WELLNESS PARADIGM

A SHIFT IN PATIENT
MANAGEMENT

Datu Dr Hj Mohamad Taha bin Arif

Director General of Health, Malaysia
 INTRODUCTION
Ottawa Charter
• Health promotion – process of
enabling people to increase control
over their own health.
• Self-care, self-help and self
medication – new healthcare
paradigm
• Education & empowerment –
strategies for people to control
over their health.
Sundsvall International Conference
1991:
Identify the need to enable
communities and individuals to
take control over their health and
environment through education
and empowerment.
 HISTORY OF
PATIENT MANAGEMENT
• Searching for health – natural
tendency – Public acceptance of
alternative therapies.
• New medical discoveries –
transform hospital functions to
promotion of health, prevention of
disease, teaching and research
etc..
NECESSITY FOR CHANGE
• Serious concern over cost of medical
care
• Future health care requires
reshaping the focus from illness,
facilities and health care providers to
WELLNESS & PERSON focus and
services delivered close to patient
home.
 EPIDEMIOLOGICAL
PERSPECTIVE
• Changing lifestyle and socio-
economics developments lead to
new epidemics (disease and
conditions), emerging and
reemerging of infections
• Hospital resources are used largely
to solve problems that could be
dealt outside of hospitals.
 SHAPING
HEALTH SYSTEM
OF THE FUTURE
Malaysia’s Health Vision
"Malaysia is to be a nation of healthy
individuals, families and communities
through a health system that is
equitable, affordable, efficient,
technologically appropriate,
environmentally adaptable and consumer
friendly, with emphasis on quality,
innovation, health promotion and respect
for human dignity, and which promotes
individual responsibility and community
participation towards an enhanced
quality of life."
 Mission of MOH
"The Mission of the Ministry of Health
is to build partnerships for health to
facilitate and support the people to:
• Attain fully their potential in health
• Motivate them to appreciate health
as a valuable asset
• Take positive action to improve
further and sustain their health
status to enjoy a better quality of
life."
 Goals of Future Health
Care System
• Wellness Focus
• Person Focus
• Informed Person
• Self-help
• Care Provided at Home or Close to
Home
• Seamless, Continuous Care
• Services Tailored as Much as Possible
• Effective, Efficient and Affordable
Services
• Patient, individual, family and
community will be empowered –
making decision on their own
health
• Save cost by avoiding unnecessary
visit.
• Health care providers need to
change accommodate the
empowered patient.
Healthcare professional…..
• Need to be empowered
• Provide care and play the role as
patient advocate, adviser,
facilitator and educator
• Acquire skills to the new tools in IT
• Understand the importance of
quality of health care
• Involve in outcome evaluation
HOSPITAL AS RESOURCE
FOR WELLNESS
• Emphasis on wellness as well as in
managing illness
• Concept of healthy hospital under
healthy settings
• Reservoir for of wellness to
community
• Coordinated, continuous and
seamless care
• Care provided at home or close to
home
AREAS OF FOCUS

A. People empowerment
B. Partnership
C. Advocacy
 PEOPLE
EMPOWERMENT
• Imparting health related
information, knowledge and skills
to individuals so that they are able
to make sound and responsible
decision to help themselves
• Skills in self care should be liken as
living skills
• Mass education through electronic
media/publications
 PARTNERSHIPS
• Partnership among public – private
sector, industries, scientific and
academic institutions, public
interest and workers group to
foster wellness
• Partnership between health care
providers and consumers to
achieve better health outcomes.
 ADVOCACY
• Self-care needs the support of
health professionals, media,
decision makers and political
support.
• Concerted effort by all
• Health care professionals and
private sector to be convinced on
the role of self care and wellness in
achieving better quality health
care at lower cost
 ROLE FUTURE
HOSPITALS
• When home and community
services and virtual services
expand, hospitals become smaller,
more technological and more
integrated
• Hospital will remain essential, but
the operations must be
restructured to be wellness
oriented, patient focused and
 CONCLUSION
• Hospital services are no longer
thought as a simple gathering
together of medical facilities
• Hospital are becoming a more
important component of the
society which are based the social,
economic, educational, political,
preventive, curative and other
common activities to all human
endeavors
THANK YOU