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H E A L T H C A R E D E M A N D V O L U M E III

2. COMMUNITY PERCEPTION ON MALAYSIA HEALTHCARE DELIVERY

2.1 OBJECTIVES

2.1.1 General Objective
To describe the community perception towards government/private healthcare delivery
services (in-patient, out-patient and oral healthcare).

2.1.2 Specific Objective

1. To identify choice of preferred provider for specific health conditions;
2. To identify perceived cost for government and private care; and
3. To measure community perception towards government/private healthcare delivery
systems.

2.2 CHOICE OF PREFERRED PROVIDER FOR SPECIFIC HEALTH CONDITIONS

This community perception module was only available for those aged 18 years and above. The
response rates were more than 98% (from 19,959 respondents having responded to this module).
Respondents were required to choose their choice of healthcare provider for six different general
health conditions namely minor health problem, major health problem, minor surgery, major
surgery, dental treatment and for birth delivery.
In summary, more than two-thirds of the adult population preferred government to private
facilities with the exception of minor health problem (Table 2.3). Slightly more than half of the
population preferred government facilities (51.4%; 95% CI 49.8-53.1) as compared to private
(43.6%; 95% CI 41.9-45.2) for this health condition.

The same trend was observed for those in urban area, the Chinese, those with higher education
level as well as the population with higher household income level. They preferred private facilities
for all the six general health conditions (Table 2.3 – Table 2.9).

2.2.1 Minor Health Problem

In general, 51.4% (95% CI, 49.8 - 53.1) of the population preferred government facilities when
they had minor health problem as compared to private facilities (43.6%; 95% CI, 41.9 - 45.2),
not to go to any facility (4.1%; 95% CI, 3.7 - 4.5) and traditional/ complementary/ alternative
facility (0.9%; 95% CI, 0.7 - 1.1) (Table 2.4). Government facilities were predominantly the
preferred choice in Kelantan (73.4%; 95% CI, 69.2 - 77.2), WP Putrajaya and Sarawak, whereas
private facilities were the preferred choice in Selangor (60.4%; 95% CI, 56.6 - 64.0), WP Kuala
Lumpur and Johor.
Those from urban area (49.3%; 95% CI, 47.3 - 51.3); Chinese (59.2%; 95% CI, 56.0 - 62.3); non-
Malaysians (57.8%; 95% CI, 52.6 - 62.9); with tertiary education (61.4%; 95% CI, 59.0 - 63.8);
private employees (57.3%; 95% CI, 55.0 - 59.6) preferred private facilities. Conversely,
government facilities were the preferred choice amongst Orang Asli (86.9%; 95% CI, 69.7 -
95.0).

STRY OF HEALTH MALAYSIA
NATIONAL HEALTH AND MORBIDITY SURVEY 2015 45 MINI