Healthcare in Malaysia

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Healthcare in Malaysia

• Dr Jacob Thomas
• Group Medical Advisor, Sime Darby Ltd
• Board Member,
• Association of Private Hospitals of Malaysia
• OCT 2007

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History
Since the 1800s , Great Britain established
colonies and protectorates in the area of current
Malaysia In 1948, the British-ruled territories
on the Malay Peninsula and formed the Federation
of Malaya, which became independent in 1957.
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History

• In the 1960s, the healthcare systems of both
  countries were very similar.
• The British had bequeathed a relatively well
  functioning administrative structure and civil
  service, which extended into the public health
  services.
• Cameron highlands

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The basic institutions of sanitation and
preventive health as well as a network of public
hospitals were already in place. The
post-colonial governments, saw healthcare
services as an essential part of national
development.
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The Evolution

• The current healthcare system since
  independence, stems from the colonial legacy of
  national provision bequeathed from Britain.

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DELIVERY

• Both the public and private sectors are today,
  important players in Malaysia's healthcare
  delivery system.

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• DELIVERY
• About 80 per cent of healthcare services are
  provided by the heavily subsidized public sector
  and focuses on healthcare promotion as well as
  rehabilitative and curative care at the primary,
  secondary, and tertiary levels.
• Sungai Buloh hospital

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The Private Sector

• The private sector, on the other hand, offers
  mainly curative and rehabilitative services, and
  is financed strictly on a non-subsidized,
  fee-for-service basis.

• Pantai MC

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There Are Three Types Of Public Hospitals

• 1) general hospitals
• 2) district hospitals and
• 3) special medical institutions (SMIs).
• 38,000 Public Sector beds in the country.
• 123 public hospitals all over Malaysia with an
  additional six specialist medical institutions
  including psychiatric hospitals and the National
  Heart Institute.
• Because of their size (average between 500 to 700
  beds each) and comprehensive range of care,
  general hospitals are the most preferred public
  hospitals in Malaysia.
• District hospitals, which are much smaller,
  average between 250 to 400 beds each, provide
  more basic diagnostic and curative services.

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From Rural Care
Klinik Desa Sarawak
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To Modern Paperless Hospitals
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Private Sector

• 10,000 Private Sector Beds In The Country
• Currently there are more than 210 private
  hospitals.
• While private hospitals only account for about 20
  per cent of the country's hospital beds, they
  employ 45 per cent of the nation's 18,300
  doctors.
• There are also a Total Number of Registered
  Nurses 68,349 in the country

• Sunmed

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Current Medical Expertise

• Prince Court

• All private medical centers must be approved and
  licensed by the Ministry of Health.
• Medical expertise in Malaysia ranks among the
  best in the region and most private hospitals in
  the country have internationally recognized
  quality standards. (Accreditation)
• These include the MS ISO9002 or accreditation by
  the Malaysian Medical Society for Quality of
  Health (MSQH).

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Qualified Medical Specialists

• Multi-disciplinary medical professionals trained
  in UK, Australia, Europe and the United States.
• Offering a wide spectrum of emergency and
  occupational health medicine, secondary and
  tertiary healthcare services.

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Qualified Nursesand Paramedical Staff

• Malaysian Registered Nurses are also recognised
  by the International Council of Nurses
• Hospitals are well supported by well-trained
  para-medical staff.

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Pharmacies

• The nation has hundreds of individual pharmacy
  companies
• Boots, the Chemist, also has a presence in the
  form of The Boots Company Far East Private
  Limited
• The largest group being Guardian - A network
  of 142 stores nationwide -

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Healthcare Insurance Companies
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STANDARDS

• Standards (accreditation) are everything when it
  comes to Quality healthcare.
• Malaysian Hospitals subscribe to Hospital
  Accreditation Standards prescribed by
• The Malaysian Society of Quality in Health
  (MSQH)

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MSQH is a member of International Society for
Quality in Health Care (ISQua).

• ISQua comprises of representatives from WHO,
  World Bank, the International Hospital Federation
  and national accreditation bodies from the US,
  Canada, New Zealand, France, UK, Spain, Japan,
  Finland, Netherlands and South Africa.

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Code Yellow
Code Red
Code Blue
Code Orange
Code White
Electrical outages
Medical gas shortages
Code Purple
Telecommunication failure
Mantrap in Lifts
Water shortage
Building instability
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Costs

• Medical charges and hospitalization costs in
  Malaysia are very competitive when compared to
  that in many developed countries.
• .

