Targeted versus Medium-term Outcome Indicators of Healthier SG Programme
Ministry of HealthSpeakers
Summary
This question concerns an inquiry by Mr Gerald Giam Yean Song regarding current baseline statistics and ten-year targets for Healthier SG outcome indicators, including obesity, chronic disease management, and hospital utilization. Minister for Health Ong Ye Kung provided 2019/20 data indicating a 10.5% crude obesity rate and control levels of 38% for diabetes and 35.7% for hypertension. For the 2017-2019 period, the Minister reported a 44.8% admission rate for avoidable emergency attendances and a 44.6% rate for fall-associated injuries among the elderly. Certain indicators, including 365-day readmission rates and average bed-days per capita, remain under review, while hyperlipidaemia control targets were not captured due to individual risk variations. Minister for Health Ong Ye Kung stated that the Ministry of Health will determine and disclose specific performance targets after the Healthier SG scheme has stabilized its operations.
Transcript
12 Mr Gerald Giam Yean Song asked the Minister for Health in view of the medium-term outcome indicators published in the Healthier SG White Paper (a) what is the current (i) obesity rate (ii) avoidable emergency department attendance rate (iii) 365-day re-admission rate (iv) average bed-days per capita and (v) admission rate of fall-associated injury among elderly; (b) what is the current proportion of (i) diabetes mellitus (ii) dyslipidemia and (iii) hypertension patients with optimal control; and (c) what are the targets for all the above within 10 years of the launch of Healthier SG.
Mr Ong Ye Kung: Based on the most recent 2019/20 National Population Health Survey results:
(a) Crude prevalence of obesity was 10.5%;
(b) 38% of adults with known diabetes had good control of their glucose levels;
(c) 35.7% of adults with known hypertension had good control of their blood pressure levels; and
(d) For hyperlipidaemia, the recommended LDL-cholesterol target levels varied based on the individual's risk status of developing future coronary events and was not captured.
Based on the pre-COVID period of 2017 to 2019:
(a) The average hospital admission rate for avoidable emergency department attendance was 44.8%;
(b) The average hospital admission rate of falls and fall-associated injury among the elderly was 44.6%;
(c) The average 365-day readmission rate due to all causes was 33%. The technical specifications for this indicator are still under review by MOH and clusters, to better align with the objectives of Healthier SG; and
(d) The indicator of average bed-days per capita is under review.
MOH is focusing on designing the Healthier SG scheme right, rolling it out and stabilising operations. We will then set targets, taking into account the current baselines, monitor the key performance indicators and disclose them to the public from time to time.