Merican M I, Rohaizat Y, Haniza S
General of Health Malaysia (Research and Technical Support) Ministry of Health, Malaysia.
Med J Malaysia. 2004 Mar;59(1):84-93.
The Malaysian health care system is a success story among countries of equivalent socio-economic status. However there are numerous challenges faced by the nation, which create the need for changes and reform. There is rising consumer demands and expectations for high technology and high cost medical care due to improved standards of living, changing disease patterns and demographic changes, inadequate integration of health services, maldistribution of resources and the threats as well as opportunities of globalisation and liberalisation. The changes in health policy, priorities and planning for the country are guided by the country's development policies, objectives and the challenges of Vision 2020, Vision for Health and the goals of the health system in ensuring universal access, improving equity and efficiency and the quality of life of the population. The essential services in the health system of the future are information and education of individuals to empower support for the wellness paradigm. There is also a need to restructure the national health care financing and the health care delivery system. The present roles and responsibilities of MOH also need to be reviewed.
马来西亚的医疗保健系统在具有同等社会经济地位的国家中堪称成功典范。然而，该国面临着诸多挑战，这使得变革和改革成为必要。由于生活水平提高、疾病模式变化和人口结构改变，消费者对高科技和高成本医疗保健的需求及期望不断上升，卫生服务整合不足，资源分配不均，以及全球化和自由化带来的威胁与机遇。该国卫生政策、优先事项和规划的变化以国家发展政策、目标以及《2020年愿景》《健康愿景》和卫生系统在确保全民可及性、提高公平性和效率以及民众生活质量方面的目标所带来的挑战为导向。未来卫生系统的基本服务是对个人进行信息和教育，以增强对健康模式的支持。此外，还需要对国家医疗保健融资和医疗服务提供系统进行重组。卫生部目前的角色和职责也需要重新审视。
