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Learning from elsewhere: Integrated care development in Singapore

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  • Ow Yong, Lai Meng
  • Cameron, Ailsa

Abstract

The Singapore healthcare sector faces a myriad of challenges, including a rapidly ageing population, an increasing burden of chronic disease, and the rising cost of healthcare. The Ministry of Health has called for a restructuring and transformation of the current model of care to one that is more accessible, affordable and of higher quality, by the year 2020. In achieving quality health care, care integration through the Regional Health Systems (RHS) is seen as one approach to improving health and social outcomes, increasing healthcare utilisation and increasing satisfaction with healthcare providers. We conducted a qualitative study involving 31 elites from five policy agent clusters, and analysed organisational documents, to explore how the concepts of policy transfer and policy translation, explain the ways in which integrated care was introduced and developed in Singapore, with a focus on the SingHealth (SGH Campus) Regional Health System (RHS). The findings demonstrate that the development of integrated care is mediated by multi-scalar and multi-site networks and contextual features. The multiple and pluralistic interpretations of ‘integrated care’ and ‘policy’ are contested spaces or domains requiring further negotiation and debate. Institutional issues in the SingHealth (SGH Campus) RHS, and in the private and ILTC sectors highlight the need to consider spatial and temporal factors, and the multiplexities in the embedding of integrated care policy.

Suggested Citation

  • Ow Yong, Lai Meng & Cameron, Ailsa, 2019. "Learning from elsewhere: Integrated care development in Singapore," Health Policy, Elsevier, vol. 123(4), pages 393-402.
    • Handle: RePEc:eee:hepoli:v:123:y:2019:i:4:p:393-402
    DOI: 10.1016/j.healthpol.2018.12.004
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    References listed on IDEAS

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    1. Ailsa Cameron, 2016. "What have we learnt about joint working between health and social care?," Public Money & Management, Taylor & Francis Journals, vol. 36(1), pages 7-14, January.
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    7. Ong, Suan Ee & Tyagi, Shilpa & Lim, Jane Mingjie & Chia, Kee Seng & Legido-Quigley, Helena, 2018. "Health systems reforms in Singapore: A qualitative study of key stakeholders," Health Policy, Elsevier, vol. 122(4), pages 431-443.
    8. John L. Campbell & Ove K. Pedersen, 2014. "Knowledge Regimes and the National Origins of Policy Ideas [The National Origins of Policy Ideas: Knowledge Regimes in the United States, France, Germany, and Denmark]," Introductory Chapters,, Princeton University Press.
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