Teo Peggy
Department of Geography, National University of Singapore.
J Aging Soc Policy. 2004;16(1):43-67. doi: 10.1300/J031v16n01_03.
Health care policy in Singapore is similar to that in the United States and the United Kingdom, where a residualist strategy is used to pass health care costs to individuals and their families, the rationale being that this enables the state to concentrate on devolution of care to the community and ensure efficient and affordable service to all Singaporeans. The services include public restructured hospitals and outpatient poly-clinics as well as community services such as community hospitals and hospitals for the chronically ill, nursing homes, day care centers, and home help services. Availability does not translate into optimum usage because current and potential users and their families are not able to match their financial and social resources with the services. Instead, the state acts as the case manager and places parameters on what individuals can access.
新加坡的医疗保健政策与美国和英国相似，采用残余主义策略将医疗保健成本转嫁给个人及其家庭，其理由是这能使国家专注于将护理下放至社区，并确保为所有新加坡人提供高效且负担得起的服务。这些服务包括公立重组医院和门诊综合诊所，以及社区医院、慢性病医院、养老院、日托中心和居家帮助服务等社区服务。可获得性并不等同于最佳使用，因为当前和潜在的使用者及其家庭无法将其财务和社会资源与服务相匹配。相反，国家充当病例管理员，并对个人能够获得的服务设置限制条件。
