Kajian sistem kesihatan di estet-estet dl Semenanjung Malaysia dengan penekanan kepada pengurusan ubat-ubatan

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Date
2002
Authors
S.Rajendram, Santhanathan
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Abstract
The estate health care system is the provider of health services to the estate population in our country. It is not under the jurisdiction of the Ministry of Health Malaysia and is man- aged privately by the respective estate management. There is not much information that is --- : known about this health care system. This is the reason why this study on the healthcare management system of the estate setting .i n Peninsula Malaysia is. conducted. i"~' This study involved 48 estate medical assistants from 48 estates in Peninsula Malaysia. The study was conducted using the mail survey method. The response rate for this survey was 52.1% or 25 respondents. The respondents were queried on various aspects that covered the management of the estate healthcare setting. Among the aspects queried are demography information about the estate hospital/clinic and medical assistant, manpower information, drugs and disease information, information about drug selection, procurement, receiving and distribution and financial allocation information. The data were compiled and analysed descriptively using Microsoft Excel and statistical software, Statistical Package for Social Sciences (SPSS). From the results, a few conclusions can be made. The estate medical assistants play the main ' role in the management and co-ordination of the health care delivery system provided by the estate clinics and hospitals. However, the estate management makes the final decision on important issues especially on issues pertaining to financial matters. Although these estate medical assistants play such an important role, their training and knowledge on matters such as the latest medical information and inventory management are greatly lacking. On the prevelance of disease, the common diseases treated by the medical assistants are mainly diseases relating to environment and work hazards and not chronic illness. The drugs used in these settings also are mainly generic drugs and purchased individually. Although the health services provided to the estate population is given free without any restrictions, the medical allocation provided for each individual is too low and insufficient. lt is noted form this study that there are various shortcomings in the healthcare care system in the estate settings in Peninsula Malaysia and more in-depth studies should be carried out to improve this health system.
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Sistem Kesihatan , Pengurusan ubat-ubatan
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