[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-192901-en":3,"doc-seo-192901-105":31,"detail-sidebar-cat-0-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},192901,687207412472,"Angel","https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d",7,"Healthcare","SINGAPORE MEDICAL ASSOCIATION NEWSLETTER - June 1984 - Towards Decentralization","June 1984 issue of the Singapore Medical Association Newsletter discusses the Ministry of Health’s consideration of decentralization for hospitals, aiming to grant greater autonomy and independence in managing their own affairs. The editorial and related address text explain why approval still requires extensive conceptual and detailed work before implementation. It uses the Toa Payoh Hospital experience to highlight historical lessons, emphasizing comprehensive planning, flexible administration, and timely redevelopment to meet fast-rising health service demands.","# SINGAPORE MEDICAL ASSOCIATIONANEVSLETYTER\n\nJUNE 1984  \nMC(P)—6/2/84  \nVol.15 No.5  \nKDN 0284/84  \n# TOWARDSDECENTRALIZATION\n\nO  \nThe Ministry of Health has under consideration a plan to permit each hospital to have greaterautonomy and independence to manage its own affairs.This was mentioned by Mr Howe YoonChong,Minister for Health at his address at Toa Payoh Hospital Silver Jubilee Dinner in May thisyear.He added that this proposal is still in the conceptual stage and that much more detailed work willhave to be done before it can obtain government approval.This idea was highlighted in our local pressreports.  \nMR HOWE....Proposal still in conceptual stage.  \nalong the way.  \nwas officially declared open  \nWe reproduce below  \nso,let us not forget the  \nterrain can cause engineer-  \nthe full text of his address at  \ning difficulties.Piecemeal  \nin May 1959.It never func-  \nefforts,industry and ·dili-  \nThirdly there must be  \nthis function:  \nimprovements have been  \ngence of so many dedicated  \ntioned as such.In June 1959  \nflexibility not only in the  \n‘‘We all know that  \nthere was a change of  \nand are still being carried  \npeople.Let us express our  \nlayout of the buildings but  \nout.They will not get to the  \ngratitude and acknowledge  \nunless we learn from the  \nalso in the administration  \ntheir invaluable contribu-  \nroot of the problems.Acomprehensive redevelop-  \ngeneral hospital was consi-  \nlessons of history,we will  \nand management of a hos-  \ndered to be more necessary.  \ntions.  \nbe condemned to repeat its  \npital with perhaps provi-  \nment plan very much on the  \nMuch more work had to be  \nmistakes.Toa Payoh Hos-  \nsions for expansion to acco-  \nPRESENT  \nlines of the SGH is the  \ndone to effect the conver-  \npital is a case in point.  \nmodate changes,technolo-  \n1  \nPROBLEMS  \nanswer.But that will take  \nsion.Today the Hospital is  \nThough 25 years is not a  \ngical advances,and deve-  \n10 years or more.The pres-  \nstill going through the pro-  \nlong time yet we can learn  \nWithout its being so  \nlopments that cannot be  \nsures are immediate and  \ncess of trying to provide the  \nmuch from its short history.  \nplanned,Toa Payoh Hospi-  \nforeseen.  \nfast increasing.They can  \nClearly the first lesson is  \nservices demanded.Even  \ntal found itself having to  \nrender piecemeal expansion  \nLike most development  \nafter years of alterations  \nthat for an acute general  \nserve a reservoir of more  \nplans inadequate:doing too  \nprojects at that time,the  \nand additions it is still far  \nhospital to work well it  \nthan half a million popula-  \nlittle too late.The Medical  \nfrom ideal or even adequate  \nconstruction of the original  \ntion.The problems and dif-  \nmust be properly and com-  \nDirector and senior officers  \nhospital was dictated by  \nto meet pressing needs.  \nficulties that keep confront-  \nprehensively planned.Over  \nof Toa Payoh Hospital willhave to work out these dif-  \npressures from elsewhere.  \nthe years the constant need  \ning the Toa Payoh Hospital  \nNew problems,new  \nNo attempt was made to  \nare by no means over.Even  \nto.make alterations and  \nficult problems.I am sure  \ndemands,and new pres-  \nproject future needs or to  \nwith maximum effort it  \nadditions to meet urgent  \nsures kept arising as old  \nthe Ministry of Health will  \ninvestigate possible de-  \ncould only expand to just  \ndemands for more services  \nones were overcome.Innu-  \nprovide them with every  \nmands.Those in authority  \nover 400 beds.With more  \nat Toa Payoh Hospital  \nmerable difficulties taxed  \nassistance and encourage-  \ncould only respond one step  \npeople moving into the sur-  \nmust have been extremely  \nthe patience if not the in-  \nment.  \nat a time.So when the  \nrounding housing estates of  \ndisturbing to patients and  \ngenuity of successive groups.  \nGeneral Hospital was over-  \nToa Payoh,Ang Mo Kio,  \nCont'd on page 2  \nstaff not to mention the  \nof doctors,nurses,adminis-  \nloaded with too many chro-  \nThomson,","cbCaiemlpXG8Cf3A","https://ap.wps.com/l/cbCaiemlpXG8Cf3A","pdf",14335903,3,1,12,"English","en",105,"# SINGAPORE MEDICAL ASSOCIATION NEWSLETTER\n## TOWARDS DECENTRALIZATION\n## EDITORIAL\n## FREE COMPETITION","[{\"question\":\"What decentralization plan is being considered for hospitals?\",\"answer\":\"The Ministry of Health is considering a plan to permit each hospital to have greater autonomy and independence to manage its own affairs.\"},{\"question\":\"Why is the decentralization proposal not yet ready for government approval?\",\"answer\":\"The proposal is still in the conceptual stage and requires much more detailed work before it can obtain government approval.\"},{\"question\":\"What lessons are highlighted using Toa Payoh Hospital’s history?\",\"answer\":\"The text emphasizes comprehensive and forward planning, avoiding inadequate piecemeal expansion, and learning from past problems to prevent repeating mistakes.\"}]","SINGAPORE MEDICAL ASSOCIATION NEWSLETTER - June 1984 - Towards Decentralization | 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