新津贴框架下　更多慈怀医院病人将受惠

畅游 · 发表于 4-9-2009 15:51:50|来自：新加坡

本帖最后由畅游于 4-9-2009 16:01 编辑

下月1日起政府每年拨给慈怀医院病人的津贴款项将增加50万元，新框架也调高能获得津贴的病人的家庭人均收入上限。 　　

卫生部将从下个月1日起加强慈怀医院津贴框架，政府每年拨给慈怀医院病人的津贴款项将增加50万元，估计有一半原本就获得津贴的病人将获得更高额的津贴。　　

另外，新框架也调高能获得津贴的病人的家庭人均收入上限。在目前的津贴框架下，以四人家庭计算，每月家庭收入超过5200元（家庭人均收入超过1300元）的病人不会获得政府津贴。不过，在新框架下，四人家庭收入5600元（家庭人均收入1400元）及以下的病人，都能够获得10％至75％的政府津贴。　　　

例如，一名来自有四名家庭成员的家庭，每月总家庭收入5300元的慈怀医院病人，在目前的津贴框架下无法获得政府津贴。但在新的框架下，他能获得20％的津贴。　　

第二个例子是，一名四人家庭收入3400元的病人，在目前的框架下能获得25％的住院津贴，在新架构下则能获得50％的津贴。 　　
第三个例子是，一名四人家庭收入1800元的病人，津贴数额则将从50％增加到70％。 　　

在新的津贴框架下，一些慈怀医院病人每月可节省数百元，甚至超过一千元。例如，一名住在慈怀医院30天，四人家庭收入3400元的病人，如果慈怀医院的总收费是4230元，病人在新津贴架构所需支付的住院费用会比在现有架构下少1815元。　　

卫生部目前为四所慈怀医院－雅西西慈怀病院（Assisi Hospice）、光明综合医院（Bright Vision Hospital）、托福园慈怀病院（Dover Park Hospice）及圣若瑟护理之家（St Joseph’s Home）的低收入病人提供津贴，去年有1600病人获得共300万元津贴。

决定将新框架扩展到慈怀医院

　　今年7月，卫生部推出新的社区医院津贴框架，两个月来约有500个病人受惠，共省下30万元。卫生部因此决定将新框架扩展到慈怀医院。 　　
过去，慈怀医院的津贴额只分三层——四人家庭收入1320元或以下的人可获75％津贴；四人家庭收入在1321元至3200元之间的病人可获得50％津贴；四人家庭收入在3201元至5200元之间的病人可获得的津贴是25％。　　
对在托福园慈怀病院住了两个星期的廖接開（78岁）来说，新的津贴框架能够让他每月省下约300元的住院费用。 　　

他受访时说，他的生活与医药费目前由三个女儿一同承担，新的津贴框架能够帮助减轻女儿的负担。她们目前都已成家，一个任职小贩助理、一个当文员及一个是家庭主妇。　　

他说：“她们都有孩子，家庭负担不轻。这里的环境不错，但是之前我一直担心费用的问题，还好有政府津贴。” 　　

托福园慈怀病院发言人说，院方的收费在津贴前是每天220元。

除了政府的津贴，院方也根据病人的家庭收入提供津贴，目前有约40％的病人完全无需付费。

畅游 · 发表于 4-9-2009 16:11:17|来自：新加坡

More subsidies for hospice care
$500k to be pumped in; revised subsidy rates to be spread across 8 tiers By Salma Khalik, Health Correspondent

Increased state subsidies will allow Dover Park Hospice, which gives its own subsidies to patients, to help more of them as donations from the public have fallen recently. -- ST PHOTO: STEPHANIE YEOW

SUBSIDIES for patients in hospices will get more generous.

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REVISED RATES TO BENEFIT MORE

The Health Ministry, in another move to keep health care affordable, will pump $500,000 more into cushioning the financial burden on the families of those suffering their final illnesses.
The revised subsidy rates, to spread over eight tiers instead of the current three, kick in on Oct 1.
Four hospices in the scheme take in a total of 2,200 patients a year, of whom 1,600 qualify for subsidies. Of the 1,600, about half will enjoy plumper subsidies, while the other half will get about the same.
With the current three tiers of subsidy - 75 per cent, 50 per cent and 25 per cent - patients whose per capita family income is $1,300 a month or less qualify for subsidies. From next month, the cut-off will be $100 higher: Patients from families where the total monthly income divided by the number of family members is $1,400 or less will be eligible for help.
The eight tiers of subsidy, ranging from 10 per cent to 75 per cent, refine the previous three categories so those who just miss the next higher level of subsidy will get more.
More patients will qualify for the highest subsidy of 75 per cent. Those with a per capita income of $330 to $360 a month, who now get a 50 per cent subsidy, will get into that top tier.
Even a relatively more well-off patient with a per capita family income of $850 will get double the money. Such a patient, who qualifies for only a 25 per cent subsidy now, will be subsidised 50 per cent with the change.
If this patient stays 30 days in a hospice, the subsidy he gets will go up from $1,815 to $3,630; his portion of the bill will plunge from $2,415 to just $600, which can be covered by Medisave.
The move to increase the number of subsidy tiers from three to eight echoes the change in July for patients in community hospitals. In the past two months alone, 500 community hospital patients have saved $300,000 on their bills.