新加坡的医疗保健系统:主要特点,挑战和转变
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
概括
新加坡的医疗保健系统面临着人口老龄化和非传染性疾病的增加. 改革重点转向健康,社区护理和以价值为基础的医疗保健,以确保可持续性.
科学领域:
- 卫生政策和服务研究
- 公共卫生
- 医疗管理
背景情况:
- 新加坡的医疗系统强调个人责任和政府干预.
- 在2016年实现了4.47%的健康支出.
- 面对由于非传染性疾病,人口老龄化和护理提供挑战而造成的系统压力.
研究的目的:
- 分析新加坡医疗保健系统的挑战.
- 评估2020年医疗保健总体规划改革的影响.
- 确定长期可持续性所需的根本性转变.
主要方法:
- 自1965年以来新加坡的医疗保健发展情况.
- 对2020年医疗保健总体计划 (2012年实施) 的分析.
- 审查系统压力驱动因素和改革成果.
主要成果:
- 改革增加了产能和补贴,但没有完全解决潜在的驱动因素.
- 系统压力持续, 床位短缺和高自付费用表明.
- 除了最初的改革之外,还需要进行根本性的改变.
结论:
- 新加坡的医疗保健系统正在向"三界"转变:健康,社区和价值.
- 这些根本性的变化旨在解决长期的系统压力.
- 专注于主动健康,综合社区护理和以价值为导向的医疗服务.
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