THE SOCSO HEALTH SCREENING PROGRAM …...SOCIAL SECURITY ORGANISATION OF MALAYSIA 9/2/20149/2/2014...

SOCIAL SECURITY ORGANISATION OF MALAYSIA

9/2/2014 1 9/2/2014 1 9/2/2014 1 9/2/2014 1 9/2/2014 1 9/2/2014 1 SOCSO WORKERS’ HEALTH PROMOTION SEMINAR 2014 DR. AZLAN DARUS

THE SOCSO HEALTH SCREENING PROGRAM – TREND AND USAGE

DR. AZLAN DARUS MPH MPH(Occ Health) MFOM CIME AOEMM

Manager Prevention and Health Promotion Unit

Medical and Rehabilitation Section SOCSO


9/2/2014 2 9/2/2014 2 9/2/2014 2 9/2/2014 2 9/2/2014 2 9/2/2014 2 INITIATING EMPLOYEES’ HEALTH DR. AZLAN DARUS SOCSO WORKERS’ HEALTH PROMOTION

SEMINAR 2014

Non-Communicable Diseases

• The burden of non-communicable diseases in Malaysia is high. (National Health Morbidity Survey 2011)

– Fifteen percent of Malaysians above the age of 18 years old was found to be diabetics. The prevalence among those above 40 years old was 17.6%, steadily increasing according to age groups, reaching 31.6% once they reach age 55 years old.

– The prevalence of hypertension among those aged 40 years and above was 35.8%, with increasing trend as they aged.

– Similarly within the same group were the prevalence of hypercholesterolaemia (40.5%), obesity (31.6%) and pre-obese (41.0%).

2


0

1,000

2,000

3,000

4,000

5,000

6,000

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

NU

MB

ER

YEAR Cardiovascular

Diabetes

Cancer

Mental disorders

SURVIVOR’S PENSION REPORTED FOR NCD CASES: YEAR 2000 - 2013

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

NU

MB

ER

YEAR

Cardiovascular Diabetes

Cancer Mental disorders

Respiratory Total

INVALIDITY PENSION BENEFIT REPORTED FOR NCD CASES YEAR 2000 - 2013


0

2000

4000

6000

8000

10000

12000

2010 2011 2012 2013

8167 8672 9174

10950

4149 4179 4514 4959

Total Survivors Pension

Survivors Pension due to NCD

51%

48%

49%

SURVIVORS PENSION 2010-2012

NCD constitutes large percentage of claims…

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

2010 2011 2012 2013

11972 12814

13615

17552

4252 4222 4572 5734

Total invalidity

Invalidity due to NCD

34%

33%

36%

INVALIDITY 2010-2012

46%

33%



SEMINAR 2014

General health screening

• Has long been a common element of health care in some countries

• Intended to reduce morbidity and prolong life – Possible benefits

• Preventive treatment reducing morbidity and mortality

• Detection of precursors of disease e.g cervical dysplasia

• Detection of sign and symptoms of manifest disease otherwise not considered important

• Some may improve lifestyle following screening and counselling

Lasse T Krogsbøll , Karsten Juhl Jørgensen , Christian Grønhøj Larsen, Peter C Gøtzsche ; BMJ 2012;345:e7191 doi: 10.1136/bmj.e7191



SEMINAR 2014

General Health Screening

• In the UK, publicly funded NHS check programme in 2009. Full implementation in England in 2013 – Have so far offered the screening to 1.3 million people.

– Almost 650 000 had gone through the screening

– Despite criticism from the certain parties’ the UK government is continuing the effort; with good participation rates

‘We could save 650 lives a year, prevent 1,600 heart attacks and strokes, and

prevent over 4,000 new cases of diabetes if there was full take-up,’

Norman Lamb- Health Minister http://www.healthcheck.nhs.uk/

http://www.healthcheck.nhs.uk/



SEMINAR 2014


• In Japan; nationwide health screening programme targeting metabolic syndrome since April 2008. – Screening and risk based counselling – Raise public awareness on metabolic diseased and

promote better lifestyles

• In S. Korea; national screening program introduced in 1995. – Enhanced to “National Screening Program for Transitional

Ages” in 2007 – Target two age groups; 40 and 66 years old – About 55.5% participation rates in 2009

