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National Healthcare Establishments & Workforce Statistics Hospitals 2011

Publications : National Healthcare Establishments & Workforce Statistics Hospitals 2011
Our third NHEWS report aims to provide consistent and reliable data on healthcare establishments, activities, selected devices and the workforce in the country. In addition, it was to show the trends in those activities. This report consists of six chapters. The first chapter covers the overall statistics on the acute curative hospitals. The other chapters examine the specific healthcare services are Acute curative hospital establishment survey, Maternity services survey, General surgical services survey, Oncology services survey, Psychiatry services survey and Ophthalmology services survey.

 

  • Download Full Report ( PDF )

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  • About National Healthcare Establishment and Workforce Survey (NHEWS) – Hospital ( PDF )
  • Members of NHEWS (Hospital) Project Team ( PDF )
  • Members of NHEWS (Hospital) Expert Panels ( PDF )
  • Summary of Study Process ( PDF )
  • Study Methodology ( PDF )
  • Consort Diagram ( PDF )
  • Abbreviations and Symbols ( PDF )
  • Chapter 1 | Overview on Hospitals and Specialists Services In Malaysia ( PDF )
  • Chapter 2 | Acute Curative Hospital Services In Malaysia ( PDF )
  • Chapter 3 | Maternity Services in Malaysian Hospitals and Maternity Homes ( PDF )
  • Chapter 4 | Surgical Services in Malaysian Hospitals ( PDF )
  • Chapter 5 | Oncology Services in Malaysian Hospitals ( PDF )
  • Chapter 6 | Psychiatric Services in Malaysian Hospitals ( PDF )
  • Chapter 7 | Ophthalmology Services in Malaysian Hospitals ( PDF )
  • Appendix 1 | List of Definitions ( PDF )
  • Appendix 2 | Participants for NHEWS (Hospital) 2011 ( PDF )
  • Appendix 3 | Malaysian Population, 2011 ( PDF )
  • Appendix 4 | Data Quality Statement ( PDF )
  • Appendix 5 | Survey Profiles and Response Rate ( PDF )
  • Appendix 6 | Medical Subspecialties ( PDF )
  • Appendix 7 | Other Specialties in Medicine ( PDF )

Our third NHEWS report aims to provide consistent and reliable data on healthcare establishments, activities, selected devices and the workforce in the country. In addition, it was to show the trends in those activities. This report consists of six chapters. The first chapter covers the overall statistics on the acute curative hospitals. The other chapters examine the specific healthcare services:

  • Chapter 2 : Acute curative hospital establishment survey
  • Chapter 3 : Maternity services survey
  • Chapter 4 : General surgical services survey
  • Chapter 5 : Oncology services survey
  • Chapter 6 : Psychiatry services survey
  • Chapter 7 : Ophthalmology services survey

Here we summarise our key findings of this report:

Acute Curative Hospital Survey

  • Overall, 51,076 bed facilities were available in 339 acute curative hospitals; the majority of them were public hospitals (73%).
  • The hospital admission rates have increased by 8% for both sectors in 2011. The mean bed occupancy rate (BOR) for private hospitals (41.9%) was lower than that of public hospitals (59.6%).
  • Of the hospital healthcare workforces, most doctors (78%), staff nurses (72.4%) and assistant medical officers (AMO) (98.8%) worked in the public hospitals.
  • The use of Computed Tomography (CT) scanners, Magnetic Resonance Imaging (MRIs) and Positron Emission Tomography (PET) scanners increased by 14%, 15% and 22% respectively in 2011.
  • The number of medical doctors has increased over the past 3 years (2009-2011).

Maternity Services Survey

  • Three hundred and seventeen hospitals and 26 maternity homes provided maternity services in 2011. These included 130 Ministry of Health (MOH) hospitals, 3 public University Hospitals and 184 private hospitals.
  • Eighty per cent of deliveries were conducted in public hospitals. The Caesarean section rate in private hospitals (34.7%) was almost twice that of the public hospitals (19.7%).
  • The instrumental delivery rate in the public hospitals (3.2 per 100 deliveries) was less than that in the private hospitals (14.85 per 100 deliveries).
  • There were 839 obstetricians and gynaecologists (O&G) of whom 327 (39%) worked in the public sector and 512 (61%) in the private sector.
  • The ratio of midwifery-trained nurse to delivery beds in specialist hospitals was 1.6 to 1 per shift.

General Surgical Services Survey

  • The majority (64%) of hospitals providing general surgical services was from the private sector (n=106).
  • There was a marked increase in the number of mastectomies done (18.6%, n=662) over the two years. The private sector reported an increase of 1,414 to 1,993 (41%) over the 2 year period.
  • There was an increased preference for laparoscopic inguinal hernia surgery (11.8%) and laparoscopic cholecystectomy (7.3%) over the same period of time.
  • In 2011, there were 557 general surgeons, 298 in the public and 259 in the private sector. When compared to 2010, there was an increase of 21 surgeons (3.9%) all of whom came from the private sector.

Oncology Services Survey

  • There were 58 hospitals providing oncology services in 2011, with a density of 0.02 per 10,000 population
  • Only 4 hospitals provided data on selected oncology activities, e.g. chemotherapy and radiotherapy with curative intent (please refer to relevant chapter).
  • A total of 67 oncologists were providing services in the country for 2011, with 68% of them serving in the West Coast of Peninsular Malaysia.
  • Core oncology devices including 29 simulators, 36 megavoltage machines and 14 brachytherapy machines were available within the country in 2011.
  • There was no significant increase in the overall manpower and facilities from 2010.

Psychiatry Services Survey

  • Twenty percent of hospitals in Malaysia provided psychiatric services of which, 49 were public and 45 were private hospitals.
  • The majority of the psychiatric services were carried out in the public hospitals; public hospitals providing 88.7% of out-patient care and 97.1% of the in-patient care.
  • Most psychiatrists (79.5%, n=186) were employed by the public sector.
  • The availability of allied health personnel in psychiatry was low and limited to few centres.
  • Overall inpatient and outpatient electroconvulsive therapy (ECT) had decreased to 14% and 1% respectively for 2011 when compared to 2010.

Ophthalmology Services Survey

  • Thirty-six MOH, three Universities, and 59 private hospitals provided ophthalmology services in Malaysia with the Klang Valley and Melaka having the highest density.
  • Fifty-two per cent of the cataract surgeries were performed as day care and 48% as inpatient. The majority (70%) of them being done in the public sector.
  • Most of the vitreoretinal surgeries were performed in public hospitals.
  • The ratio of ophthalmologist to population was 1 to 76,923 for 2011.
  • The private sector had a higher number of ophthalmological devices with the exception of stand-alone vitrectomy and automated perimetry devices.

In our appendices, we have also included the number of specialists available in the various specialties and subspecialties other than the 5 fields mentioned above (Appendices 6 and 7).


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