The Experts below are selected from a list of 23766 Experts worldwide ranked by ideXlab platform
Jason Yap - One of the best experts on this subject based on the ideXlab platform.
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Evolution, Revolution, Devolution and Volution of Singapore's Healthcare System
International Journal of Integrated Care, 2017Co-Authors: Mui Cheng, Mabel Sheau Fong Low, Jason YapAbstract:Over the years, Singapore’s healthcare system has evolved from the British colonial welfare healthcare system in the 1900s to today’s current Regional Healthcare Systems (RHS) and an upcoming reform into 3 clusters. The revolution of healthcare was evident after Singapore gained independence in 1965. It moved from a welfare, centralized healthcare system comprising of only one General Hospital to a decentralized network of 26 satellite hospitals/clinics whose main aim was to provide basic healthcare for its people and also eliminate infectious diseases like smallpox and measles. The move away from welfare state was to shift the costs of healthcare burden from the government to the people. In 2000, evolution of Singapore’s healthcare system began. Public healthcare institutions were organised into 2 healthcare clusters which further evolved into 6 regional healthcare clusters. purpose of restructuring the healthcare system into Regional Healthcare Systems (RHS) was to cater to the people’s needs in a more localised manner, enhance and strengthen integrated care across the care continuum in view of the challenges posed by increasing demands of healthcare needed by the greying population. The RHS framework comprised of general practitioners (GPs) restructured hospitals (RHs), community hospitals (CHs), nursing homes (NHs) and home care providers within each region. The process of restructuring the hospitals also sees a Devolution of power from the government to the hospital, giving them autonomy to make decisions. The purpose of this is to ensure high standards and quality of care by competing against each other in a free market setting. In 2017, the government decided that a 3-cluster healthcare system (Volution of healthcare) would better optimise resources and capabilities to provide more comprehensive and patient-centered care to meet Singaporeans’ evolving needs. The convolution of Singapore healthcare’s system is responsive and adaptive to the changing needs of the population. Singapore’s healthcare system has been changing to better cater to the needs of the population. From providing basic healthcare in the 1960s to providing better integrated care to meet the needs of the ageing population and increased chronic burden through the 2-cluster system then the 6 RHS to better localised healthcare within the regions and to the upcoming 3-cluster healthcare system to better optimise and focus our resources to inch closer to our aim of providing accessible, affordable and quality health care.
Tran Ngoc Thanh - One of the best experts on this subject based on the ideXlab platform.
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exclusive versus inclusive Devolution in forest management insights from forest land allocation in vietnam s central highlands
Land Use Policy, 2007Co-Authors: Thomas Sikor, Tran Ngoc ThanhAbstract:The Devolution of forest management is high on the agenda in international forest policy. Devolution is generally conceived as a policy that aims to include a more diverse set of actors in forest management. One of the most problematic outcomes of Devolution policies, therefore, is their tendency to exclude the claims of some local actors. This paper examines the exclusionary effects of Devolutions in settings characterized by overlapping state and customary regulations and links these effects to exclusive notions of property and governance contained in particular Devolution policies. The paper draws on insights gained in a pilot initiative of forest Devolution in Vietnam's Central Highlands. Forest land allocation, as the initiative is called in Vietnam, took an exclusive approach to Devolution by assigning ownership-type rights on forest to local actors, obliging those to protect the forest against encroachment by other actors, and centering governance in the state. In this particular case, exclusive Devolution failed to diminish the gap between state and customary regulations, created conflicts among local actors, and contributed to forest loss. The unintended outcomes of exclusive Devolution suggest the need for an inclusive approach to Devolution that accommodates diverse kinds of overlapping claims made by multiple actors. The key elements of inclusive Devolution are proprietary but not ownership rights granted to individual users and nested governance relations involving state and customary actors.
Mui Cheng - One of the best experts on this subject based on the ideXlab platform.
