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HEALTH CARE

EXPENDITURES INMALAYSIA

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OVERVIEW

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Analyze HOW Malaysias government handling health

sector, HOW MUCH country expenditure on health care,

WHAT country health plan

Malaysias developed the organization and governance of

the health system. Health care service consist of PUBLIC

health service and PRIVATE health service.

Public and private health system financial. Public; Taxation

and general revenue of federal government. Private; out-of-

pocket payments and private health insurance (third

payment)

Malaysias healt care facilities; Primary care facilities (small

community clinic, dental clinic), Secondary care facilities(public hospital), Tertiary care facilities (national hospital,

university teaching hospital).

National health policies. 9thMP & 10thMP

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GENER LINFORM TIONBOUT M L YSI

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Malaysias geography and socio

demography

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Malaysias economics context

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Malaysias health status

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Malaysias health status

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alaysias healthorganization andgovernance

Malaysias health system

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Malaysia health care system; 1. tax-funded and

government-run services, 2. fast growing private

sector

Administrate by Ministry of Health (MOH)

Public sector provides inpatient and ambulatory care,MOH offers health services, health promotion,

diseases prevention, curative & rehabilitative care

Private sector provides health services, inpatient and

ambulatory care (outpatient), mainly in URBAN

areas. Clinics and hospital focus on curative care

Threetier primary health care model consist a

health centre, four sub-cente, and four midwife

clinics. Two-tier system introduced, replaced midwife

with community nurse clinics

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alaysias healthorganization andgovernance

Malaysias health organization

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Malaysia public health services are administrated

by Ministry of Health (MOH), Ministry of Higher

Education runs university teaching hospitals

Ministry of Defence runs the several military hospitals

and medical centre. Department of Aboriginal (Orang

Asli) Affairs provides health services to the people

There are many active nongovernment organization,

such Red Crescent Society, St. John Ambulances,

Lion Club.

Private sector provides health Sector mainly provide

curative and dianostic health services in urban areas.

Large number of private dental clinics & pharmacies

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alaysias healthorganization andgovernance

Malaysias health plan

9MP & 10MP

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9th MPMalaysian approach to develop the nation

through five-year plan.

9th MP theme Towards achieving better health

through consolidation of health services

The goals of 9MP is; to prevent and reduce disease

burden and enhance healthcare delivery system

5 National Mission Thrust; fourth, to improve the

standard and sustainability of quality of lifeRecommendation, increase activities in health

promotion, health education, healthy lifestyle. Focus

on healing and recovery, provide adequate public

health facilities, collaboration with private sector

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THE TENTH MALAYSIA HEALTH PLAN

(2010 - 2015)

1CARE FOR 1MALAYSIA

ISSUES

Healthcare delivery

Public-Private Dichotomy and other Structural Factors Accessibility to Services

Responsiveness

Quality and Standards of Care Variations in Quality

Pursuit of Affordable World Class Quality and Standardsof Care

Inappropriate Utilisation

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THE TENTH MALAYSIA HEALTH PLAN

(2010 - 2015)

1CARE FOR 1MALAYSIA

Rising cost of care

Inefficiency

Increasing demand for health services in institutions

Wasted resources Financial crisis

Cost drivers

Wealth

Epidemiological transition

Facing emerging / re-emerging infectious diseases

Demographic transition

Technology

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THE TENTH MALAYSIA HEALTH PLAN

(2010 - 2015)

1CARE FOR 1MALAYSIA

Health Awareness and Lifestyle

Knowledge behavioral gap

Communitys reluctance to take ownership of health issues

Insufficient number of health promotion workforce Lack of supportive environment

Information and Communication Technology

Inadequate integrated planning of health information system

Lack of health informatics expertise (subject matter experts andtechnical experts)

Inadequate infrastructure

Lack of standards