INTERNATIONAL HEALTH SYSTEMS: THE ASIAN (TAIWAN, JAPAN, SINGAPORE,)

Transcription

1 INTERNATIONAL HEALTH SYSTEMS: THE ASIAN (TAIWAN, JAPAN, SINGAPORE,) Presented by: Ms. Nuanthip Tangsitchanakun Ms. Nan Nin Shwe Yi Lin

2 HEATH CARE SYSTEMS JAPAN IN

3 OVERVIEW OF JAPAN HEALTHCARE SYSTEM Japan has one of the top healthcare systems that focuses on giving everyone healthcare without rising cost Multi-payer, employment-based system of financing Free Choice of health care providers by patients Insurance is paid by tax dollars, payroll deductions, and the co-payment made by the people of Japan

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5 Infant Mortality rate

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7 Total Health Expenditure per Capita, U.S. and Selected Countries, Snapshots: Health Care Spending in the United States & Selected OECD Countries Apr 12, 2011

8 Per-Head annual health expenditures by age group in Japan,2007

9 HEALTH INSURANCE 1. National health insurance covers self-employed, retirees, farmers, fishermen, and jobless 2. Employee s health insurance includes: Ø Health Insurance Society covers employees of large companies Ø Government Managed health Insurance covers employees of small to medium size compaines erpoint_ppt_presentation Japan: Universal health Care at 50 Years 2 article

10 HOW NATIONAL HEALTH INSURANCE WORK Aged 3 to 74 pay 30% of medical expenses Under 3 yr pay 20% Over 74 yr pay 10% or 20% Fee for service determined by the ministry of health, labor and welfare Individuals and families are assigned to an insurance type based on career/employment

11 PREMIUM SETTING Premium are based on income and ability to pay Municipal insurers tend to have more varied premium schedules and the premium may differ on major cities,size of house hold.

12 STRENGTH IN JAPAN Coverage is universal All costs are controlled by a national fee imposed by the government with limits on expenditure increases All patients have the freedom to choose from any physician they wish to take care of them and there is no wait time for needing treatment Each medical provider is paid the same for the same procedure across the board Prescription drug and Dental care are covered

13 CHALLENGES IN JAPAN Aging Society & High healthcare Cost Economic growth has slowed and family size has decreased Changing employment patterns The coverage does not include preventative health exams Long hospital stays due to shortage of nursing homes (survey data indicate that 45 percent of elderly inpatients are hospitalized for more than six months)

14 CHALLENGE IN JAPAN Economic growth has slowed and family size has decreased

15 SUMMARY Japan healthcare is A Right. Although Japan seems to have very strong healthcare system, it will be more stronger if Japan can eliminate the unnecessary costs related with hospital long stay by long term care homes

16 Japan Healthcare System Video

17 TAIWAN HEALTH CARE SYSTEM National Health Insurance was lunched in 1995 Single-payer program Offer preventive medical services, prescription drugs, dental services, Chinese medicine, home nurse visits and many more. Unlimited freedom of choice in choosing providers ( Dr & hospital) No wait line normally; Every Taiwanese citizen in Taiwan must enroll Last entire lifetime

18 PREMIUM CONTRIBUTION ( NATIONAL HEALTH INSURANCE PROGRAM, TAIWAN) Mainly financed by premium which are based on payroll tax by insured, employers and directed governments funding

19 Financial Structure of Taiwanese National Health Insurance System

20 AFFORDABLE HEALTHCARE Healthcare in Taiwan is quite affordable A family of four pays roughly 100 $ per month as the premium accounting for about 2% of the average house hold income. HealthCoverage.pdf(Bureau of National Health Insurance, Department of Health, Executive Yuan)

21 STRENGTH Good accessibility to healthcare Short waiting time Lowest administrative healthcare cost in the world Citizens can see any doctors without a referral Freedom of choice of healthcare Comprehensive coverage even for preventive medicine to elderly home care, dental care, traditional Chinese medicine

22 PROBLEMS Financial burden Low doctor-to-population ratio Weak Referral System Short Consulting Time US National Library of Medicine, National Institutes of Health)

23 HEALTHCARE SYSTEM IN SINGAPORE Singapore Healthcare_ Building a healthy nation

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25 Vision Championing a healthy nation with our people - To live well, live long & with peace of mind Mission To promote good health and reduce illness, ensure access to good and affordable healthcare, and pursue medical excellence. Achieve three strategies: 1. Promote good health and reduce illness 2. Ensure access to good and affordable healthcare 3. Pursue medical excellence

26 Core Values Dedication Excellence Professionalism Integrity Care & Compassion Teamwork

27 Singapore Healthcare System Our Philosophy The Ministry of Health believes in ensuring quality and affordable basic medical services for all. The Ministry promotes healthy living and preventive health programmes as well as maintains high standards of living, clean water and hygiene to achieve better health for all. Structure and Budget designed to ensure that everyone has access to different levels of healthcare in a timely, cost-effective and seamless manner.

28 Quality Care Singapore has achieved several notable firsts in the world in medical care. The Ministry s commitment to patient safety and quality care starts from the top.

29 In November 2006, Minister for Health, Mr Khaw Boon Wan, pledged his support for a global initiative (the Global Patient Safety Challenge initiated by World Health Organisation (WHO) World Alliance for Patient Safety) to promote high standards of practice to reduce the risks of healthcare-associated infections and improve patient safety.

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32 VIDEO How much does the Singapore Government spend on Healthcare?

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34 The Community Health Assist Scheme (CHAS) enables Singapore Citizens from lowerand middle-income households to receive subsidies for medical and dental care at participating General Practitioners (GPs) and dental clinics near their homes.

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36 Speech by Minister for Health, Mr Gan Kim Yong, at the MOH Committee of Supply Debate 2016 Health is ultimately a personal responsibility. All Singaporeans need to play an active role in their health journey and in the War on Diabetes. We all need to make sensible lifestyle choices and informed decisions in our health. Government will do its part to provide a supportive environment but we cannot do this alone. If we are able to do this together; we will be able to achieve Better Health, Better Care and a Better Life for all Singaporeans.

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41 SINGAPORE: The average life expectancy of Singaporeans born in 2014 was 82.8 years, a 7.5-year increase from that in 1990, Health Minister Gan Kim Yong said in Parliament on Wednesday (Apr 13). He noted that Singapore's life expectancy is among the highest in the world, and that the healthy life expectancy - which measures years lived with "full health" - is among the top 3 in the world. Speaking as part of the Committee of Supply debates, Mr Gan also gave an update on the Healthcare 2020 Master Plan. the-average-life/ html

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45 Video - Lessons from Singapore in Health Published on 27 Jul 2014 A new vision for funding health in Australia based on the Singapore model could be achieved by applying the principle of choice for those who wish for an alternative to Australia s taxpayer-funded, universal health care system. Read the full report, Lessons from Singapore: Opt-Out Health Savings Accounts for Australia, by David Gadiel and Dr Jeremy Sammut at cis.org.au

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47 WHERE ARE WE GOING NOW??? WHAT CAN DEVELOPING COUNTRIES LEARN FROM JAPAN AND THE ASIAN TIGERS?

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