Evidence map›Paper›PMID 40621171›Full record

ReviewDigital health

The evolution of healthcare digitalisation policies in Malaysia: A four-decade narrative review (1985-2025).

Nuraini Naim, Yuki Kuroda, Satoshi Yamada, Yukiko Mori, Chang Liu, Roberto Espinoza, Goshiro Yamamoto, Tomohiro Kuroda

Abstract readReview
In one paragraph

Review in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nuraini NaimGraduate School of Informatics, Kyoto University, Kyoto, Japan.ORCID https://orcid.org/0009-0009-2103-2945
Yuki KurodaKyoto University Hospital, Shogoin Kawahara-cho, Sakyo-ku, Kyoto, Japan.
Satoshi YamadaGraduate School of Law, Kyoto University, Kyoto, Japan.
Yukiko MoriGraduate School of Informatics, Kyoto University, Kyoto, Japan.
Chang LiuGraduate School of Medicine, Yoshidakonoecho, Sakyo-ku, Kyoto, Japan.
Roberto EspinozaKyoto University Hospital, Shogoin Kawahara-cho, Sakyo-ku, Kyoto, Japan.
Goshiro YamamotoKyoto University Hospital, Shogoin Kawahara-cho, Sakyo-ku, Kyoto, Japan.
Tomohiro KurodaGraduate School of Informatics, Kyoto University, Kyoto, Japan.ORCID https://orcid.org/0000-0003-1472-7203

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study examines Malaysia's healthcare digitalisation policies from 1985 to 2025 and their impact on the country's dual public-private healthcare system. Through a narrative review of policy documents, reports, and statistics from authorities and verified industry news as well as peer-reviewed publications, the study compares Malaysia's experience with selected developed nations (Sweden, Denmark, United Kingdom, and Estonia). Despite initialising its digitalisation agenda in the 1990s alongside these nations, the Malaysian public healthcare sector shows limited implementation with only 24% of public hospitals equipped with hospital information system (HIS) and only 7% of health clinics were equipped with clinical information system by 2019. In contrast, the private sector, which is driven by market forces, demonstrates a higher capacity of digital solution adoption. The growth of health technology companies providing various digital services such as virtual services, e-prescription, and medication delivery is fundamentally reimagining and transforming healthcare delivery models by providing disruptive digital healthcare services. However, regulatory uncertainty remains as a significant barrier to comprehensive digital transformation. Though regulatory sandboxes may provide an innovative solution to these regulatory challenges, the need for a more comprehensive and permanent regulatory framework remains. This study reveals how government policies and healthcare system structure influence digitalisation outcome and demonstrates the importance of policy and governance in shaping the digital health ecosystem, offering valuable insights for countries with a similar dual healthcare system.

Indexed as

comparative policy analysisdigital healthHealthcare digitalisationhealth policyMalaysia healthcare system

Identifiers

PMID40621171
PMCPMC12227897

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.