1. Q4 a)HEALTH CARE SERVICES
MALAYSIA VS UK
By Wan Awatif

2. Health care service in UK
• Run by the National Health Service (NHS).
• Predominantly by the public sector with the funds from
general taxation and national insurance contributions.
• 11.5 % of the population -supplementary private
medical insurance.
• The NHS is free at the point of delivery.
• Charges would be on prescription drugs, ophthalmic services
and dental services.
• Exemptions, :for children, elderly, and the unemployed.

5. Health care service in MALAYSIA
• Run by 2 system : public and private sector.
• Mainly by public sector.
• 4 years including 2 years of HO and 2 years
government service with public hospitals =
public sector.
• Public covers ; hospitals, health centre, 1M
clinic.
• Private sector = mainly in urban areas.

6. MALAYSIA UK
SECTOR Public/government NHS
private private
To whom: Public: Malaysian citizen (subsidize) NHS : permanent
Foreigners (need to be paid) residents which covered
Private : individually, fee-service scotland, northern island,
wales and england
Funding Government :subsidies NHS : general taxation,
Private : insurance or own fund government
- Profit oriented Private :insurance
**NHS – provider &
purchaser
GPs Private sector Primary care which is
governed by the NHS.
Could be for free or
patient need to pay under
insurance.
MO/specialist Majority in public sector Most of them would work
Some in private with the NHS

7. MALAYSIA UK
Primary care Majority -Health clinic as it Done by the GPs – under
cheaper and more facilities NHS >>> free of charge.
GP – expensive, lack of -Able to do more
facilities investigation as it is being
paid by the NHS
**referrals **referrals
foreigners Foreigners employed are Foreigners can benefit from
charged with different rates the NHS provided that they
hold a valid visa issued for a
minimum duration of 6
months
Transport cost Transport costs are not covered for people with low
covered income
Payment Payments in government Co-payments are according
clinics are standardized to specific age group
Government budgets Every year Budgets on NHS 3year cycle

9. The benefits of NHS
• anyone can receive the medical care they
need, regardless of their age, circumstances
or financial situation
• free of charge to most UK residents
• receive advice from a pharmacist or the NHS
Direct telephone helpline

10. Care available
• Unwell>>> the medical practitioner >> offer
the treatment options
• Eg:. Can choose which of three local hospitals
the pt desire., female or male doctor, or see a
practitioner able to speak your native
language such as Urdu and request a home or
water birth.

11. Fig. 6 Life expectancy at birth (both sexes) compared -2002
Infant Mortality Rate Under 5 mortality Rate
(per 1000 live birth) (per 1000 live birth)
2002 2002
MAL 8 MAL 8
UK 5 UK 7
Table 6. Comparison of mortality indicators of selected nations.
(source: UNDP 2004