Can Singapore shift from a fee-for-service to value-based healthcare system?

Within the ebook Reasonably priced Excellence: The Singapore Healthcare System by William A. Haseltine printed in 2013, the writer famous that Singapore “ranks sixth on the planet” by way of healthcare outcomes, whereas “spend[ing] much less on healthcare than some other high-income nation”. When put next with different international locations, Singapore ranks excessive on value-based indices – A 2014 EIU white paper that checked out well being outcomes and prices throughout 166 international locations ranked Singapore second after Japan, noting that it had achieved comparable outcomes to Japan’s however with a considerably decrease funding.

One of many key pillars behind Singapore’s exceptional success in delivering inexpensive and high-quality healthcare since its independence in 1965 is the federal government’s strategy to healthcare enchancment and care as an integral and inseparable a part of the general growth planning for the nation, Haseltine explains within the first chapter of his ebook.

In November 2017, the Ministry of Well being launched the ‘three Beyonds Technique’ to maintain healthcare in Singapore to maintain healthcare in Singapore good and inexpensive. They’re:
(i) Past Healthcare to Well being
(ii) Past Hospital to Group
(iii) Past High quality to Worth

With an getting older inhabitants and rising prices and burden of healthcare in Singapore, the “Past High quality to Worth” technique turns into important to retain or improve high quality of care whereas guaranteeing worth for cash. The Company for Care Effectiveness (ACE) was arrange in 2015 to analysis therapies that present one of the best worth for cash. As an illustration, three medication could provide the identical outcomes, however have very totally different costs. Or a drug could also be dearer, however provide outcomes which are much better than cheaper various medication.

In the long term, the traditional methodology of price for service-based care that works on a foundation of quantity and treating diseases and accidents as they happen can be not tenable – hospitals and healthcare organisations can’t increase their capacities indefinitely and there’s already an current manpower crunch of certified professionals within the healthcare sector.

Treating diseases and ailments after they happen is commonly costly and ugly for sufferers – due to this fact, the proverb, “prevention is healthier than remedy” is very related. The “Past Healthcare to Well being” technique has seen the Well being Promotion Board (HPB) ramping up efforts for individuals to turn into more healthy and extra lively, by initiatives such because the Nationwide Steps Problem (at the moment in its forth season) and More healthy Eating Programme.

Worth-based care prioritises well being outcomes that matter to sufferers relative to the price of attaining these outcomes. That is additionally associated to “Past Hospital to Group” technique wherein sufferers can obtain acceptable care neighborhood or at house to allow them to keep effectively and keep away from frequent hospital admissions. That is higher for them by way of well being and comfort, and for the healthcare system too, as hospital care may be very costly.

The transition from a price for service-based to a value-based healthcare system is probably not a simple journey for a lot of healthcare suppliers and organisations nevertheless it additionally presents many alternatives to relook current approaches to healthcare, not simply within the supply of patient-centric care but in addition in facets similar to financing fashions and leveraging applied sciences similar to AI to supply worth to each sufferers and clinicians whereas decreasing prices.

With the theme of “Disruptive innovation for Worth-based healthcare”, the HIMSS Well being Singapore eHealth Summit held from 23-24 April 2019 at Marina Mandarin Singapore will function six major matters associated to attaining value-based healthcare:
(i) Inhabitants well being
(ii) Healthcare income cycle
(iii) Affected person outcomes
(iv) Acute-to-community
(v) Cybersecurity; and
(vi) Synthetic intelligence

The HIMSS Well being Singapore eHealth Summit might be an important alternative for like-minded healthcare leaders and professionals in Singapore and overseas to return collectively to deal with a few of the main challenges and alternatives in shifting in the direction of a value-based healthcare system.

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