Page 142 - Contributed Paper Session (CPS) - Volume 4

CPS2157 Ezatul Nisha Abdul Rahman et al.
for long-term geriatric healthcare. The goal of geriatric care for the elderly is
not necessarily to cure but to increase their healthy year of life. However, there
is still a lack of access to excellence geriatric healthcare and support system
and, the reward for geriatric is not that attractive compare to other specialities
(Jacob, 2016).
As the population grows older, the expenditure for healthcare will increase
and Malaysia has to revised its expenditure on elderly healthcare. In 1970,
healthcare spending was only 2.7 percent of the GDP. Technological change,
demographic and epidemiological change, and rising income contribute to
the increasing cost and expenditure. This will continue to grow in future and
further increasing the national expenditures (Ministry of Health Report, 2016).

4.3 Others Country Initiatives and Practices on Healthcare
In 2002, MIPAA has launched the Second World Assembly on Ageing; The
International Plan of Action and Ageing focusing on the changes in policies,
attitudes and practices at all level in all sectors. Its aim to ensure persons
everywhere are able to age with security and dignity and to continue to
participate in their society as citizens with full rights. This plan can be used as
guidance for planning and implementing the healthcare system for elder
persons in Malaysia.
A progressive initiative such as long-term insurance for all citizens was
introduced by Japan. The Health and Welfare Bureau for the Elderly, Ministry
of Health Japan launched the Long-Term Care Insurance System (LTCI) in 2016.
This plan also aimed to support the independence of elderly people rather
than simply providing personal care. The most popular LTCI program provides
service rather than cash for care. The most popular service is adult day care,
with 1.9 million users, benefiting both older people and their careers. Future,
Japan will establish the ‘Community-based Integrated Care System’ by 2025
which focusing on the provision of health care, prevention, housing, nursing
care and livelihood support for elder persons.
Singapore, in 2002 a health care system for elder person comprising of
financial support, care services and care-giving which includes the Elder Shield;
long-term care insurance scheme targeted at severe disability, especially
during old age, Senior Mobility and Enabling Fund (SMF); support caregivers
in caring for seniors at home, Elder Fund; new assistance that assisting at
severely disabled lower-income age 30 and above who are not eligible for
other insurance program and Assistance Programme for The Elderly (IDAPE);
is a government scheme providing financial help to needy and disabled elderly
Singaporean who are not eligible to join Elder Shield (Agency for Integrated
Care Singapore)
In Hong Kong, under Legislative Council Panel on Welfare Services (2018)
which concerning the elderly comprising ten initiatives such as enhancing

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