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Programme Evaluation

What is programme evaluation?

Programme evaluation isthe systematic collection of information about the activities, characteristics, and outcomes of a programme to:

  • be accountable to funders
  • make judgements about the programme
  • improve the programme
  • inform decisions about future programme development

Evaluations should be planned alongside programme implementation.

What do we do?

The HSR team is closely involved in the programme evaluation of key proof-of-concept projects that are piloted at CGH and SingHealth. Findings from these evaluations have enabled relevant stakeholders, including clinicians, to understand the clinical impact of these programmes on patient care, as well as to continually improve on the programmes to achieve better outcomes.

Method Type Aim Examples of Past Programme Evaluations
  • Administrative (programme/ hospital/ cluster/ national) databases
  • Surveys
  • To study programme implementation processes: coverage, reach, acceptance
  • To study programme outcomes
  • Community nurse home
  • Community palliative care
  • Eastern Community Health Outreach (ECHO) programme
  • GPFirst
  • Health management unit – diabetes mellitus
  • Health management unit – chronic obstructive pulmonary disease
  • Health failure telemonitoring programme
  • Hospital to Home (H2H)
  • Primary Care Network (PCN)
  • Transition care
  • Teledentistry
  • ValuedCare heart failure programme
  • ValuesCare hip fracture programme
  • Document analysis
  • Passive/Participant observations
  • Focus group discussions (FGDs)
  • In-depth interview (structured/ semi-structured)
  • Theory of change or logic development
  • To study programme implementation: feasibility, adoption fidelity, and sustainability
  • To provide explanation for (variation) programme effects
Economic evaluation
  • Cost-minimization analysis
  • Cost-effectiveness analysis
  • Cost-utility analysis
  • Assessment of the cost-effectiveness/efficiency of a programme relative to a comparator

Selected programme evaluation-related first-author publications

Oh HC, Sridharan S, Yap MF, Goh P, Lee L, Venkataraman, How CH, Lim HC. Impact of a Primary Care Partnership Program on Accident and Emergency Attendances at a Regional Hospital in Singapore: A Pilot Study. Singapore Medical Journal (In Press) Nurjono M, Shrestha P, Shiraz F, Ang IYH, Eh Kexin, Toh SA, Vrijhoef HJM. Shifting Care from Hospital to Community, a Strategy to Integrate Care in Singapore: Process Evaluation of Implementation Fidelity. BMC HSR. 2020;20(452)

Nurjono M, Vrijhoef HJM. Integrated Care Ecosystems in Singapore in Desigining Integrated Care Ecosystems. 2019. Pages 137-150

Nurjono M, Shrestha P, Shiraz F, Ang IYH, Yoong J, Toh SA, Vrijhoef HJM. Implementation Fidelity of a Strategy to Integrate Service Delivery: Evaluation of a Transitional Care Program for Individuals with Complex Needs in Singapore. BMC HSR. 2019;19(1):1

Nurjono M, Yoong J, Yap P, Wee SL, Vrijhoef HJM. Implementation of Integrated Care in Singapore; A Complex Adaptive System Perspective. International Journal of Integrated Care. 2018;18(4):4. DOI:

Nurjono M, Shrestha P, Lee A, Lim XY, Shiraz F, Tan S, Wong SH, Foo KM, Wee T, Toh, SA, Yoong J, Vrijhoef HJM. Realist evaluation of a complex integrated care program: a study protocol. BMJ Open. 2018;8:e017111.doi: 10.1136/bmjopen-2017-017111