Singapore is recognised for its robust healthcare infrastructure, providing a range of medical services that cater to both local and international patients.

In 2023, for instance, it was ranked first among over a hundred other countries in the health component of the Legatum Prosperity Index, reflecting its healthcare quality and wide-ranging medical services. Singapore also boasts a commendable doctor-to-population ratio of 1:369, as reported by HealthHub in 2021, ensuring that medical care is readily accessible to all residents. Additionally, Singapore's Universal Health Coverage (UHC) Service Coverage Index was scored at 89 by the World Health Organization in 2021, indicating high average coverage across essential health services, including reproductive, maternal, newborn and child health, and non-communicable diseases.

Further emphasising its robust infrastructure, Singapore achieved top scores in nine out of fifteen core capacities assessed nationally in 2023, which evaluate a country's ability to manage public health threats. Notably, it excelled in health service provision and the management of points of entry, highlighting its preparedness and efficiency in handling health emergencies.

For international cancer patients considering Singapore for treatment or a second opinion, understanding the local medical landscape is crucial. In fact, there are several things to keep in mind to streamline your journey and potentially enhance the treatment process.

Global Cancer Statistics

But first, let’s consider the broader context of cancer worldwide.

In 2022, the World Health Organisation reported approximately 20 million new cancer cases globally. On the flip side, within five years of a cancer diagnosis, an estimated 53.5 million people were still alive, highlighting the critical importance of effective cancer treatment and early detection.

Focusing on the most prevalent types of cancer, data from the International Agency for Research on Cancer (IARC) indicated that lung, breast, and colorectal cancers were among the top three in 2022. Specifically, lung cancer accounted for 2.5 million new cases, making up 12.4% of all new cancer diagnoses. Breast cancer followed closely with 2.3 million new cases and colorectal cancer with 1.9 million. These figures underscore the global challenge posed by these diseases and the ongoing need for medical strategies and treatment options.

What is Medical Tourism?

Given the prevalence of significant health challenges such as cancer, many individuals are drawn to medical tourism.

But why?

By definition, medical tourism involves travelling to another country to access medical care, often motivated by cost-effectiveness and the availability of specialised treatments. Plus, according to an article on Yahoo! Finance by Market.us Media, typically, patients can save between 40% and 80% on medical procedures by seeking treatment abroad, making it an alternative option for those looking for quality care at affordable costs.

What is Singapore’s Rank in Medical Tourism?

From initial consultations to cancer therapy options, Singapore's healthcare system is equipped to handle a wide array of medical scenarios, making it a sought-after destination for foreigners seeking medical treatment.

In fact, according to Statista, in a comparison of 46 global destinations, Singapore secured the second position on the total medical tourism index with a score of 76.43, trailing only behind Canada in 2020. This ranking reflects the comprehensive environment, robust medical industry, and reliable facilities and services available.

The choice of Singapore as a healthcare destination is often driven by the need for specialised medical expertise that may not be readily available in a patient's home country. Indeed, nearly 20% of medical tourists cite the absence of required medical skills locally as a reason for their travel. Furthermore, about half of all medical tourists are drawn to foreign countries like Singapore due to the quality of healthcare services provided.

Supporting this reputation, Singapore boasts a comprehensive network of 19 acute hospitals—10 public and 8 private—and 10 community hospitals, 6 of which are public. Acute hospitals are equipped for critical treatments and surgeries, whereas community hospitals focus on rehabilitative care, helping patients with their recovery so they can return to their daily lives. Expatriates and medical tourists alike can choose from any of these institutions, ensuring access to consistent, quality care across both public and private facilities.

Why is Singapore Recognised for Medical Tourism?

Singapore's healthcare system is well-regarded globally, drawing patients from around the world who seek specialised treatments for cancer. This international appeal is reinforced by the availability of a range of treatment alternatives, like proton therapy, which functions as a form of radiation treatment that minimises exposure compared to traditional methods. While proton therapy is also available in other countries, such as Thailand, Singapore distinguishes itself by not only making it available to most without many restrictions but also with a comprehensive approach that integrates various healthcare services, making it a compelling choice for foreigners seeking medical treatment.

International Patients Guide

For international patients considering Singapore for cancer treatment, as mentioned, planning your journey is crucial to ensure a seamless and supportive experience. Consider the following:

1. Research the Hospitals and Doctors Beforehand

Before deciding on a medical centre or oncologist in Singapore, it is important to do your research. Look for clinics with a strong reputation for cancer treatment and experienced doctors. You can also check if the medical centre has any international accreditations. This will help ensure that the clinic and its medical professionals meet international standards for quality and safety.

