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spelling okr-10986-112992021-04-23T14:02:54Z Financing Health Care : Singapore’s Innovative Approach Taylor, Rob Blair, Simon HEALTH CARE FINANCE HEALTH CARE COSTS SUBSIDIES PRIMARY CARE HOSPITALS HEALTH CLINICS HEALTH INSURANCE APPLICATIONS CHEMOTHERAPY CLINICS CONSUMERS COVERAGE EXCHANGE RATES HEALTH CARE HEALTH CARE COSTS HEALTH FINANCING HEALTH INDICATORS HEALTH INSURANCE HEALTH NEEDS HEALTH OUTCOMES HEALTH SPENDING HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL BEDS HOSPITAL CARE HOSPITALIZATION INCOME INDEMNITY INFANT MORTALITY INFANT MORTALITY RATE INSURANCE COVERAGE INSURANCE POOLS INSURERS MANAGED CARE MARKET FAILURES MEDICAL CARE MEDICAL COSTS MEDICAL SAVINGS ACCOUNTS MEDICAL SERVICES NURSING NURSING HOMES PATIENTS PHYSICIANS POLICYHOLDERS PREMIUMS PRIMARY CARE PRIVATE INSURANCE PRIVATE SECTOR PROGRAMS PUBLIC HOSPITALS PUBLIC SECTOR RADIOTHERAPY RATES SAVINGS SOLVENCY SURGERY SUSTAINABILITY TAX TAX INCENTIVES TAX REVENUE Health care costs are escalating rapidly in many countries. While many factors contribute to rising costs, health insurance plays a part by shielding patients and physicians from the real cost. In an effort to contain costs, governments, employers, and insurers have modified payment schemes and coverage, often leading to rationing and restricted consumer choice and in some cases to denial of care. Singapore is unique among developed countries in achieving excellent health outcomes at a low economic cost. Part of its success may be attributable to its health financing system, which combines individual responsibility with targeted subsidies. Despite Singapore's small size, with only 3.2 million residents in a land area of 660 square kilometers, the country has been a stellar economic performer, rising from impoverishment only 40 years ago. Its per capita GDP, US$427 in 1960, rose to US$24,740 in 2000, one of the highest in the world. Singapore's health indicators are equally impressive. Its average life expectancy increased by 15 years from 1960 (63 years) to 2001 (78) and is now one of the world's longest. Its infant mortality rate is the world's lowest, at 2.2 per 1,000 live births, much improved from 6.6 in 1990 (and 34.9 in 1960) and far lower than rates in most other countries. Both the public and the private sector provide health care in Singapore. The public sector provides 20 percent of primary care and 80 percent of hospital care through two integrated care networks. The private sector dominates primary health care, providing 80 percent through its 1,900 clinics. The 13 private hospitals account for 20 percent of inpatient admissions. Singapore has 11,800 hospital beds (3.7 per 1,000 people). 2012-08-13T14:41:37Z 2012-08-13T14:41:37Z 2003-05 http://documents.worldbank.org/curated/en/2003/05/2459734/financing-health-care Viewpoint. -- Note no. 261 (May 2003) http://hdl.handle.net/10986/11299 English Viewpoint CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Viewpoint Publications & Research East Asia and Pacific Singapore
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic HEALTH CARE FINANCE
HEALTH CARE COSTS
SUBSIDIES
PRIMARY CARE
HOSPITALS
HEALTH CLINICS
HEALTH INSURANCE APPLICATIONS
CHEMOTHERAPY
CLINICS
CONSUMERS
COVERAGE
EXCHANGE RATES
HEALTH CARE
HEALTH CARE COSTS
HEALTH FINANCING
HEALTH INDICATORS
HEALTH INSURANCE
HEALTH NEEDS
HEALTH OUTCOMES
HEALTH SPENDING
HEALTH SYSTEM
HEALTH SYSTEMS
HOSPITAL BEDS
HOSPITAL CARE
HOSPITALIZATION
INCOME
INDEMNITY
INFANT MORTALITY
INFANT MORTALITY RATE
INSURANCE COVERAGE
INSURANCE POOLS
INSURERS
MANAGED CARE
MARKET FAILURES
MEDICAL CARE
MEDICAL COSTS
MEDICAL SAVINGS ACCOUNTS
MEDICAL SERVICES
NURSING
