1. Presented by:
Vinoedh naidu
BACHELOR OF PHARMACY
LA TROBE UNIVERSITY

2.  INTRODUCTION
 GENERAL PROS AND CONS OF 1care for
1 malaysia plan
 PROS AND CONS OF 1care TO OUR
PROFFESION
 INTERVENTIONS
 feedbacks
 references

3.  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.

4.  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.

5.  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

6.  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.

7.  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

8. Outpatient and
Hospital care free
at point of service
Minimal co-
payments e.g. for
dental & pharmacy

9.  Increased quality of care & client satisfaction
 Personalised care with specific primary
health care providers (PHCP)
 Better health outcome
 Higher work productivity


11.  Public-private integration
 Access to both public & private providers

12.  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

17.  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


18.  Standard pricing system with standard
drug list
 Dispensing by generic as far as possible

19. Pharmacist to be paid a
dispensing fee
• APC
• PRP

21. Role of community pharmacist
in
1 Care
 Lack of availability
and choices of
drugs/medication.
 patient allergic to
certain medication

22.  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

23.  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

24. Based on the Pharmacy practise
Benchmarking for Quality
Service
 No advertisement
of products and no
sponsored
signboards
- pharmacist/retail
pharmacy loses
privilege/insentives
given by
pharmaceutical
company

25. 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.

26.  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.

30.  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

31.  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.

32.  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

34.  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

36. PUBLIC FEEDBACKS
Swan: 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 gov't
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.

37. JJ ONG · 6 weeks ago
 could we rely on this? If the doc is not good
enough, we can't change and that's 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?

38. 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 don't need it?
You can banned people who don't 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

39. KampongBoy· 6 weeks ago
10% + 26% + 11% EPF
(used for House Loan
Scheme) = 46% deduction
of my salary! my oh
my...now i'm thinking of
moving abroad

41. REFERENCES
1) 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