Kamaruzaman Hanin Farhana, Ku Abd Rahim Ku Nurhasni, Izzuna Mudla Mohamed Ghazali
Malaysian Health Technology Assessment Section (MaHTAS), Medical Development Division, Ministry of Health, Putrajaya, Malaysia.
Health Economics and Health Technology Assessment (HEHTA), School of Health and Wellbeing, University of Glasgow, UK.
GMS Health Innov Technol. 2024 Nov 19;18:Doc03. doi: 10.3205/hta000140. eCollection 2024.
Disinvestment in healthcare allows for strategic reallocation of resources from low-value care to higher-value areas, particularly in promoting clinical effectiveness, improving patient outcomes, and long-term cost savings. The Malaysian Health Technology Assessment Section (MaHTAS) is investigating the incorporation of a disinvestment framework into the health technology life cycle, in accordance with the Ministry of Health Malaysia's recent healthcare transformation strategy. Several health technology assessment (HTA) reports by MaHTAS have integrated concepts of health technology reassessment, with an emphasis on effectiveness and adverse effects. However, the need for additional funds and implementation strategies has impeded the impactful and timely execution of HTA recommendations. This article highlights ongoing efforts to promote disinvestment activities in the Malaysian healthcare system by raising early awareness and engaging with healthcare stakeholders during the planning phase. The journey from the possibility to the reality of implementing healthcare disinvestment initiatives in Malaysia requires addressing both facilitators and challenges. Facilitators identified include strong political will and the presence of global support for collaboration and knowledge sharing, among others. Some of the recognized challenges are getting the trust of the stakeholders, the need for additional funding to support disinvestment programs, and the lack of expertise as well as guideline to carry out the disinvestment process. By highlighting the steps taken and the strategic planning required, this article sheds light on the potential for disinvestment to enhance the efficiency and effectiveness of healthcare delivery in Malaysia, ultimately contributing to a more sustainable healthcare system.
医疗保健领域的撤资可实现资源从低价值医疗向高价值领域的战略重新分配，特别是在提高临床疗效、改善患者预后以及长期节省成本方面。马来西亚卫生技术评估部门（MaHTAS）正在根据马来西亚卫生部近期的医疗保健转型战略，研究将撤资框架纳入卫生技术生命周期。MaHTAS的几份卫生技术评估（HTA）报告整合了卫生技术重新评估的概念，重点关注有效性和不良反应。然而，额外资金需求和实施策略阻碍了HTA建议的有效及时执行。本文强调了通过在规划阶段提高早期认识并与医疗保健利益相关者互动，来推动马来西亚医疗保健系统撤资活动的持续努力。在马来西亚，将医疗保健撤资举措从可能性变为现实的过程需要应对促进因素和挑战。已确定的促进因素包括强烈的政治意愿以及全球对合作和知识共享的支持等。一些公认的挑战包括赢得利益相关者的信任、需要额外资金支持撤资计划，以及缺乏开展撤资过程的专业知识和指导方针。通过强调所采取的步骤和所需的战略规划，本文揭示了撤资在提高马来西亚医疗保健服务效率和效果方面的潜力，最终有助于建立更可持续的医疗保健系统。
