DOCSLIB.ORG

INTRODUCTION to SINGAPORE HEALTHCARE Contents

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text

Load more

01 INTRODUCTION TO SINGAPORE HEALTHCARE Contents Chapter 1 Ageing Successfully in Singapore Chapter 2 Healthcare and Community Care Services Chapter 3 Home and Community Development Efforts Chapter 4 Referral Volume and Workload for Home Care Chapter 5 Key Agencies Chapter 6 Legislation Chapter 01 Ageing Successfully in Singapore e CHAPTER01 The population’s median age has increased Singapore is a small but from 39.3 in 2014 to 39.6 in 2015. The proportion of elderly residents has grown from vibrant city state with a 2.5% in 1965 to 11.8% in 2015. Ageing Successfully total land area of 719.1 square kilometres and In terms of age composition, the young-old a total population of (aged 65-74 years) makes up the majority (see Table 1.1). in Singapore 5.61 million. The old-old (aged 75-84) is the next largest group at 29%, while the oldest-old (aged 85 and above), forms the remaining 9%. Table 1.1 Age Composition Young-old Old-old Oldest-old 65 - 69 70 - 74 75 - 79 80 - 84 85 and over 40% 22% 18% 11% 9% Total 100% Number 459,715 p Source: Population Trends 2015, DOS. 04 Booklet 1 Introduction to Singapore Healthcare Introduction to Singapore Healthcare Booklet 1 05 Chapter 01 Ageing Successfully in Singapore Chapter 01 Ageing Successfully in Singapore The Action Plan aims to build a The average life expectancy be aged 65 years old or older The Action Plan for Successful Nation for All Ages, with its of Singaporeans has also by 2030, the rapidly ageing Ageing report was released on increased, contributing to population in Singapore will 24 February 2016. It details initiatives focused on three key areas Singapore’s ageing population. lead to greater demand for about 70 initiatives covering The life expectancy at birth social and healthcare services 12 areas, namely, health First, at the individual level, helping Singaporeans rose from 61.0 years in 1957 to support the elderly. While and wellness, protection live long, live well and age confidently. to 82.7 years in 2015. There is the majority of elderly lead for vulnerable seniors, been a rapid drop in the fertility healthy and independent and research to empower Action Second, at the community level, to build a rate, with the Total Fertility lives, there are some who Singaporeans to achieve the cohesive society with inter-generational harmony. Rate (TFR) falling to below the require additional healthcare goals of the national plan. plan replacement level of 2.1 births and personal care services The action plan is jointly Third, at the city level, to build an age-friendly per woman since 1977. The after being discharged from developed by government city that enables seniors to live actively and age-in- falling birth rate and rising life hospitals. At the same time, agencies, voluntary welfare place confidently. expectancy is increasing the the supply of healthcare and non-profit organisations, number and proportion of the services will be constrained by academia, businesses, elderly. low labour force growth. community and union leaders The Action Plan will cover the following areas: with feedback received from Ageing is Singapore’s key The Ministerial Committee on MOH’s public consultation. demographic challenge. Ageing (MCA) has recently The full Action Plan can be Singapore will be a place where everyone, including The number of seniors aged unveiled a $3 billion national downloaded from [https:// Thrust One: seniors, can continually learn, grow and achieve their fullest 65 years and above will double plan to help Singaporeans age www.moh.gov.sg/content/dam/ potential. Here are some initiatives introduced: from 440,000 in 2015 to over confidently and lead active moh_web/SuccessfulAgeing/ Opportunities for All Ages 900,000 in 2030. With 1 in lives, and with strong bonds action-plan.pdf] every 4 residents expected to to the family and community. Lifelong employability National Seniors’ Health The government, unions and employers introduced Programme a number of measures to improve the lifelong The Ministry of Health (MOH) will employability of our older workers. For example: the launch a new National Senior’s Retirement and Re-employment Act, special employment Health Programme to effectively credit, continuing education and training, and the Tripartite promote health education and Alliance for Fair and Progressive Employment Practices. preventive health services for seniors. The national programme will seek to educate seniors on Lifelong learning key health issues related to As a society, Singapore places emphasis on education age, encourage seniors to adopt and training. The government has invested heavily healthy living habits and bring HomeCare in developing a strong education and training preventive health services to their system for both our young and adult workforce. Going doorsteps. The ministry aims to forward, the Government will create more opportunities reach over 400,000 seniors. for Singaporeans to continue enriching their silver years through the pursuit of lifelong learning. Senior Volunteerism Retirement Adequacy The government has started a national senior volunteerism Various enhancement were made movement so that seniors can contribute their talents to retirement schemes to assure and experience. The Government aims to recruit an seniors that they can afford their additional 50,000 senior volunteers. living expenses, healthcare and long term care needs after they retire. 