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シンガポール の 医療 制度: 主要 な 特徴,課題,変化
Chorh Chuan Tan1, Carolyn S P Lam2, David B Matchar3
1Office for Healthcare Transformation, Ministry of Health, Singapore; Department of Medicine, National University of Singapore, Singapore.
Lancet (London, England)
|September 5, 2021
まとめ
シンガポールの医療制度は 人口の高齢化と非伝染性疾患の増加によって ストレスにさらされています 改革は,健康,コミュニティケア,価値に基づく医療への移行に焦点を当てて,持続可能性を確保しています.
科学分野:
- 医療政策とサービス研究
- 公衆衛生
- 医療管理
背景:
- シンガポールの医療制度は個人の責任と政府の介入を強調しています.
- 2016年にGDPの4.47%を支出し,良い健康成果を達成しました.
- 非伝染性疾患,人口高齢化,ケア提供の課題によるシステムストレスの対処
研究 の 目的:
- シンガポールの医療制度の課題を分析する.
- ヘルスケア2020 マスタープランの改革の影響を評価する.
- 長期的な持続可能性に必要な 根本的な変化を特定する
主な方法:
- 1965年以降のシンガポールの医療開発の見直し
- ヘルスケア2020 マスタープラン (2012年に実施) の分析
- システムストレスの要因と改革成果の検討
主要な成果:
- 改革により,生産能力と補助金が増加したが,根本的な要因は完全に解決されなかった.
- システムストレスは継続しており,ベッド不足と高額な自己負担が示されています.
- 根本的な改革が必要なのです
結論:
- シンガポールの医療制度は"健康,コミュニティ,価値"という3つの側面に 戦略的に移行しています
- これらの根本的な変化は 長期的なシステムストレスを 解決することを目的としています
- 積極的な健康,統合されたコミュニティケア,価値主導の医療提供に焦点を当てています.
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