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TAN SU-KYM- SG's healthcare system (Healthcare system's goal (One…
TAN SU-KYM- SG's healthcare system
Consists of:
High quality and standards
Safe and trusted
Accessible and affordable
Low mortality rate of 2.0
2nd lowest in the world
good healthcare services provided
better living conditions
Long life expectancy of 81.0
9th highest in the world
more advanced technology
increasing aging population
Focused on:
Ensure access to good and affordable healthcare
Multiple layer protection system
based on:
Individual responsibility
working and earning an income
accumulate Medisave amount
Co-payment
Healthcare financing
Government subsidies
Heavy subsidies of up to 80% in public hospitals as well as polyclinics
subsidised clinics and wards (C class ward)
eg. CHAS, PGP (Pioneer Generation Package)
3Ms: providing universal medical coverage for all Singaporeans
Medisave
Compulsory health savings
Help patients for co-payment
Earned through salary
Can be transferred from one family member to another
Used for: surgery, giving birth, chronic diseases and ILTC
MediShield Life
Voluntary, low-cost health insurance system
Pay for large bills, selected outpatient treatments
previously known as MediShield
Medifund
an endowment fund
serve as a safety net
for those who still require help with paying medical bills even after making use of Medisave, MediShield Life, government subsidies as well as cash
The interest income generated from capital sum: utilised, providing financial assistance for healthcare bills
Comprehensive, integrated system of public and private healthcare facilities
Acute, intermediate and primary care sectors
To serve the needs of the population by:
allowing patients to have continued care, according to their needs after discharge from acute hospitals
Allow patients to flow seamlessly through care providers- achieve best outcomes
Prevent patients from getting lost as they move through the system
Enable patients to be cared at most appropriate care setting
Public hospitals supported by:
Primary (polyclinics, GPs)
Intermediate and long-term (community hospitals, nursing homes, day care, home-based services)
Upcoming: Three-Cluster System
Central region: National Healthcare Group (NGH); Eastern region: Singapore Health Services (SingHealth); Western region: National University Health System (NUS)
Each will have:
Fuller range of facilities, capabilities, services and networks across various care settings
Why re-cluster?
Need to transform care models, emphasising population health, preventive care and truly integrated health system
More integrated and better quality healthcare services provided through closer cooperation and resource sharing
Something essential to improve and transform Singapore's healthcare system
An integration across healthcare as well as community services,
focusing on health and healthcare
Easier to strategise and implement decisions across various institutions
New entities can tap the combined strengths of the original clusters
Healthcare system benefits?
System is efficient: better use and allocation of resources (manpower and cost)
Better patient outcomes- less complaints
Receive subsidised healthcare
Polyclinics all over the island
Result:
An integrated system
Supports Singapore's vision: One family physician for every Singaporean
Promoting good health, reducing illness
Health promoting organisations: Health Promotion Board (HPB)
Leading national agency
Advocate healthy lifestyle and driving various national health promotion and illness prevention programs
SG healthcare management
Build healthy population
With the help of preventive healthcare programs and promoting healthy lifestyle
Focus on preventing illness by: keeping healthy lifestyle
Ministry of Health (MOH)
Educate the public
Ensures that there are sufficient resources to help control and prevent diseases
Ageing Planning Office
Sliver Industry Standards Committee (SISC)
Collaborate with HPB to promote healthy ageing for elderly programs
Guidelines on Nutrition and Food Service for Older Adults
Scope
Outlines provision and food preparation for older adults
Covers obligations and roles, nutritional care policy, quality practices, procurement, menu planning, food services and selection
Why need this standard?
