PERSIDANGAN PROMOSI KESIHATAN KEBANGSAAN 2011 10 – 11 OKTOBER 2011

Hasmuny Bt Osmat Pegawai Pendidikan Kesihatan

Unit Perancangan Dasar Dan Pelan Kesihatan Bahagian Perancangan Dan Pembangunan

Kementerian Kesihatan Malaysia

Kenapa perlu transformasi?

1Care for 1Malaysia ?

Apakah bentuk transformasi

5

ISU &

CABARAN

BEBAN PENYAKIT

INTEGRASI SISTEM

KESIHATAN

KUALITI KESIHATAN

PEMBIAYAAN KESIHATAN

TENAGA KERJA

KEMAJUAN TEKNOLOGI MAKLUMAT

DAN PERALATAN

Sistem Kesihatan di Malaysia

6

Public & Private Sector Resources & Workload (2008)

7

Source: Health Informatics Center (HIC),MOH

13.54

12081

2199310

41249

143

38.4

802

16.68

10006

754378

11689

209

62.65

6371

0% 20% 40% 60% 80% 100%

Health Expenditure (RM billion) (2007)

Doctors (excl. Houseman)

Admissions

Hospital Beds

No. of Hospitals

Outpatient visits (m)

Health clinics (with doctors)

Public Private

10

11%

38%

41%

78%

74%

55%

45%

8

Changing Demographic Trends - Increasing Elderly Population (>60 yrs)

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

0

500

1000

1500

2000

2500

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08

Eld

erl

y

(% o

f P

op

ula

tio

n)

Eld

erl

y P

op

ula

tio

n (

'00

0)

Year

Source : Department of Statistics

Malaysia experiencing changing pattern of diseases

Disease Burden Study (2004) Leading burden of disease

Diseases that still pose threat to country

•Ischaemic heart disease •Mental illness, •Cerebrovascular disease •Road traffic injuries •Cancers •Asthma & COPD •Diabetes mellitus

•TB • Dengue & DHF • Malaria • HIV/AIDS • Viral hepatitis • Emerging Diseases

Disease Burden

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Matlamat Gagasan Transformasi

1Care

1Care adalah menyusun semula sistem kesihatan kebangsaan yang responsif & menyediakan pilihan penjagaan kesihatan yang berkualiti, memastikan perlindungan sejagat untuk keperluan penjagaan kesihatan penduduk yang berdasarkan perpaduan & ekuiti

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1Care targets

Universal Coverage (Depth & Spread) Integrated

Affordable

Sustainable

Equitable

Efficient High Quality

Better Health

Outcomes

Safety Net

Enhance Client

Satisfaction

Reduce Brain Drain

• Sistem Penyampaian Kesihatan

• Tadbir urus Perkhidmatan Kesihatan

• Sistem Pembiayaan Kesihatan

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Tadbirurus dan halatuju dasar 16

PENYAMPAIAN PERKHIDMATAN KESIHATAN & PERGERAKAN PESAKIT

Terima rawatan

Rumah

PESAKIT

PHCP

Kerajaan Swasta

Kemasukan ke hospital

Rujukan Hospital

Swasta

Kerajaan

KKM ORGANISASI PEMBIAYAAN KESIHATAN KEBANGSAAN (NHFA)

Perkhidmatan tambahan (Wang saku atau insuran kesihatan swasta)

KER

AJA

AN

SWA

STA

MHDS

PENGGUBALAN DASAR

-Keselamatan pesakit - Perkhidmatan-perkhidmatan - Penyelidikan - TCM - Pembnagunan Sumber manusia - Biaya - Infrastuktur dan kelengkapan -HTA - Kualiti - ICT

PERATURAN & PENGUATKUASAAN

Perundangan

KKM

PEMANTAUAN & PENILAIAN

-HIC - MNHA - Pengawasan - Kualiti air - TCM

KESIHATAN AWAM

-Kawalan penyakit

LATIHAN

Transformasi tadbir urus

Badan profesional -MMC -MDC -Lembaga Farmasi -Lain-lain

Badan berkanun

- Majlis Keselamatan Pesakit -- Lembaga Promosi Kesihatan -- Majlis Kesihatan pelancongan Malaysia -- Lain-lain

Penguatkuasaan

PENYELIDIKAN

PENYAMPAIAN KESIHATAN AWAM

AUTONOMI •Penjagaan kesihatan primer • Penjagaan kesihatan hospital •Perkhidmatan lain

NHFA

PENYAMPAIAN KESIHATAN

SWASTA

•Penjagaan kesihatan primer • Penjagaan kesihatan hospital

•Perkhidmatan lain

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Financing Arrangements

• Combination of financing mechanisms

– Social health insurance (SHI)

– General government revenue (GGR)

– minimal co-payments for a defined Benefits Package

• Pooled as single fund to promote social solidarity and unity as per 1Malaysia concept

• To be managed by NHFA – not for profit government autonomous agency under supervision of MOH

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STATUS

Proses penyediaan blueprint

2010-2012

2012 akan dibentang kepada Majlis Tindakan Ekonomi yang dipengerusikan oleh PM

TARIKH PELAKSANAAN?

Steady State – 1Care for 1Malaysia

1Care: Full reform funded through GGR & SHI

1Care: PHC reform funded through GGR

1Care: Public Facility autonomy funded through GGR

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Phases of Health Sector Transformation

1Care: Strengthening of the current health system Phase 1

Phase 2

Phase 3

Phase 4

Status Quo

Health System Strengthening

Public Sector

Autonomy

PHC Reform

A journey of a thousand miles begins with a single step. Lao-tzu

Chinese Philosopher (604 BC - 531 BC)

Full 1Care

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