Robin Gauld is Associate Professor of Health Policy at the University of Otago Medical School in Dunedin, New Zealand. Author or editor of eight books, and many chapters and journal articles, his research interests are in health systems, primary care, health information technology and health care quality.
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The lessons from Singapore will be of interest to those currently planning the future of healthcare in emerging economies, as well as those engaged in the urgent debates on healthcare in the wealthier countries faced with serious long-term challenges in healthcare financing. Policymakers, legislators, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think tanks should understand how the Singapore system works to achieve affordable excellence.
This groundbreaking book will therefore serve as a valuable reference volume for health policy, social policy and public policy experts, social development experts, health and development economists, health sociologists, social workers, government administrators as well as other medical and health professionals and academics.
The book draws on demographic analyses and qualitative fieldwork to explore the shift from independence to increasing dependence, and suggests that this transition constitutes movement into a new stage of life, that of an Age of Supported Independence. Applying the anthropological concept of rites of passage in their analysis, the authors focus on the changes in everyday living within the spatial environment of the home, the temporal organization of daily life, and the reshaping of relationships. They suggest that many older people – as well as the family members who become carers – remain in a state of ‘liminality’: unable to make sense of their new situation and experience and, despite assumptions that ageing-in-place sustains social connectedness, excluded from their communities.