Reimagining Health System Performance: The MASH 2030 Framework for Malaysia

The Malaysian healthcare system faces multidimensional pressures, including demographic transitions, climate variability, and digital disruption. Existing performance measurement models emphasize resources and outcomes but fail to incorporate real-time intelligence, trust, equity, and environmental stewardship. This concept paper proposes a novel model, MASH 2030 (Malaysia's Advanced System for Health), which introduces six forward-looking domains to assess health system performance. Derived from international frameworks and adapted for national relevance, the model offers a composite scoring framework integrated with national digital health platforms. The paper outlines the rationale, proposed key performance indicators (KPIs), implementation strategy, and policy implications of the MASH 2030 framework, positioning Malaysia as a regional leader in future-intelligent health governance.