06 Booklet 1 Introduction to Singapore Healthcare Introduction to Singapore Healthcare Booklet 1 07 Chapter 01 Ageing Successfully in Singapore Chapter 01 Ageing Successfully in Singapore Singapore will be distinctive globally not just for its economic success, but City also as a model for successful ageing. Singapore will be a caring and inclusive society that The Government wants to transform respects and embraces seniors as an integral part of Singapore into an age-friendly city for all Thrust Two: our cohesive community. Here are some opportunities where Singaporeans can age-in- Kampong for All Ages created for friendship and mutual support among place gracefully and confidently. seniors and their neighbours in the community: ages Develop “Communities of Care” to Promote inter-generational harmony The healthcare system help seniors age-in-place The Housing & Development Board (HDB) has The government will implement a Healthcare 2020 Masterplan to introduced a number of policies to encourage The People’s Association will leverage on expand healthcare infrastructure to address growing healthcare Singaporeans to live close to and support their its community facilities and its network to needs. Furthermore, MOH will transform healthcare service elderly parents. For example, the Multi-Generation deliver health services and promote health delivery in the following ways: education, senior learning and volunteerism Priority Scheme encourages families to live close under the Wellness Programme. The aim is to one another, while the Married Child Priority Enhance geriatric capability in acute hospitals Ramp up manpower development to ensure to eventually have a wellness hub in every Scheme encourages married children and parents there will be enough staff to support the mature neighbourhood. to reside together. In addition, HDB, the Ministry Pilot community-based geriatric services to of Health and the Early Childhood Development bring care closer to older Singaporeans in expansion in aged care services Agency (ECDA) will plan for eldercare and the community Expand community support for seniors childcare facilities to be co-located in 10 new HDB Develop Geriatric Dental Expertise and Services with dementia housing developments. to improve the oral health of our senior Pilot new “Nursing Homes of the Future” population Test bed tele-health solutions to better care for Encourage love and respect Future-ready legislation to prepare for Further expand the capacity of intermediate older patients for seniors Singapore’s ageing population and long-term care services between Enhance the capacity, affordability and quality of 2015 and 2020 The People’s Association will work with its Today, there are two main Acts to protect the palliative care to support an ageing population community, corporate and merchant partners, vulnerable elderly. The Maintenance of Parents Implement a new Masterplan on Home and while Singapore Business Federation (SBF) will Act allows seniors who are unable to maintain Community Care to better support seniors to encourage businesses and trade associations themselves financially to obtain maintenance from age-in-place and chambers to support the various senior their children. The Mental Capacity Act enables friendly initiatives. individuals to make a Lasting Power of Attorney to appoint someone they trust to make decisions on their behalf in case they lose mental capacity. Senior-friendly housing The Housing & Development Board (HDB) is making efforts to help seniors age well. New initiatives are being planned to make Singapore will be distinctive globally not just the public housing heartlands more senior-friendly: for its economic success, but also as a model for successful ageing. The Government wants HDB and the Ministry of Health (MOH) will MOH and the Ministry of National Development Thrust Three: to transform Singapore into an age-friendly create “Continuing Care Precincts” in new (MND) will promote senior-friendly towns. City for All Ages city where Singaporeans can age-in-place housing developments Marine Parade was one of the earliest towns to gracefully and confidently MOH has planned to build another 40 day be upgraded under the City for All Ages (CFAA) centres by 2020, to provide integrated health project to make Marine Parade more friendly and social care services for seniors. for seniors. HDB will build “smarter” homes for seniors 08 Booklet 1 Introduction to Singapore Healthcare Introduction to Singapore Healthcare Booklet 1 09 Chapter 01 Ageing Successfully in Singapore Senior-Friendly Transport e The Public Transport Council and the Land Transport Authority (LTA) have been introducing measures to make it more affordable and convenient for seniors to move around by public transport.
Recommended publications
  • Eastern Health Alliance Members Announce Programmes Providing Seamless and Targeted Follow-Up Care for Patients After Hospital Discharge

