demands on health and social care systems. In response, governments have increasingly emphasised prevenDve health and primary care as cornerstones of sustainable health reform, aiming to reduce the burden of chronic disease and promote healthy longevity.Singapore has long been prepari…
Enhancing Seamless and Integrated Care Transitions between Acute and Community Hospitals in Singapore through Co-designed Care Pathways
Both Singapore General Hospital (SGH) and Outram Community Hospital (OCH) are the largest acute and community hospitals in Singapore respectively, and account for a total bed complement of more than 2,100 hospital beds. OCH, is co-located with SGH to deliver a seamless continuum of care, offering integrated care pathways for patients requiring sub-acute care and rehabilitation before reintegrating into the community. This initiative, in alignment…
The One Care Plan Application
Background: Singapore faces challenges arising from a rapidly ageing population and an increasing prevalence of chronic diseases. The imperative is to strengthen connections between acute hospitals and primary, intermediate, long-term, and home care sectors, ensuring the provision of appropriate and accessible care in the community. Currently, services across the social-health continuum are provided by multiple providers. Limited visibility of pa…
An mHealth application (DrBuddy) to improve remote patient monitoring in a Hospital at Home Program in Singapore
Background: Doctor Buddy (DB) is a novel Remote Patient Monitoring (RPM) and mHealth application deployed in SGH@Home – a hospital at home program in Singapore General Hospital (SGH). It comprises: 1.Digital forms for patient registration and health data reporting; 2.Clinician dashboard for RPM; and 3.Multi-lingual, interactive bot on Telegram and WhatsApp Messenger for a.Patient communication and education; and b.Provider alerts for abnormal rea…
HealthStart
Achieving consistent follow-up rates in community-based health screenings is a challenge. Fewer than 75% of patients receive follow-up care in cancer screening programs in the United States. One in four people screened in community health screenings had not returned for a doctor’s follow-up after a year in Singapore. This issue is compounded by the severe shortage of healthcare workers - the World Health Organisation (WHO) estimates a projected g…
Motivations of Healthcare Professionals Volunteering in an Intergenerational, Interprofessional Home Visit Service for Frequently Readmitted Hospital Patients
The global shortfall of healthcare workers as well as the growing issue of healthcare worker (HCW) burnout have placed health systems under increased pressure. This has emphasised the importance of supporting resources such as healthcare-related volunteerism, in which volunteer healthcare professionals (HCVs) play a niche and critical role, often serving as force multipliers for the volunteer teams with whom they serve. This qualitative study loo…
Towards evidence-based approaches to monitoring and evaluating age-friendly cities and communities
Age-Friendly Cities and Communities (AFCC) is a key global WHO initiative aimed at fostering environments that promote healthy aging for everyone. As AFCC initiatives continue to expand, there is an increasing need to enhance monitoring and evaluation systems to effectively assess their progress and impact. However, significant knowledge gaps persist, particularly in the development of evaluation methods and AFCC indicators. Drawing on discussion…
Aging in place
Background: As populations age rapidly, community-based care is crucial to support aging-in-place. Yet, few models successfully integrate health promotion, social engagement and care coordination at scale. Singapore's Active Aging Centers (AACs) represent a novel, nationally coordinated and funded model that integrates health promotion, social engagement, and care coordination for older adults. Despite the increasing policy importance, little is …
Medicine (20 works) · Health care (19 works) · Nursing (16 works) · Chronic Disease Management Strategies (8 works) · Political science (8 works) · Qualitative research (8 works) · Computer Science (6 works) · Integrated care (6 works) · Psychological intervention (6 works) · Family medicine (5 works)