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

Sistem Kesihatan di Malaysia

Public & Private Sector Resources

& Workload (2008)
11
%
38%
41
%
78
%
74%
55
%
45
%

Source: Health Informatics Center (HIC),MOH

7

Changing Demographic Trends

- Increasing Elderly Population (>60
yrs)

Source : Department of
Statistics

Disease
Burden

Malaysia experiencing changing

pattern of diseases

Disease Burden Study

(2004)
Leading burden of disease

Diseases that still pose

threat to country

Ischaemic
Ischaemicheart
heartdisease
diseaseTB
TB
Mental
illness,
Mental illness,
Dengue
&
DHF
Dengue
&
DHF
Cerebrovascular
disease
Cerebrovascular disease Malaria
Malaria
Road
traffic
injuries
Road traffic injuries
HIV/AIDS
HIV/AIDS
Cancers
Cancers
Viral
Viralhepatitis
hepatitis
Asthma
&
COPD
Asthma & COPD
Emerging
Diseases
Emerging
Diseases
Diabetes
mellitus
Diabetes mellitus
9

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 &

13

 Sistem Penyampaian Kesihatan

Tadbir urus Perkhidmatan Kesihatan
Sistem Pembiayaan Kesihatan

15

PENYAMPAIAN PERKHIDMATAN
KESIHATAN
& PERGERAKAN PESAKIT
ORGANISASI PEMBIAYAAN
KKM
KESIHATAN KEBANGSAAN
(NHFA)
PESA
KIT
PHCP

MHDS

Kerajaan
Swasta

Terima
rawatan

Perkhidmatan tambahan
(Wang saku atau insuran kesihatan
swasta)

Rujuka
n
Kemasuka
n ke
hospital

Hospita
l

Kerajaa
n
Swasta

Rum
ah
Tadbirurus dan halatuju
dasar

16

Transformasi tadbir urus

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

KESIHATAN
AWAM

-Kawalan
penyakit

PEMANTAUAN
& PENILAIAN

-HIC
- MNHA
- Pengawasan
- Kualiti air
- TCM

PENGGUBA
LAN DASAR

-Keselamatan
pesakit
Perkhidmatanperkhidmatan
- Penyelidikan
- TCM
Pembnagunan
Sumber
manusia
- Biaya
- Infrastuktur
dan
kelengkapan
-HTA

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

KKM

NHFA

PERATURAN &
PENGUATKUASA
AN

Penguatkuasa
an

Perundang
an

PENYAMPAIAN
KESIHATAN
AWAM
AUTONOMI
Penjagaan
kesihatan primer

LATIHAN
PENYELIDI
KAN

PENYAMPAIA
N KESIHATAN
SWASTA
Penjagaan
kesihatan
primer

Penjagaan
kesihatan
hospital

Penjagaan
kesihatan
hospital

Perkhidmatan
lain

Perkhidmatan
lain
17

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

18

STATUS

Phases of Health Sector

Transformation

Steady State 1Care for 1Malaysia

1Care: Full reform funded through GGR & SHI
Phase
4

1Care: PHC reform funded through GGRPhase 3

Care: Public Facility autonomy funded through GGR

Phase 2

are: Strengthening of the current health system

Phase
1

20

A journey of a thousand
miles begins with a single
step. Lao-tzu
Chinese Philosopher
(604 BC - 531 BC)

Full
1Care

Status
Quo

Health System
Strengthening

Public
Sector
Autonomy

PHC
Reform

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