Bin Juni M H
Planning and Development Division, Ministry of Health Malaysia, Kuala Lumpur, Malaysia.
Soc Sci Med. 1996 Sep;43(5):759-68. doi: 10.1016/0277-9536(96)00120-7.
Within the current exercise of reforming the health care system, underlying all issues, is the reassessment of the role of government. It is a government's responsibility and concern that the health sector be accessible and equitable to the population, and more important that the health sector be more efficient and affordable. Many governments in the world attempt to provide universal health care services to their population through public health care provisions. This paper reviews and analyses the experience of the Malaysian health system, focusing on the performance of the system in relation to access and equity. The performance of the Malaysian health system has been impressive. At minimum cost it has achieved virtually accessible and equitable health care to the entire population. This is evident by analysing almost all the commonly used indicators. These clearly show that when matched to comparable countries, health outcome is even better than predicted value.
在当前医疗体系改革的进程中，所有问题的核心在于对政府角色的重新评估。确保卫生部门对民众而言可及且公平，是政府的责任与关切所在，更重要的是，要让卫生部门更高效且可负担。世界上许多国家的政府都试图通过公共卫生保健服务为民众提供全民医疗服务。本文回顾并分析了马来西亚医疗体系的经验，重点关注该体系在可及性和公平性方面的表现。马来西亚医疗体系的表现令人瞩目。它以最低成本为全体民众实现了几乎可及且公平的医疗保健。通过分析几乎所有常用指标便可证明这一点。这些指标清楚地表明，与可比国家相比，其健康成果甚至优于预期值。
