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Singapore: The Singapore General Hospital (SGH) Delivering on Target (DOT) Programme Clinically stable patients from the SGH Diabetes Centre. Not clear The DOT GP will develop a one-year patient management plan and send updates on the patient’s health to the referring specialist for shared care follow-up. Private GPs that enrolled in the DOT programme

Malaysia: PeKA B40 Scheme Low income residents aged 50+ and above Not clear The health screening services and medical equipment covered by the programme are clearly defined. Almost 3,000 private clinics registered with PeKa B40 to provide subsidised health screening.

Medicare Chronic Disease Management programme Patient diagnosed with a chronic or complex medical condition present for at least six months and have a GP Management Plan or a Team Care Arrangement (TCA) in The benefit package is not clearly defined, it is only mentioned that each patient can make five consultations per year to the allied health providers, like diabetes Patients can make choice between various accredite

Australia: place Not clear educators.

The United States: Medicaid Incentives for Prevention of Chronic Diseases (MIPCD) Patients recruited from primary care clinic system (participating clinics); low-income; with prediabetes or a history of gestational diabetes. Not clear The programme is based on standardised DPP curriculum, including 16 weekly one-hour sessions of various activities. The services are provided by YMCA and other community facilities.

Assessing global case studies on adherence to strategic purchasing elements

Chronic Disease Management at Community Health Centres Population Health Not clearly defined; Plan to build health management record for the patients of community health centres. Citizen Empowerment Government required the community health centres to provide at least four consultations each year and health guidance. However, the application of scientific evidence-based chronic disease prevention and control by commun

China: Not clear

Health check-ups to prevent chronic diseases For all beneficiaries aged Government required all insurers to provide annual check-up targeting metabolic syndrome and health guidance. But the requirement is quite general, without specifying the specific service item. Dependent on the insurance that patients are enrolled in; no requirement by the Government regarding citizen

Japan: 40-74 years. Not clear choice

Promote Healthy Living and Preventing Chronic Disease Various programmes. No clear overall definition of Government calls for various intervention projects without clear specifying service Multiple partnership projects involving public and private

Canada: Initiative targeted groups. Not clear package. organisations.

The United Kingdom: The NHS Diabetes Prevention Programme (DPP) People with pre-diabetes are identified through general practice (GP) patient registers and NHS Health Checks which are offered every 5 years for 40-74 years old. People living in deprived areas and protected groups – Black, Asian and Minority Ethnic Groups (BAME) are particularly targeted. Not clear Clearly defined benefit package. Four behaviour change provider

Table 2.6 Elements of strategic purchasing Address Population Health Needs Assert Citizen’s Views/Values Clear Benefit Package Increase Citizen Choice

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