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Evolution, Revolution, Devolution and Volution of Singapore's Healthcare System
International Journal of Integrated Care, 2017Co-Authors: Mui Cheng, Mabel Sheau Fong Low, Jason YapAbstract:Over the years, Singapore’s healthcare system has evolved from the British colonial welfare healthcare system in the 1900s to today’s current Regional Healthcare Systems (RHS) and an upcoming reform into 3 clusters. The revolution of healthcare was evident after Singapore gained independence in 1965. It moved from a welfare, centralized healthcare system comprising of only one General Hospital to a decentralized network of 26 satellite hospitals/clinics whose main aim was to provide basic healthcare for its people and also eliminate infectious diseases like smallpox and measles. The move away from welfare state was to shift the costs of healthcare burden from the government to the people. In 2000, evolution of Singapore’s healthcare system began. Public healthcare institutions were organised into 2 healthcare clusters which further evolved into 6 regional healthcare clusters. purpose of restructuring the healthcare system into Regional Healthcare Systems (RHS) was to cater to the people’s needs in a more localised manner, enhance and strengthen integrated care across the care continuum in view of the challenges posed by increasing demands of healthcare needed by the greying population. The RHS framework comprised of general practitioners (GPs) restructured hospitals (RHs), community hospitals (CHs), nursing homes (NHs) and home care providers within each region. The process of restructuring the hospitals also sees a Devolution of power from the government to the hospital, giving them autonomy to make decisions. The purpose of this is to ensure high standards and quality of care by competing against each other in a free market setting. In 2017, the government decided that a 3-cluster healthcare system (Volution of healthcare) would better optimise resources and capabilities to provide more comprehensive and patient-centered care to meet Singaporeans’ evolving needs. The convolution of Singapore healthcare’s system is responsive and adaptive to the changing needs of the population. Singapore’s healthcare system has been changing to better cater to the needs of the population. From providing basic healthcare in the 1960s to providing better integrated care to meet the needs of the ageing population and increased chronic burden through the 2-cluster system then the 6 RHS to better localised healthcare within the regions and to the upcoming 3-cluster healthcare system to better optimise and focus our resources to inch closer to our aim of providing accessible, affordable and quality health care.
Thomas Sikor - One of the best experts on this subject based on the ideXlab platform.
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exclusive versus inclusive Devolution in forest management insights from forest land allocation in vietnam s central highlands
Land Use Policy, 2007Co-Authors: Thomas Sikor, Tran Ngoc ThanhAbstract:The Devolution of forest management is high on the agenda in international forest policy. Devolution is generally conceived as a policy that aims to include a more diverse set of actors in forest management. One of the most problematic outcomes of Devolution policies, therefore, is their tendency to exclude the claims of some local actors. This paper examines the exclusionary effects of Devolutions in settings characterized by overlapping state and customary regulations and links these effects to exclusive notions of property and governance contained in particular Devolution policies. The paper draws on insights gained in a pilot initiative of forest Devolution in Vietnam's Central Highlands. Forest land allocation, as the initiative is called in Vietnam, took an exclusive approach to Devolution by assigning ownership-type rights on forest to local actors, obliging those to protect the forest against encroachment by other actors, and centering governance in the state. In this particular case, exclusive Devolution failed to diminish the gap between state and customary regulations, created conflicts among local actors, and contributed to forest loss. The unintended outcomes of exclusive Devolution suggest the need for an inclusive approach to Devolution that accommodates diverse kinds of overlapping claims made by multiple actors. The key elements of inclusive Devolution are proprietary but not ownership rights granted to individual users and nested governance relations involving state and customary actors.
Martin Mckee - One of the best experts on this subject based on the ideXlab platform.
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Devolution of power revolution in public health
Journal of Public Health, 2016Co-Authors: Srinivasa Vittal Katikireddi, Katherine Smith, David Stuckler, Martin MckeeAbstract:On 8 May 2015, the Conservative party won an unexpected majority in the UK general election.1 Commentators argued that a potentially decisive factor was concern in England about the Scottish National Party (SNP) forcing a minority Labour government to ‘dance to the SNP’s tune.’2 Meanwhile the SNP won a historic number of seats in Scotland, capturing 56 of the 59 Westminster constituencies. The election took place against a backdrop of debate about the future of the UK. Although the Scottish independence referendum was lost, it was widely agreed that the status quo no longer remained feasible. At the same time, there is pressure to revisit Welsh Devolution3 and the Westminster government has proposed devolving certain powers to locally elected decision-makers in English regions.4 Meanwhile, the new Conservative government has committed to a referendum on continuing European Union membership, reflecting calls for ‘Brexit’.5 Although initially emanating from those on the right of the political spectrum, there is now some support from the left,6 making it a real possibility and likely to trigger a second Scottish referendum. One way or another, substantial political change is looming. If we conceive of ‘health’ as ‘health care’ (as many political scientists do), it could be argued that further Devolution has little significance since responsibility for the NHS is already devolved to each national administration.7 Yet, most of the major determinants of population health and health inequalities lie outside the health system, often in areas for which responsibility has so far remained in Westminster.8,9 For example, macro-economic and welfare policies have large health impacts, potentially more so than health services and,10 while the relatively modest scale of Devolution has not yet led to marked divergence in such policies, this looks set to change. We apply a political science framework focussing on ideas, interests and institutions to demonstrate potential opportunities and threats to public health arising from political change, so that researchers and practitioners can better engage with the political determinants of health.
