1Care: Prioritise, not privatise patient care

Dr Ng Swee Choon
12:12PM Dec 24, 2011

 

We refer to the letter from the Director-General, Ministry of Health: 'Gov't not abdicating responsibilities thru 1Care' on Dec 17.

We fully agree with the need to improve the quality and delivery of health services for the rakyat, provide more choice to patients and preserve the strengths in our current health system.

Our pubic healthcare system has been inherited from what the British left behind but it is historically not the NHS of the UK

Over the years, Malaysia has improved its own system and adapted it to cater for our needs.

Our robust one-stop GP clinics are the backbone of our primary care system providing basic medical care for more than 60% of outpatients in the nation.

Unlike in the UK, Malaysian patients can walk in to see their GPs without appointment and be attended to in a reasonably short time.

In the UK, to see a GP requires prior appointment which can be two or three days later even if you are down with fever.

To see a specialist in the UK NHS often requires waiting time of up to two months. This is not so in Malaysia. Thus, the Malaysian healthcare system today and the NHS UK are poles apart.

However, the concept paper of reforming our Malaysian HC system (1-Care) tells us that the proposed system is a mirror image of today's NHS which is a system that have failed to deliver and also failed to contain cost.

It has resulted in serious accessibility issues at primary and secondary care. Even the British citizens themselves are upset over the inadequacies of their system.

They are travelling to Europe and even as far as South Africa and India for treatment and surgery.

The proposed transformation will greatly affect the patients and the rakyat and we are naturally deeply concerned with its implications.

The current UK NHS itself undergoing more reforms upon previous reforms.

We have asked many times, why are we heading that way?;

  • Reforms but at what cost?;
  • How much will this whole 1Care for 1 Malaysia cost the rakyat?
  • How will it be financed?;
  • Will it mean more taxes, direct or indirect ( as in GST / VAT) ?; and,
  • Will the government still be responsible for Healthcare or will it be privatized to government linked companies?

These are all important questions that must be openly addressed.

Past experiences at privatization in Malaysia have been not particularly encouraging. Naturally we are very fearful when it involved healthcare.

Representation of Stakeholders

The Federation has indeed been invited to sit in on the Technical Working Group (TWG) meetings. TWG, as the name suggests, does not deal with the big issues but on nitty gritty details.

The terms of reference TWGs involving the doctors are very limited, and deal mainly with clinical governance, how to charge and what to charge and operational issues of clinics and doctors.

The fact is that the proceedings of the TWGs will be part and parcel of the final blueprint of the proposed system which we believe has already been decided, contrary to what we are told.

Moreover, TWG meetings are often called at short ( sometimes one to two days) notice, making it virtually impossible for many to attend.

However it does give the public the impression that we were invited but did not bother to attend

On the other hand, there are also the TWGs deciding on this healthcare transformation on which conflicted stake holders like private hospital chains, pharmaceutical manufacturers, insurance companies and MCOs meet and decide on the "big money issues".

These meetings are not privy to the patients, doctors, public and the taxpayers.

1-Care will cost more

We expect the cost of proposed reformed healthcare system to push up costs because of the increased administrative cost at the expense of patient care cost.

The 1-Care concept paper has already allocated 5% of the expected total healthcare cost of RM 44.24 billion as administrative cost.

This comes up to a whooping RM2.2 billion each year on administrative costs alone. As doctors we believe that this money should be better spent directly for patient care.


Dr Ng Swee Choon
Medical Affairs Committee Member
Federation of Private Medical Practitioners' Associations Malaysia

 

 

Go Back

Events

Date: 25 Nov 2017
Insight Into Clinical Radiology
Details

 

Date: 8 Oct 2017
Doctors' Day Celebration 2017
Details

 

Date: 16 & 17 Sep 2017
1st FPMPAM/IPH Annual Scientific Convention
Announcement || Souvenir Programme

 

Date: 24 - 26 Aug 2017
Kuala Lumpur International Forum on Quality and Safety in Healthcare 2017
Website

 

Date: 8 & 9 Sep 2017
Nursing Conference 7.0 / Training Course for Clinic Personnel 9.0
Full details || Report

 

Announcements

16 Aug 2016
REPORT: 6th Nursing Conference
Read >>

21 Sep 2015

3 Ways to Let Your Doctor Know, You Care
Read >>

8 Sep 2015

MedicAlert®
Flyer >>

28 Aug 2015

REPORT: 5th Nursing Conference
Read >>

20 Aug 2015

5 Things You Did Not Know About Doctors’ Day
Read >>

2 April 2015

List of zero-rated drugs under GST
Download >>

3 March 2015

Draft Letter for Pengecualian dari pendaftaran GST
Download >>

12 Feb 2015

In Memory - Tuan Guru Dato' Nik Abdul Aziz Nik Mat
More >>


Recent Events

Date: 21-23 July 2017
10th ASEAN & 7th Perak Health Conference on Primary Health Care
Announcement

