Try to predict and prioritize which options are most likely to work for this particular patient.Ĥ. This is done through biological and genetic testing on fixed, frozen or living tumor specimens. Personalize these options to each patient and doctor team.
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Evaluate any supportive data and where possible, test each option in informative, credible and pre-clinical biological models.ģ. To the extent that time and money will allow, every option should at least be considered even if it has not been used for the I-Team cancer type.Ģ. Identify ALL potential therapeutic options around the globe that might have the doctor treat this particular patient. The objectives of each Investigative Team (I-Team) are to:ġ. What remains are treatments that work best for the patient. Their personal tissue model will then be used for biological analyses and personalized drug testing. The I-Team conducts a top down approach, starting with many options and narrowing them down using the patient’s living tissue. Moreover they are more comprehensive, for the team expands to include international scientists, advocates, and physicians. These options not only come from standard of care, but also clinical trials and emerging technology and therapy. Upon formation, there are four objectives which is to (1) Identify, (2) Evaluate, (3) Personalize, and (4) Accelerate treatment options for the patient.
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Mr Cheng has this to say about the new arrangement, “I save time from travelling and I don’t need to go to two places for my care because Dr Teo is the one doctor who is taking care of me.An Investigative Team (I-Team) is the triangulation of local doctors, patients, and research scientists. This has allowed them to build a deeper doctor-patient relationship. Today, Mr Cheng only sees Dr Desmond Teo, a consultant at the ICare Clinic, in the outpatient setting. This makes it more convenient for our patient, allows him to forge a closer relationship with his doctor and saves him both time and money”. In keeping with the One Care Team approach, the principal doctor, assisted by other healthcare providers and specialists, will be able to address the patient’s concerns. Mr Cheng Yam Kwang, patient of AH ICare clinicĭr Teng Gim Gee, Head of the Live Better programme says, “This one principal doctor will attend to our patients’ healthcare needs and consolidate care plans for those with multiple chronic conditions. I save time from travelling and I don’t need to go to two places for my care because Dr Teo is the one doctor who is taking care of me. The hospital has seen close to 3500 patients at the clinic since its opening in June 2018. And because the ICare clinic is set up with both basic and advanced diagnostic equipment and treatment services on-site in the hospital, it is very often the only stop patients need to make.
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These experienced specialists are well versed in handling a wide variety of illnesses, and are skilled to diagnose, treat and manage chronic diseases often faced by the middle-aged and older people. The ICare clinic is the flagship clinic of AH’s Live Better programme, which focuses on helping patients plagued with multiple health issues.Ī dedicated generalist doctor, trained in Internal Medicine or Family Medicine will be assigned to each patient. To help make the lives of their patients like Mr Cheng easier, Alexandra Hospital (AH), Singapore’s first integrated general hospital, has set up an Integrated Care (ICare) clinic, which aims to provide one- stop care to patients and cut down on unnecessary hospital visits. He does this to ensure that his treatment for one aliment does not hinder or conflict with the progress of the other two. For Mr Cheng, this means having to relate his personal medical history at least thrice, struggle with having to remember follow-up visits made at two different locations, and often taking on the burden of constantly alerting each doctor to the diagnosis of the other two during routine consultations. He suffers from coronary artery disease, high blood pressure, and gout and was seeing three doctors - two hospital specialists and one polyclinic GP, on a regular basis. Mr Cheng Yam Kwang, 66, was one such patient. With an ageing population, we see an increase in patients suffering from multiple medical conditions, often requiring the care of doctors with different specialties. Dr Teng Gim Gee, Head of the Live Better programme This makes it more convenient for our patient, allows him to forge a closer relationship with his doctor and saves him both time and money. This one principal doctor will attend to our patients’ healthcare needs and consolidate care plans for those with multiple chronic conditions.