Elaine LUM
BPharm, MClinPharm, PhD, FANZCAP
Dr Elaine Lum is Assistant Professor, Health Services & Systems Research at Duke-NUS Medical School and visiting faculty at the Centre for Population Health Research & Implementation (CPHRI), SingHealth, Singapore.
She is an implementation scientist and health services researcher whose work has been enriched by frontline experience as a clinical pharmacist in several countries and real-world implementation projects within healthcare systems in Australia and Singapore.
Her current work in implementation research focusses on last-mile implementation of healthcare innovations — digital health, AI-assisted clinical decision-making, and new care pathways. Elaine’s research program on people-centred implementation investigates how to design for sustainment while right-sizing the process of implementation to efficaciously deliver desired outcomes.
She believes in the value and power of collaborating with people of integrity who do things differently and fail fast, to bring about game-changing practices and innovations for better patient care.
Research vision
Equity of access to health and healthcare through people-centred implementation.
Research program
People-centred implementation
People-centred implementation requires better design and processes. Implementation should not be unduly burdensome for stakeholders, recipients, and users of the innovation. People-centred implementation will be easeful in execution, efficacious in delivering desired outcomes, and frugal in its use of resources. End-user participation is sought as early as practicable, for both the design of the innovation and the design/planning of the implementation. We will use evidence-based implementation strategies that can be sustained beyond the lifetime of the project cycle. Designing for sustainment is key to achieving equity in health and healthcare over the long term. There can be no equity in health and healthcare without sustainment.
The following are research projects within this research program:
- Novel qualitative methods for the exploratory and engagement phases of implementation research
- Capsule implementation strategies that regulate sustainment
- Sustainment indicator tool
Equity of access to effective antibiotics in the future
Antimicrobial resistance remains an important public health issue. Most if not all national action plans for mitigation of antimicrobial resistance state public education/awareness as an important pillar. However, evaluations of public education/awareness campaigns have indicated mixed success. Elaine’s research program includes investigating how public health messages and behaviour change strategies could be more precise if designed through the lens of implementation science.
Research interests
- Implementation science
- Digital health (eHealth, mHealth, healthcare-related AI)
- Medication management including antibiotic stewardship
Research team
Candelyn Yu Pong
Research Assistant
candelynpong@duke-nus.edu.sg
Linh Thai
Research Assistant (Senior)
linhthai@duke-nus.edu.sg
Selected Publications
Lew E, Teo A, Tan S, Dabas R, Sng BL, Lum E. Perceptions and Attitudes of Patients and Health Care Stakeholders on Implementing a Telehealth Service for Preoperative Evaluation: A Qualitative Analysis. Telemedicine Reports. 2023:4(1):156-165.
Lim K, Lum E, Nissen L, Broom A, Seale H. Consumer perceptions of community pharmacists’ involvement in antimicrobial stewardship: A quantitative study. Exploratory Research in Clinical and Social Pharmacy. 2023;10:100281.
Lin X, Yuen JYE; Chan WQJ; Divakar TG, […], Lum E. Using the Consolidated Framework for Implementation Research to guide a pilot of implementing an institution level patient informed consent process for clinical research at an outpatient setting. Pilot & Feasibility Studies. 2023;9(1):6.
Martinengo L, Lum E, Car J. Evaluation of chatbot-delivered interventions for self-management of depression: content analysis. Journal of Affective Disorders. 2022;319:598-607.
Tseng RMWW, Gunasekeran DV, Tan SSH, Rim TH, Lum E, Tan GSW, Wong TY, Tham YC. Considerations for Artificial Intelligence Real-World Implementation in Ophthalmology: Providers' and Patients' Perspectives. Asia Pac J Ophthalmol (Phila). 2021 May-Jun 01;10(3):299-306.
Lum E, Jimenez G, Huang Z, Thai L, Semwal M, Boehm BO, Car J. Decision support and alerts of apps for self-management of blood glucose for type 2 diabetes. Research Letter, JAMA 2019;321(15):1530-1532.
Lum E, Jimenez G, Huang Z, Thai L, Car J. Appropriateness of action prompts for hypoglycaemia and hyperglycaemia in type 2 diabetes self-management apps. Diabetes Metab Res Rev 2019; e3235.
Huang Z, Lum E, Jimenez G, Semwal M, Sloot P, Car J. Medication management support in diabetes: A systematic assessment of diabetes self-management apps, BMC Medicine 2019;17:127.
Lum EPM, Page K, Whitty JA, Doust J, Graves N. Antibiotic prescribing in primary healthcare: Dominant factors and trade-offs in decision-making. Infection, Disease & Health 2018;23(2):74-86.
Lum EPM, Page K, Nissen L, Doust J, Graves N. Australian consumer perspectives, attitudes and behaviours on antibiotic use and antibiotic resistance: A qualitative study with implications for public health policy and practice. BMC Public Health 2017;17:799.