Singapore's health reforms in response to an aging society.
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| Název: | Singapore's health reforms in response to an aging society. |
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| Autoři: | Panesar D; The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand. Dpan151@aucklanduni.ac.nz. |
| Zdroj: | Journal of public health policy [J Public Health Policy] 2025 Dec; Vol. 46 (4), pp. 847-857. Date of Electronic Publication: 2025 Aug 13. |
| Způsob vydávání: | Journal Article; Review |
| Jazyk: | English |
| Informace o časopise: | Publisher: Palgrave Macmillan Country of Publication: England NLM ID: 8006508 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1745-655X (Electronic) Linking ISSN: 01975897 NLM ISO Abbreviation: J Public Health Policy Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2005- : Basingstoke, England : Palgrave Macmillan Original Publication: [Burlington, Vt., Journal of Public Health Policy, inc.] |
| Výrazy ze slovníku MeSH: | Health Care Reform*/organization & administration , Health Policy* , Aging*, Singapore ; Humans ; Aged ; Long-Term Care/organization & administration |
| Abstrakt: | Competing Interests: Declarations. Conflict of interest: The author declares they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Singapore's shift toward a more collectivist model of healthcare marks a significant departure from its traditionally neoliberal approach, particularly in addressing the needs of its rapidly ageing population. The CareShield Life and Long-Term Care reforms aim to enhance financial protection, expand community-based services, and align health policy with evolving societal expectations. Nevertheless, questions remain about the adequacy of coverage, particularly in the context of rising chronic disease and long-term care costs. The move toward community care introduces important logistical and quality challenges. Singapore's approach is unique in its extensive stakeholder engagement and values-based design. It reflects a pragmatic effort to reconcile long-standing principles of personal responsibility with growing demand for collective security in later life. Though outcomes will take time to manifest, the reform represents a notable case of policy realignment and offers transferable lessons for health systems navigating ageing and sustainability challenges. (© 2025. The Author(s).) |
| References: | J Nutr Health Aging. 2013 Sep;17(9):726-34. (PMID: 24154642) Health Policy. 2018 Jul;122(7):693-697. (PMID: 29729906) Int J Integr Care. 2017 Jun 27;17(2):12. (PMID: 28970753) Age Ageing. 2020 Oct 23;49(6):1048-1055. (PMID: 32479591) Lancet. 2021 Sep 18;398(10305):1091-1104. (PMID: 34481560) Int Nurs Rev. 2020 Sep;67(3):427-435. (PMID: 32761613) Lancet. 2018 Nov 10;392(10159):1859-1922. (PMID: 30415748) J Aging Soc Policy. 2022 Jan-Feb;34(1):73-90. (PMID: 34130616) Milbank Q. 2017 Jun;95(2):358-407. (PMID: 28589606) J Aging Soc Policy. 2016;28(2):113-29. (PMID: 26808468) Int J Mol Sci. 2019 Jun 11;20(11):. (PMID: 31212645) |
| Contributed Indexing: | Keywords: Aged; Health care reform; Health policy; Long-term care; Singapore; Social values |
| Entry Date(s): | Date Created: 20250813 Date Completed: 20251105 Latest Revision: 20251107 |
| Update Code: | 20251107 |
| PubMed Central ID: | PMC12586151 |
| DOI: | 10.1057/s41271-025-00592-8 |
| PMID: | 40804534 |
| Databáze: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Competing Interests: Declarations. Conflict of interest: The author declares they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br />Singapore's shift toward a more collectivist model of healthcare marks a significant departure from its traditionally neoliberal approach, particularly in addressing the needs of its rapidly ageing population. The CareShield Life and Long-Term Care reforms aim to enhance financial protection, expand community-based services, and align health policy with evolving societal expectations. Nevertheless, questions remain about the adequacy of coverage, particularly in the context of rising chronic disease and long-term care costs. The move toward community care introduces important logistical and quality challenges. Singapore's approach is unique in its extensive stakeholder engagement and values-based design. It reflects a pragmatic effort to reconcile long-standing principles of personal responsibility with growing demand for collective security in later life. Though outcomes will take time to manifest, the reform represents a notable case of policy realignment and offers transferable lessons for health systems navigating ageing and sustainability challenges.<br /> (© 2025. The Author(s).) |
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| ISSN: | 1745-655X |
| DOI: | 10.1057/s41271-025-00592-8 |