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23 day rehabilitation
centers and 6 VWOs with home care services providing for the health
care needs of the elderly in Singapore.
To address
the concerns on increasing health needs by the rapidly ageing
population, the Inter-Ministerial Committee on Health Care for
the Elderly (IMC) was set up in 1997 to put in place policies
and strategies for the adequate provision of health care for the
elderly, and to ensure that their long-term care is affordable
to the individual, family, community and country.
The IMC has
recommended a two-pronged approach to looking after the health
care needs of the elderly. Firstly, health promotion and disease
prevention to enable the elderly to remain healthy and active
in the community. Secondly, when disease and disability set in,
the system must be able to provide appropriate and cost-effective
health care according to each elderly person's need, so as to
achieve maximum functional capability. As the elderly generally
want to live with their families, they are to be cared in their
own homes for as long as possible. Institutionalization of the
elderly should be a measure of last resort.
The key recommendations
cover health promotion and disease prevention, screening and early
detection of illness and disability, better training in geriatric
care for medical undergraduates and general practitioners, development
of long-term care facilities and services in partnership with
VWOs, ensuring standards of health care services, and measures
to finance long-term care.
Support Services
Support services to the hospital and primary health care program
include forensic pathology, pharmaceutical services and the blood
transfusion service. Except for forensic pathology and blood transfusion
service, which are centralized in the Ministry of Health, the
remaining services can be found in both the public and private
sectors.
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