Provide guidance on the nutrition and health of older adults
Safe and adequate food are served to meet the nutritional needs of older adults
Meeting the increasing needs of ILTC facilities and community-based services
Users
Operators of institutional/residential and non-residential care facilities and services
Food services providers that cater food to institutional/residential and non-residential care facilities
Lead to a healthy workforce and the healthiest young population
Increased work productivity
Allow healthcare professionals to simplify or automate processes to deliver quality care
Pursuing medical excellence
Improve healthcare by:
Invest in biomedical research
Various innovations
Product innovation
Introduction of new type of good and service for the external market
Process innovation
Enhancement of internal production processes for goods and services
Healthcare innnovation
Introduction of a new concept, service, process, or product aimed at improving treatment, diagnosis, education, prevention and research and with the long term goal of improving quality, safety, outcomes, efficiency and costs
Supporting clinical trials
Working with various international partners
Informatics Technology
electronic Personal Health Record (ePHR)
record and selectively share healthcare information about themselves and their loved ones in a secure manner
HealthHub: initiative by MOH and HPB
Singapore's first one-stop online health information and services portal and mobile information
Provide Singaporeans with easy access to information and services
Increase health literacy
Encourage adoption of healthy habits
Nudge Singaporeans to take greater ownership of their own health and wellness
Allow users to check their key medical records and appointments from public healthcare institutions
electronic Clinical Health Record (eCHR)
Enable physicians and other healthcare providers to securely access healthcare information collated from any number of trusted sources relating to an individual patient in a structured and easily accessible way
healthcare informatics platform
enable all healthcare data to be stored and accessed via the ePHR and eCHR solutions
Integrated health
Better clinical care and streamlined workflows
Support clinical decision making and workflows
Enable providers involved in patient care journey as a team
Seamless transition of patient into different care settings
Better manage chronic illnesses
Enables greater patient participation and supports self-help
Better practices and greater patient safety
Enforce better prescribing practices with peer reviews
Reduce human errors related to handwritten records
Takes guesswork out from lack of past records
Prevent duplicate and unnecessary tests and adverse drug events
IT help to keep costs affordable
Lower incidence of medical errors
Reduce administrative errors
Save time
Specialty centers in Singapore
Making great strides (translational and clinical research)
9 in Singapore
Ministry of Health (MOH)
To promote Singapore as a medical hub
For foreigners seeking medical treatment
Remain affordable for Singaporeans
Bio-polis
Purpose-built biomedical research hub
Attracted top talents from all over the world
Spur medical discoveries
Responsive and effective regulatory system
Help SG secure global reputation
Safety
Quality
Harness information technology
To enhance medical excellence in care delivery
Challenges faced
Increasing aging population = silver tsunami
Long life expectancy
Bed crunch in healthcare facilities
increase in burden of chronic disease-> long-term diseases (stroke, cancer)
Better hygiene conditions
Better access to medical treatment
Lead to decline of infectious diseases
more hospital re-admissions
High demand for beds in public hospitals
90% bed occupancy
Shrinking workforce
government spending on healthcare increases
New and complex conditions
Harder to cure
Require even more advanced technology
R&D (Research and Development) need to do more tests and come out with cures for such conditions
More demand for healthcare manpower
Lack of manpower
Acute care, Intermediate and long-term care
Medical staff
Undesirable working conditions
Lead to:
Work-life imbalance
Low level of job satisfaction
Long working hours
Heavy case load
Underpaid compared to the amount of work they do
Sufficient places in medical schools
Nursing and allied health staff
High number of elderly, low number of staff
Shift work
Not wanting to work on public holidays and weekends
Low career-advancement prospects and scholarships
Unequal distribution of doctors (private and public sectors)
Prefer to work in private than public
Public doctors: more overworked and/or underpaid
Healthcare system's goal
One Singapore, One Health Record
NEHR (National Electronic Health Record)
Key enabler of Singapore's Strategic vision
Integrated healthcare centred on each person
Extracts and consolidates in one record, all clinically relevant information from their encounters across healthcare system throughout one's life
Supports integrated care across care settings and providers in Singapore, made by seamless exchange of health information via IT
Secure "real-time" access to patient health records by authorised clinicians and healthcare providers
Enable greater coordination and informed decision-making
Resulting in more accurate diagnosis, better treatment and patient-centric integrated care
Build a national system to share medical records
World class healthcare system
founded on quality of medical education
First medical school: Yong Loo Lin School of Medicine
Steadfast in providing well trained doctors with well-renowned teaching
New DUKE-NUS graduate medical school
Allows graduates passionate about medicine to become physician scientists
Must challenge to meet the growing needs and expectations of our people
Priority: have a healthy Singapore
All can have access to high quality and affordable healthcare