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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




              2.5 IMPLICATION

                  Government healthcare facilities are the preferred choice for majority of the population (with the
                  exception for minor health problem). Importantly, a higher proportion among those in rural areas,
                  the  lower  socio-economic  groups  and  the  aged  population  (above  75  years  old)  preferred
                  government healthcare facilities when they need healthcare. This bears implication for the planning
                  and delivery of healthcare services to ensure both the availability and accessibility of healthcare for
                  these groups.
                                                                                         1
                  Oral disease has been reported as the fourth most expensive disease to treat . The findings of this
                  survey showed that the population had perceived dental treatment at private sector clinics to be 11.5
                  times  more  expensive  than  in  government.  As  for  other  health  conditions,  treatment  in  private
                  healthcare facilities is perceived to cost 8 to 13 times more compared to government. The perception
                  of high costs involving healthcare and getting treatment may serve as a deterrent for seeking both
                  preventive and curative care. Thus, this finding on cost perception has implications in the planning of
                  future financial arrangements for healthcare.
                  There were discrepancies throughout SES subgroups in the perception towards Malaysia’s healthcare
                  delivery  systems.  This  may  affect  the  population’s  health-seeking  behaviour.  Thus,  further
                  understanding on what and how the population thinks; how they view our healthcare system delivery
                  will  be  crucial  to  provide  guide  and  information  on  the  areas  that  need  attention  or  further
                  improvement.


              2.6 CONCLUSION
                  Not with standing the limitations of the study, the survey has yielded several important findings with
                  respect to the perception of the population in regards to the preferred choice of healthcare provider
                  and  the  perceived  cost.  These  findings  will  provide  necessary  information  for  the  planning  of
                  healthcare services towards the improvement of the health status of the population.


              2.7  RECOMMENDATION
                  Taking into cognisance the findings of the study, the following recommendations are made:

                  1.   Continuing emphasis on accessibility of healthcare for the rural population and lower socio-
                       economic groups in the planning and delivery of oral healthcare services.
                  2.   Consolidation  on  healthcare  for  the  elderly  especially,  in  view  of  the  fact  that  the  rising
                       proportion of elderly population in Malaysia.
                  3.   Inclusion of preventive oral health visits in future healthcare financing mechanisms in addition

                       to other curative oral healthcare items in view of the perceived high cost for dental treatment.
                  4.   Strategic  communication might  help  population  to understand  more on  how  our  healthcare
                       systems performed. This will make perception or public opinion more accurate.



              1
               World Health Organization. Oral health: action plan for promotion and integrated disease prevention. Proceedings
                from Sixtieth World Health Assembly. Provisional agenda item 12.9. A60/16. SS March 2007.





                                                                          STRY OF HEALTH MALAYSIA
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