Kohro, Furui, Mitsutake et al. ; Int Heart J March 2008

Hyun Su Kim, Dong Wook Shin, Won Chul Lee et al. ; J Korean Med Sci 2012; 27: S70-75



SEMINAR 2014


• In Singapore; – Integrated Screening Programme

• nation-wide programme for Singaporeans aged 40 years and older • screened for diabetes, high blood pressure, high blood cholesterol, obesity and

cervical cancer at registered GP clinics. • Subsidized screening cost; user pays for consultation

• In Malaysia; – Free health screening for government employees age 40 years old at

government health clinics • Since 1969 (managerial and professionals) • 2003 to include all employees • Not mandatory, but “strongly encouraged”

– NGOs – For private employees;

• Depends on medical benefit provided by companies



SEMINAR 2014

The SOCSO Health Screening Programme

• Offered to all insured persons by SOCSO at the age 40 years old.

• As a way to provide benefit token to all active employees

• To increase insured persons awareness of non-communicable diseases

• Promote healthy lifestyle and health empowerment via early detection and counseling by the doctors



SEMINAR 2014

• Health Screening as a means; not the end

– ENABLING employees in the country to take charge of their health

• By knowing their own health status



SEMINAR 2014



USAGE AND TRENDS



SEMINAR 2014

The SOCSO Health Screening Program

• Roll out Jan 2013

• 1 900 000 active employees are eligible for the year 2013

• All eligible employees are invited through vouchers sent via their employers

• In 2014; a further 250 000 employees became available

– Vouchers had already been sent



SEMINAR 2014

The SOCSO Health Screening Programme (31 Dec 2013)

327 685 Employees

underwent the health screening

109 019 Women used the

mammogram voucher

3048 Registered clinics

94 Mammogram

centers

215 Laboratories



SEMINAR 2014

The SOCSO Health Screening Programme (August 2014)

389,315 Employees

underwent the health screening

133,403 Women used the

mammogram voucher

3163 Registered clinics

102 Mammogram

centers

226 Laboratories



1353

18815

34749 33938

24874 23406

21427

15120

20666

26938

35786

69,049

12397

5000 4809 7322 10308

1398 0 0 0 0 0 0 0 0 0 0 0 0

2422 2918 2829 2422 2422 2422

Trend Penggunaan Baucar HSP



SEMINAR 2014

Trend of use by state

0

10000

20000

30000

40000

50000

60000

70000

80000

percentage



SEMINAR 2014

Trend of use by state

0

5

10

15

20

25

30

35

percentage



SEMINAR 2014

Gender

173871 150999

Male

Female

0

200000

400000

600000

800000

1000000

1200000

1400000

male female

46%

54%

16% 24%

Used vs Distributed

Used



SEMINAR 2014

Ethnicity

1

11

,26

4 1

50

,14

5

39

,99

4

7,6

00

9,7

02

3,2

98

0

20000

40000

60000

80000

100000

120000

140000

160000

Malay Chinese Indian BumiputeraSabah

BumiputeraSarawak

Others



SEMINAR 2014

Number of unused vouchers and employers

154,305

40648

1343 53

# employers

<5

5-100

100-1000

>1000



SEMINAR 2014

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

450,000

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

2013 2014

HSP Voucher Until 2014

Actual

?



SEMINAR 2014

ISSUES

• Don’t know that such benefit exists • Voucher not received by employers • Voucher not distributed by employers

– Distance / extra task – Employer have better program

• Employees received voucher – Interested and use – Interested but not suitable time / procrastinate

• Leave issues • Time off work issues

– Have done it at other times – Not interested



SEMINAR 2014

Would these work?

• Employer

– provide time assistance.

– Integrate into current medical benefit system

• Clinics

– Close work with employer

• Mass workplace screening

• Reporting agreement

• More clinics participation



SEMINAR 2014

Pre conclusion

• Nearly 400 000 employees nationwide had gone through the health screening program nationwide

• There has been adequate enrolment by participation clinics

• About 20% or less utilisation rate so far – Have we reached a plateau?

• THE HSP is here to stay – We need higher usage! – Use it!



SEMINAR 2014

[email protected]

THE SOCSO HEALTH SCREENING PROGRAM …...SOCIAL SECURITY ORGANISATION OF MALAYSIA 9/2/20149/2/2014...

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