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• ELECTIVE SURGERYPrice including hospital stay,
  doctors fees, travel and hotel accommodation
• Hip replacement
• Typical UK price in a private hospital 8,000 
• Malaysia 3,205
• Percentage saving
• 60

Treatment Abroad PriceWatch 2006
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• ELECTIVE SURGERYPrice including hospital stay,
  doctors fees, travel and hotel accommodation
•  Total Knee Replacement
• Typical UK price in a private hospital 9,500 
• Malaysia 3,305
• Percentage saving
• 65

Treatment Abroad PriceWatch 2006
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• ELECTIVE SURGERYPrice including hospital stay,
  doctors fees, travel and hotel accommodation
• Breast Enlargement
• Typical UK price in a private hospital 4,350 
• Malaysia 3,088  
• Percentage saving
• 29

Treatment Abroad PriceWatch 2006
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• ELECTIVE SURGERYPrice including hospital stay,
  doctors fees, travel and hotel accommodation
• Breast Reduction
• Typical UK price in a private hospital 5,075 
• Malaysia 3,025
• Percentage saving
• 40

Treatment Abroad PriceWatch 2006
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• ELECTIVE SURGERYPrice including hospital stay,
  doctors fees, travel and hotel accommodation
• UPPER AND LOWER EYELID surgery
• Typical UK price in a private hospital 3,663 
• Malaysia 1,880
• Percentage saving
• 49

Treatment Abroad PriceWatch 2006
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• ELECTIVE SURGERYPrice including hospital stay,
  doctors fees, travel and hotel accommodation
•    Facelift
• Typical UK price in a private hospital 6,750 
• Malaysia 3,268
• Percentage saving
• 52

Treatment Abroad PriceWatch 2006
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Well-equipped To Take Care Of Your Medical Needs

• With a well-educated, English-speaking
  workforce, business-friendly government and
  strong transport infrastructure, Malaysia is
  well-equipped to compete in the global economy
• Gavin Stamp
• Business reporter, BBC News -

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Well- Equipped To Take Care Of All Your Medical
Needs

• Medical professionals trained in UK, Australia,
  Europe and the United States, we offer quality
  emergency and occupational health medicine,
  secondary and tertiary healthcare services.

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Specialized To Take Care Of All Your Medical
Needs

• Nuclear Medicine
• Stereotactic Radiotherapy
• Radiosurgery
• Image-guided And Intensity-modulated Radiotherapy
• Cardiothoracic Surgery
• Vascular Interventional Radiology
• Blood Marrow Transplant
• Infertility Management And Cytogenetics.

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CENTRES OF EXCELLENCE
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Specialized Centres To Take Care Of All Your
Medical Needs

• Cancer Radiosurgery
• Nuclear Medicine PET/CT
• Blood Diseases
• Vascular Interventional Radiology
• Total Body Irradiation
• Heart
• Health Screening
• Fertility and the Stone.

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Vascular Interventional Radiology
Centre of Excellence
Vascular Interventional Radiology
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Our medical achievements

• Regionally and globally Malaysia has scored
• many firsts, especially in the disciplines of
• Oncology
• Hematology
• Cardiology And Cardiac Surgeries
• Assisted Reproduction
• Vascular Interventional Radiology
• Hepatobiliary And Liver Transplant Surgery
• And Urology

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Our medical achievements

• Established Extra Corporal Membrane Oxygenation
  (ECMO) programme
• Performed first in the region a detailed mapping
  for complex arrhythmia with the introduction of a
  non-contact mapping system, EN-ENSITE 3000
• Performed the first in the world pocket incision
  heart surgery utilising Heartport technology for
  mitral valve repair/replacement

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Our medical achievements

• Worlds first arm and hand transplant performed
  in Malaysia
• Performed the first key-hole (endoscopic) surgery
  to treat lone atrial fibrillation in Asia and
  Australasia region
• Implanted the first mechanical heart assist
  device, Thoratec IVAD in Asia and Australasia
  region
• Performed the first bypass and thymectomy
  surgeries in the region on a conscious or "awake"
  patient without general anasthesia

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Peace of mind
Peace of mind
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• When you live In Malaysia
• Healthcare is the least of your worries

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THANK YOU