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“Many helping hands”: a review and analysis of long-term care policies, programs, and practices in Singapore
- Authors:
- ROZARIO Philip A., ROSETTI Amanda Leigh
- Journal article citation:
- Journal of Gerontological Social Work, 55(7), October 2012, pp.641-658.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article, using the political economy perspective to examine key long-term care policies and provisions, explores ideological underpinnings of policy-making in Singapore. Family involvement, an inherent part of the long-term care system, is overtly reinforced by legislations and policy imperatives. Further, the government encourages and expects the participation of non-state actors in the provision of services as part of its Many Helping Hands approach to welfare provision. The article argues that the government's emphasis of certain ideology, such as self-reliance and cultural exceptionalism, allows it to adopt a residual and philanthropic approach in support of its macro-economic and legitimacy concerns. The authors concluded that Singapore should consider a westernised approach to long-term care needs that are more fiscally conservative in nature.
Application of the European quality indicators for psychosocial dementia care in long-term care facilities in the Asia-Pacific region: a pilot study
- Authors:
- JEON Yun-Hee, et al
- Journal article citation:
- Aging and Mental Health, 22(10), 2018, pp.1279-1286.
- Publisher:
- Taylor and Francis
Objectives: An Asia-Pacific regional collaboration group conducted its first multi-country research project to determine whether or not European quality indicators (QIs) for psychosocial care in dementia could be implemented as a valid tool in residential aged care across seven Asia-Pacific sites (Australia, Hong Kong Special Administrative Region, Mainland China, Malaysia, Singapore, South Korea, and Thailand). Method: Following the European QI protocol, auditing and data extraction of medical records of consenting residents with dementia were conducted by trained auditors with relevant health care backgrounds. Detailed field notes by the auditors were also obtained to describe the characteristics of the participating care facilities, as well as key issues and challenges encountered, for each of the 12 QIs. Results: Sixteen residential care facilities in the seven Asia-Pacific sites participated in this study. Data from 275 residents’ records revealed each of the 12 Qis’ endorsement varied widely within and between the study sites (0%–100%). Quality of the medical records, family and cultural differences, definitions and scoring of certain indicators, and time-consuming nature of the QI administration were main concerns for implementation. Conclusion: Several items in the European QIs in the current format were deemed problematic when used to measure the quality of psychosocial care in the residential aged care settings in participating Asia-Pacific countries. The authors propose refinements of the European QIs for the Asian-Pacific context, taking into account multiple factors identified in this study. The findings provide crucial insights for future research and implementation of psychosocial dementia care QIs in this region. (Edited publisher abstract)
International profiles of health care systems
- Editors:
- MOSSIALOS Elias, et al
- Publisher:
- Commonwealth Fund
- Publication year:
- 2017
- Pagination:
- 182
- Place of publication:
- New York
This publication presents overviews of the health care systems of Australia, Canada, China, Denmark, England, France, Germany, India, Israel, Italy, Japan, the Netherlands, New Zealand, Norway, Singapore, Sweden, Switzerland, Taiwan and the United States. Each overview covers health insurance, public and private financing, health system organisation and governance, health care quality and coordination, disparities, efficiency and integration, use of information technology and evidence-based practice, cost containment, and recent reforms and innovations. In addition, summary tables provide data on a number of key health system characteristics and performance indicators, including overall health care spending, hospital spending and utilisation, health care access, patient safety, care coordination, chronic care management, disease prevention, and public views. (Edited publisher abstract)
Ageing, social security and affordability
- Editors:
- MARMOR Theodore R., DE JONG Philip R.
- Publisher:
- Ashgate
- Publication year:
- 1998
- Pagination:
- 365p.,tables,bibliogs.
- Place of publication:
- Aldershot
Collection of papers looking at spending on pensions and medical care for older people and their place in the debate about the desirability and affordability of modern social programmes. Includes chapters on: social assistance in the member states of the European Union; the relationship between social and occupational security; an international comparison of legal indexation of social security benefits; the hidden liabilities of public pension plans in twelve EU countries; pensions in transition in the United States and Japan; transitional effects of a change in the Spanish pension system; financing old age in Singapore; pay as you go versus funded system of financing pensions in Central and Eastern Europe; pension system reform in Latin America; equity, cost containment and efficiency in health care; health care reform; the social and economic consequences of delaying a political decision concerning reform of health care in Poland; the role of government in the provision and financing of long term care for older people; the impact of the evolution of health expectancy in future public health care expenditure; and forecasts of future disabled and institutionalised US populations 195 to 2040.