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Primary Care Landscape in Singapore
A/Prof Benjamin Ong
Director of Medical Services
Ministry of Health, Singapore
Overview of Singapore’s Healthcare System
Acute Hospital
Senior Care Centre
Care at Home
Nursing
Home
Community
Hospital
National
Speciality
Centre
Private Clinic
Polyclinic
2
Overview of Primary Care Landscape
Joo Chiat Maternal & Child Health Clinic
Paya Lebar Outpatient Dispensary Geylang Polyclinic
Pharmacy Private medical clinic 3
Distribution of Private Primary Care Clinics
4
Legend:
CHAS GP clinics
non-CHAS GP clinics
Challenges in Healthcare Provision
5
(1980) Population 2.4 million
(2010) Population 5.1 million
Ageing Population
Rising Burden of
Chronic Diseases
0
500,000
1,000,000
1,500,000
2,000,000
DM HPT Hyperlipidaemia At least one of the 3conditions
NUMBER OF RESIDENTS
2010 2015 2020
Challenges within Primary Care
6
Overall Chronic Conditions
81%
19%
55%45%
Polyclinics Private GP Clinics
Polyclinics Private GP Clinics
Polyclinics are currently seeing a disproportionate amount of chronic cases …
Provide portable subsidies for GP visits so that
Singaporeans get access to affordable primary care nearer their doorstep
Team-based care to better address patients’ needs across the whole
spectrum
Community Health Assist
Scheme (CHAS)
Developing polyclinics and new primary care
facilities in underserved areas
Family Medicine Clinics, Community Health Centres and new Polyclinic development
Objectives of Primary Care Masterplan
7
Support services e.g. pharmacy, basic
laboratory services
Team-based services e.g. nurse
counseling, diabetic eye screening
Multi-doctor practice (2 to 4 GPs)
Family Medicine Clinic
(FMC)
New Models of Care – FMCs
8
New Models of Care – CHCs
9
Polyclinics
• Universal subsidies of 50% for adult citizens, and up to 75% for children or elderly patients
Financing Schemes
• Chronic Disease Management Programme (CDMP) • Use of Medisave to reduce out-of-pocket expenses for outpatient
treatment of common chronic conditions
• Improve disease management through structured programmes
• Applicable at Specialist Outpatient Clinics, polyclinics, participating private clinics
• Community Health Assist Scheme (CHAS) • Government subsidises for acute and chronic conditions, selected
dental services and recommended health screenings
• Applicable at participating private clinics
• Pioneer Generation Package (PG Package)
Primary Care Financing
10
Public Health Preparedness Clinics (PHPC)
11
Redefining and Strengthening the Primary
Care Team
12
New and Upcoming Plans
Sharing of longitudinal health records across the
different providers
Developing the next generation of
polyclinics
13
Preparing Our Healthcare System for the
Future
Acute Hospital
Rehab Centre
Family Physician
Polyclinic
Palliative Care
Screening &
Prevention
Nursing Home
Patient
Community Hospital
14
Thank You