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Observational analysis reveals the need for enhanced community care services in Malaysia, highlighting barriers and solutions.
There are challenges and opportunities to developing community care services in Malaysia. Community care refers to services delivered outside hospitals, focusing on prevention, self-care, and empowering communities to manage their health. Current System's Shortcomings: The Malaysian healthcare system is overloaded and under-resourced, with a focus on hospital-based care. Community care services are underdeveloped, especially in urban areas and for marginalised communities. Services Needed: Many services are needed, including antenatal and postnatal care, child health services, mental health services, disability support, and chronic disease management. A strong focus on prevention is critical. Challenges: Obstacles to developing community care include a lack of workforce, resistance from some healthcare professionals, fragmented healthcare sectors, and social determinants of health like poverty. Solutions: We must focus on self-care and empower communities to manage their health. Mobile services are required to reach underserved areas. We must decentralise services and re-train healthcare professionals to work effectively in community settings. Partnering with civil society organisations and investing in trans-disciplinary community workers is critical. Healthcare needs to move from a disease-centred model to a person-centred one, focusing on prevention, wellness, and empowering communities. Conclusion: Developing a robust community care system requires significant investment and a change in heart-set from healthcare professionals and the public. Ultimately, the goal is to create a system where communities are their own healers and healthcare professionals act as partners in promoting health and well-being.
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Amar–Singh HSS (2025) studied this question.
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