Malezya ve Bangladeş Sağlık Sistemlerinde mevcut Durum, Zorluklar ve Potansiyel Reformlara Diş Hekimliği cephesinden Genel Bakış

Year 2019, Volume: 3 Issue: 3, 225 - 236, 31.12.2019

Muhd Firdaus Che Musa Yang Rafidah Hassan Syarifah Haizan Sayed Kamar Zurainie Abllah Salwana Supa'at Farina Rahman Fatiha Tasmin Jeenia

https://doi.org/10.34084/bshr.519186

Abstract

Bu araştırmanın amacı, iki orta gelirli ülkenin, Malezya (üst orta gelirli) ve Bangladeş'in (düşük orta gelirli) sağlık sistemlerini dişhekimliği tarafından gözlemlenen yayınlanmış devlet belgelerini kullanarak tartışmaktır. Sağlık sistemlerinin bu uluslararası değerlendirmeleri, politika üreticilerini hesap verebilirliği teşvik etmeyi etkileyebilecek olan bu iki ülkenin sağlık hizmetleri performansına bir yansımasını ve değerlendirmesini sağlar. Uluslararası karşılaştırmaların çoğu, en iyi sonuçları elde eden yüksek performans gösteren kişileri belirlemeye çalışsa da, bu ülkeler arası karşılaştırmalar, daha iyi sağlık politikası için reformu teşvik etmek için ampirik temeller sağlar. Araştırma raporunun ilk kısmı, sağlık hizmetleri sistemlerinin tanımı, yapısı ve yönetişimini içeren her iki kuruluşun genel bakışına odaklanacak ve yukarıda belirtilen ülkeler arasında diş hekimliği konularına odaklanacaktır. Bu yazının ikinci kısmı, hizmetlerin eşitliği ve etkinliği ile ilgili finansal destek, iş gücü ve sağlık dağıtımını analiz edecek, değerlendirecek ve karşılaştıracaktır. Son olarak, bu ülkelerde yapılacak son değişikliklere ve önerilen gelecekteki reformlara genel bir bakış içeren sağlık sistemlerinin bir özeti sunulacaktır.

Keywords

Sağlık, zorluklar, Malezya, Bangladeş ve diş hekimliği

Situation, Challenges and Potential Reforms for Healthcare Systems of Malaysia and Bangladesh: Overview of Dental Counterpart

Abstract

The purpose of this research paper is to concisely discuss the health care systems of two middle-income countries, Malaysia (upper middle-income) and Bangladesh (lower middle income) using published government documents as observed by dental counterparts. These international appraisals of health systems allow a reflection on and evaluate health care performance of these two countries which could influence policy makers to promote accountability. Whilst most international comparisons seek to identify high performers with the best outcomes, these cross-national comparisons provide empirical bases to drive reform for better health policy. The first part of the research paper will focus on the overview of both organisations that includes description, structure and governance of health care systems, includes dentistry across above-mentioned countries. The second part of this paper will analyse, evaluate and compare financial support, workforce and health delivery concerning equity and efficiency of services. Finally, a summary of the healthcare systems, including an overview of recent changes and proposed future reforms in these countries will be provided. We start by providing a general description and comparison of the structure of health care systems in Malaysia and Bangladesh.

