The Savings Approach to Financing Long-Term Care in Singapore
The Savings Approach to Financing Long-Term Care in Singapore
复制标题
新加坡长期护理融资的储蓄方法
DOI：
--
复制
发表时间：
2002
影响因子：
5.1
通讯作者：
P. K. Hong
中科院分区：
文献类型：
--
作者：
P. K. Hong
新加坡正在努力为当代老年人提供服务，同时为下一代老年人奠定基础。在这篇文章中，我分析了四组因素，是塑造长期护理政策和融资的方式，几乎是独特的新加坡。首先，目前的发展只能从中央公积金的角度来理解，中央公积金是新加坡政府在1950年代设立的，目的是确保工作人口为退休储蓄;保健储蓄和相关的保健筹资计划随后与中央公积金一起发展。最近，现行的资助安排已扩展至一些长期护理服务，并正在考虑进一步扩展的方案。第二，政府的理念是，保持家庭对老年人支助的首要地位，这一理念体现在一些向家庭提供财政和其他奖励的倡议中，同时强调社区照顾。第三个因素是政府与志愿福利机构之间的关系，这些机构是机构和社区服务的主要提供者。最后，一系列由政府赞助的审查和咨询委员会就政策选择进行了广泛协商。这些事态发展旨在实现多支柱办法，限制通过税收进行的代际转移，增加个人储蓄和保险的作用。
Summary Singapore is grappling with provision of services for the current generation of older people at the same time as building the foundation for the coming generations of elderly. In this article, I analyze four sets of factors that are shaping long-term care policy and financing in ways that are almost unique to Singapore. First, current developments can only be understood in the context of the Central Provident Fund (CPF) that was established by the Government of Singapore in the 1950s to ensure that the working population saved for retirement; the Medisave and related schemes for financing health care were subsequently developed alongside the CPF. Most recently, the existing funding arrangements have been extended to some long-term care services, and options for further extensions are under consideration. Second, the government's philosophy of maintaining the primacy of family support for the elderly has been expressed through a number of initiatives that provide financial and other incentives to families, combined with an emphasis on community care. The third factor is the relationship between government and the voluntary welfare organizations that are the major providers of institutional and community services. Finally, a series of government-sponsored reviews and advisory councils have provided for widespread consultation on policy options. These developments are directed to achieving a multi-pillar approach in which intergenerational transfers through taxation will be limited, and the role of individual savings and insurance will be increased.