    Eastern Health Alliance Members Announce Programmes Providing Seamless and Targeted Follow-Up Care for Patients After Hospital Discharge

    Eastern Health Alliance members announce programmes providing seamless and targeted follow-up care for patients after hospital discharge The Salvation Army Peacehaven Nursing Home launches new transitional convalescent facility – the 32-bed ‘Grace Corner’ aims to facilitate transition of patients from hospital to home through rehabilitation and supportive care so as to optimise function, delay the onset of frailty and help elderly patients avoid long-term institutionalisation; Changi General Hospital announces Transitional Care teams that bridge hospital-to-home care Friday, 18 November 2011 – At the launch of the Eastern Health Alliance today, founding members The Salvation Army Peacehaven Nursing Home and Changi General Hospital (CGH) each unveiled programmes that are focused on helping selected patients with complex long-term health conditions improve their recovery outcomes and support them to stay healthier for a longer period in the community, after their discharge from hospital. Transitional convalescent facility in Peacehaven (Grace Corner): Rehabilitate, recover, and return home Grace Corner is an innovative facility in Peacehaven Nursing Home which aims to help patients with debilitating hip fractures regain physical mobility and the independence they need to return to their homes. From December 2011, it will receive patients from CGH who require low-intensity rehabilitation – of more than a month – with medical, therapy and nursing support. Peacehaven’s Executive Director Madam Low Mui Lang said: “Our experience working with severe hip fracture patients has clearly shown that given the right, targeted support and a strong, nurturing environment, these patients have a high chance of being able to walk and lead normal lives again.
  • Neighbours’ Programme in Eastern and Central Singapore

    Neighbours’ Programme in Eastern and Central Singapore

    PRESS RELEASE TWO PUBLIC HEALTHCARE CLUSTERS JOIN FORCES with SOUTH EAST CDC to expand the ‘Neighbours’ Programme in Eastern and Central Singapore Pioneering programme that trains and pairs volunteers with vulnerable elderly in their neighbourhoods successful in keeping them healthy and reducing hospitalisation. Singapore, 12 March 2016 – The “Neighbours for Active Living” (‘Neighbours’) programme, pioneered by the Eastern Health Alliance (EH Alliance) and South East Community Development Council (South East CDC), will expand beyond eastern Singapore. EH Alliance and South East CDC are partnering the National Healthcare Group (NHG) to further strengthen the initiative and move it into the Central Region of Singapore. The ’Neighbours’ programme is a unique programme that brings together a full time community care team and volunteers. Volunteers receive comprehensive training to equip them to help care for ‘clients’ in their own neighbourhoods, by building long-term relationships and helping them stay as healthy as possible where they live. Many ‘Neighbours’ clients are frequent hospital admitters or vulnerable, elderly persons with complex medical and social care needs. Since its inception in Siglap and Bedok in mid-2013, the ‘Neighbours’ programme’s blend of targeted healthcare and social approach has served a total of 3,010 clients throughout eastern Singapore. A total of 40 staff and more than 200 volunteers, ranging from students to retirees and professionals, make up the support network. ‘Neighbours’ continues to show outstanding results in 2015, with two out of three clients reducing their number of hospitalisations within six months of entering the programme. Expanding Neighbours beyond the East At the ‘Neighbours’ Volunteers’ Appreciation event today, Mayor of South-East District, Dr Maliki Osman, announced that NHG would adopt the programme to serve clients in the MacPherson and Braddell Heights constituencies.
  • Doctors' Guide to Working & Living in Singapore