NURSING HOMES
PATIENTS
PHYSICIANS
POLICYHOLDERS
PREMIUMS
PRIMARY CARE
PRIVATE INSURANCE
PRIVATE SECTOR
PROGRAMS
PUBLIC HOSPITALS
PUBLIC SECTOR
RADIOTHERAPY
RATES
SAVINGS
SOLVENCY
SURGERY
SUSTAINABILITY
TAX
TAX INCENTIVES
TAX REVENUE
spellingShingle HEALTH CARE FINANCE
HEALTH CARE COSTS
SUBSIDIES
PRIMARY CARE
HOSPITALS
HEALTH CLINICS
HEALTH INSURANCE APPLICATIONS
CHEMOTHERAPY
CLINICS
CONSUMERS
COVERAGE
EXCHANGE RATES
HEALTH CARE
HEALTH CARE COSTS
HEALTH FINANCING
HEALTH INDICATORS
HEALTH INSURANCE
HEALTH NEEDS
HEALTH OUTCOMES
HEALTH SPENDING
HEALTH SYSTEM
HEALTH SYSTEMS
HOSPITAL BEDS
HOSPITAL CARE
HOSPITALIZATION
INCOME
INDEMNITY
INFANT MORTALITY
INFANT MORTALITY RATE
INSURANCE COVERAGE
INSURANCE POOLS
INSURERS
MANAGED CARE
MARKET FAILURES
MEDICAL CARE
MEDICAL COSTS
MEDICAL SAVINGS ACCOUNTS
MEDICAL SERVICES
NURSING
NURSING HOMES
PATIENTS
PHYSICIANS
POLICYHOLDERS
PREMIUMS
PRIMARY CARE
PRIVATE INSURANCE
PRIVATE SECTOR
PROGRAMS
PUBLIC HOSPITALS
PUBLIC SECTOR
RADIOTHERAPY
RATES
SAVINGS
SOLVENCY
SURGERY
SUSTAINABILITY
TAX
TAX INCENTIVES
TAX REVENUE
Taylor, Rob
Blair, Simon
Financing Health Care : Singapore’s Innovative Approach
geographic_facet East Asia and Pacific
Singapore
relation Viewpoint
description Health care costs are escalating rapidly in many countries. While many factors contribute to rising costs, health insurance plays a part by shielding patients and physicians from the real cost. In an effort to contain costs, governments, employers, and insurers have modified payment schemes and coverage, often leading to rationing and restricted consumer choice and in some cases to denial of care. Singapore is unique among developed countries in achieving excellent health outcomes at a low economic cost. Part of its success may be attributable to its health financing system, which combines individual responsibility with targeted subsidies. Despite Singapore's small size, with only 3.2 million residents in a land area of 660 square kilometers, the country has been a stellar economic performer, rising from impoverishment only 40 years ago. Its per capita GDP, US$427 in 1960, rose to US$24,740 in 2000, one of the highest in the world. Singapore's health indicators are equally impressive. Its average life expectancy increased by 15 years from 1960 (63 years) to 2001 (78) and is now one of the world's longest. Its infant mortality rate is the world's lowest, at 2.2 per 1,000 live births, much improved from 6.6 in 1990 (and 34.9 in 1960) and far lower than rates in most other countries. Both the public and the private sector provide health care in Singapore. The public sector provides 20 percent of primary care and 80 percent of hospital care through two integrated care networks. The private sector dominates primary health care, providing 80 percent through its 1,900 clinics. The 13 private hospitals account for 20 percent of inpatient admissions. Singapore has 11,800 hospital beds (3.7 per 1,000 people).
format Publications & Research :: Viewpoint
author Taylor, Rob
Blair, Simon
author_facet Taylor, Rob
Blair, Simon
author_sort Taylor, Rob
title Financing Health Care : Singapore’s Innovative Approach
title_short Financing Health Care : Singapore’s Innovative Approach
title_full Financing Health Care : Singapore’s Innovative Approach
title_fullStr Financing Health Care : Singapore’s Innovative Approach
title_full_unstemmed Financing Health Care : Singapore’s Innovative Approach
title_sort financing health care : singapore’s innovative approach
publisher World Bank, Washington, DC
publishDate 2012
url http://documents.worldbank.org/curated/en/2003/05/2459734/financing-health-care
http://hdl.handle.net/10986/11299
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