Healthcare Delivery System

Question 1

5 princpical cause of death

Answer 1

1. Ischaemic heart diseases
2. Penumonia
3. Cerebrovascular disease
4. Transport accident
5. Chronic lower respiratory diseases

Question 2

Risk factors driving most death & disability combined

Answer 2

1. Dietary risks (behavioural risks)
2. High blood pressure (metabolic risks)
3. Tobacco (behavioural risks)
   *and environmental risks (air pollution)

Question 3

Organisation at State Health Department

Answer 3

• State Health Director (dai lou)
• Deputy State Health Director (Medical)
• ” (Dental)
• ” (Public Health)
• ” (Pharmacy)
• ” (Management)

Question 4

Resources Flow

Answer 4

Federal -> Allocation of resources (money, man , material) -> States

Question 5

6 important aspects of MY health care

Answer 5

1. private vs public health care
2. medical staff & facilities
3. costs associated w/ treatment
4. benefits of private medical insurance
5. healthcare for expats
6. other issues

Question 6

Private vs Public Healthcare

Answer 6

• public - paid through general taxation income
• public - universal healthcare accessible to all legal Malaysian residents
• public has lesser patients, more doctors, faster service

Question 7

Medical staff & facilities

Answer 7

1. no quality difference between public & private
2. trained medical professionals
3. high quality equipment
   *malaysia is destination for medical tourism

Question 8

Cost associated w/ treatment

Answer 8

1. rising for private sector - increase patients from private to public
2. new advanced medicine & equipment costs
3. bundle system introduced
4. critical illness insurance for rare ailments

Question 9

Benefits of private medical insurance

Answer 9

1. MY do not have national medical insurance program
2. Usually provided by employer
3. Advisable to get health insurance that gurantees easy admission to large number of hospitals

Question 10

Healthcare for expatriates

Answer 10

1. Language is not really a barrier - provided able to speak English
2. Recommened for expats to buy medical insurance covering while staying in MY
3. Although slightly expensive compared to residents; cost for consultation & insurance are relatively low compared to western countries

Question 11

Other Issues

Answer 11

1. harder to find medical clinic if you are further from urban area
2. teleconsultations betw urban & rural doctors for better access to treatment & information
3. public facilities are overbooked; private hospitals attracting more doctors

Question 12

Strength of HDS MY

Answer 12

1. Equitable access for all
2. No interference to medical practice
3. Patient can consult whoever they want & buy medicine from whoever they trust
4. Cost effective use of healthcare funds

Question 13

Weaksness of HDS MY

Answer 13

1. trained, competent doctors, nurse and paramedical
2. long waiting list
3. lack of control of charges in private/high tech medical equipment
4. oeveremphasize on curative care

Question 14

Changes & challenges

Answer 14

• equitable & accessible health care for indigenous group, rural population & hardcore poor - quality, manpower, location, price
• healthcare financing - cources through taxation, social & private health insurance & out-of-pocket (own) payments

Question 15

Champions

Answer 15

1. Multidisciplinary interventions - promote health financing, healthcare & disease prevention
2. partnership between private & public sector
3. community engagement
4. providing additional alternative instead of replacing existing ones
5. establish national health insurance fund