Keywords

challenges, malaysia, bangladesh, dental, Healthcare

References

• 1.Ministry of Tourism. Malaysia Truly Asia. Putrajaya: Ministry of Tourism Malaysia 2013.
• 2. Department of Survey and Mapping Malaysia. Malaysia Report Map. In: Map M, ed: The Department of Survey and Mapping Malaysia, 2013:A coloured political (administrative) map that covers Peninsular Malaysia, Sabah and Sarawak.
• 3. Department of Statistics Malaysia. Current Population Estimates, Malaysia, 2017-2018.Putrajaya: Department of Statistics, Malaysia, 2018.
• 4. Department of Statistics Malaysia. Report of the Population Projections of Malaysia 2010-2040. Putrajaya: Department of Statistics, 2012.
• 5. Department of Statistics Malaysia. Population Distribution and Basic Demographic Characteristics Report 2010. Putrajaya: Department of Statistics of Malaysia, 2011.
• 6. Worldmeter. Malaysia Population (LIVE). 2018.
• 7. Department of Statistics Malaysia. SALARIES & WAGES SURVEY REPORT, MALAYSIA,2017. Putrajaya: Department of Statistics, 2018.
• 8. Calache H, Hopcraft M. Evaluation of a pilot bridging program to enable Australian dental therapists to treat adult patients. Journal of Dental Education 2011:75(9):1208.
• 9. Abi Nahed J. Legislative review of Oral Health in Canada: In Particular Long-Term Care Facilities. Ottawa: Health Canada, Office of the Chief Dental Officer, 2006.
• 10. Arnett MR, Forde R. Increasing student diversity and cultural competence as part of Loma Linda University School of Dentistry’s service mission. J Dent Educ 2012:76(6):721-7.
• 11. The World Bank. Life expectancy at birth, total (years). US: World Bank Group, 2018.
• 12. WHO. World health report 2013: Research for universal health coverage. Geneva: World Health Organization, 2013.
• 13. Malaysian Dental Council. Malaysian Dental Council Bulletin. Putrajaya: MDC, 2013.
• 14. WHO. Malaysia Health System Review: Asia Pacific Observatory on Health Systems and Policies, World Health Organization, 2013.
• 15. CIA. The World Factbook: South Asia- Bangladesh. Washington, D.C: Central Intelligence Agency, 2018.
• 16. The World Bank. Bangladesh: Data. US: World Bank Group, 2018.
• 17. Wee RY. Which Country Is The World’s Most Densely Populated? : World Atlas, 2018.
• 18. Statistics Times. List of Countries by Population Density. 2018.
• 19. UNICEF. Bangladesh humanitarian situation report no. 38 (Rohingya influx). Bangladesh: UNICEF, 2018.
• 20. Health Bulletin. Bangladesh: Country profile with health indicators. Dhaka, Bangladesh: Management Information System (MIS), Directorate General of Health Services (DGHS), 2017:18-24.
• 21. Bangladesh Bureau of Statistics. Gross Domestic Product (GDP). Dhaka, Bangladesh: Bangladesh Bureau of Statistics, 2018.
• 22. The World Bank. Helping Bangladesh Reach Middle Income Country Status. US: World Bank Group, 2016.
• 23. United Nations. Leaving the LDCs category: Booming Bangladesh prepares to graduate. Main Office: Bangkok,Thailand: Department of Economic and Social Affairs, 2018.
• 24. Ministry of Health Malaysia. Country Health Plan-10th Malaysia Plan 2011-2015. Putrajaya: Ministry of Health Malaysia, 2010.
• 25. Aljunid SM. Health Policy in Malaysia: Three Central Policy Issues. Faculty of Medicine, UKM, 2014.
• 26. Petersen PE. World Health Organization global policy for improvement of oral health--World Health Assembly 2007. Int Dent J 2008:58(3):115-21.
• 27. WHO. Ottawa Charter for Health Promotion. Ottawa, Canada: World Health Organization, 1986.
• 28. Oral Health Division Malaysia. Malaysia’s National Oral Health Plan 2010. A lifetime of Healthy Smiles. Putrajaya: OHD, Ministry of Health Malaysia, 2006.
• 29. Oral Health Division Malaysia. Oral Health Care in Malaysia. Putrajaya: OHD, Ministry of Health Malaysia, 2005.
• 30. Institute for Health System Research. Malaysia Healthcare Demand Analysis: Inequalities in Healthcare Demand & Simulation of Trends and Impact of Potential Changes in Healthcare Spending. Malaysia: Health Policy Research Associates (HPRA) and Institute for Health Systems Research (IHSR), Ministry of Health Malaysia, 2013.
• 31. Health Bulletin. Healthcare network in Bangladesh. Dhaka, Bangladesh: Management Information System (MIS), Directorate General of Health Services (DGHS), 2017:25-32.
• 32. Ahmed SM, Evans TG, Standing H, Mahmud S. Harnessing pluralism for better health in Bangladesh. Lancet 2013:382:1746-55.
• 33. Ministry of Health Malaysia. Malaysia Health Care Demand Analysis: Inequalities in Healthcare Demand & Simulation of Trends and Impact of Potential Changes in Healthcare Spending: Health Policy Research Associates (HPRA) and Institute for Health Systems Re- search (IHSR), 2013.
• 34. Ministry of Health Malaysia. Health Facts 2013. Putrajaya: Health Informatics Centre, Planning and Development Division, MOH Malaysia, 2014.
• 35. Malaysian Dental Association. Malaysian Dental Association- President Message. Kuala Lumpur: MDA, 2014.
• 36. Malaysian Dental Council. Malaysian Dental Council Bulletin. Putrajaya: MDC, 2014.
• 37. USAID. Tracking Urban Health Expenditures – Preliminary Results from Secondary Analy- sis of Bangladesh National Health Account: Bangladesh Ministry of HealthHealth Finance and Governance, 2015.
