ArticleGlobalization and health2015
Rethinking health care commercialization: evidence from Malaysia.
Article in Globalization and health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed.
- Uses of private health provider data for governance in low-income and middle-income countries: results from a scoping review.BMJ open · 2024Article
- Assessing the performance of non-specialised private hospitals in Malaysia - an upper-middle-income medical tourism destination country using the Pabón-Lasso model.BMC health services research · 2024Article
- Why do consumers choose private over public health services? Reflective accounts of health providers in Vietnam.BMC health services research · 2023Article
- Assessing the performance of hospitals before and after the implementation of Iran's Health Sector Evolution Plan (HSEP) using the Pabon Lasso model.Medical journal of the Islamic Republic of Iran · 2021Article
- Poverty, Income, and Unemployment as Determinants of Life Expectancy: Empirical Evidence from Panel Data of Thirteen Malaysian States.Iranian journal of public health · 2020Article
- Is bed turnover rate a good metric for hospital scale efficiency? A measure of resource utilization rate for hospitals in Southeast Nigeria.Cost effectiveness and resource allocation : C/E · 2020Article
- Assessment of clinical and paraclinical departments of military hospitals based on the Pabon Lasso Model.Journal of education and health promotion · 2020Article
- Policy Discourses: Shifting the Burden of Healthcare from the State to the Market in the Kingdom of Saudi Arabia.Inquiry : a journal of medical care organization, provision and financingArticle
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2 authors.
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Abstract
backgroundAgainst the backdrop of systemic inefficiency in the public health care system and the theoretical claims that markets result in performance and efficiency improvement, developing countries' governments have been rapidly commercializing health care delivery. This paper seeks to determine whether commercialization through an expansion in private hospitals has led to performance improvements in public hospitals.
methodsInpatient utilization records of all public hospitals in Peninsular Malaysia over the period 2006-2010 were used in this study. These records were obtained from the Ministry of Health. The study relied on utilization ratios, bed occupancy rates (BOR), bed turnover rates (BTR) and average length of stay (ALOS). The data were analyzed using SPSS 22 Statistical Software and the Pabon Lasso technique.
resultsOver 60 % of public hospitals in Malaysia are inefficient and perform sub-optimally. Average BOR among the public hospitals was 56 % in 2006 and 61 % in 2010. There was excessive BTR of 65 and 73 times within the period. Overall, the ALOS was low, falling from 3.4 days in 2006 to 3.1 days in 2010.
conclusionsThis study demonstrates that commercialization has not led to performance improvements in the public health care sector in Malaysia. The evidence suggests that efforts to improve performance will require a focus directly on public hospitals.
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