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Institutional Support Facing Public and Private Hospitals in Malaysia

Speaker : Professor Dr. Rajah Rasiah
First Holder of Khazanah Nasional Chair
Date : 20 April 2012
Time : 2.45pm - 4.45pm
Venue : Lecture Hall 3,
Faculty of Economics & Administration,
University of Malaya
Topic : “Institutional Support Facing Public and Private Hospitals in Malaysia”
Fee : Free Admission
RSVP before: 17 April 2012
 
Abstract:
Malaysia’s long respected healthcare provision system is currently facing challenges as public hospitals are increasingly facing spiralling costs and falling resources. This lecture seeks to present the synthesis of results analysed from a survey carried out on hospitals in Peninsular Malaysia in 2009. We used a structured random sampling procedure on the basis of ownership and bed size with categories of 6 to 50, 51 to 990 and 100 and above to select 43.9 percent of hospitals with a cut off bed count of 6 and above in Peninsular Malaysia. In total we
obtained responses from 40 public and 43 private hospitals. The results show that there are ownership-based differences in the evaluation ratings of institutional support instruments associated with the Ministry of Health (MOH). Whereas there was no obvious statistical difference in the provision of basic infrastructure facilities, there were statistically significant ownership-based differences in the MOH’s coordination of doctor management, and suppliers of medical equipment, and pharmaceutical drugs to the hospitals. Public hospitals rated less highly than private
hospitals the governance role of MOH involving purchases of medical equipment, and pharmaceutical drugs, as well as, the management of doctors. Not only are public hospitals constrained by bureaucratic administrative procedures of the MOH in the management and promotion of doctors, they also lack the autonomy to seek the cheapest supply of medical equipment, and pharmaceutical drugs. Although government expenditure on health as a share of GDP rose from 1.7% in 2000 to 2.0% in 2007, it was still significantly lower than the shares of upper middle income countries of 3.2% in 2000 and 3.5% in 2007. In addition, real government healthcare expenditure increased in trend terms to its peak in 2008 before falling sharply by 29.9% in 2009. Also, public hospitals have been facing cost-disadvantage over private hospitals since the onset of privatization as they face significant mark ups in medical equipment, drugs and materials prices. This lecture is targeted at the critical stakeholders and the responsible public with a view towards strengthening our healthcare system.
 

The Programme

2.45 pm
Arrival of guests and registration
3.00 pm
Arrival of YBhg Tan Sri Dr. Ghauth Jasmon,
Vice Chancellor, UM & Chairman Board of Trustees,
Khazanah Nasional Chair
3.15 pm
Welcoming speech by YBhg Tan Sri Dr. Ghauth Jasmon,
Vice Chancellor, UM & Chairman Board of Trustees,
Khazanah Nasional Chair
3.30 pm
Introduction of speaker
Lecture entitled “Institutional Support Facing Public and Private Hospitals in Malaysia” by
Professor Dr. Rajah Rasiah,
First Holder of Khazanah Nasional Chair

Q&A Session
4.45 pm
Refreshments