Presented by: Vinoedh naiduBACHELOR OF PHARMACY LA TROBE UNIVERSITY
INTRODUCTION GENERAL PROS AND CONS OF 1care for 1 malaysia plan PROS AND CONS OF 1care TO OUR PROFFESION INTERVENTIONS feedbacks references
The 10th Malaysia Plan: 2011-2015 (10MP) which was presented in Parliament on 10th June 2010 clearly stated that although Malaysia has been efficient in delivering improved health outcomes, as the nation develops, expenditure on healthcare may have to increase to address rising expectations and pressures on the healthcare System.
On 11 August 2009, the MOH presented a proposal for health sector transformation to the Prime Minister and the Economic Council entitled 1Care for 1Malaysia (1Care). Private health insurance will still play a role to cover supplementary and complementary services outside the coverage of 1Care. On 22 March 2010, the MOH received an official mandate from the YAB Prime Minister to develop a detailed blueprint on the 1Care concept within a two-year period.
1Care is restructured national health system that is responsive and provides choice of quality health care, ensuring universal coverage for health care needs of population based on solidarity and equity
The government carrying out this by forming a private company/corporation to act as an insurance company and managed-care organisation (MCO). They will: a)collect funds from all working adults and employers b)pay for all primary care expenses. Example for outpatient visit, test and medication at both private and government hospitals. In theory this scheme will save consumers from having to pay out-of-pocket for their primary care and thus protect them from excessive healthcare expenses.
Universal coverage Integrated health care delivery system Affordable & sustainable health care Equitable(access & financing), efficient, higher quality care & better health outcomes Effective safety net Responsive health care system Client satisfaction Personalised care
Outpatient andHospital care freeat point of serviceMinimal co-payments e.g. fordental & pharmacy
Increased quality of care & client satisfaction Personalised care with specific primary health care providers (PHCP) Better health outcome Higher work productivity
Public-private integration Access to both public & private providers
Reduced payment at the point of seeking care Relieve burden to reimburse worker or give loan for medical spending Relieve burden to cover work and non- work related illnesses (beyond SOCSO) Pay low contributions to cover employee and family
More opportunity for pharmacist in retail Increase communication with patients and physician Expand knowledge on medicine PHARMACY PREMISES NOT TO BE SHARED BY NON-PHARMACY RELATED
Standard pricing system with standard drug list Dispensing by generic as far as possible
Pharmacist to be paid a dispensing fee• APC• PRP
Role of community pharmacist in 1 Care Lack of availability and choices of drugs/medication. patient allergic to certain medication
Patient lose confidence on the total health care system-including the pharmacy service Wrong decision (choices) taken by pharmacist since prescribing and dispensing are done by two different professionals
Dispensing right restricted to a limited list of drug. Patients with multiple problem/disease wont be able to seek treatment for all -no medication can be dispensed for the other problems
Based on the Pharmacy practiseBenchmarking for QualityService No advertisement of products and no sponsored signboards - pharmacist/retail pharmacy loses privilege/insentives given by pharmaceutical company
SUGGESTIONS / INTERVENTIONS Reduce 10% monthly to annually. STATISTICS & DATA FROM 10MP, NEM, JAYANATH (MEDIAN INCOME) Increase healthcare facilities in rural areas first Patients’ expectation towards treatment will increase gradually as they are paying! Do healthcare providers really ready? There is limited structured information on the number and types of public and private health facilities available nationally.
Special committee to conduct survey as MUST get complete feedback as a whole-voice. Perform trial period before implementing. Assure citizens regarding the effectiveness and quality of 1 Care (no bias or political advantages) Give choices to patients on physician rather than complete selection by authorities. Government should be proactive in explaining the policy regarding coverage of disease. Try to keep record on financial record of patients and return 50% of the excess money in the form of rebates.
Mr. A, a 30 year old man with 2 kids working as an assistant manager with a stay at home wife to look after his newly arrived twins, his salary is RM4,000
Mr A has to decide to cancel Astro or internet subscription plus cutting back on other household expenditure. Mrs A, would lose some form of entertainment or the kids will have less health supplements. Mr A’s parents who rely on their filial son to support them, may find that their allowance is cut.
Miss B, 19 year old single lass with SPM certificate working as an operator in a factory Madam C, a 26 year old single mother who works in the same factory with Miss B with 2 pre-school kids Mr. D, a man in his early 30s working as a marketing manager with a lucky stay at home wife and 2 kids
With 1Care, Miss B has to pay RM1,155 (if 10%) or RM693 (if 6% instead). That amounts to a month and a half of her basic pay, almost 3 months of her overtime pay. Madam C’s status is elevated from non-tax paying to contributing RM783.75 (at 10%) or RM470.25 (at 6%). She will be contributing RM65.51 / RM39.19 every month to 1Care Malaysia; equivalent to her 1 week food supply. She is probably struggling to pay her rental
PUBLIC FEEDBACKSSwan: 6 weeks ago To be covered by 1care insurance regardless of age on compulsory basis is good idea. This measure will give citizen some form of alternative they will not cramp-up govt hospital and will reduce govt funding to maintain healthiness level of citizens. However, if a person less sick for the year, say expenses less than RM500 per year then he/she will be given incentive in form of rebate.
JJ ONG · 6 weeks ago could we rely on this? If the doc is not good enough, we cant change and thats we die for it follow the same old doc? How about the doc is decease / not well / vacation / etc... No matter in public or private, we still need to wait for the doc unless patients in operation mode. What is the easy access means? Doctors nature should cure patients no matter what.....so how to allocate?
shaktiman· 5 weeks ago What about those people4 who have retired and DO NOT have any steady income....how are they going to be covered under this 1Care Medical Scheme....... Stephen · 6 weeks ago I have buy a life insurance that cover all medical care. Why i need to pay this 1Care scheme? Would you pay something that you dont need it? You can banned people who dont play the 1Care from going government hospital. Please let people has a choice to this 1Care service. Furthermore, this 1Care plan is much more expensive than insurance plan
KampongBoy· 6 weeks ago10% + 26% + 11% EPF (used for House Loan Scheme) = 46% deduction of my salary! my oh my...now im thinking of moving abroad
REFERENCES1) Berita MMA Vol. 41 No.3 (MARCH 2011)2) Project Document (10MP/NI56 - 1CARE FOR 1MALAYSIA – SUPPORT FOR BLUEPRINT DEVELOPMENT OF THE HEALTH SECTOR REFORM AND TRANSFORMATION)3) The Malaysian Insider (February 09, 2012)4) Report– by Mr Gan Ber Zin (Chairman, MPS-Community Pharmacy Task Force) TRANSFORMING COMMUNITY PHARMACY PRACTICE TOWARDS 1CARE