• 38. WHO Bangladesh. Health System Financing. World Health Organization Bangladesh, 2018.
• 39. Ministry of Health Malaysia. Health Facts 2012. Putrajaya: Health Informatics Centre, Planning and Development Division, MOH Malaysia, 2013.
• 40. Ministry of Health Malaysia. Health Facts 2010. Putrajaya: Health Informatics Centre, Planning and Development Division, MOH Malaysia, 2011.
• 41. Ministry of Health Malaysia. Health Facts 2015. Putrajaya: Health Informatics Centre, Planning and Development Division, MOH Malaysia, 2016.
• 42. The Commissioner of Law Revision Malaysia. Dental Act 1971: online version of updated text of reprint. Putrajaya: Malaysian Law Journal SDN BHD, 2014.
• 43. Malaysian Dental Council. Dental Act 2018: Laws of Malaysia. Putrajaya: MDC, 2018.
• 44. Center for Research and Information. Health Services for All: the Bangladesh Story. Dhaka, Bangladesh: Center for Research and Information, 2014.
• 45. Joarder T, Rawal LB, Ahmed SM, Uddin A, Evans TG. Retaining Doctors in Rural Bangladesh: A Policy Analysis. Int J Health Policy Manag 2018:7(9):847-58.
• 46. Ministry of Health and Family Welfare. Human Resources Developmen (HRD) Data She- et-2011 of MOHFW. Dhaka, Bangladesh: Human Resources Development (HRD) Unit, 2011.
• 47. The Daily Star. 46% teaching posts vacant at medical and dental colleges. 2019.
• 48. Chai PY, Whynes DK, Sach TH. Equity in health care financing: the case of Malaysia. International Journal for Equity in Health 2008:7:1-14.
• 49. Islam A, Biswas T. Health system in Bangladesh: Challenges and opportunities. American Journal of Health Research 2014:2:366-74.
• 50. Ahmed SM, Alam BB, Anwar I, Begum T, Huque R, Khan JAM, Nababan H, Osman FA. Bangladesh health system review. Manila: World Health Organization, Regional Office for the Western Pacific, 2015.
• 51. Polan AMA, Saito T. A Short Review of Bangladesh Dentistry. The Dental Journal of Health Sciences University of Hokkaido 2011:30:23-8.
• 52. DGHS. Universal health coverage (UHC); Bangladesh on path to UHC. In: Journey to SDGs 2030 for health. Dhaka, Bangladesh: Directorate General of Health Services, 2017.
• 53. Ministry of Economic Affairs Malaysia. The Eleventh Malaysia Plan (11MP) 2016-2020: Anchoring Growth on People. In: Unit EP, ed. Putrajaya: Ministry of Economic Affairs, 2018.
• 54. Acheson RM. The definition and identification of need for health care. J Epidemiol Community Health 1978:32(1):10-5.
• 55. Saracci R. The World Health Organisation needs to reconsider its definition of health. British Medical Journal 1997:314(7091):1409-10.
• 56. Ministry of Health Malaysia. Malaysia Health System Review. Putrajaya: Asia Pacific Observatory on Health Systems and Policies, WHO, 2013.
• 57. WHO. UNICEF Primary Health Care. Alma Ata 1978. Geneva: World Health Organization, 1978.
• 58. Kananatu K. Healthcare financing in Malaysia. Asia Pacific Journal of Public Health 2002:14:23-8.
• 59. Malaysian Dental Council. Dental Bill 2012: Laws of Malaysia. Putrajaya: MDC, 2012.
• 60. Torres CA. Education and Neoliberal Globalization. New York and London: Routledge, 2009.
• 61. Saad-Filho A, Johnston D. Neoliberalism: a critical reader. Unviersity of Michigan: Pluto Press, 2005.
• 62. Thorsen DE. The noeliberal challenge: what is neoliberalism? Contemporary Readings in Law and Social Justice 2010:2(2):188-214.
• 63. Enwonwu CO, Falkler WA, Jr., Phillips RS. Noma (cancrum oris). Lancet 2006:368(9530):147-56.
• 64. WHO. Human resources for health country profile. Indonesia. Geneva: World Health Organisation Regional Office for South-East Asia, 2010.
• 65. WHO. Human resources for health country profile. Thailand. Geneva: World Health Organisation Regional Office for South-East Asia, 2010.
• 66. Malaysian Dental Council. Malaysian Dental Council Bulletin. Putrajaya: MDC, 2010.
• 67. WHO and World Bank Group. Tracking universal health coverage: First global monitoring report. France: World Health Organization, 2015.
• 68. Campbell J, Buchan J, Cometto G, David B, Dussault G, Fogstad H, Fronteira I, Lozano R, Nyonator F, Pablos-Mendez A, Quain EE, Starrs A, Tangcharoensathien V. Human resour- ces for health and universal health coverage: fostering equity and effective coverage. Bull World Health Organ 2013:91(11):853-63.
• 69. WHO. Universal health coverage (UHC)- fact sheets. Geneva: World Health Organization, 2015.
• 70. Fong LH. How new Health Minister wants everyone to get good healthcare. The Star Online. Petaling Jaya, Selangor: The Star, 2018.
• 71. Ministry of Finance Malaysia. Budget 2019. Putrajaya: Ministry of Finance, 2018.
• 72. World Bank. The Path of Universal Coverage in Bangladesh. World Bank Group, 2015.
• 73. Sarwar AFM, Kabir MH, Rahman AFMM, Haque A, Kasem MA, Ahmad SA, Debnath PK, Mallick PC, Hoque MM, Hossain KA, Khan SI, Ahmed AHHU, Parveen S. Oral hygiene practice among the primary school children in selected rural areas of Bangladesh. Journal of Dhaka National Medical College & Hospital 2012:18(1).
• 74. WHO. Mapping of health professional education institutions in Bangladesh. World Health Organization, 2018.
• 75. IRBD. CPD 2019: An analysis of the national budget for FY2019-20. . Independent Review of Bangladesh’s Development, 2019.
• 76. Irani B. Doctors demand 12% budget be allocated for health sector. Dhaka Tribune, 2019.