Privatising Healthcare in Malaysia: Power, Policy and Profits

Rasiah, Rajah; Noh, Abdillah; Tumin, Makmor Bin

doi:10.1080/00472330802506790

Cited by 17 publications

(16 citation statements)

References 11 publications

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“…Data extracted from the questionnaires were keyed into the Statistical Package for Social Sciences (SPSS version 16) software. Data were expressed as means for continuous variables and proportions for categorical variables with 95% confidence intervals (CI) to describe the spread of the data using confidence interval for proportion and mean calculator (http://www.pedro.org.au/wp-content/uploads/ CIcalculator.xlsaccessed 5th June 2011).…”

Section: Discussionmentioning

confidence: 99%

“…There were 222 private healthcare institutions, which included hospitals, nursing and maternity homes. Despite the higher number of private healthcare providers in comparison to the government sector, they had only around one-third of beds compared to public hospitals [16].…”

Section: Study Area and Sample Sizementioning

confidence: 99%

“…They provide health care and emergency treatment for all illnesses and accidents. District hospitals offer primary and secondary healthcare, and sometimes selected specialisations like a general hospital [16]. District hospitals are distributed in the districts of each state.…”

Section: Study Area and Sample Sizementioning

confidence: 99%

“…Malaysia has a very comprehensive and widespread range of health services, and is divided into private and public sectors. Healthcare in Malaysia is mainly under the responsibility of the government's Ministry of Health, which offers quality health care through a nationwide network of clinics and hospitals [15,16]. In Malaysia, there are two types of government hospitals totalling 127 hospitals run by the Malaysian Ministry of Health and distributed in each of 13 states in the country, namely the general hospitals and the district hospitals.…”

Section: Study Area and Sample Sizementioning

confidence: 99%

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Availability of decontamination, elimination enhancement, and stabilization resources for the management of acute toxic exposures and poisonings in emergency departments in Malaysia

et al. 2011

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Acute poisoning is a common medical emergency in Malaysia. Life can be saved if the patient is diagnosed properly and receives the appropriate treatment such as gastrointestinal decontamination techniques and resources to increase poison elimination according to clinical guidelines at a reasonable time. The aims of this study were to determine the availability of decontamination, elimination enhancement, and stabilization resources for the management of acute toxic exposures and poisonings in accident and emergency departments in Malaysia, and to compare the availability of such facilities among various types of hospitals. A comparative, descriptive cross-sectional study was conducted using a structured questionnaire. Seventy-four (58.3%) out of the targeted 127 hospitals replied and completed the questionnaire. The availabilities of most items related to stabilization resources were far better in general hospitals compared to district hospitals with specialists and district hospitals without specialists. These items were mechanical ventilators (p = 0.011), non-invasive positive pressure ventilators (0.024), pacemakers (p = 0.019), and transcutaneous cardiac pacing (p < 0.001). The availability of decontamination resources varied substantially with hospital type. Nevertheless, these differences did not reach statistical significance in any of the cases, whereas sodium sulphate, sorbitol, and polyethylene glycol were almost never available. The availabilities of most items related to elimination enhancement resources were far better in general hospitals and district hospitals with specialists compared to district hospitals without specialists. These items were haemodialysis (p = 0.046), haemoperfusion (p = 0.002), haemofiltration (p = 0.002), acid diuresis (p = 0.04), peritoneal dialysis (p < 0.001), and exchange transfusion (p < 0.001). Most Malaysian hospitals have certain important immediate interventions such as gastrointestinal decontamination techniques and resources to increase poison elimination. The availabilities of most facilities were far better in the general hospitals. Coordination between the National Poison Centre in Malaysia and hospitals should be established regarding the emergency facilities for effective management of poisoning cases in each hospital in order to direct the poisoned patients to the hospital where the appropriate management resources is available.

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Section: Discussionmentioning

confidence: 99%

Section: Study Area and Sample Sizementioning

confidence: 99%

Section: Study Area and Sample Sizementioning

confidence: 99%

Section: Study Area and Sample Sizementioning

confidence: 99%

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Availability of decontamination, elimination enhancement, and stabilization resources for the management of acute toxic exposures and poisonings in emergency departments in Malaysia

et al. 2011

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“…A study by Rasiah et al. on privatization of Malaysia's health care for instance, shows access to good medical care is positively correlated with income levels. This is supported by a recent case that involved Malaysia's National Heart Institute (corporatized in 1992).…”

Section: Discussionmentioning

confidence: 99%

Non‐organ donors' attitudes toward incentives

Tumin

Noh

Chong

et al. 2013

Clinical Transplantation

Self Cite

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Malaysians indicating that they did not intend to become organ donors upon their death were surveyed regarding interest in non-fungible financial incentives to be granted to surviving family members. Among the 730 (56% of the total sample of 1311) indicating unwillingness to be donors, 29.6% (216/730) subsequently indicated that they would be willing donors if the government introduced policies that, upon their death, "rewarded your (their) family with incentives for your (their) deeds." Among the 69% (504/730) who insisted that they would not become organ donor even with incentive, nearly 80% (404/501) of them were able to identify relevant incentives they thought should be provided by the state to those who make organ donations upon death. The majority of both groups preferred the state provide medical benefits to a surviving family member, suggesting this may be an attractive policy option for the state to raise the deceased organ donation pool.

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Prologue

Goh

2020

Gender, Sexualities and Culture in Asia

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Privatising Healthcare in Malaysia: Power, Policy and Profits

Cited by 17 publications

References 11 publications

Availability of decontamination, elimination enhancement, and stabilization resources for the management of acute toxic exposures and poisonings in emergency departments in Malaysia

Availability of decontamination, elimination enhancement, and stabilization resources for the management of acute toxic exposures and poisonings in emergency departments in Malaysia

Non‐organ donors' attitudes toward incentives

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