Geographical Locations - Malaysia

Virtual Library

The WWW Virtual Library: Public Health




Categories




Country Information


  • (Statistical) Number of Inhabitants per Doctor: 2,410
  • CIA World Factbook - Malaysia

Organisations and Networks


UN and Multinational


Government


Non-Government



Academic Institutions

- Faculty of Medicine and Health Sciences
- Institute of Health and Community Medicine - Faculty of Medicine and Health Sciences - School of Health Sciences
- Advanced Medical and Dental Institute

National Policy and Related Documents


Reports, Guidelines, and Projects

  • Equity in Health Care Financing: The Case of Malaysia
    Background: Equitable financing is a key objective of health care systems. Its importance is evidenced in policy documents, policy statements, the work of health economists and policy analysts. The conventional categorisations of finance sources for health care are taxation, social health insurance, private health insurance and out-of-pocket payments. There are nonetheless increasing variations in the finance sources used to fund health care. An understanding of the equity implications would help policy makers in achieving equitable financing. Objective: The primary purpose of this paper was to comprehensively assess the equity of health care financing in Malaysia, which represents a new country context for the quantitative techniques used. The paper evaluated each of the five financing sources (direct taxes, indirect taxes, contributions to Employee Provident Fund and Social Security Organization, private insurance and out-of-pocket payments) independently, and subsequently by combined the financing sources to evaluate the whole financing system. Methods: Cross-sectional analyses were performed on the Household Expenditure Survey Malaysia 1998/99, using Stata statistical software package. In order to assess inequality, progressivity of each finance sources and the whole financing system was measured by Kakwani’s progressivity index. Results: Results showed that Malaysia’s predominantly tax-financed system was slightly progressive with a Kakwani’s progressivity index of 0.186. The net progressive effect was produced by four progressive finance sources (in the decreasing order of direct taxes, private insurance premiums, out-of-pocket payments, contributions to EPF and SOCSO) and a regressive finance source (indirect taxes). Conclusions: Malaysia’s two tier health system, of a heavily subsidised public sector and a user charged private sector, has produced a progressive health financing system. The case of Malaysia exemplifies that policy makers can gain an in depth understanding of the equity impact, in order to help shape health financing strategies for the nation. [International Journal for Equity in Health, June 2008, 7:15]

Educational Resources




Original website founded Lucien E. Schlosser and Eberhard Wenzel, 1997.
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