HEALTHCARE REFORMS IN MALAYSIA

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HEALTHCARE REFORMS IN MALAYSIA

• DR RIDZWAN BAKAR MBBS FRCP(LON)
• President
• Association of Private Hospitals, Malaysia
• e-mail aphm_at_po.jaring.my
• http//www.hospitals-malaysia.org

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• 23 million people
• Dual system of health delivery public vs private
• Public 127 hospitals
• 32,000 beds
• Private 224 hospitals
• 9,547 beds
• Doctors public 8,723
• private 6,780

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STRENGTH OR WEAKNESS?

• 88.5 of the population is within 5km of a public
  health clinic or private practitioner
• dual system of healthcare delivery
  (public/private)
• almost total government subsidy for all services
  in public hospitals
• infant mortality rate 7.9 per 1,000 livebirths
  (1998)
• maternal mortality rate0.2 per 1,000 livebirths
  (1998)
• healthcare expenses 4 of G.D.P.

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FACTORS INFLUENCING GLOBAL TRENDS IN HEALTHCARE

• Emphasis on patient empowerment responsibility
• shift to the wellness paradigm
• redressing of social inequities
• awareness of human rights
• the consumerism movement
• concern/awareness to the eco-systems environs

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Vision 2020

• By the year 2020, Malaysia is to be a united
  nation with a confident Malaysian Society infused
  by strong moral and ethical values, living in a
  society that is democratic, liberal and tolerant,
  caring, economically just and equitable,
  progressive and prosperous, and in full
  possession of an economy that is competitive
  dynamic, robust and resilient

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Vision for Health

• Malaysia is to be a nation of healthy
  individuals, families and communities, through a
  health system that is equitable, affordable,
  efficient, technologically appropriate,
  environmentally adaptable and consumer- friendly,
  with emphasis on quality, innovation, health
  promotion and respect for human dignity, and
  which promotes individual responsibility and
  community participation towards an enhanced
  quality of life.

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GOALS OF THE VISION FOR HEALTH

• focus on wellness
• focus on the person
• informed person
• self-help
• care provided at home or near to home
• seamless care
• tailored services
• effective, efficient, affordable services

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Some major healthcare reforms.
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SMART PARTNERSHIP

• Necessary to maximise the utilisation of
  resources between private and public sectors
• 4 vital elements shared vision
• agreement and
  commitment
• building on
  strengths
• actions to
  overcome weaknesses

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SMART PARTNERSHIP

• Some examples
• annual dialogues, meetings and seminars
• joint consultative panel meetings
• patient referrals to private sector
  facilities/services
• engagement of private specialists to public
  hospitals
• establishment of accreditation standards

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TELEHEALTH IN MALAYSIA
"Malaysia's Telehealth initiative is not just
about
point-to-point teleconsultation. It incorporates
the full spectrum of multimedia technologies to
bring about benefits to all players in the health
sector. It will transform the healthcare services
and shape new relationships between people and
their healthcare providers. -Minister of
Health,Malaysia.
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TELEHEALTH FLAGSHIP APPLICATIONS

• the technology enabler to realise the Vision for
  Health
• part of the government-funded Multimedia Super
  Corridor(MSC)
• the integration of ICT and medical technology to
  deliver healthcare
• empowering the individual, family and community
  to manage their health

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The Telemedicine Flagship Applications

• The Mass Customised/Personalised Health
• Information and Education Project
• (MCPHIE)
• Lifetime Health Plans Project
• Continuing Medical Education
• (CME) Project
• Teleconsultation Project

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Medical Records LIFETIME HEALTH RECORDS
Access TELECONSULTATION
Provider Health Information CME
Consumer Health Information MCPHIE
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HEALTHCARE FINANCING

• The universal issues
• How to mobilise sufficient funds
• How to allocate
• How to control costs
• ____________________________________________
• 2 possible Malaysian models
• medical savings account
• social health insurance

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HEALTHCARE FINANCING

• MEDICAL SAVINGS ACCOUNT
• 2 essential components -a compulsory personal
  fund with balances
• -back-up insurance scheme

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HEALTHCARE FINANCING

• SOCIAL INSURANCE
• - contribution to a centralised health fund by
  employers and employees
• - government contributes on behalf of civil
  servants and marginalised groups
• - community-rated

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"Change is inevitable - except from a vending
machine." -- Robert C. Gallagher
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Thank You