1. 2010-1 건강증진정책론
싱가포르의 건강증진정책
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2. 1. 개요
 동남아시아에 있는
섬으로 이루어진 도시
국가로, 1819년 이후
영국의 식민지가 되었
으며, 1959년 6월 새
헌법에 의해 자치령이
되었다. 1963년 말레
이연방·사바·사라와크
와 함께 ‘말레이시아’
를 결성하였으나
1965 년 8 월 에 분 리
독립하였다.
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3. 1. 개요
• 면적 : 692.7㎢
• 기후 : 연중 고르게 아침 최저
23 °C~ 낮 최고 32 °C의
아열대성 기후
• 수도 : 싱가포르(Singapore)
• 공용어 : 말레이어, 중국어,
영어, 타밀어
• 정체 : 공화제
• 통화 : 싱가포르 달러(S$)
(1 S$ = 859.54 원)
• 1인당 GDP : 51,142 $
(2008년 기준)
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4. 2. 사회지표
• 총 인구(Total Population) : 4,839,400명(2008년 기준)
• 총 거주인구(Resident Population) : 3,642,700명 (2008년 기준)
• 인종별 인구구조(%, 2008년기준) • 인구구조
80 74.7
70
60
50
40
30
20
13.6
8.9
10
2.8
0
중국인 말레이인 인도인 기타
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5. 2. 사회지표
• 성별 인구구조(2008년 기준) : 남 49.5%
여 50.5%
• 기대여명(2008년 기준) : 80.9세
남 78.4세
여 83.2세
• 합계출산율(2008년 기준) : 1.28
• 조출생율(인구 1,000명당) : 10.2
• 조사망율(인구 1,000명당) : 4.4
• 유아사망율(신생아 1,000명당) : 2.1
• 5세이하 사망률(신생아 1,000명당) : 2.8
• 노인인구(65세이상)비율 : 8.7%
• 노인부양비 : 8.4
Old Age Support Ratio
(Number of Residents Aged 15-64 Years
Per Elderly* Resident)
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6. 2. 사회지표
• 주요사망원인 Percent of Total Deaths(2008년)
Urinary Tract Infections 2.1
Nephritis, Nephrotic Syndrome & Nephrosis 2.1
Chronic Obstructive Lung Disease 2.5
Diabetes Mellitus 2.7
Other Heart Diseases 4
Accidents, Poisoning & Violence 5.8
Cerebrovascular Disease (including stroke) 8.3
Pneumonia 13.9
Ischaemic Heart Disease 20.1
Cancer 29.3
0 5 10 15 20 25 30
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7. 3. 건강증진정책
1)예산
• 복지부 총 예산 (회계연도 2010년 기준) : $4,181 million
정부 보건의료비 지출 / GDP (%) : 1.5% (2009년 기준)
Government Health Expenditure / GDP
정부 보건의료비 지출 / 총 정부 지출(%) : 8.7% (2009년 기준)
Government Health Expenditure / Total Government Expenditure
• 각 부문별 예산배정
- 보건의료시스템(Healthcare system) : $2,017 million
- 건강증진(Health Promotion) : $112.18 million
- 보건의료인력(Healthcare workforce) : $400million
- 응급상황대비용 : $84million
- 연구조사 : $57million
- 보건의료발전프로그램 : $15million
- 노인보험보조금 : $14.8 million
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8. 3. 건강증진정책
2) 프로그램
Infectious
Financing Healthcare
Diseases
• Medisave • Chronic Disease • Dengue
• Medishield Management • HIV
• Eldershield Programmes • The National
• Medifund • Human Organ Childhood
Transplant Act Immunisation
• Advance Medical Programme
Directive • Pandemic response
• Health Promotion • The Singapore
Programmes Tuberculosis
Elimination
Programmes
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9. 3. 건강증진정책
2) 프로그램 : Financing
Medisave, introduced in April 1984, is a national medical
savings scheme which helps individuals put aside part of their
income into their Medisave Accounts to meet their future personal
or immediate family's hospitalization, day surgery and certain
outpatient expenses.
