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National Healthcare Establishment and Workforce Statistics (Hospital) 2012-2013 National Healthcare Establishment & Workforce Statistics Hospital 2012 -2013 National Healthcare Establishment and Workforce Statistics (Hospital) 2012-2013 January 2015 ©Ministry of Health Malaysia Published by: The National Healthcare Statistics Initiative (NHSI) National Clinical Research Centre Ministry of Health 3rd Floor, MMA House 124, Jalan Pahang 53000 Kuala Lumpur Malaysia Tel. : (603) 40439300/400 Fax : (603) 40439500 E-mail : [email protected] Website : http://www.crc.gov.my/nhsi/ This report is copyrighted. Reproduction and dissemination of its contents- in part or in whole, for research, educational or non-commercial purposes is authorised without any prior written permission; provided the source is fully acknowledged. The suggested citation is ‘National Clinical Research Centre. National Healthcare Establishment & Workforce Statistics (Hospital) 2012-2013. Kuala Lumpur 2015’. This report is also available electronically on the website of the National Healthcare Statistics Initiative at: http://www.crc.gov.my/nhsi/ Funding: The National Healthcare Statistics Initiative was funded by a grant from the Ministry of Health Malaysia (MRG Grant No. NMRR-09-842-4718) Please note that there is potential for minor corrections of data in this report. Please check the online version at http://www.crc.gov.my/nhsi/ for any amendments. We welcome any suggestions or further enquiries. Please contact us via the channels stated above. 1 National Healthcare Establishment & Workforce Statistics Hospital 2012 -2013 CONTENTS ACKNOWLEDGEMENTS iv ABOUT NATIONAL HEALTHCARE ESTABLISHMENT AND WORKFORCE SURVEY (NHEWS) v – HOSPITAL MEMBERS OF NHEWS (HOSPITAL) PROJECT TEAM vii MEMBERS OF NHEWS (HOSPITAL) EXPERT PANEL viii SUMMARY OF STUDY PROCESS ix STUDY METHODOLOGY x CONSORT DIAGRAM Consort Diagram NHEWS 2012 (Acute Curative Hospitals) xviii Consort Diagram NHEWS 2013 (Acute Curative Hospitals) xix SURVEY RESPONSE RATE xx ABBREVIATIONS & SYMBOLS xxi EXECUTIVE SUMMARY 1 CHAPTER 1 | HOSPITAL FACILITIES IN MALAYSIA 6 Table 1.1 Acute Curative Hospitals 8 Table 1.1 1 Categories of Acute Curative Hospitals 10 Table 1.2 Total Inpatient Beds 12 Table 1.2.1 Inpatient Beds in Specialist Hospitals 14 Table 1.2.2 Inpatient Beds in Non-specialist Hospitals 16 Table 1.2.3 Inpatient Beds in Maternity Centres 18 CHAPTER 2 | HOSPITAL MEDICAL DEVICE IN MALAYSIA 22 Table 2.1 Mammogram Machines 26 Table 2.2 Total Mammography and Screening Mammography Performed 28 Table 2.3 Estimated Screening Mammography Performed for Women Aged 40-74 Years, 30 2012 Table 2.4 Estimated Screening Mammography Performed for Women Aged 40-74 Years, 31 2013 CHAPTER 3 | HOSPITAL ACTIVITIES IN MALAYSIA 34 Table 3.1 Hospital Admissions, and Rate of Admissions per Day 36 Table 3.2 Average Length of Stay (ALOS), Bed Occupancy Rate (BOR) and Turnover 38 Interval (TOI) Table 3.3 Average Length of Stay (ALOS) by Categories of Acute Curative Hospitals 40 Table 3.4 Bed Occupancy Rate (BOR) by Categories of Acute Curative Hospitals 42 Table 3.5 Turnover Interval (TOI) by Categories of Acute Curative Hospitals 44 Table 3.6 Emergency Department Visits, General Outpatient Department Visits and 46 Specialist Clinic Visits Table 3.7 Public Specialist Clinic Visits (Medicine, General Surgery, Orthopaedics and 48 Obstetrics & Gynaecology) Table 3.8 Public Specialist Clinic Visits (Paediatrics, Otorhinolaryngology (ENT), 49 Ophthalmology, Psychiatry and Oncology) i National Healthcare Establishment & Workforce Statistics Hospital 2012 -2013 CHAPTER 4 | HOSPITAL HEALTH WORKFORCE IN MALAYSIA 52 Table 4.1 Medical Practitioners 54 Table 4.1.1 Specialists and Medical Officers 56 Table 4.1.2 Internal Medicine Specialists 58 Table 4.1.3 Cardiologists, Respiratory Medicine Specialists and Nephrologists 60 Table 4.1.4 Endocrinologists, Neurologists and Rheumatologists 62 Table 4.1.5 Gastroenterologists, Hepatologists and Clinical Haematologists 64 Table 4.1.6 Geriatricians, Infectious Disease Specialists and Dermatologists 66 Table 4.1.7 General Surgeons 68 Table 4.1.8 Colorectal Surgeons, Hepatobiliary Surgeons and Urologists 70 Table 4.1.9 Vascular Surgeons, Cardiothoracic Surgeons and Neurosurgeons 72 Table 4.1.10 Breast & Endocrine Surgeons and Breast Surgeons 74 Table 4.1.11 Plastic & Reconstructive Surgeons and Paediatric Surgeons 76 Table 4.1.12 Obstetricians & Gynaecologists and Paediatricians 78 Table 4.1.13 Emergency Medicine Specialists and Anaesthesiologists 80 Table 4.1.14 Ophthalmologists and Otorhinolaryngologists 82 Table 4.1.15 Orthopaedic Surgeons, Sports Medicine Specialists and Rehabilitation 84 Medicine Specialists Table 4.1.16 Psychiatrists and Oncologists 86 Table 4.1.17 Radiologists and Nuclear Medicine Specialists 88 Table 4.1.18 