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Singapore: The Singapore General Hospital (SGH) Delivering on Target (DOT) Programme There have been several key policy stages in Singapore’s move towards more integrated care for patients with diabetes. No regulating framework or evaluation report being identified. There is little incentive for public hospitals, with their fixed allocated budgets, to join the programme. Government noted that additional incent

Malaysia: PeKA B40 Scheme No system-level health policies or goals targeting on chronic disease prevention and management was identified. Not clear One year since the launch of PeKa B40, the scheme has not yet reached its screening target. Single purchaser, Ministry of Health 3,000 private clinics registered with PeKa B40

Medicare Chronic Disease Management programme Over the last two decades, through a range of policy initiatives, the Australian government has sought to improve prevention and management of chronic diseases by enhancing the capacity of the primary care sector to provide continuity of care with multidisciplinary Poor liaison and linkages between GPs and allied health providers were reported, reflecting the limited

Australia: input. Not clear to enforce provider accountability. physiology, and etc.

The United States: Medicaid Incentives for Prevention of Chronic Diseases (MIPCD) The 2010 Affordable Care Act (ACA) substantially emphasised the prevention of chronic disease by increasing insurance coverage for low-income individuals with diabetes and prediabetes, which lays a foundation for initiatives of those chronic disease prevention programmes. Not clear Evidence shows that there is a widespread adoption o

Chronic Disease Management at Community Health Centres Strengthening Government Stewardship & Capacity Prevention and management of chronic diseases, especially through enhancing primary care services, has been on the top of China health reform agenda since 2009. There are large number of undianogised diabetes and hypertension patients, and the quality of management services is under concern. Developing Effective Pur

China: Not clear government

Health check-ups to prevent chronic diseases Although the Japanese government set a specific target of 65% for participation in the check-ups for NHI by fiscal year 2012, the actual nationwide rate was 33.7%. Multiple purchaser, social health insurers.

Japan: Not clear Not clear Not clear

Promote Healthy Living and Preventing Chronic Disease In the fall of 2011, Canada Declaration of the High-level Meeting of the General Assembly on the Prevention Communicable Diseases. Challenges remain in the multi-sectoral partnership programmes, including defining what constitutes a partnership, managing their risks and benefits, assessing their structures, processes and outcomes, and improving Single purchaser,

Canada: Initiative signed the Political and Control of Non- Not clear their performance. (PHAC) private institutions.

The United Kingdom: The NHS Diabetes Prevention Programme (DPP) The National Health Service (NHS) Long Term Plan endorsed “more NHS action on prevention and health inequalities”. Not clear Some implementation challenges were identified, including managing new providers, promoting awareness of services, recruiting patients, incentive payments, and mechanisms for sharing learning. Single purchaser, NHS England works as p

Elements of strategic purchasing Health Policy Shapes Purchasing Decisions Integrated Regulatory Framework Government Capacity and Credibility Purchaser Competence Choice of Multiple Providers

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