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Evaluation of Primary Health Care (PHC) - Universal Health Coverage (UHC) Alignment Using Modified Self-Assessment Tool in Malaysia
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| Author:
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KAMALIAH NOH, SITI HANIZA MAHMUD, MOHD SAFIEE ISMAIL, IZZATUR RAHMI MOHD UJANG, RUSDI ABD RAHMAN, KOH KAR CHAI, RIMA MARHAYU ABD RASHID, NUR EZDIANI MOHAMED, AKMAL AIDA OTHMAN, ZURRIYATI YA’KUB, ROZITA HALINA HUSSEIN
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| Abstract:
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In Malaysia, the provisions of healthcare are totally separated between the public and private sectors. The main provider of health services for the population has been the Ministry of Health (MOH). In the case of outpatient services, the people used both public and private service providers almost equally. Most of the services provided by the public sector are free of charge or heavily subsidised through public funding but the private sector sources of finance are household out-of-pocket payments. This study aimed to evaluate the PHC-UHC alignment using a modified self-assessment tool for PHC with UHC in Malaysia. A cross-sectional study was conducted from August to November 2014. Both quantitative and qualitative approaches were used in different parts of this study. A combination of purposive and convenient sampling of top-level managers from Ministry of Health technical and financial personnel, public and private providers as well as representatives from the Ministry of Finance and Economic Planning Unit were done and the tool applied through a combination of face-to-face interview and self-administered approach. The modified tool had successfully assessed the interaction between the financial institution and the factors influencing the delivery of PHC. The tool captured the alignment and misalignments pertaining to areas of priority setting, financing policies, payment policies, regulation and communications, and monitoring and evaluation. There is a significant dichotomy between public and private providers in Malaysia in terms of financing, payment and regulation.
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| Keyword:
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Primary Health Care, Universal Health Coverage, Tool.
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.04.151
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| Download:
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