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A call for public-private partnership in Malaysian healthcare

Abd Manaf, Noor Hazilah and Jahn Kassim, Puteri Nemie and Juhdi, Nurita (2018) A call for public-private partnership in Malaysian healthcare. In: QMOD 21st International Conference on Quality and Services Sciences, 23rd-24th August 2018, Cardiff, Wales. (Unpublished)

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Abstract

Purpose One of the major issues faced by Malaysian healthcare delivery system is the distinct dichotomy between public and private sector. This has its implications on a number of issues such as human resource and medical education and training. This paper aims to discuss some of the issues and proposes feasible solution in the form of public-private partnership. Methodology This paper synthesises literature on Malaysian healthcare delivery system, and medical education and training, in order to gain insights on the effects of a distinct, dichotomous system on the country’s healthcare system. Findings Malaysian healthcare is signified by a public-private dichotomy where public hospitals funded through taxation exist side by side with private hospitals which cater mainly for the country’s more affluent middle class. The country’s privatisation drive which took place in the 80s also saw rapid expansion of the private sector. The Government’s push for medical tourism as a key economic area and an engine of growth further boost the private sector. This however, has an effect on the outflow of health professionals from the public to the private sector. Distribution of medical specialists is currently lopsided where there are more medical specialists in the private sector serving a smaller proportion of patients. However, medical specialists in the private hospitals are not required to engage in research and training. Thus, the curative nature of their service does not directly contribute to the advancement of the field of medicine. If the private hospitals can be encouraged to expand their service to include research and training, apart from patient care alone, then the benefits of the medical expertise there can be directed towards the larger society rather than the fewer patients. Liberalisation of medical education also saw rapid increase in the number of medical schools, and consequently number of medical graduates. At the same time, housemanship training has been increased from one year to two years, while the number of public hospitals designated for housemanship training has not increased concomitantly. This led to lengthened period of waiting for housemanship training. It is envisaged that a public-private partnership is a viable option to stem the problem by allowing private hospitals to conduct housemanship training.

Item Type: Conference or Workshop Item (Plenary Papers)
Additional Information: 328/79299
Uncontrolled Keywords: Healthcare system, public healthcare, private healthcare, medical education
Subjects: H Social Sciences > H Social Sciences (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Ahmad Ibrahim Kulliyyah of Laws
Ahmad Ibrahim Kulliyyah of Laws > Department of Civil Law
Kulliyyah of Economics and Management Sciences
Kulliyyah of Economics and Management Sciences > Department of Business Administration
Depositing User: PROF DR NOORHAZILAH ABD.MANAF
Date Deposited: 10 Apr 2020 12:13
Last Modified: 10 Apr 2020 12:13
URI: http://irep.iium.edu.my/id/eprint/79299

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