    Doctors' Guide to Working & Living in Singapore

    Doctors’ Guide to Working & Living in Singapore www.headmedical.com Working in Singapore Healthcare System Medical Registration Employment Pass Language Requirements Living in Singapore Housing | Education Utilities | Public Transport Climate | Moving Pets Central Provident Fund & Transferring UK Pensions Health Insurance | Contact Us Cost of Living | Link Library Working in Singapore Healthcare System Healthcare in Singapore is mainly under the responsibility of the Singapore Government’s Ministry of Health, and is designed to ensure that everyone has access to different levels of healthcare in a timely and cost-effective manner. Singapore has 8 public hospitals comprising 6 general hospitals, a women’s and children’s hospital, and a psychiatric hospital. General hospitals provide multi-disciplinary inpatient and specialist outpatient services, and 24-hour emergency departments. Six national specialty centres provide cancer, cardiac, eye, skin, neuroscience and dental care. Medical Registration International medical graduates (IMG) are doctors trained overseas. IMGs holding a degree from a university specified in the Second Schedule of the Medical Registration Act (MRA), a registrable postgraduate medical qualification recognised by the SMC or a specialist qualification recognised for specialist accreditation by the Specialists Accreditation Board (SAB), may apply for conditional registration. Conditional registration allows an international medical graduate to work in an SMC-approved healthcare institution, under the supervision of a
  • Expat Singapore.Pdf

    Expat Singapore.Pdf

    SINGAPORE An everyday guide to expatriate life and work. YOUR SINGAPORE COUNTRY GUIDE Contents Overview 1 Employment Quick Facts 1 The job market 7 Getting Started Income tax 7 Climate and weather 2 Business etiquette 7 Visas 3 Retirement 7 Accommodation 3 Finance Schools 3 Currency 8 Culture Cost of living 8 Language 4 Banking 8 Social etiquette and faux pas 4 Cost of living chart 9 Eating 4 Drinking 4 Health Holidays 5 Private Medical Insurance 8 Emergencies BC Transport 6 Vaccinations BC Getting In Touch Health Risks BC Telephone 6 Pharmacies BC Internet 6 Postal services 6 Quick facts Capital: Singapore Population: 5.6 million Major language: English, Malay, Mandarin and Tamil Major religion: Buddhism, Christianity Currency: Singapore Dollar (SGD) Time zone: GMT+8 Emergency number: 999 (police), 995 (ambulance, fire) Electricity: 230 volts, 50Hz. Three-pin plugs with flat blades are used. Drive on the: Left http://www.expatarrivals.com/singapore/essential- info-for-singapore Overview Singapore is a buzzing metropolis with a fascinating mix of nationalities and cultures that promote tolerance and harmony. Expats can take comfort in the knowledge that the island city- state is clean and safe. Renowned for its exemplary and efficient public transport and communications infrastructure, Singapore is also home to some of the best international schools and healthcare facilities in the world. In the tropical climate that Singapore boasts, expats can look forward to a relaxed, outdoor lifestyle all year round. Its location, situated off the southern coast of Malaysia, also makes Singapore an ideal base from which to explore other parts of Asia.
  • Caring for Our People: 50 Years of Healthcare in Singapore

    Caring for Our People: 50 Years of Healthcare in Singapore

    Caring for our People Prime Minister’s Message Good health is important for individuals, for families, and for our society. It is the foundation for our people’s vitality and optimism, and a reflection of our nation’s prosperity and success. A healthy community is also a happy one. Singapore has developed our own system for providing quality healthcare to all. Learning from other countries and taking advantage of a young population, we invested in preventive health, new healthcare facilities and developing our healthcare workforce. We designed a unique financing system, where individuals receive state subsidies for public healthcare but at the same time can draw upon the 3Ms – Medisave, MediShield and Medifund – to pay for their healthcare needs. As responsible members of society, each of us has to save for our own healthcare needs, pay our share of the cost, and make good and sensible decisions about using healthcare services. Our healthcare outcomes are among the best in the world. Average life expectancy is now 83 years, compared with 65 years in 1965. The infant mortality rate is 2 per 1,000 live births, down from 26 per 1,000 live births 50 years ago. This book is dedicated to all those in the Government policies have adapted to the times. We started by focusing on sanitation and public health and went on healthcare sector who laid the foundations to develop primary, secondary and tertiary health services. In recent years, we have enhanced government subsidies of a healthy nation in the years gone by, substantially to ensure that healthcare remains affordable.
  • Eastern Health Alliance Aims to Transform Healthcare Delivery in Eastern Singapore

