Conference Research

Conference
Research

Nikita Khoo

PhD Candidate, Singapore Management University

Research at the intersection of healthcare affordability, health policy, health economics, equity, and household decision-making in Singapore and the Asia-Pacific region.

ISPOR Asia Pacific Summit 2026

ISPOR Asia Pacific Summit 2026

6–8 September 2026

Bangkok, Thailand

Conceptual ResearchISPOR Asia Pacific Summit 2026 Research Abstract

Hidden Trade-Offs in Healthcare Affordability: How Financing Rules Shape Resource Allocation Among Sandwiched Households in Singapore

Nikita Khoo, PhD Candidate

College of Integrative Studies, Singapore Management University

Themes
Healthcare AffordabilityReimbursement & Access PolicyHealth Disparities & EquityInsurance & Healthcare FinancingHousehold Decision-Making

This research develops a household-level framework for understanding healthcare affordability among "sandwiched" households — working adults who may simultaneously support older parents, children, and their own healthcare needs.

It examines how subsidy eligibility, means-testing, co-payments, compulsory savings, insurance coverage, and family-based payment assumptions may shape treatment decisions and household resource allocation.

Key Idea

Healthcare affordability is not only a system-level financing outcome; it is also a household-level allocation process.

Research Focus
·Subsidy and eligibility thresholds·Co-payment and savings-based financing·Intergenerational caregiving responsibilities·Delayed or postponed healthcare·Household financial trade-offs·Equity and access
Conceptual ResearchISPOR Asia Pacific Summit 2026 Research Abstract

Distinguishing Cost of Living from Quality of Life: A Conceptual Framework Using Singapore as an Illustrative Case

Nikita Khoo, PhD Candidate

College of Integrative Studies, Singapore Management University

Themes
Patient-Centered ResearchQuality of LifeHealth Disparities & EquityCost and Resource UseReimbursement & Access Policy

This research examines why cost of living and quality of life should not be treated as interchangeable concepts in health policy and outcomes research.

The framework distinguishes material affordability pressures — including housing, food, transport, healthcare, and caregiving — from dimensions of lived wellbeing such as health, financial security, autonomy, access to services, and social participation.

Key Idea

Good measured quality of life can coexist with hidden affordability strain when households preserve wellbeing by reducing savings, relying on caregivers, or postponing other needs.

Research Focus
·Affordability versus wellbeing·Patient-centered outcomes·Financial security·Healthcare access·Cost pressures·Quality-of-life measurement·Equity-sensitive policy evaluation
ISUF 2026

International Seminar on Urban Form (ISUF) 2026

31 August – 4 September 2026

Oral Presentation

Social-Spatial Exclusion in Urban Welfare System: The Case of Singapore's Middle Income Population

Presenter: Nikita Khoo

This research examines social-spatial exclusion affecting Singapore's middle-income population and considers how urban form, welfare structures, and socioeconomic positioning can create forms of exclusion that may be overlooked by conventional welfare classifications.

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