Wellness Paradigm

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 socioeconomics 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."

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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