Week 0-1

Question 1

What does our healthcare system emphasise on ? 5

Answer 1

Health promotion
Primary care
Acute care
Intermediate care
Long term care

Question 2

What is health promotion?

Answer 2

Individual and community shared responsibility supported by HPB

Question 3

What does primary care consists of?

Answer 3

GP, private sector group practices
Family Medicine clinic
Polyclinic

Question 4

What does acute care consists of>

Answer 4

Private hospital and Restructured hospital and national centre

Question 5

What is intermediate care?

Answer 5

VWO- owned community hospitals and Govt owned

Question 6

what is long term care?

Answer 6

VWO owned nursing homes, private commercial operators and vanguard health

Question 7

What is the mOH vision?

Answer 7

Championing a healthy nation with our people to live well, live long with peace of mind

Question 8

What is the MOH’s mission? 3

Answer 8

1) promote good health and reduce illness
2) ensure that Singaporeans have access to good and affordable healthcare that is appropriate to needs; and
3) pursue medical excellence

Question 9

What are the 5 key objectives of healthcare policy (1993 white paper on affordable healthcare)

Answer 9

1) To nurture a healthy nation and promoting good health
2) To promote personal responsibility for one’s health and avoid over- reliance on state wealth or medical insurance
3) to provide good and affordable basic medical services to all Singaporeans
4) To rely on competition and market forces to improve service and raise efficiency
5) to intervene directly in the healthcare sector, when necessary, where the markets fail to keep healthcare costs down.

Question 10

What are the healthcare financing philosophy? 3

Answer 10

1) affordability and accessibility
2) individual responsibility
3) enable markets to work

Question 11

4 stages of EVOLUTION OF SINGAPORE’S HEALTHCARE SYSTEM

Answer 11

Govt-owned
Corporatisation
(fr 1985)
Clustering
(2000-2001)
Re-Clustering
(2007-2009

Question 12

what were the challenges faced by the healthcare industry? 4

Answer 12

1) Demographic Aging- rapid ageing.
elderly consume more healthcare services, resident labour force shrinks, hence suffers drastic decrease in age support ratio.

2) changes in disease pattern
- chronic diseases on the rise

3) changing social compact
- smaller family, income inequality

4) rising healthcare costs.

Question 13

What did the govt do to implement beyond quality to value

Answer 13

1)Use Data to Guide Decisions
* Guide decisions on
treatment and
procurement
* Optimise health
outcomes per dollar
spent

Drive Productivity Improvements
* Review Rules & Processes
e.g. Risk-based Regulatory
Framework
* Leverage on Technology
e.g., Smart Wards

Moderate Fee Escalation in Private Sector
* Fee Benchmarks on
reasonable fees
* Tackle overcharging
behaviour

Issue care & drug guidances
* Help clinicians factor
clinical outcomes & costeffectiveness in care
decisions
* Align financing levers to
ACE Guidances

Question 14

what is Beyond healthcare to health about?

Answer 14

Early
Development
Health
Maintenance
Screening & Early
Diagnosis Active Ageing

Question 15

What does the Singapore financing model consist of? 4 S+3Ms

Answer 15

Subsidies -80% at public health care
Medisave
Medishield life and other life insurance
medifund

Question 16

How much subsidy does each class get?

A, B1, B2+, B2, C

Answer 16

Subsidy level for Citizens who have average
monthly income $3,200 and below
Class C = 80%
Class B2 = 65%
Class B2+ = 50%
Class A and B1 = No subsidy

Question 17

What are the challenges faced by SG healthcare? 6

Answer 17

1. Healthcare financing
2. Ageing population and management of chronic
   diseases
3. Healthcare manpower issues
4. Communicable disease control (e.g. dengue, COVID-
   19)
5. Noncommunicable disease control (e.g. diabetes,
   hypertension)
6. Hospital infrastructure and accessibility

Question 18

How does the ageing population impact
healthcare services?

Answer 18

1. Increased demand on healthcare services
    Need to expand capacity of healthcare services
2. Change in how we deliver healthcare
    Increase in chronic disease
    Increase care within the community
3. Increase in healthcare costs
    Greater demand leads to increased healthcare cost

Question 19

Translating Healthcare Policy to Healthcare
Operations
Five fundamental objectives are to:

Answer 19

1. nurture a healthy nation;
2. promote personal responsibility for one’s health;
3. provide good and affordable basic medical services to
   all Singaporeans;
4. improve service and raise efficiency; and
5. Keep health care costs down.

Question 20

what does the New Care model consist of ? 5

Answer 20

individuals- responsible for their own health, opt ofr clinically and cost effective treatments

doctors: provide quality care at reasonable price

Providers ( hospitals) : charge reasonable, improve productivity to deliver great value for patients

payers: insurers: encourage prudent practices while keeping policyholder’s interest in mind

Govt: implement 3 beyongs
support stakeholders in making informed decisions.

Question 21

What is the 3 beyond?

Answer 21

1. Healthcare to health
2. Hospital to
   community
3. Quality to value

Question 22

What is beyond hospital to community about?

Answer 22

Strengthening primary care and acute care

Question 23

How did the goverment implement beyond healthcare to health?

Answer 23

1. reduce sugar intake from prepackaged beverages and mandatory grading system labels for prepared bevergaes too.
2. encourage drinking plain water
3. harnessing technology

Question 24

what is beyond quality to value about?

Answer 24

Towards affordable and sustainable healthcare with medisave, fee benchmarks,

Transforming Healthcare to Meet Evolving
Needs, all eldercare centres to provide baseline support services for seniors, launch of assisted licing typology pilot.

Enhancing capabilities in community care manpower via salary enhancements, scholarship and leadership programme.

support workforce longeivity: retirement age from 63 to 68.

strengthening continuing education and training- up to date.