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PERSIDANGAN PROMOSI KESIHATAN KEBANGSAAN 2011 10 – 11 OKTOBER 2011

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. TRANSFORMASI SISTEM KESIHATAN MALAYSIA. SKOP PEMBENTANGAN.

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PERSIDANGAN PROMOSI KESIHATAN KEBANGSAAN 2011 10 – 11 OKTOBER 2011

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  1. 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

  2. TRANSFORMASI SISTEM KESIHATAN MALAYSIA

  3. SKOPPEMBENTANGAN

  4. Kenapa Transformasi MenjadiSatuKeperluan?

  5. Sistem Kesihatan di Malaysia

  6. Public & Private Sector Resources & Workload (2008) 11% 38% 41% 78% 74% 55% 45% Source: Health Informatics Center (HIC),MOH 7

  7. Changing Demographic Trends - Increasing Elderly Population (>60 yrs) Source : Department of Statistics

  8. Disease Burden 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

  9. Matlamat Gagasan Transformasi

  10. 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

  11. Apakah Yang Bakal Berubah?

  12. Apakah yang bakalBerubah? • Sistem Penyampaian Kesihatan • Tadbir urus Perkhidmatan Kesihatan • Sistem Pembiayaan Kesihatan

  13. PENYAMPAIAN PERKHIDMATAN KESIHATAN & PERGERAKAN PESAKIT KKM ORGANISASI PEMBIAYAAN KESIHATAN KEBANGSAAN (NHFA) MHDS PESAKIT Perkhidmatan tambahan (Wang saku atau insuran kesihatan swasta) KERAJAAN SWASTA PHCP Kerajaan Swasta Rujukan Kerajaan Terima rawatan Hospital Swasta Kemasukan ke hospital Rumah Tadbirurus dan halatuju dasar

  14. Transformasitadbirurus Badanberkanun - MajlisKeselamatanPesakit -- LembagaPromosiKesihatan -- MajlisKesihatanpelancongan Malaysia -- Lain-lain Badan profesional -MMC -MDC -Lembaga Farmasi -Lain-lain KKM NHFA PENGGUBALAN DASAR PERATURAN & PENGUATKUASAAN KESIHATAN AWAM PEMANTAUAN & PENILAIAN • PENYAMPAIAN KESIHATAN SWASTA • Penjagaan kesihatan primer • Penjagaan kesihatan hospital • Perkhidmatan lain • PENYAMPAIAN KESIHATAN AWAM AUTONOMI • Penjagaan kesihatan primer • Penjagaan kesihatan hospital • Perkhidmatan lain • Keselamatan pesakit • Perkhidmatan-perkhidmatan • Penyelidikan • TCM • Pembnagunan Sumber manusia • Biaya • Infrastuktur dan kelengkapan • HTA • Kualiti • ICT • Kawalan penyakit • HIC • MNHA • Pengawasan • Kualiti air • TCM Perundangan Penguatkuasaan LATIHAN PENYELIDIKAN

  15. Financing Arrangements • Combinationof financing mechanisms • Social health insurance (SHI) • General government revenue (GGR) • minimal co-payments for a defined Benefits Package • Pooled as single fundto promote social solidarity and unity as per 1Malaysiaconcept • To be managed by NHFA – not for profit government autonomous agency under supervision of MOH 18

  16. STATUS

  17. Phases of Health Sector Transformation Steady State – 1Care for 1Malaysia 1Care: Full reform funded through GGR & SHI Phase 4 1Care: PHC reform funded through GGR Phase 3 1Care: Public Facility autonomy funded through GGR Phase 2 1Care: Strengthening of the current health system Phase 1

  18. A journey of a thousand miles begins with a single step. Lao-tzu Chinese Philosopher (604 BC - 531 BC) Full 1Care Public Sector Autonomy Health System Strengthening PHC Reform Status Quo

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