Under the scheme, every employee contributes 6.5-9% (depending
on age group) of his monthly salary to a personal Medisave
account. The savings can be withdrawn to pay the hospital bills of
the account holder and his immediate family members
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10. 3. 건강증진정책
2) 프로그램 : Financing
MediShield is a low cost catastrophic illness insurance
scheme. Introduced in 1990, the government designed MediShield
to help members meet medical expenses from major illnesses,
which could not be sufficiently covered by their Medisave balance.
MediShield operates on a co-payment and deductible system to
avoid problems associated with first-dollar, comprehensive
insurance.
MediShield will cover up to 80% of your large medical bill
MediShield is operated by the CPF(Central Private Fund) Board.
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11. 3. 건강증진정책
2) 프로그램 : Financing
ElderShield is an affordable severe disability insurance
scheme which provides basic financial protection to those who
need long-term care, especially during old age. It provides a
monthly cash payout to help pay the out-of-pocket expenses for the
care of a severely-disabled person
The Ministry of Health has appointed 3 private insurers to run
ElderShield, (i) Avivia, (ii)GreatEastern, (iii)NTUCIncome
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12. 3. 건강증진정책
2) 프로그램 : Financing
(ElderShield continue)
Singapore Citizens and Permanent Residents (PRs) with Medisave
accounts are automatically covered under ElderShield at the age of 40
There are currently 2 ElderShield schemes: ElderShield300 and
ElderShield400. ElderShield300 was first launched in September 2002 and
offers a payout of $300 per month for a maximum of 60 months.
ElderShield400 came about after the ElderShield reform in 2007 and offers
an improved coverage with payout of $400 per month for a maximum of 72
months. Singapore Citizens and PRs who join ElderShield after September
2007 will be on the ElderShield400 scheme
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13. 3. 건강증진정책
2) 프로그램 : Financing
Medifund is an endowment fund set up by the Government to
help needy Singaporeans who are unable to pay for their medical
expenses. Medifund acts as a safety net for those who cannot
afford the subsidised bill charges, despite Medisave and
MediShield coverage. Set up in April 1993 with an initial capital of
S$200 million, the Government will inject capital into the fund when
budget surpluses are available. The Government utilises the
interest income from the capital sum, which stands at S$1.66 billion
(FY 2008), to help needy patients who have exhausted all other
means to pay their medical bills
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14. 3. 건강증진정책
2) 프로그램 : Health Promotion Board(HPB)
Established in 2001, the Health Promotion Board (HPB) has a
vision to build a nation of healthy and happy people.
The goal is increasing the quality and years of healthy life and
preventing illness, disability and premature death.
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15. 3. 건강증진정책
2) 프로그램 : Health Promotion Board(HPB)
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16. 3. 건강증진정책
2) 프로그램 : Health Promotion Board(HPB)
School Health Service(SHS)
School Dental Services(SDS)
National Myopia Prevention Programme
Healthier Children’s Menu Programme
Osteoporosis Awareness Campaign
Children Injury Prevention Programme
Physical Activity
National Smoking Control Campaign
Mental Health Education
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17. 3. 건강증진정책
2) 프로그램 : Health Promotion Board(HPB)
BrestScreen Singgapore
AIDS Education Programme
CervicalScreen Singapore
Workplace Health Promotion Programme
The Pre-Diabetes Intervention Programme
HPB Online
HealthLine
Health Information Centre
HealthZone
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18. 참고문헌
2010년 싱가포르정부 예산 사이트
http://www.singaporebudget.gov.sg/
싱가포르 통계청 http://www.singstat.gov.sg/
싱가포르 복지부 http://www.moh.gov.sg
주싱가포르 대사관 http://sgp.mofat.go.kr/
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