Malaysia Health Care System

Malaysia Health Care System

Malaysia as a multi racial country

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 of human dignity and which promotes individuals responsibility and community participation towards an enhanced quality of life.Vision for healthThe mission of the Ministry of Health is to build partnership for health to facilitate and support the people to:Attain fully their potential in healthMotivate them to appreciate health as valuable assetTake positive action to improve further and sustain their health status to enjoy a better quality of lifeMission of the ministry of healthTo assist an individual in achieving and sustaining as well as maintaining a certain level of health status to further facilitate them in leading a productive lifestyle - economically and socially.This could be materialised by introducing or providing a promotional and preventive approaches, other than an efficient treatmentand rehabilitation services, which is suitable and effective, whilst priorities on the less fortunate groups.Objective of ministry of healthPrimary care is the term for the health services that play a central role in the local community. It refers to the work of health care professionals who act as a first point of consultation for all patients. Such a professional would usually be a general practitioner or family physician, depending on locality. They may then refer to secondary care.Comprehensive healthcare services are provided covering antenatal, postnatal, child health, adolescent, school health, wellness, elderly, mental health, nutrition and dietetics, home care nursing, rehabilitation, occupational health and health surveillance.

PRIMARY HEALTHCAREConsequently, a primary care practitioner must possess a wide breadth of knowledge in many areas.

Continuity is a key desirable characteristic of primary care, as patients usually prefer to consult the same primary care doctor for routine check-ups, and every time they require an initial consultation about a new complaint. Common chronic illnesses, usually treated in primary care, include Hypertension, heart failure, and angina, Diabetes, Asthma and COPD, Depression and anxiety, Back pain, Arthritis and Thyroid dysfunction.

Secondary health care is the service provided by medical specialists who generally do not have first contact with patients.Example: cardiologists, urologists and dermatologists. A physician might voluntarily limit his or her practice to secondary care by refusing patients who have not seen a primary care provider first, or a physician may be required, usually by various payment agreements, to limit the practice this way. Consequently, secondary care physicians will only see patients referred by a primary care physician or another specialist.

Allied health professionals, such as occupational therapists, speech therapists, and dietitians, also generally only work in secondary care.

These professionals do not receive patient self-referrals; they work with physicians to co-manage the aspects of a patients health related to their area of expertise. Some allied health professions, such as physiotherapy, may be accessed through patient self-referral or through physician referral.Examples of Secondary Health Care are Hospital Sg Petani(Kedah), Hospital Temerloh (Pahang), Hospital Slim River(Perak), Hospital Keningau(Sabah), Hospital Lahad Datu(Sabah), Hospital Bintulu(Sarawak) and Hospital Putrajaya.

Tertiary health care is specialized consultative care.Usually on referral from primary or secondary medical care personnel, special investigation and treatmentEx: 1) University of Malaya Specialist Centre (Petaling Jaya) 2) Universiti Kebangsaan Malaysia Medical Centre (Bandar Tun Razak, Kuala Lumpur)3) National Heart Institute (Institut Jantung Negara, IJN), along Jalan Tun Razak. TERTIARY HEALTHCAREThese have provided excellent specialist care for several highly specialized medical disciplines such as cardiology, cardiothoracic surgery, nephrology, cancer care, neurology and some infectious diseases.

These however cater predominantly to our Malaysian civil servants, pensioners and their dependents (including many of our VVIPs), but due to facility constraints, long waiting times are now the norm.

In comparison, secondary medical care is the medical care provided by a physician who acts as a consultant at the request of the primary physician.

The development of public health care in MalaysiaEarly health careRestricted by traditional knowledgeAmong different races and cultures

The arrival of colonialism brought western medicine into our country.

Institute of Medical Research (IMR) began with a recommendation in 1900 by Sir Frank Athelstane Swettenham, The Resident-General of the Federated Malay State.

Kuala Lumpur is chosen. Scientific and Sustained Research into cause, treatment and prevention for scourges.Public Health Care Today!!!

Two-tier health care system.(government and co-existing private)

All doctors with 4 years experiences in government hospital to maintain the man power.(2 years horsemanship and two years government service)

Government hospital having the best medicalfacilities in country.

Private hospital having the latest imaging equipment.

Health tourism industry have been promote and increase.

Government health care is financed by taxesfrom the citizen and other public revenues, have achieved an awesome coverage for primary healthcare.1 Care Program1 Care Program is a structured organisation that is responsive and provides quality health care, ensuring that health care needs of the care population are met based on solidarity and equality.

About 1 Care ProgramUniversal Coverage Integrated Health Care Delivery System Affordable and sustainable health Responsive Health Care System Client Satisfaction Personalised Care

Targets of 1 Care ProgramMalaria Dengue

Disease ControlServices : Provide basic medical services for illness and injuries such as diabetes, hypertension, fever, cough, colds, wounds and cutsCharges : RM 1.00 for Malaysian, RM 15.00 for non-citizens Amount of clinics : 50 clinics in the nationwide.Operating time : 10 am 10 pm daily

1 Malaysia Clinic Mass Vaccination is practised in public schools and available for all Malaysians Children. The National Immunisation Programme provides routine childhood immunisations for various infectious diseases in our nationwide. The vaccines are FREE provided by our government Vaccination Malaysian Health Promotion Board (MySihat) is a statutory body placed under the MOH. Objective : 1. To set and develop the health promotion schedules across different parts 2. To improve the health and quality of life

My Sihat Caring Pharmacy celebrated theirs Health Awareness Day Events by providing health check Oral Health Month Lets Aim for Superior Oral Health - offered free dental check-ups nationwide Public aerobics exercise is opened for free at the parks in Penangs area

Private Events for Public Health Shortage of highly trained specialists.earn money rather than further studyhigher income. Healthcare technology is not so advanced

Certain medical care and treatment are only available in large cities.Diagnosis is delayedPatients condition will be worsen.

Rapidly spreading infectious diseases.Working environment of healthcare provider has higher risk.Problem

The future plans of public health in Malaysia

Will be start using in 2016

60% effectiveness against dengue virus serotypes

80% success rate before available to the publicDengue vaccineTHANK YOU