Ambigga Krishnapillai S, Ramli Anis Safura, Suthahar Ariaratnam, Tauhid Norlaili, Clearihan Lyn, Browning Colette
Discipline of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA (UiTM), 40450 Shah Alam, Selangor, Malaysia.
Asia Pac Fam Med. 2011 Mar 8;10(1):2. doi: 10.1186/1447-056X-10-2.
Population ageing is poised to become a major challenge to the health system as Malaysia progresses to becoming a developed nation by 2020. This article aims to review the various ageing policy frameworks available globally; compare aged care policies and health services in Malaysia with Australia; and discuss various issues and challenges in translating these policies into practice in the Malaysian primary care system. Fundamental solutions identified to bridge the gap include restructuring of the health care system, development of comprehensive benefit packages for older people under the national health financing scheme, training of the primary care workforce, effective use of electronic medical records and clinical guidelines; and empowering older people and their caregivers with knowledge, skills and positive attitudes to ageing and self care. Ultimately, family medicine specialists must become the agents for change to lead multidisciplinary teams and work with various agencies to ensure that better coordination, continuity and quality of care are eventually delivered to older patients across time and settings.
随着马来西亚到2020年迈向发达国家，人口老龄化即将成为卫生系统面临的一项重大挑战。本文旨在回顾全球现有的各种老龄化政策框架；将马来西亚与澳大利亚的老年护理政策及卫生服务进行比较；并讨论在马来西亚初级保健系统中将这些政策转化为实践过程中面临的各种问题和挑战。为弥合差距而确定的基本解决方案包括：重组医疗保健系统、在国家卫生筹资计划下为老年人制定综合福利套餐、培训初级保健工作人员、有效利用电子病历和临床指南；以及增强老年人及其护理人员关于老龄化和自我护理的知识、技能和积极态度。最终，家庭医学专家必须成为变革的推动者，领导多学科团队并与各机构合作，以确保最终能跨时间和环境为老年患者提供更好的协调、持续和优质护理。
