Singapore health

The healthcare
system of

SINGAPORE

Presented by:
Ms. Gharam Ahmad Thaher Alawneh
Ms. Asmaa Asaad Omar Shaheen
Ms. Haleema Mohammed Ali Rashed Alshehhi

Singapore Population: 5.2 million
Size of Country: 707 km sq.
is an island country
located in Southeast Asia

Mandate
Mission
Vision

Philosophy - The Ministry of Health be-
lieves in ensuring quality and afforda-
ble basic medical services for all

Mission 12

Characterized by 3 stratgies Promote good health Ensure access to good
and reduce illness and affordable health-
Core values include
dedication, excellence, care
professionalism, integrity,
and teamwork 3

Their vision is championing Pusue medical
a healthy nation with out people - excellence
To live well, live long & with peace of mind

Historic
Helathcare Roots

Factors that Influenced • Singapore used to be a country of poor
incomes and poor health outcomes
System Development
• The country gained independence in
There ar four main contributing factors to 1965, but faced housing shortages and
Singapore’s successful healthcare system: high rates of unemployment
1. Movement towards outpatient services
• The People’s Action Party provided polit-
after Independence in 1965 ical stability for Singapore and has con-
2. Sending doctors abroad to train in spe- tributed to the many successes of the
country.
cialties (i.e. Healthcard Manpower Devel-
opment Program) • Early initiatives were put in place to im-
3. 1983 National Health Plan, which recon- prove housing, clean water, etc.
structed the public hospital system and
introduced Medisave • In 2011 there was increased concern that
4. The release of the White Paper entitled families were experiencing bankruptcy
“Affordable Health Care” in the 1990’s when trying to pay for the elderly care

Major Stakeholders

1. Patients 2. Government
3. Healthcare Providers 4. Hospitals
administrators and governing bodies
5. Helath Insurance

Analysis of Medifund
Helathcare System
• This is an endowment fund setup by the
• Funding structure Government for individuals whose Me-
• Regulatory bodies disave and Medishield are not adequate
• How healthcare is delvered enough to cover their hospital expenses
• How the system ranks worldwide
• Elderly peiople are a priority
Healthcare • Medifund is added when there is a sur-
Fundig Structure
plus in the healthcare budget
• Spends less than 4% of GDP on • Medfund-approved Institutions (MFI) give
healthcare (vs. Canada at 11.2%)
approval to Medifund applications
• Consists of the 3M system (Me-
disave, Medishield and Medi-
fund)

• The most recent addition is El-
dershield

• Private insurers also help fund
the healthcare system

Medishield Age Medishield Yearly
Premiums
• A complementary service to Medis- 1 to 30 $ 33
ave 31 to 40 $ 54
41 to 50 $ 114
• This is a medical insurance that al- 51 to 60 $ 225
lows individuals to settle part of the 61 to 65 $ 332
expenses from out patient treat- 66 to 70 $ 372
ments for serious illness and pro- 71 to 73 $ 390
longed hospitalization 74 to 75 $ 462
76 to 78 $ 524
• Premiums change depending on 79 to 80 $ 615
age 81 to 83 $ 1087
84 to 85 $ 1123

Singapore’s helathcare system is a mixture of both public and private sectors and would fit
under an etatist social health insurance system according to Bohm et al. (2013).

Medisave

A national medical insurance Eldershield
in which Singaporeans build
savings for future healthcare • An affordable insurance for severe illness or disabili-
needs ty to those who need basic financial protection

• These savings can pay for • Ran by private insurers
hospitalization and out-
patient treatments for the Private Finance
individual and their im-
mediate family • There are five private insurers that offer private plans
for individuals and groups
• Can also help pay for Me-
dishield premiums and • Plans cover inpatient and outpatient medical ex-
Private Medical Insurance penses, surgical costs, critical illness, disability, and
Scheme long term care

• Monthly contribution to • Offer two types of plans
the Medisave account is 1. Private Medical Insurance Scheme (PMIS)
mandatory 2. Non-PMIS

• Increasing population
leads to an increase in
Medisave accounts

Regulatory Bodies

The state regulates the public and private providers through the requirement of a license

Ministry of Health Legislative acts under the MOH
• Public health and safety
Oversees the provisions and regulation of • Drugs and medicinal related sub-
healthcare services
• Promoting health education stances
• Preventing and controlling disease • Biosafety and biosecurity
• Allocating resources • Healthcare and professionals
• Monitoring accessibility and quality of • Diseases and other medical condi-

healthcare services tions
• Administering licenses for healthcare • Medical practices and research
• Others
facilities