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Hospital 2011 National Healthcare Establishment & Workforce Statistics 2011 Hospital MINISTRY OF HEALTH MALAYSIA NCRC/HSU/2013.1 NATIONAL HEALTHCARE STATISTICS INITIATIVE EDITED BY: NATIONAL HEALTHCARE Sivasampu S, Arunah C ESTABLISHMENT & Kamilah D, Fatihah M WORKFORCE STATISTICS Goh PP, Hisham AN HOSPITAL 2011 NATIONAL HEALTHCARE ESTABLISHMENT & WORKFORCE STATISTICS 2011 HOSPITAL National Healthcare Establishment and Workforce Statistics (Hospital) 2011 September 2013 ©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 authorized 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) 2011. Kuala Lumpur 2013.’ 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. i NATIONAL HEALTHCARE ESTABLISHMENT & WORKFORCE STATISTICS 2011 HOSPITAL CONTENTS ACKNOWLEDGEMENTS vi ABOUT NATIONAL HEALTHCARE ESTABLISHMENT AND WORKFORCE SURVEY (NHEWS) – HOSPITAL vii MEMBERS OF NHEWS (HOSPITAL) PROJECT TEAM viii MEMBERS OF NHEWS (HOSPITAL) EXPERT PANELS ix SUMMARY OF STUDY PROCESS xi STUDY METHODOLOGY xii CONSORT DIAGRAM xix Consort Diagram NHEWS 2011 (Acute Curative Hospitals) xix Consort Diagram NHEWS 2011 (Maternity Services) xx Consort Diagram NHEWS 2011 (General Surgery Services) xxi Consort Diagram NHEWS 2011 (Oncology Services) xxii Consort Diagram NHEWS 2011 (Psychiatry Services) xxiii Consort Diagram NHEWS 2011 (Ophthalmology Services) xxiv ABBREVIATIONS xxv SYMBOLS xxvi CHAPTER 1 | OVERVIEW OF HOSPITALS AND SPECIALISTS SERVICES IN MALAYSIA 1 CHAPTER 2 | ACUTE CURATIVE HOSPITAL SERVICES IN MALAYSIA 5 Table 2.1 Hospitals Providing Acute Curative Care 7 Table 2.2 Types of Hospitals Establishment Providing Acute Curative Care 8 Table 2.3 Different Types of Private Hospital’s Entrepreneurship 9 Table 2.4 Inpatient beds 10 Table 2.5 Operating theatre (OT), Operating Rooms (ORs) and Functioning ORs 11 Table 2.6 Doctors and Patients Admission 12 Table 2.7 Average Length of Stay (ALOS), Bed Occupancy Rate (BOR), and Turnover Interval (TOI) 13 Table 2.8 Average Length of Stay (ALOS) by Acute Hospital Type 14 Table 2.9 Bed Occupancy Rate (BOR) 15 Table 2.10 Turnover Interval (TOI) by Acute Hospital Type 16 Table 2.11 Hospital Doctors, Staff Nurses (with and without Post Basic Training) 17 Table 2.12 Community Nurses and Assistant Nurses 18 Table 2.13 Assistant Medical Officers (AMO) 19 Table 2.14 Pharmacists, Physiotherapists, Occupational Therapists, and Dieticians 20 Table 2.15 Medical Record Officers and Medical Social Officers 21 Table 2.16 Computed Tomography (CT) Scanners and Rate of CT scan Procedures 22 Table 2.17 Magnetic Resonance Imaging (MRI) and Rate of MRI Procedures 23 Table 2.18 Positron Emission Tomography (PET) and Rate of PET Procedures 24 ii NATIONAL HEALTHCARE ESTABLISHMENT & WORKFORCE STATISTICS 2011 HOSPITAL CHAPTER 3 | MATERNITY SERVICES IN MALAYSIAN HOSPITALS AND MATERNITY HOMES 25 Table 3.1 Hospitals Providing Maternity Services 