Turning to turnover, he said there was no massive outflow of local nurses, while the record-high turnover rate was for foreign nurses, rising from the usual 8.9% to 14.8% last year. He added that it had risen.

This is largely due to the pandemic, which has increased the demand for nurses around the world, he said, adding that foreign nurses in Singapore are being lured in by other countries, including New Zealand and the United Kingdom.

Faced with a limited pool of new local talent, due to an aging population and a declining younger population in Singapore, Mr Ong faces the need to retain foreign nurses in the face of increasing international competition. emphasized sexuality.

“Honestly, no matter how much we try to expand our pipeline, we know that if we rely solely on local manpower, the numbers simply don’t match,” he said.

“Therefore, if we want to take care of the elderly and sick, if we want to reduce the burden on health workers, we must expect foreign health workers to play a greater role in the coming years. Hmm.”

The “majority” of the nursing workforce is still local, but the number and role of foreign nurses needs to expand, he added.

Defending against Abuse of Health Care Workers

During his speech, Ong sent a personal message to medical workers, expressing his gratitude and respect for their efforts and sacrifices.

Noting that many healthcare workers have faced abuse from patients and family members, she said the issue cannot and should not be ignored. He added that the MOH also hopes to raise public awareness of abusive behavior that should stop and help health care workers better deal with such situations.

“I think the majority of Singaporeans respect and appreciate health workers,” he said.

“I hope that our health care workers will ignore the minority who show disrespect and trust that the majority, including everyone at MOH, is honoring you.

“And I believe I speak for every member of this House, and we too, whether they are men or women, young or old, local or foreign, and we want them and their jobs. I respect that.”

capitation-based fundraising

Several members, including MP Sylvia Lim (WP-Aljunied), also sought clarification on the new funding model for healthcare clusters under Healthier SG.

Currently, Singapore funds three healthcare clusters, mainly based on workload such as number of treatments and surgeries.

However, under the new strategy, we will move to capitation funding, which will receive a fixed fee for everyone living in the area covered by the cluster, taking into account the different risk profiles of patients.

This is to keep residents healthy through preventive care and provide clusters with new incentives to save some of their money.

While pointing to the benefits of capitation funds, Lim expressed concern that they could also lead providers to “getting the best” from their patients.

“If the annual service fee is fixed, it may make more economic sense to choose healthier patients than, say, older patients with health problems,” said Lim. ” he said.

In response to these concerns, Janil Pusacheli, Senior Minister for Health, said the annual service fee will have different base rates for registered patients with and without chronic diseases.

This is regardless of whether the registrant resident has health insurance or not, Puthucheary said.

In addition to this, additional payments are provided upon completion of the critical care components recommended in the GP’s care protocol and resident health plan.

First of all, Dr. Puthucheary means that doctors are not paid based on whether a patient’s blood pressure or blood sugar drops, but rather whether they engage in interventions that help lower blood. I said I will. blood pressure and blood sugar levels.

This helps minimize the impact of cherry-picking, as GPs share that educating and encouraging patients for screening requires dedicated time and effort, he said. added.

On the other hand, Ong reaffirmed that the transition to capitation funding is being done in stages and carefully.

The cluster has already moved to a capita-based funding model, which has not yet been implemented for hospitals, polyclinics and regional hospitals, he said.

“Capitation funding is where we want to go. But this is a big change and we need to make sure all our partners are ready and plan each move carefully. there is,” he said.

“If that happens, we need to grant a great deal of autonomy so that health care organizations can determine the appropriate location.”

traditional chinese medicine

Responding to a question about the role of traditional Chinese medicine (TCM) in new healthcare strategies, Ong said this has yet to be resolved.

Former Opposition Leader Pritam Singh (WP-Aljunied) has pledged to expand the use of Medisave to more TCM procedures and alternative therapies, with a proven role in general health care and prevention of chronic diseases. proposed.

He added that TCM practitioners can also be leveraged to achieve the country’s vision of improving the health of the entire population, pointing to an important footprint in the community.

“MOH should utilize them not only for the elderly, but for sharing healthy living tips and preventive health strategies,” Singh said.

While authorities are still exploring ways in which TCM can complement healthier SGs, Ong said two ongoing workgroups are looking at issues such as enhancing TCM clinical training and improving career development. shared that

When completed, he said, it could lay the groundwork for looking at ways to involve TCM in supporting healthier SGs.

help the elderly

Second Health Minister Masagos Zulkifri and Senior Parliamentary Secretary for Health Rahayu Mazam also took turns addressing parliamentarians’ concerns about the involvement of older people and ensuring that those who are not IT-savvy are not left behind.

Rahayu said support will be provided to those who need help navigating the program through senior care centers, community centers and more.

Mr. Masagos, on the other hand,Active aging programs are in place in all areas, including door-to-door preventive health visits for the elderly.

He said that between 2012 and 2020, the government will add about 6,000 day care locations and 5,500 home care locations to accommodate the elderly, and transportation will be provided for those who need it. said.

The Aged Care Center also collaborated with the Infocomm Media Development Authority to host digital literacy workshops for older adults, a program aimed at helping them learn how to use Healthy 365 and HealthHub. I’m here.

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