# Rational and Justification for Digital Intervention Service ## Increasing mental healthcare needs means higher healthcare cost - Because there is increase need for mental healthcare. More people coming to seek help? [[1 in 43 people in Singapore had a diagnosis of schizophrenia or other psychotic disorders in their lifetime]] | [[21 May 2021_ Prevalence of Schizophrenia and Other Psychotic Disorders in Singapore.pdf]] | [[The rise of mental health awareness – and the stigma that remains attached to certain conditions]] - As reported in the report that the government is setting up and interagency taskforce to organise Singapore mental wellness need. [[COVID-19 Mental Wellness Taskforce Report]] | [[National Mental Health and Well-being Strategy]] - All this translate to increase cost on the healthcare system. ![[Open health - Getting Singapore’s healthcare fit for the future#^e14cb5]] - [[Incremental cost of common mental disorders in Singapore estimated to be S$1.7 billion per year]] ## Society Need is Changing - There is increasing demand for service, and user have higher expectations. They want services to be instantaneous, connected and digitised. They want to control their health outcome. [[Open health - Getting Singapore’s healthcare fit for the future#^b177e4]] - Increasing disruption from Platform companies. Google, Microsoft and Tencent responsible for 70% of deals involving digital health start-up. The platformisation of healthcare - fitbit, and others, have turned tech companies into healthcare providers. Platform have power to influence new behaviours. Disruptive. [[Open health - Getting Singapore’s healthcare fit for the future]] - All this mean that Traditional Healthcare Systems is transforming; going up and down the stream. [Related to NHG River of Life](https://corp.nhg.com.sg/ROL/Pages/RiverOfLife.aspx\) towards preventive, home and value based care model ([[Open health - Getting Singapore’s healthcare fit for the future]]) ## We don't have enough manpower? - According to this article, Singapore currently have a ratio of 6 psychiatrists out of 100,000, which is below WHO recommendation of 10 out of 100,000. [[Singapore have 6 psychiatrists out of 100000, below WHO recommendation]] - Staff are burnt out [[Prevalence of burnout among healthcare professionals in Singapore]]. Have to juggle clinical work, and other non-clinical work. We need to use technology solution to augment work. - Rapid aging population. Declining birth dates. Not enough babies. = Increase public healthcare cost. ## Smart Singapore's Smart Nation and investment in technology. [[A Report on Singapore Government driven approach for AI in healthcare by Netherlands Enterprise Agency]] --- Actually, I think I understand the NHG ROL vision now.