28 Table 3.2 Functioning Delivery Beds 29 Table 3.3 Dedicated OT Facilities and Functioning ORs 30 Table 3.4 Functional Obstetric High Dependency Unit (HDU) Beds 30 Table 3.5 Total Deliveries 31 Table 3.6 Spontaneous Vertex Deliveries (SVD) 32 Table 3.7 Vaginal Breech Deliveries 33 Table 3.8 Instrumental Deliveries using Vacuum 34 Table 3.9 Instrumental Deliveries using Forceps 35 Table 3.10 Caesarean Surgeries 36 Table 3.11 Lower Segment Caesarean Section (LSCS), Caesarean Hysterectomy and Hysterotomy 37 Table 3.12 Multiple Pregnancies Deliveries 38 Table 3.13 Eclampsia 39 Table 3.14 Post Partum Haemorrhage (PPH) 40 Table 3.15 Newborns Delivered & Admitted to Paediatrics, NICU & SCN 41 Table 3.16 Obstetrics & Gynaecology (O&G) Specialists and Medical Officers 42 Table 3.17 Staff Nurses and Community Nurses in O&G services 43 Table 3.18 Staff Nurses with Midwifery and Community Nurses (Public Hospitals Obstetric Ward) 44 Table 3.19 Staff Nurses with Midwifery and Community Nurses (Public Hospitals Labour Ward) 44 Table 3.20 Staff Nurses with Midwifery and Community Nurses (Public Hospitals Obstetric HDU) 45 CHAPTER 4 | SURGICAL SERVICES IN MALAYSIAN HOSPITALS 47 Table 4.1 Hospitals Providing General Surgery Services 49 Table 4.2 Total Surgeons, Operation Theatre (OT) and Theatre Scrub Nurses 50 Table 4.3 Dedicated Emergency/Trauma Theatres (Public Hospitals) 51 Table 4.4 General Surgeons and Total Elective Operating Hours (Public Hospitals) 51 Table 4.5 Elective Cases in General Surgery (Public Hospitals) 52 Table 4.6 Emergency Cases in General Surgery (Public Hospitals) 52 Table 4.7 Mastectomies 53 Table 4.8 Total, Open and Laparoscopic Inguinal Hernia Surgeries 54 Table 4.9 Total, Open and Laparoscopic Cholecystectomies 55 Table 4.10 OGDS Scopes and OGDS Cases by Surgical and Medical Specialists (Public Hospitals) 56 Table 4.11 OGDS Scopes and OGDS Cases (Private Hospitals) 56 Table 4.12 Colonoscopes and Colonoscopy Cases by Surgical and Medical Specialists (Public Hospitals) 57 Table 4.13 Colonoscopes and Colonoscopy Cases (Private Hospitals) 57 Table 4.14 ERCP Scopes and ERCP Cases by Surgical and Medical Specialists (Public Hospitals) 58 Table 4.15 ERCP Scopes and ERCP Cases (Private Hospitals) 58 Table 4.16 OGDS Scopes, Colonoscopes and ERCP Scopes 59 Table 4.17 Theatre Scrub Nurses 60 Table 4.18 General Surgeons and Anaesthesiologists 61 Table 4.19 Breast Surgeons, Breast and Endocrine Surgeons 62 Table 4.20 Vascular Surgeons, Hepatobiliary Surgeons, and Colorectal Surgeons 63 CHAPTER 5 | ONCOLOGY SERVICES IN MALAYSIAN HOSPITALS 65 Table 5.1 Hospitals Providing Oncology Services 67 Table 5.2 Hospitals Providing Oncology Services (with and without Oncologist) 68 Table 5.3 Clean Room for Reconstitution of Cytotoxic Drugs 69 Table 5.4 Hospitals Providing Cytotoxic Drug Reconstitution (CDR) Services 70 Table 5.5 Chemotherapy Day Care Services, Chemotherapy Beds and Chairs 71 Table 5.6 