Sivasampu S Wahab YF Ong SM Ismail SA Goh PP Jeyaindran S 1 National Medical Care Statistics 2014 January 2016 ©Ministry of Health Malaysia Published by The National Healthcare Statistics Initiative (NHSI) National Clinical Research Centre National Institutes of Health 3rd Floor, MMA House 124, Jalan Pahang 53000 Kuala Lumpur Malaysia Tel : (603) 4043 9300/9400 Fax : (603) 4043 9500 Email : [email protected] Website : http://www.crc.gov.my/nhsi This report is copyrighted. Reproduction and dissemination of this report in part or in whole for research, educational or non-commercial purposes is authorised without any prior written permission from the copyright holders, provided that the source is fully acknowledged. Suggested citation: Sivasampu S, Wahab YF, Ong SM, Ismail SA, Goh PP, Jeyaindran S. National Medical Care Statistics (NMCS) 2014. Kuala Lumpur: National Clinical Research Centre, National Healthcare Statistics Initiative; 2016. Report No.: NCRC/HSU/2016.1. NMRR Approval No. NMRR-09-842- 4718. Supported by the Ministry of Health Malaysia. 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 Ministry of Health Malaysia. NMRR Approval No. NMRR-09-842-4718 ISSN 2289-1811 7722 89 1810 08 Please note that there is potential for minor corrections of data in this report. Do check the online version at http://www.crc.gov.my/nhsi/ for any amendments. Thank you. National Medical Care Statistics 2014 January 2016 ©Ministry of Health Malaysia Published by The National Healthcare Statistics Initiative (NHSI) National Clinical Research Centre National Institutes of Health 3rd Floor, MMA House 124, Jalan Pahang 53000 Kuala Lumpur Malaysia Tel : (603) 4043 9300/9400 Fax : (603) 4043 9500 Email : [email protected] Website : http://www.crc.gov.my/nhsi This report is copyrighted. Reproduction and dissemination of this report in part or in whole for research, educational or non-commercial purposes is authorised without any prior written permission from the copyright holders, provided that the source is fully acknowledged. Suggested citation: Sivasampu S, Wahab YF, Ong SM, Ismail SA, Goh PP, Jeyaindran S. National Medical Care Statistics (NMCS) 2014. Kuala Lumpur: National Clinical Research Centre, National Healthcare Statistics Initiative; 2016. Report No.: NCRC/HSU/2016.1. NMRR Approval No. NMRR-09-842- 4718. Supported by the Ministry of Health Malaysia. 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 Ministry of Health Malaysia. NMRR Approval No. NMRR-09-842-4718 ISSN 2289-1811 7722 89 1810 08 Please note that there is potential for minor corrections of data in this report. Do check the online version at http://www.crc.gov.my/nhsi/ for any amendments. Thank you. TABLE OF CONTENTS CHAPTER 5 THE DOCTORS ..................................................................................................... 41 5.1 Characteristics of the Doctors ...................................................................... 42 TABLE OF CONTENTS ..................................................................................................................... ii 5.2 Gender ............................................................................................................ 44 LIST OF TABLES ............................................................................................................................... v 5.3 Age Distribution ............................................................................................ 45 LIST OF FIGURES .......................................................................................................................... vii 5.4 Experience ..................................................................................................... 45 ACKNOWLEDGEMENTS ................................................................................................................. ix 5.5 Place of Graduation ....................................................................................... 46 NATIONAL MEDICAL CARE SURVEY 2014 PROJECT TEAM ............................................... x 5.6 Postgraduate Qualification ........................................................................... 47 ABBREVIATIONS ............................................................................................................................. xi 5.7 Working Hours .............................................................................................. 48 SYMBOLS .......................................................................................................................................... xii CHAPTER 6 THE PATIENTS .................................................................................................... 49 EXECUTIVE SUMMARY ................................................................................................................... 1 6.1 Characteristics of the Patients ..................................................................... 50 6.2 Age-Gender Distribution ............................................................................... 53 CHAPTER 1 INTRODUCTION .................................................................................................... 7 6.3 Nationality and Ethnicity ............................................................................. 54 1.1 Background ...................................................................................................... 8 6.4 Mode of Payment ........................................................................................... 56 1.2 Objectives ......................................................................................................... 8 6.5 Individual Income ......................................................................................... 56 1.3 Definitions ....................................................................................................... 9 6.6 Education Level ............................................................................................. 58 1.4 Research Questions ....................................................................................... 10 6.7 Medical Certificate and Duration of Sick Leave .......................................... 58 CHAPTER 2 METHODOLOGY .................................................................................................. 11 CHAPTER 7 REASONS FOR ENCOUNTER .......................................................................... 61 2.1 Sample Size Calculation and Sampling Methods ........................................ 12 7.1 Number of Reasons for Encounter per Visit ................................................ 62 2.2 Data Collection and Follow-Up .................................................................... 19 7.2 Reasons for Encounter by ICPC-2 Components .......................................... 63 2.3 Research Pack and Questionnaire ............................................................... 19 7.3 Reasons for Encounter by ICPC-2 Chapters ................................................ 65 2.4 Data Management ......................................................................................... 20 7.4 Most Common Reasons for Encounter in Public and Private Clinics ........ 67 2.5 Data Analysis ................................................................................................ 25 2.6 Ethics Approval ............................................................................................. 27 CHAPTER 8 DIAGNOSES .......................................................................................................... 69 2.7 Limitations .................................................................................................... 27 8.1 Number of Diagnoses per Encounter ........................................................... 70 8.2 Diagnoses by ICPC-2 Components ............................................................... 71 CHAPTER 3 RESPONSE RATE ................................................................................................ 29 8.3 Diagnoses by ICPC-2 Chapters .................................................................... 72 3.1 Response Rate ............................................................................................... 30 8.4 Most Common Diagnoses Managed in Public and Private Clinics ............. 75 3.2 The Encounters ............................................................................................. 32 CHAPTER 9 MEDICATIONS ..................................................................................................... 79 CHAPTER 4 THE PRACTICES ................................................................................................. 33 9.1 Number of Medications Prescribed per Encounter ..................................... 80 4.1 Primary Care Clinics in Malaysia ................................................................ 34 9.2 Types of Medications Prescribed .................................................................. 83 4.2 Attendances ................................................................................................... 35 9.3 Most Frequently Prescribed Medications in Public and Private 4.3 Operating Days and Hours