Health Policy in Singapore

Overview

For over three years, Duke-Margolis has collaborated with Duke-NUS and key organizations in the country to accelerate and support Singapore’s ongoing health system transformation to achieve better population health. Partners have included Centre of Regulatory Excellence (CoRE) at Duke-NUS, Ministry of Health (MOH), MOH Office for Healthcare Transformation (MOHT).

While Singapore’s world-class health system is performing very well by many measures – including per-capita costs and health outcomes – the Ministry of Health is implementing the “3 Beyonds" strategy: Beyond hospital to community; Beyond quality to value; and Beyond healthcare to health to adapt its system to reflect medical progress and serve its aging population, which will double by 2030 and account for a quarter of the country’s citizens. Singapore is addressing key policy issues including delaying the onset of chronic diseases, increasing home-based care for chronic disease management and coordinating care for people with high-cost conditions. Many of these issues require a multi-dimensional policy, care delivery and payment solutions spanning developing a funding stream that follows the person, covering medical and non-medical care across the continuum of care, to increase flexibility and promote innovation, creating and supporting an accountable entity to integrate capabilities and support an integrated care pathway, and creating a patient-centered models to manage of chronic diseases.

Impact

Increased understanding of value-based care and exchange of best practices.

Activities

The team has organized roundtables with all three health clusters in Singapore – National University Health System (NUHS), SingHealth and National Healthcare Group (NHG) – and multiple public symposia, including co-organizing a conference with the Ministry of Health that facilitated dialogue on value-based care and reached over 500 health leaders. In addition, the team has built relationships with over 50 public and private sector actors. 

Funder: Duke-NUS

See specific projects below