Commentary: Long overdue healthcare reforms through Healthier SG, but real challenges lie ahead

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Singapore has released its first White Paper, the first on healthcare reform since 1993, which contains more key details of the Healthier SG strategy.

Singapore has released its first White Paper on healthcare reform since 1993, which contains more key details of the Healthier SG strategy.

The health ministry had previously highlighted that whilst Singaporeans enjoyed one of the highest life expectancies in the world, our “health span” — or years lived in good health — was less rosy with citizens spending an average of ten years of our life span in various degrees of illness and disability.

It has also mobilised many of the same resources that were so effective in Covid-19 swab and vaccination operations.However, there are very legitimate and real challenges we must overcome for a successful roll-out which will begin in the middle of next year.Our healthcare system has for decades been more accurately a “sick care” system. If we are honest with ourselves, we doctors have been taught to treat disease rather than to enhance health.

Practically, medical schools and professional societies such as the College of Family Physicians Singapore will need to revamp their curricula to include much more emphasis on preventive care and behavioural sciences. In Healthier SG, the intent is personalising to the resident as everyone’s health state, goals, motivation, knowledge and community support would be different.

The question is: will this good nature extend into Healthier SG for the eight to 10 years that the MOH estimates will be needed to show initial results?Even in our current “sick care” model, manpower is stretched.

Source: Healthcare Press (healthcarepress.net)

 

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