Making eldercare holistic yet affordable
With a growing ‘silver’ population in Singapore, it is substantially necessary for the country to develop its healthcare and eldercare system to meet the demands. In addition, there is a need to not only construct a dense network of community-based services, but also to ensure long-term sustainability in the provision of these services. The blueprint for a holistic and affordable eldercare must also incorporate the concept of ageing-in-place, where seniors can continue residing in the community which they are familiar with. Altogether, the Committee on Ageing Issues (CAI) has proposed 4 key approaches towards achieving this;
Develop support services within the community
In terms of the management of elderly healthcare needs, a holistic Family Physicians (FPs)-centered approach should be adopted. This is because of the close proximity the FPs are to provide primary prevention, maintenance of health and screening of diseases to the elderly in the community. The increasing presence of Community Health Centres (CHCs) also help to supplement the FPs with support services. In addition, there is a need to establish a variety of community-based nursing services for the elderly who would prefer to continue living in the community. Caregiver Centres on the other hand will offer an alternate support to families by providing care for the elderly.
Facilitate integrated service planning and delivery
There are plenty of rooms for improvement in this aspect. Follow-up care for discharged elderly patients can be enhanced via the closer integration between hospital systems and the community. The CAI also believe that the integrated service models of day care and day rehabilitation centres for the elderly must be flexible against market changes in order to be cost-efficient. More importantly, data requirements across all agencies must be streamlined to ensure that medical information is exchangeable between step-down healthcare facilities and community-based elder-care facilities.
Expand diversity and capability development within the health and eldercare sector
With the growing complexity of needs and expectations of the elderly, it is increasingly important to enhance healthcare capabilities and tailor social and personal care services to suit their range of requirements. The CAI is of the belief that in order to spur private sector participation and innovation in health and eldercare, the government should revise its policies and undertake a facilitating role in the industry. Essentially, certain aspects such as manpower and service standards must also be improvised to meet the rising demands of an ageing population.
Ensure affordability of health and eldercare services
This is achieved through a flexible multi-tiered safety net consisting of government subsidy for Class B2 / C wards, Medisave, MediShield, Medifund and ElderShield. As much as 80% of actual medical expenditures at Class B2 and C wards of public hospitals are being subsidized by the government while the remaining schemes provide greater financial protection for the elderly against huge medical bills.
As we can see, the Government’s role goes beyond financing the use of services. It also has an essential role to play with regards to manpower development, regulations and the establishment of standards for the sector. More importantly, it must facilitate the planning and development of the sector in order to achieve a holistic and affordable eldercare for our future seniors.
(Image source: Khoo Chai Ling)