 

Date: 7 May 2017
Management of UTI in Primary Care Setting
Announcement

Date: 4 Dec 2016
PMPS Day Trip
Announcement

 

Date: 9 Oct 2016
Doctors' Day 2016
Registration Form | Sponsorship Form

Date: 5-7 Aug 2016
9th NatCAM and AGM of the Addiction Medicine Association Malaysia
Flyer | Registration Form | Souvenir Programme

 

10-12 Nov 2016
2nd FPMPAM Sabah Medical Camp
Venue: Sabah
More >>

 

9-10 Jan 2016
PMPS Family Day
Venue: Pangkor Island
More >>

24 Oct 2015
Psoriasis - Skin & Beyond
Venue: Fraser Hotel & Residences
More >>


8 Nov 2015
Resolution In Medico-Legal Disputes
Venue: Kuala Lumpur Regional Centre for Arbitration (KLRCA)
More >>

 

10 Oct 2015
Doctors' Day
Venue: Bayview Beach Hotel, Batu Ferringhi, Penang
More >>

 

30 July 2015
Mediation of Medico-Legal Disputes: Is It A Viable Alternative?
Venue: Kuala Lumpur Regional Centre for Arbitration (KLRCA)
More >>

24-26 April 2015
9th ASEAN Conference on Primary Health Care
Theme: Primary Care for all Ages
Venue: Kinta Riverfront Hotel & Suites, Ipoh, Perak, Malaysia
More >>

18-19 April 2015
PMPASKL ASC 2015
Theme: Clinics in Primary Care
Venue: Dorsett Grand Subang, Subang Jaya, Selangor.
More >>

10 Oct 2014
Doctor's Day
Details >>.

16-18 May 2014
8th NatCAM 2014
The 8th NatCAM 2014 from 16 to 18 May 2014 was organized by the Addition Medicine Association of Malaysia and co-hosted by the FPMPAM at the Pullman Hotel, Kuala Lumpur. Continue >>.

9 & 10 May 2014
The 2nd Menarini Primary Care Symposium, 2014
The 2nd Menarini Primary Care Symposium 2014 was attended by 70 participants on 9 & 10 May 2014 and held at the Lexis Hotel at Port Dickson, Malaysia. Continue >>

8 May 2014
Citizen’s Action in Response to Emergencies (CARE) Interview with RTM
On 8 May, Dr Steven Chow and CARE trainers from our partner St John’s Ambulance, Malaysia (SJAM) presented to RTM on the importance of AEDs for saving lives in the event of a cardiac arrest. Continue >>

19 & 20 April 2014
PMPASKL Annual Scientific Meeting, 2014
The Private Medical Practitioners’ Association of Selangor and Kuala Lumpur (PMPASKL), the KL and Selangor member society of the Federation, convened its 54th AGM and Scientific Conference on 19 & 20 April 2014 at Holiday Inn, Kuala Lumpur. Continue >>

 

Latest Newsletter


go to newsletter section

 

Latest newsletter of Perak Medical Practitioners' Society
Click here >>

 

 

Resources / Links

Joint Integrated Healthcare Committee (JIHC) Term Sheet
Click here >>

 

Joint Integrated Healthcare Committee (JIHC) Terms of Reference
Click here >>

 

National Pharmaceutical Regulatory Agency
Click here >>

 

NPRA: Reporting medicinal problems
Click here >>

 

Makluman Kontraindikasi Penggunaan Ubat Yang Mengandungi Codeine Untuk Kanak-Kanak Beumur Bawah 12 Tahun Dan Ibu Yang Menyusu Susulan Risiko Respiratory Depression
Click here >>

 

Peringatan: Langkah-Langkah Pengurangan Risiko Bagi Kesan Advers Kulit Tang Serius Susulan Penggunaan Allopurinol
Click here >>

 

VALPROATE
Guide for HCP >>
Patient Information >>
Sodium Valproate (Guide for HCP) >>

 

NDST REport 2011
Click here >>

 

Garis Panduan Pemantauan Keselamatan Produk ESAs dan Pelaporan Kesan Advers PRCA
Click here >>

 

Report On Suspected Adverse Drug Reactions
Click here >>

 

MADRAC KE 146 - Traditional Medicine found Adulterated
Read >>

BPFK website: Cancellation of Registered Traditional Products / Notified Cosmetics
Read >>


Pharmacy Services Division: List of Adulterated Products
Read >>

 

Pharmacy Services Division: Press Releases
Read >>