Pathologists and Forensic Pathologists 90 Table 4.2 Staff Nurses and Staff Nurses with Post-Basic Training 92 Table 4.3 Assistant Medical Officers (AMO) and Assistant Medical Officers with Post- 94 Basic Training Table 4.4 Radiographers and Radiographers with Post-Basic Training in Mammography / 96 Computer Tomography (CT) Scan APPENDICES APPENDIX 1 | DEFINITION OF NHEWS (HOSPITAL) TERMINOLOGY 100 APPENDIX 2 | PARTICIPANTS OF NHEWS (HOSPITAL) Participants of NHEWS (Hospital) 2012 105 Hospital Sector: Public/ Ministry Of Health 105 Hospital Sector: Public/ Ministry Of Health/Psychiatric Institution 107 Hospital Sector: Public/ University 108 Hospital Sector: Public/ Ministry of Defence 108 Hospital Sector: Private 109 Participants of NHEWS (Hospital) 2013 112 Hospital Sector: Public/ Ministry Of Health 112 Hospital Sector: Public/ Ministry Of Health/Psychiatric Institution 114 Hospital Sector: Public/ University 114 Hospital Sector: Public/ Ministry of Defence 114 Hospital Sector: Private 115 ii National Healthcare Establishment & Workforce Statistics Hospital 2012 -2013 APPENDIX 3 | MALAYSIAN POPULATION, 2010-2013 119 Table A3.1 Total Population in Malaysia by State, 2010-2013 119 Table A3.2 Female Population in Malaysia by State 2010, 2011, 2013 119 Table A3.3 Female Population (aged 50-69 years old) in Malaysia by State, 2012-2013 120 Table A3.4 Female Population (aged 40-74 years old) in Malaysia by State, 2012-2013 120 Table A3.5 Female Population (aged 40-44 years old) in Malaysia by State, 2012-2013 121 Table A3.6 Female Population (aged 45-49 years old) in Malaysia by State, 2012-2013 121 Table A3.7 Female Population (aged 50-54 years old) in Malaysia by State, 2012-2013 122 Table A3.8 Female Population (aged 55-59 years old) in Malaysia by State, 2012-2013 122 Table A3.9 Female Population (aged 60-64 years old) in Malaysia by State, 2012-2013 123 Table A3.10 Female Population (aged 65-69 years old) in Malaysia by State, 2012-2013 123 Table A3.11 Female Population (aged 70-74 years old) in Malaysia by State, 2012-2013 124 Table A3.12 Paediatric (0-14 years old) Population in Malaysia by State, 2010, 2011, 2013 124 Table A3.13 Geriatric (60 years old and above) Population in Malaysia by State, 2010, 125 2011, 2013 APPENDIX 4 | DATA QUALITY STATEMENT 126 APPENDIX 5 | SURVEY PROFILE & RESPONSE RATE ANALYSIS 130 Table A5.1 Survey Profile of NHEWS (Hospital) 2012 & 2013: Public Hospitals 130 Table A5.2 Survey Profile of NHEWS (Hospital) 2012 & 2013: Private Hospitals 131 Table A5.3 Response Rate of NHEWS (Hospital) 2011, 2012 & 2013 132 iii National Healthcare Establishment & Workforce Statistics Hospital 2012 -2013 ACKNOWLEDGEMENTS The National Healthcare Statistics Initiative team would like to thank the Director General of Health Malaysia for his continuous support towards this survey and permission to publish the report. Also, our sincere appreciation to the following for their participation, assistance, support and contributions: • Deputy Director General of Health (Research and Technical Support), MOH • Deputy Director General of Health (Medical), MOH • Deputy Director General of Health (Public Health), MOH • Director, National Clinical Research Centre (NCRC), National Institutes of Health (NIH) • Director, Medical Development Division, MOH • Director, Medical Practice Division, MOH • Health Informatics Centre, MOH • Private Medical Practice Control Section (National level) • Private Medical Practice Control Unit (State level) • The Association of Private Hospitals of Malaysia (APHM) • All participating Ministry of Health, private, university and Ministry of Defence hospitals which provided or allowed access to their establishment and workforce data. • KPJ Healthcare Berhad • Pantai Holdings Berhad • Columbia Asia Sdn Bhd • Ramsay Sime Darby Healthcare Group • Malaysian Medical Council • Training Division, MOH • Members of the NHEWS- Hospital Expert Panel • All medical doctors and support personnel who participated in the NHEWS- Hospital • All those who have supported or contributed to the success of the NHEWS- Hospital and publication of this report Thank you. National Healthcare Statistics Initiative (NHSI) Ministry of Health, Malaysia iv National Healthcare Establishment & Workforce Statistics Hospital 2012 -2013 ABOUT NATIONAL HEALTHCARE ESTABLISHMENTS AND WORKFORCE STATISTICS (HOSPITAL) Background National Healthcare Establishment and Workforce Statistics (NHEWS) Hospital is an initiative that gathers information on hospitals in the country concerning their services- with emphasis on specialised clinical services, facilities, medical devices, and health workforce. The NHEWS survey covers all acute curative hospitals and related specialty services for both public and private sectors. (The definition of acute curative care is provided in Appendix
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