2006
DOI: 10.1111/j.1468-246x.2005.00234.x
|View full text |Cite
|
Sign up to set email alerts
|

Health Financing in Singapore: A Case for Systemic Reforms

Abstract: This paper assesses Singapore's healthcare financing arrangements in terms of their efficiency, fairness, and adequacy. Singapore represents an interesting case study because it is perhaps the only high-income, rapidly ageing country to rely on mandatory savings to finance healthcare, thus eschewing extensive risk-pooling arrangements, generally regarded as efficient and equitable. The paper argues that parametric reforms, i.e. relatively minor changes in the parameters of current schemes which preserve the ex… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1
1

Citation Types

0
21
0

Year Published

2007
2007
2022
2022

Publication Types

Select...
7
3

Relationship

2
8

Authors

Journals

citations
Cited by 27 publications
(21 citation statements)
references
References 7 publications
0
21
0
Order By: Relevance
“…The implication is that financing arrangements would become more complex, but not necessarily more sustainable, than the present simple tax-funding and fee-for-service system. Moreover, there is evidence that Singapore's medical savings accounts scheme, which the Hong Kong government has borrowed heavily from in its plans, may be unsustainable over time (Asher & Nandy 2006). Indeed, the Singapore government continually adjusts contribution levels and other components of its insurance system in response to growing financial pressures and service demands (Gauld 2008).…”
Section: Health System Reviews and Reform Suggestionsmentioning
confidence: 99%
“…The implication is that financing arrangements would become more complex, but not necessarily more sustainable, than the present simple tax-funding and fee-for-service system. Moreover, there is evidence that Singapore's medical savings accounts scheme, which the Hong Kong government has borrowed heavily from in its plans, may be unsustainable over time (Asher & Nandy 2006). Indeed, the Singapore government continually adjusts contribution levels and other components of its insurance system in response to growing financial pressures and service demands (Gauld 2008).…”
Section: Health System Reviews and Reform Suggestionsmentioning
confidence: 99%
“…Government-funded PHC is provided at polyclinics, where patient fees are subsidized and services extend to screening and health promotion. Co-payments remain central to healthcare funding in singapore in keeping with its philosophy of "shared responsibility" between government and the public, and there is evidence that singapore' s funding model exacerbates inequity (Asher and Nandy 2006;WHO 2000).…”
Section: Singaporementioning
confidence: 99%
“…It may be useful to briefly comment on healthcare financing in Singapore. The share of private provision of healthcare in Singapore is around three‐fourths, with one‐fourth coming from the government budget (Asher and Nandy, 2006a). The respective shares are reversed in the OECD countries.…”
Section: Socio‐economic Contextmentioning
confidence: 99%