Oncologists 72 Table 5.7 Oncology Trained Nurses, Radiation Therapists and Physicists 73 Table 5.8 Megavoltage Machines, Brachytherapy Machines and Simulators 74 Table 5.9 Physics Equipment and Treatment Planning System Devices 75 Table 5.10 Equipment Capable of Carrying Out Intensity Modulated Radiotherapy (IMR), Image Guided Radiotherapy (IGRT) & Stereotactic Procedure 76 iii NATIONAL HEALTHCARE ESTABLISHMENT & WORKFORCE STATISTICS 2011 HOSPITAL CHAPTER 6 | PSYCHIATRIC SERVICES IN MALAYSIAN HOSPITALS 77 Table 6.1 Hospitals Providing Psychiatry Services 80 Table 6.2 Inpatient Dedicated Beds and Functioning Inpatient Dedicated Beds 81 Table 6.3 Inpatient Psychiatry Admissions, Dedicated Beds and Mean Bed Occupancy Rate 82 Table 6.4 Follow up Outpatient Visits, New Cases and Referrals from Wards or Emergency Department 83 Table 6.5 Community Psychiatric and Psychiatric Rehabilitation Services (Public Hospital) 84 Table 6.6 Hospital Visits with Patients below 18 Years Old and above 60 Years Old 85 Table 6.7 Methadone Replacement Therapy (MRT) Services & Total MRT Patients (Public Hospital) 86 Table 6.8 ECT Machines and Procedures 89 Table 6.9 Psychiatrists 88 Table 6.10 Clinical Psychologists 89 Table 6.11 Counsellors in Psychiatry Services (Full Time and Common User) 90 Table 6.12 Medical Social Workers in Psychiatry Services (Full Time and Common User) (Public Hospital) 91 Table 6.13 Nurses in Psychiatry 92 Table 6.14 Assistant Medical Officers in Psychiatry Service (Public Hospital) 93 CHAPTER 7 | OPHTHALMOLOGY SERVICES IN MALAYSIAN HOSPITALS 95 Table 7.1 Hospitals Providing Ophthalmology Services 97 Table 7.2 Dedicated Ophthalmology Operating Rooms (ORs) (Public Hospitals) 98 Table 7.3 Ophthalmology Elective Operating Hours (Public Hospitals) 98 Table 7.4 Cataract Surgery (Day care and Inpatient) 99 Table 7.5 Glaucoma Surgery (with and without Implant) 100 Table 7.6 Vitreoretinal Surgeries 101 Table 7.7 Ophthalmologists 102 Table 7.8 Optometrists 103 Table 7.9 Assistant Medical Officers (AMOs) in Ophthalmology Services (Public Hospital) 104 Table 7.10 Nurses in Ophthalmology Services (Public Hospital) 104 Table 7.11 Ophthalmology Devices 105 APPENDICES 107 APPENDIX 1 | LIST OF DEFINITIONS 109 Chapter 2 : Hospital 109 Chapter 3 : Obstetrics 112 Chapter 4 : General Surgery 113 Chapter 5 : Oncology 114 Chapter 6 : Psychiatry 116 Chapter 7 : Ophthalmology 117 APPENDIX 2 | PARTICIPANTS FOR NHEWS (HOSPITAL) 2011 119 Hospital Sector: Public/ Ministry Of Health 119 Hospital Sector: Public/ Ministry Of Health/Psychiatric Institution 120 Hospital Sector: Public/ University 121 Hospital Sector: Public/ Jabatan Kemajuan Orang Asli 121 Hospital Sector: Private 122 Hospital Sector: Private/ Maternity Homes 123 APPENDIX 3 | MALAYSIAN POPULATION, 2011 125 Table A3.1 Total Population by State, Malaysia 2011 125 Table A3.2 Total Population of Females
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