    Eastern Health Alliance Aims to Transform Healthcare Delivery in Eastern Singapore

    Eastern Health Alliance aims to transform healthcare delivery in eastern Singapore Singapore’s regional health system for the east is a first-of-its-kind alliance of public healthcare and non-profit organisations across the care spectrum Friday, 18 November 2011 – The Eastern Health Alliance (EH Alliance), the regional health system for eastern Singapore, was officially launched today by the Minister for Health Mr Gan Kim Yong, in conjunction with the EH Alliance‟s inaugural Annual Scientific Meeting. Founding members of the EH Alliance signed a joint Memorandum of Understanding to align their collective expertise and resources with the national direction to deliver ongoing patient care rather than episodic treatment, especially for people with long-term chronic conditions like diabetes, stroke, cancer, lung and heart disease. This is a key strategic priority for Singapore healthcare given the ageing population and increasing prevalence of such conditions. The Eastern Health Alliance aims to progressively deliver an increasing range of integrated healthcare services – from early detection, disease prevention and treatment, through to ongoing care – to provide the right quality care at the right time for each patient. The overall objective is to make each patient‟s healthcare journey as hassle-free, assuring and convenient as possible, while educating, empowering and supporting them and caregivers to manage their health well, in order to live healthily for as long as possible. The four founding members of the Eastern Health Alliance are Changi General Hospital, SingHealth Polyclinics, St. Andrew‟s Community Hospital and The Salvation Army Peacehaven Nursing Home. Each brings with them a unique set of skills, expertise and perspectives into this partnership for the better health of people in eastern Singapore.
  • Honouring Excellence the 55Th SMA Council Warmly Congratulates the Recipients of the National Day Awards 2014

    Honouring Excellence the 55Th SMA Council Warmly Congratulates the Recipients of the National Day Awards 2014

    COUNCIL NEWS Honouring Excellence The 55th SMA Council warmly congratulates the recipients of the National Day Awards 2014. The Meritorious Service Medal Dr Ng Foo Cheong Dr Yeo Seng Beng Prof Satkunanantham s/o Kandiah Senior Consultant Senior Consultant Former Director of Medical Services Changi General Hospital Tan Tock Seng Hospital Ministry of Health Eastern Health Alliance National Healthcare Group The Public Administration Medal A/Prof Peter Lu Kuo Sun Prof Tan Kok Hian (Gold) Senior Consultant Senior Consultant Prof Ang Chong Lye Changi General Hospital KK Women’s and Children’s Hospital Deputy Group Chief Executive Officer Eastern Health Alliance Singapore Health Services Singapore Health Services and A/Prof Tay Yong Kwang Dr Teo Wee Siong Chief Executive Officer Senior Consultant Senior Consultant Singapore General Hospital Changi General Hospital National Heart Centre Singapore Eastern Health Alliance Singapore Health Services The Public Administration Medal (Silver) Dr Yap Keng Bee A/Prof Chow Wan Cheng Dr Lau Hong Choon Senior Consultant Chairman, Division of Medicine Director Alexandra Hospital Singapore General Hospital Manpower Standards Jurong Health Services Singapore Health Services and Development Division Ministry of Health Dr Leow Yung Hian A/Prof Daisy Chan Kwai Lin Senior Consultant Head and Senior Consultant Dr Jason Cheah Tiang Seng National Skin Centre Singapore General Hospital Chief Executive Officer National Healthcare Group Singapore Health Services Agency for Integrated Care A/Prof Tan Suat Hoon Dr John
  • Methodology Introduction Conclusion Results

