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MEDICAL AND HEALTH INSURANCE




               1.1.4  DELIVERY OF MHCS SERVICES


               Primary  healthcare  is  the  thrust  of  the  Malaysian  Healthcare  System,

               supported  by  secondary  care  and  services  and  tertiary  care  at  regional
               level.  The  national  health  referral  system  was  established  to  provide

               specialised care to enhance the basic care provided at the primary level.


               The  organisational  structure  of  the  Ministry  of  Health  has  three  levels,

               namely:


               a)  Federal


               b)  State


               c)  District


               The  decentralisation  is  to  ensure  efficiency  in  reaching  out  to  the  public  at

               large.  Each  hierarchical  level  determines  the  level  of  authority,  information
               flow,  accountability,  and  supervision.  The  system  encompasses  all  aspects

               of care from preventive, promotive, curative to rehabilitative.


               There  are  differences  in  terms  of  the  size  of  the  hospitals  and  in  terms  of

               the  services  provided.  Small  district  hospitals  provide  general  medical  and

               nursing  care  and  their  manpower  consists  of  medical  officers  and  other
               personnel.  Larger  district  and  regional  hospitals  provide  a  wide  range  of

               specialist  services,  which  the  public  can  have  easy  access  to,  through  a

               referral  system.  The  main  objective  is  to  provide  a  greater  network  of

               healthcare     facilities,   equity,   accessibility,   and    utilisation   of   healthcare
               resources.


               Whereas  in  the  private  sector  there  is  a  fee  for  service  and  the  majority  of

               the  private  clinics  and  big  hospitals  are  located  in  the  urban  areas.  There



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