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Nursing Home Sector Singapore (Issues Faced (Acute Shortage of Beds…
Nursing Home
Sector Singapore
Issues Faced
Acute Shortage of Beds
Limited capacity in
nursing Homes
Evidence: VWO nursing
homes almost fully occupied
Private nursing homes
with subsidy >90% occupancy
Longer Duration of Stays
(Ie Average of 8 years up to 25 years)
Longer Admission wait Lists
depending on locations/nursing
homes and diet
Increasing ageing population
requiring long-term care
Evidence: Rising elderly population
from 6,000 in 1990 to 29,000 in 2011
and is estimated to reach 92,000 by 2030
Shortage of manpower
and quality staff
Limited Funding:
Operates using funds from
religious groups and charities
Low wages & irregular hours
-> Difficult to attract and retain staff
Cheap foreign labour from developing countries
-> their pay includes food and lodging
More work load of care workers
->Duties include changing diapers,
turning patients in their beds
and tube feeding & bathing them
Overwork causes depression &
reduced well-being of workers
Low healthcare service quality
and management capability
Operates independently from
other healthcare systems
Rising operating costs
& challenge in fund raising
->> Under-developed
and under subsidised
->Lack support & connection with
other healthcare systems
Service Gap in
holistic patient care
Suggested
Strategies
Planning and Capacity building
increase bed capacity
evidence: MOH plans to boost total nursing
home capacity by 50 per cent to about
13,600 over the next decade.
having more nursing home
evidence: MOH had expanded nursing
home capacity by about 60 per cent since
2000.
Manpower development, attraction, and retention
pay higher salaries to attract quality staff
evidence: they get free food
and accommodation.
evidence: Government is working to attract
more talented locals with $1.2 million allocated
this year to train health professionals,
health-care staff and administrators
in the sector.
upgrade staff via training and development
& more opportunities in career
Eg. ISC skill certificate for
home care services
with lower bond period
Make the nursing home
less rigid and more humane
Passing elderly autobiographies to foreign nursing home staff
-> Helps overcome language barriers
->understand more of the elderly resident lives
Healthcare quality improvement
more service and management quality improvement initiatives in nursing homes
Change nursing homes from
crammed institutions
to more 'real home'
environments for elderly
Might help to reduce
violence in nursing homes
Use more 'Care' packages
(Assess a patient’s care needs and
pay a lumpsum subsidy) & increase
home care services for elderly
Patient's family could use the money to pay
for a doctor’s visit, or build a ramp or
even pay for home help services
Increase more care coordinators
(Eg nurse manager) to minimise
elderly readmission into hospitals
More elderly health
screening projects
(Eg. examine older folk and
prescribe diet and exercise routines)
Elderly Talks in different languages for
basic home safety tips
Allows elder folk to be more
responsible over own health
(ie elderly remaining healthy and mobile)
Minimise old-age problems like falls
Funding mechanisms to ensure affordability
Reduce transportation costs to
community centres
(for wheelchair bound elderly)
Increase Government
subsidy in home care
medisave - building up on savings to pay for smaller healthcare bills
eldershield supplements & medishield life - risk-pooling via insurance schemes to help with
large healthcare bills
and disability for
long tem care needs
medifund - safety net to provide help to needy Singaporeans
subsidies - keeping healthcare affordable through universal access with co-payment to promote appropiate care
Govt could bulk fund supplies
such as diapers and
milk powder to reduce costs
Definition: catered to
provide long-term
skilled nursing cares
For elderly with or without
sufficiently skilled caregiver
Services include medical &
nursing care, physiotherapy,
dietary services and dental care
Eg. Assisting elderly with daily
activities like bathing, eating
and medication
Offers social support
environment for elderly
Types of
Nursing Homes
Centre based
Home based
Community based
Team 8: Afifah, HuiNee, Chee Faang, Noorul and Keng Yin