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拥挤的新加坡医院?

by Yee Loon
19/10/2018
in Main story, 健康, 时事
Reading Time: 1 min read
0

彭博社在上月,把新加坡列为续香港后医疗系统最有效率国家,效率比分高达85.6(香港为87.3)。

但是,72巴仙的国人仍对本地的医疗服务不满意。其中有几项导因,包括漫长的等候就诊时间,还有越来越短缺的医疗资源(如病床)。

人口增长以及老龄人口的增加,有更多国人寻求在本地医疗机构就诊,似乎医院将变得更为拥挤。从2015年到2017年,我国总人口增长1.4巴仙,同期间到急症医院(公立和专科医院,不包括精神科医院)求诊的人数,也飙升了13.6巴仙。

即使在分析中把精神科医院和社区医院也涵括进来,仍可看出入院率从2010年以来就随着人口增长加快步伐攀升。

本地一家消费调查机构Value Penguin作出统计,梳理本地医院和医疗服务越发拥挤的情况。

该机构的报告也显示,人口老龄化、死亡率增长(比起2014-2016年人口增长2.5巴仙,死亡率也增长3.2巴仙)和医疗旅游,加之医疗资源供应跟不上日益增长的需求,都是导致医院越发拥挤的因素。

总人口中急症医院住院占比

图源:Value Penguin

除了住院率增长,在特定时期医院也会面对高度拥挤的状况。根据Value Penguin数据调查显示,医院在工作日反而比周末更为繁忙,以我国六家公立医院为例,都是在周一至周四的病床使用率最高。全年的病床使用率平均值也在85巴仙。

6家公立医院在2018年7月15日-21日期间的病床使用率

Value Penguin认为,漫长的等候时间,也是医院是否拥挤的最好指标。求诊人数多、但是医疗人手、器材和资源若不足,病患轮流等候就诊的时间就越长。根据2018年7月卫生部的数据显示,病患在6家公立医院,从急诊室转到病房的等候时间平均为2小时半。

同时,在周二和周三,在医院的平均等候就诊时间最长,平均要3.2小时,周末为1.6小时而周一和周五为2.3小时。这也说明,病患在平日到医院看诊,更容易产生医院拥挤的印象。

六家公立医院的平均等候时数(2018年7月15-21日)

六大公立医院平均病床使用率89巴仙

那么,哪一家医院几乎人满为患?根据卫生部的每周数据显示,邱德拔医院的病床使用率最高,达96巴仙,在一些单日甚至可以全满。不过,该医院的等候时间最短,相信是病人出入流动量较快。

从一周数据来看,六大公立医院都显示较高的病床使用率,平均值为89巴仙。

此外,陈笃生医院的等候时间最久,以每周数据为基准平均要4.5小时。它的病床使用率也是第二高,95巴仙,总体来看成为最拥挤的医院。至于樟宜医院的平均病床使用率85巴仙,等候时间为1.7小时。

六大公立医院从急诊部转入院等候时间(中位数)(2018年7月15-21日)

TTSH-陈笃生医院
SGH-新加坡中央医院
AVG-平均值
NTFGH-黄廷方综合医院
NUH(A)-新加坡国立大学医院
CGH- 樟宜中央医院
KTPH- 邱德拔医院

医疗系统提升跟不上人口增长需求

Value Penguin认为,在医院设施的提升跟不上人口迅速增长之下,仍会有越来越多国人在医院求诊感到拥挤和不便。假如需求仍持续增加,即将开展的医疗提升项目可能仍不足以舒缓现状,更何况这些计划可能要数年才完成,例如2023年才竣工的中央医院急症大楼。

故此,该机构提醒年轻国人应更注重疾病预防,改善饮食、培养运动习惯来改善健康。

虽然Value Penguin也建议可考虑购买私人综合健保(IP),入住A级病房或私人医院可减少等候时间,不过私人医院收费比起A级病床配套价格差距达127巴仙,视您的年龄,成本可从118至1527元不等。

随着年龄增长保费也越来越贵,消费者有需在医疗成本和看诊便利上作出权衡。

不同病床等级和年龄下选择性投保保费比较

*不包括终身健保保费和保健储蓄

浅蓝为B1病床配套,深蓝为A级病床,而青色为私人医院配套。图表可见年龄增长,三种配套的价格差距越扩大。

 

本文摘录翻译自Value Penguin网站: “Are Singaporean Hospitals Overcrowded?“.

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