2. Prepare Your Medical Records and Documents

It is important to prepare all necessary medical records and documents before coming to Singapore. This includes your medical history, previous test results, and any treatment plans or medications you are currently taking. You should also bring along your identification documents, such as your passport and any necessary visa for travel to Singapore. Having all of these documents organised and readily available will save time and ensure that the doctors in Singapore have a comprehensive understanding of your medical condition.

For oncology-specific preparations, bring your appointment confirmation, a referral letter from your doctor (if available), and any required forms for a visit pass or an extension of stay for medical reasons. Additionally, bringing all existing medical reports, histology results, radiology scans (preferably in a CD format), and paraffin biopsy or resection tissue blocks will provide your doctors in Singapore with a detailed reference point. This not only saves time but also helps avoid unnecessary costs and repeat investigations, ensuring your treatment begins as efficiently as possible.

3. Consider Accommodation Options

Depending on the length of your stay, you may need to consider accommodation options. Many hospitals in Singapore offer on-site accommodation, but if you’re visiting a medical centre or clinic, there are also hotels and serviced apartments that cater specifically to medical tourists. It is important to factor in the location and proximity to your medical centre when choosing your accommodation, as well as your budget and personal preferences.

4. Take Advantage of Translation Services

Singapore is a multilingual country, and many medical professionals are fluent in multiple languages, including English, Malay, Mandarin, Tamil, and Bahasa Indonesia, just to name a few. However, if English is not your first language or if you are more comfortable speaking in your native language, it is best to use translation services. Check if your medical centre offers translation services or if you have a trusted person who can translate to accompany you. This can help ensure that you fully understand your medical condition and treatment plan.

5. Understand the Cancer Treatment Costs and Payment Options

Take time to understand the costs and payment options before coming to Singapore for a cancer review or treatment. Singapore has a reputation for high-quality healthcare, but it may also be quite expensive for international patients. Consider these factors that might affect the cost of your treatment:

Factors Influencing Treatment Costs:

• Type of Treatment: Costs can differ based on whether you need a simple procedure or more intensive therapies like chemotherapy or radiotherapy.
• Duration of Treatment: Longer treatment schedules or those requiring multiple sessions can increase overall costs.
• Complexity: More complex treatments or surgeries, such as tumour removal, typically incur higher charges.
• Hospital Type: Treatment costs can also vary significantly between subsidised public hospitals and private healthcare providers in Singapore.

Estimated Treatment Costs:

• Biopsies: These preliminary procedures can range from a few hundred to several thousand dollars, depending on the complexity and the specific tests required.
• Surgical Interventions: Costs for surgeries to remove tumours can start in the thousands and can escalate to tens of thousands, based on the surgery's intricacy and the necessary post-operative care.
• Chemotherapy and Radiotherapy: These treatments usually start from a few thousand dollars, with costs escalating based on the number and type of sessions required.

Beyond that, some medical centres may require a deposit or upfront payment before treatment, so it is important to check the payment policies beforehand. It is also a good idea to check if your health insurance covers medical treatment in Singapore and if the clinic accepts your insurance.

Practical Steps:

• Verify Insurance Coverage: Ensure that your health insurance is accepted by the hospital in Singapore.
• Prepare Financially: Consider setting aside funds for unexpected expenses or extended treatment durations.

6. Consider the Cultural Differences

Being aware of the cultural differences between your home country and Singapore will go a long way. Certain customs or practices may impact the way you understand and communicate with your doctor, so it is crucial to be patient and understanding. Take care to prepare for your trip overall to Singapore as well. It will also help you understand Singapore’s important laws and regulations so you can abide by them as a visitor.

Choosing a Cancer Specialist Doctor in Singapore

Coming to Singapore to see a specialist for a second opinion or treatment on cancer may pose as a daunting experience at first, but with the right preparation and information, you’ll be well-prepared for a successful visit to Singapore to see your doctor.

OncoCare Cancer Centre in Singapore is a medical centre that welcomes cancer patients from all over the world for medical consultations and cancer treatment. Our centre is staffed by a team of experienced medical professionals who are dedicated to providing the necessary care to patients. OncoCare clinics have a comprehensive range of medical technologies and treatment options, including targeted therapies, immunotherapy, and more.

At OncoCare Cancer Centre, we take pride in providing personalised and compassionate care to each of our patients, ensuring that their unique needs are met. We are committed to helping patients make informed decisions about their treatment options and empowering them to take an active role in their own care. Learn more about the various cancer treatment options to consider.

“Expert knowledge means better care for cancer”

Written by:

Dr Benjamin Chuah

MBBCH, BAO (Ireland)

MRCP (United Kingdom)

FRCP (Edinburgh)

FRCP (Medical Oncology)