Feasibility Study on Elderly Home Care in Singapore

A Feasibility Study on Growth Factors for Home Care Services in Singapore

Home Care Services for Ageing in Singapore

Singapore is undergoing a population ageing trend with an accelerating ageing population by the year 2030, a quarter of the nation will be 65 years or older (Ministry of Health Singapore, 2024). This has mounted pressure for sustainable long-term care that enables older persons to age in place with dignity. Ageing-in-place has been prioritized as a national approach by the government through the advancement of home and community-based services as a way of reducing institutional care (Yap and Gee, 2015).

This study of feasibility seeks to investigate the growth drivers that may facilitate the scaling up of home care services in Singapore. The main objectives are: (1) to evaluate policy, social, and workforce preparedness for scaling home care; (2) to consider the viability of home-based models; and (3) to determine technological and community-based facilitators.

This subject is increasingly important in social policy and public health, in line with national ageing plans and paradigm shifts in eldercare.

dissertation structure

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Research Question:

What are the main drivers of growth shaping the viability and sustainability of elderly home care services in Singapore?

Justification for the Study

The population in Singapore is also ageing at a record rate and this is a serious challenge to the healthcare facilities and its long-term care system in Singapore. The resulting demographic pattern creates pressure on sustainable care solutions which minimize the use of hospitals and residential services. Ageing-in-place has become a popular philosophy among the older adults, who are more and more determined to become autonomous, comfortable and experience care services within the environments they know well (Ministry of Health Singapore, 2024).

Contemporary home care is subject to a number of challenges in spite of the policy backing. The workforce has capacity gaps, disparate access to services, and low levels of integration of digital tools in order to deliver care remotely or to make care personalised. There is also growing concern over the cost of healthcare, which promises to undermine the viability of conventional models of institutional care (Molero et al., 2021). Based on all this, this research work seeks to evaluate the extent to which it is possible to increase home care services in Singapore. It facilitates the move to preventive and community-based care in the country and provides insights into how home care can be enhanced to address the needs of the aging population that may be complex.

Review of Existing Literature

Other studies have been carried out recently about different models of care to the elderly with a main focus on the home-based models which address the balance between the quality of care, its cost and satisfaction rates to the patient. Dadich et al. (2025) present a detailed description of models of care delivery to older adults with a focus on the utility of flexibility and the multidisciplinary approach as the means of enhancing the design continuity of home care. Such values are becoming applicable to Singapore where the trend of ageing-in-place is taking policy and social momentum.

The study by Huang et al. (2012) was conducted to understand the importance of the often-invisible role of migrant care workers in the Singaporean eldercare regime. Their personalised labour is the core in home care provision, but training, regulation and sustainability of the workforce in the long term are still issues of concern. The caregiver stress, emotional burden and social support constitute the home care environment too.

Technological innovation has its opportunities and inability. Visaria et al. (2023) established that despite the receptiveness of a large portion of older adults toward the digital health tools, literacy, and infrastructure gaps exist. In the meantime, Oon-arom et al. (2020) emphasize such risks as depression and thoughts of suicide that are connected to social isolation and perceived low levels of support of elderly people, particularly those who live alone.

Taken together, this evidence base confirms the likely success of home care models, although it does emphasize the need to achieve multi-level – policy, workforce, technology, and social support – alignment to be successful. Although the evidence in support of home care is increasing, a specific feasibility study still needs to be performed to account for the country-specific demographic, economic, and social-cultural environment of Singapore.

Planned Feasibility Study Scope and Objectives

This feasibility-based research will evaluate the main growth determinants needed to escalate and reinforce home care solutions among the aged citizens in Singapore. Those areas of focus would address policy coordination, governmental support, the availability of workforce and their training, the part played by technology in deliverance of care, as well as the cultural or family willingness to adopt a home-based care model. The following are the key elements to be identified in order to establish whether home care could be expanded successfully (Shahriari et al., 2024).

The hypothetical intervention suggested will enhance the capacity of home care with the following three components (1) better-trained and supported caregivers, (2) a basic digital system of care coordination and tracking, and (3) integration with the community network and NGOs to improve accessibility and trust.

65 years and older together with their informal or paid caregivers are the target group. The main stakeholders involved in the research are the Ministry of Health, eldercare agencies, voluntary welfare organisations and family units who serve on a day-to-day basis. To explore these growth determinants, a structured feasibility approach is proposed, as outlined.

Methodological Approach

The research will be done in the form of a feasibility research and it will not embrace any new data or fieldwork. Rather, it will consider the hypothetical project design to determine whether the expansion of the home care into a Singaporean setting is feasible at this time and whether this can be attained or not.

The plan will utilise a Plan-Do-Study-Act (PDSA) model. The model is informally referred to as a widely used framework in health and social care to inform service improvements. The phase labelled as the “Plan” will describe the plan of designing the proposed intervention. The Do and Study stages will present the simulation of a possible practical implementation and estimation of the desired intervention. The last stage will be the “Act” one that will suggest changing the model in order to have better outcomes.

The possibility will be viewed along the lines of operational feasibility (including staffing and training considerations), economic feasibility (financial affordability, cost-effectiveness) and social acceptability (user needs, cultural values). The brief discussion of risks, resource requirements, and anticipated results will be provided. To examine the hypothetical intervention following literature standards of effective home care models and by imputing the view of stakeholders within reports on current policies and care givers, will be used as a way of applying possible implementation difficulties and outcomes.

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Expected Contributions, Limitations and Significance

The research will present a practical understanding of the policy and institutional preparedness of Singapore to increase the home care services to the ageing citizenry. It will assist in forecasting future demand and suggest sustainable initiatives that will meet the national strategy of ageing in place. With the emphasis on caregiver support, technology implementation, and community collaboration, the study can propose an intervention model which can be scaled to the socio-cultural environment in Singapore. It also contributes to the literature which has already been developed concerning culturally specific models of care and migrant care labour (Huang et al., 2012; Dadich et al., 2025). The study, however, being a hypothetical feasibility study, will have a conceptual nature, not of an empirical nature. Nevertheless, the findings of this feasibility study may serve as a foundation for future empirical research, pilot programmes, or policy trials aimed at testing the proposed intervention in real-world settings.

Conclusion

This proposal is a feasibility study concentrated on enhancing the home care services for the elderly in Singapore. Home care is a strategic, person-centred approach that fits well with demographic changes. The success of future endeavours in this area would require not only policy and financial support but also the emotional needs of the older adults and their caregivers to be addressed.

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