Page 137 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
P. 137
Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
rd
14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
th
ID 177 INEQUALITY OF UNAFFORDABLE HEALTHCARE FINANCING IN MALAYSIA: FINDINGS
FROM NHMS 2011, 2015 AND 2019 SURVEY
1
1
1
Mohd Shaiful Jefri Mohd Nor Sham Kunusgaran , Nor Zam Azihan Mohd Hassan , Sivaraj Raman , Adilius
Manual 2
1 Centre of Health Economics Research, Institute for Health Systems Research, National Institutes of Health (NIH)
2 Centre of Health Equity Research, Institute for Health Systems Research, National Institutes of Health (NIH)
INTRODUCTION: Despite the public health sector is heavily subsidized by the government,
Malaysia’s out-of-pocket (OOP) expenditure remains high at 35% of its total healthcare
expenditure. Heavy reliance on OOP at the point of care poses a great threat to financial
impoverishment of the household. This study aims to examine the trend of incidence and
inequality of unaffordable healthcare financing among households in Malaysia.
METHODS: This study analysed household data from 3 round of National Health and
Morbidity (NHMS) survey; 2011, 2015 and 2019. Unaffordable healthcare financing was
defined as OOP for healthcare financed through borrowing (with or without interest) or sale
of assets. Descriptive statistics were conducted and economic inequalities in distress
financing were determined using the concentration curve and concentration index. Analysis
was conducted using STATA 14.
RESULTS: The incidence of unaffordable healthcare financing among household was 13.2% in
2011, 19.7% in 2015 and 14.9% in 2019. The distribution of unaffordable healthcare financing
throughout the years was found to be higher among the poorer households. Concentration
index for unaffordable healthcare financing was -0.134 in 2011, -0.257 in 2015 and -0.246 in
2019.
DISCUSSION/CONCLUSION: Despite initiatives and policy by the government for financial
protection, incidence of unaffordable healthcare financing remains the same throughout the
years while the economic inequality of unaffordable healthcare financing distribution is
affecting those from the lower socioeconomic group Additional financial protection is
required especially among this group.
ID 178 HOME MEDICATION REVIEW AND MEDICATION COMPLIANCE AMONG STROKE
PATIENTS IN KLUANG, JOHOR
1
Mohd Hafiz Bin Mohd Saif , Siti Syahirah Binti Husin 2
1 Pharmacy Department, Pejabat Kesihatan Daerah Kluang, Johor
2 Pharmacy Department, Hospital Sultanah Nora Ismail, Batu Pahat
INTRODUCTION: Home Care Pharmacy Service (HCPS) is a pharmacist-led home medication
review service provided by the Ministry of Health, Malaysia. Pharmacists in HCPS team have
played a proactive role in ensuring medication adherence of the patients under home care
team. The objective of this study is to evaluate the effect of HCPS on medication knowledge
and compliance among stroke patients in Jalan Mengkibol Health Clinic, Kluang, Johor.
METHODS: This is a cross-sectional study involving stroke patient who receiving HCPS services
from 1st January to 30 October 2020 in Jalan Mengkibol Health Clinic. The HCPS visit was
conducted based on Home Care Pharmacy Services Protocol Second Edition, 2019. Patients`
data including demographic background, knowledge and compliance towards medication on
the first and subsequent visit was collected using a standard HCPS forms by the Ministry of
Health (HCPS6 and HCPS7). Both data on medication knowledge using DFIT score and pill
count respectively.
111