    Methodology Introduction Conclusion Results

    Patient Centric SingHealth and Eastern Health Alliance e-Appointment Transforming the Appointment Booking Experience for Patients and Care Givers Author and Co-Authors Kathryn Ng1 (Author), Margaret Tang2, Kemas Muhamad Zulhaimi Bin K A3, Joyce Quek1, Wang Khong Hai2, Stephen Wong3, Michael Choo1, Danny Han1, Benedict Tan2, James Toi3 Institutions: 1 Singapore Health Services (SingHealth), 2 Integrated Health Information Systems (IHiS), 3 Singapore General Hospital (SGH) Introduction Results Objectives & Goals The revamped SingHealth & EHA appointment system was collectively discussed and successfully implemented within The Appointment Access Task Force (AATF) was formed in September 4 months in April 2014. 2013 to enable all stakeholders to access, review and change appointments across SingHealth Institutions. The aim was to create a Consolidated View, Access All Appointments Across 2 Healthcare seamless experience for patients and a user-friendly system for staff. Clusters at a Glance To support this, the Appointment Access Digitization Workgroup The SingHealth Appointment System, and extended to EHA, is now (AADW), led by the SingHealth Group Chief Information Officer and able to provide patients and care givers a single online platform to SGH Chief Operating Officer (Ambulatory), was formed to design and view, change or cancel appointments across 7 SingHealth implement an enhanced patient centric online and mobile Institutions and EHA in one page. appointment system. The workgroup comprised Operational The benefits: representatives from all SingHealth institutions. • Convenient access channel for patients who otherwise have to wait on the line for our Call Centre staff to service their PROBLEM: How to Improve Patient’s Access to Care? enquiries/ needs. No Holistic View for Patients With Multiple Appointments • ‘Put Power’ in the patients’ hands to manage their Patients had to view their appointment at each institution appointment scheduling directly, 24/7, 365 days a year.
  • Affordable Excellence Singapore Healthcare Today

    Affordable Excellence Singapore Healthcare Today

    Epilogue to Affordable Excellence Singapore Healthcare Today: Progress Toward Sustainable High Quality Healthcare, 2013-2014 Chang Liu, Eti Bhasker, and William A. Haseltine Epilogue to affordable excellence INTRODUCTION Singapore has a remarkable healthcare system that delivers high quality care at an af- fordable cost. It is ranked sixth globally by the World Health Organization – far ahead of the United Kingdom at eighteen and the United States at thirty seven. Singapore has achieved the fourth best life expectancy rate in the world, at eighty two years.1 In 2012, Bloomberg ranked Singapore the world’s healthiest country.2 The healthcare achievements of the country – the transition to excellence, the establish- ment of guiding principles, and the development and governance of the healthcare system – are the subject of our previous book, Affordable Excellence: The Singapore Healthcare Story, by William A. Haseltine. This Epilogue is designed to bring the story up to date on system adjustments and major policy shifts since the publication of Affordable Excellence. Healthcare in Singapore has come a long way since the nation became independent in 1965. The government, institutions, and economy of Singapore have made the transition from those of a low income country to those of a high income country since the mid 1960s – a feat that is reflected in the current prosperity, improved living conditions, and high quality healthcare system. Among many measures of excellence, we find im- provements over the years in key health outcomes: life expectancy for women is cur- rently 84.5 years, versus sixty five years in 1960; life expectancy for men is currently 79.9 years, versus 61.2 years in 1960.
  • Child and Adolescent Psychiatry Services in Singapore Choon Guan Lim1*, Say How Ong1,2, Chee Hon Chin1 and Daniel Shuen Sheng Fung1

    Child and Adolescent Psychiatry Services in Singapore Choon Guan Lim1*, Say How Ong1,2, Chee Hon Chin1 and Daniel Shuen Sheng Fung1

    Lim et al. Child and Adolescent Psychiatry and Mental Health (2015) 9:7 DOI 10.1186/s13034-015-0037-8 REVIEW Open Access Child and adolescent psychiatry services in Singapore Choon Guan Lim1*, Say How Ong1,2, Chee Hon Chin1 and Daniel Shuen Sheng Fung1 Abstract Singapore is a small young city state with a multi-ethnic and multi-cultural population. This article reviews the development of the country’s child and adolescent psychiatry services through the years, in the background of other developments within the country’s education, social and legal services. Research and other available data on the prevalence of psychiatric problems among children and adolescents in Singapore are summarized, although there has been no nation-wide epidemiological study done. One of the most recent developments has been the establishment of a community mental health service, which works collaboratively with schools and community partners. Some challenges are also discussed especially in the area of child and adolescent psychiatry training. Possible future directions include providing mental heath care for preschool children as well as epidemiological studies to identify disease prevalence and mental health needs among children and adolescents in Singapore. Keywords: Child psychiatry, Child mental health, Adolescent psychiatry, Singapore, Education Introduction A series of population control measures were imple- Singapore is a small island located within Southeast Asia mented since the sixties, including the successful ‘Stop at the southern tip of the Malaysian Peninsula. We will at Two’ policy, to avoid burdening the developing econ- provide a brief history of the country’s development to omy with an excessively large population.
  • Public Perceptions of the Factors That Constitute a Good Healthcare System Joshi V D, Chen Y M, Lim J F Y

    Public Perceptions of the Factors That Constitute a Good Healthcare System Joshi V D, Chen Y M, Lim J F Y

    Original Article Singapore Med J 2009; 50(10) : 982 Public perceptions of the factors that constitute a good healthcare system Joshi V D, Chen Y M, Lim J F Y ABSTRACT system. Further snapshot surveys to assess Introduction: In Singapore, few studies have perceptions of the healthcare system should been done on the factors that the general public be conducted with questionnaires abridged to considers to be most important in the healthcare include only these five identified critical factors. system. We conducted this pilot study to determine the factor structure, reliability and Keywords: healthcare system, Singapore validity of statements in a healthcare survey healthcare system questionnaire as predictors of public perception Singapore Med J 2009; 50(10): 982-989 of a good healthcare system. IntrodUction Methods : Data on public perceptions of The expectations of the public to receive the “best possible healthcare from a national survey of 1,434 adult care” in the developed country setting is increasingly Singaporeans was analysed using a principal tenuous, given the competing and often conflicting component analysis and regression, to obtain demands on the finite resources available in healthcare.(1) the factors and predictors. The survey employed While governments the world over are facing increasing 31 statements on healthcare quality, cost, access challenges of providing high quality and financially and the role of the individual vis-à-vis society, sustainable public healthcare, public expectations of which participants ranked on
  • For Peer Review Only

    For Peer Review Only

    BMJ Open BMJ Open: first published as 10.1136/bmjopen-2014-005655 on 7 January 2015. Downloaded from A matched-groups study evaluating the implementation of an Integrated Care Pathway Programme for Chronic Obstructive Pulmonary Disease in JurongHealth: study protocol For peer review only Journal: BMJ Open Manuscript ID: bmjopen-2014-005655 Article Type: Protocol Date Submitted by the Author: 08-May-2014 Complete List of Authors: Wu, Christine; Alexandra Hospital, JurongHealth, Medical Affairs See, Ryan; Alexandra Hospital, JurongHealth, Clinical Operations Yu, Weichang; Alexandra Hospital, JurongHealth, Medical Affairs Kwek, Lynette; Alexandra Hospital, JurongHealth, Clinical Operations Chua, Gerald; Alexandra Hospital, JurongHealth, Medicine <b>Primary Subject Health services research Heading</b>: Secondary Subject Heading: Respiratory medicine, Public health, Health economics Chronic airways disease < THORACIC MEDICINE, HEALTH ECONOMICS, Keywords: http://bmjopen.bmj.com/ RESPIRATORY MEDICINE (see Thoracic Medicine) on September 23, 2021 by guest. Protected copyright. For peer review only - http://bmjopen.bmj.com/site/about/guidelines.xhtml Page 1 of 28 BMJ Open BMJ Open: first published as 10.1136/bmjopen-2014-005655 on 7 January 2015. Downloaded from 1 2 3 A matched-groups study evaluating the implementation of an Integrated Care Pathway 4 5 6 Programme for Chronic Obstructive Pulmonary Disease in JurongHealth: study protocol 7 8 9 Authors: 10 11 12 13 14 15 1. Christine ForXia Wu : [email protected] peer review only 16 17 18 19 Medical Affairs Department, Alexandra Hospital, 378 Alexandra Road, Singapore 159964 20 21 22 2. Chor Kian See: [email protected] 23 24 25 26 Clinical Operations Department, Alexandra Hospital, 378 Alexandra Road, Singapore 159964 27 28 29 3.