The cost of healthcare among Malaysian community-dwelling elderly
The aim of this study is to provide a comprehensive estimate of the direct and indirect costs of healthcare services used in a nationally representative sample of community-dwelling elderly in Malaysia as well as the determinants of such health care costs. The rise of chronic non-communicable dise...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Penerbit Universiti Kebangsaan Malaysia
2019
|
| Online Access: | http://journalarticle.ukm.my/14070/1/jeko_53%281%29-8.pdf |
| _version_ | 1796931993939738624 |
|---|---|
| author | Roshanim Koris, Norashidah Mohamed Nor, Sharifah Azizah Haron, Tengku Aizan Hamid, Syed Mohamed Aljunid, Amrizal Muhammad Nur, Normaz Wana Ismail, Asrul Akmal Shafie, Suraya Yusuff, Maimaiti, Namaitijiang |
| author_facet | Roshanim Koris, Norashidah Mohamed Nor, Sharifah Azizah Haron, Tengku Aizan Hamid, Syed Mohamed Aljunid, Amrizal Muhammad Nur, Normaz Wana Ismail, Asrul Akmal Shafie, Suraya Yusuff, Maimaiti, Namaitijiang |
| author_sort | Roshanim Koris, |
| collection | UKM |
| description | The aim of this study is to provide a comprehensive estimate of the direct and indirect costs of healthcare services
used in a nationally representative sample of community-dwelling elderly in Malaysia as well as the determinants of
such health care costs. The rise of chronic non-communicable diseases (NCDs henceforth) is stemming from changes
in lifestyle and diet, as well as ageing. The prevalence of NCDs basically increases with age and cause an increases
in demand for healthcare services which are associated with higher healthcare costs among the elderly. A survey
using multi-stage random sampling techniques recruited 2274 elderly people (60 years and above) in Johor, Perak,
Selangor and Kelantan. Overall, a year on average of about RM426.50 of costs was determined to be borne by the
sampled elderly Malaysian’s in community-dwellings. The direct costs for outpatient care were RM141.24 and the costs
for inpatient care were RM2,527. Meanwhile, the indirect costs for outpatient and inpatient care were RM31.44 and
RM524.07 respectively. By using multi regression modelling, healthcare used in private facilities and chronic diseases
such as cancer and kidney problem were the predictors that influenced the cost of healthcare among the elderly in
the community-dwellings. The higher direct cost implies the higher of out-of-pocket health expenditure will borne by
the elderly. The elderly who are unable to bear the healthcare cost should be financially support by the authoritie to
protect them trapped into the catastrophic health expenditure. Therefore, these findings highlighted the importance of
further research aimed at decreasing the prevalence and severity of these NCDs among the elderly in the Malaysian
community-dwellings. |
| first_indexed | 2024-03-06T04:26:21Z |
| format | Article |
| id | ukm.eprints-14070 |
| institution | Universiti Kebangsaan Malaysia |
| language | English |
| last_indexed | 2024-03-06T04:26:21Z |
| publishDate | 2019 |
| publisher | Penerbit Universiti Kebangsaan Malaysia |
| record_format | dspace |
| spelling | ukm.eprints-140702020-01-31T22:28:25Z http://journalarticle.ukm.my/14070/ The cost of healthcare among Malaysian community-dwelling elderly Roshanim Koris, Norashidah Mohamed Nor, Sharifah Azizah Haron, Tengku Aizan Hamid, Syed Mohamed Aljunid, Amrizal Muhammad Nur, Normaz Wana Ismail, Asrul Akmal Shafie, Suraya Yusuff, Maimaiti, Namaitijiang The aim of this study is to provide a comprehensive estimate of the direct and indirect costs of healthcare services used in a nationally representative sample of community-dwelling elderly in Malaysia as well as the determinants of such health care costs. The rise of chronic non-communicable diseases (NCDs henceforth) is stemming from changes in lifestyle and diet, as well as ageing. The prevalence of NCDs basically increases with age and cause an increases in demand for healthcare services which are associated with higher healthcare costs among the elderly. A survey using multi-stage random sampling techniques recruited 2274 elderly people (60 years and above) in Johor, Perak, Selangor and Kelantan. Overall, a year on average of about RM426.50 of costs was determined to be borne by the sampled elderly Malaysian’s in community-dwellings. The direct costs for outpatient care were RM141.24 and the costs for inpatient care were RM2,527. Meanwhile, the indirect costs for outpatient and inpatient care were RM31.44 and RM524.07 respectively. By using multi regression modelling, healthcare used in private facilities and chronic diseases such as cancer and kidney problem were the predictors that influenced the cost of healthcare among the elderly in the community-dwellings. The higher direct cost implies the higher of out-of-pocket health expenditure will borne by the elderly. The elderly who are unable to bear the healthcare cost should be financially support by the authoritie to protect them trapped into the catastrophic health expenditure. Therefore, these findings highlighted the importance of further research aimed at decreasing the prevalence and severity of these NCDs among the elderly in the Malaysian community-dwellings. Penerbit Universiti Kebangsaan Malaysia 2019 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/14070/1/jeko_53%281%29-8.pdf Roshanim Koris, and Norashidah Mohamed Nor, and Sharifah Azizah Haron, and Tengku Aizan Hamid, and Syed Mohamed Aljunid, and Amrizal Muhammad Nur, and Normaz Wana Ismail, and Asrul Akmal Shafie, and Suraya Yusuff, and Maimaiti, Namaitijiang (2019) The cost of healthcare among Malaysian community-dwelling elderly. Jurnal Ekonomi Malaysia, 53 (1). pp. 89-103. ISSN 0127-1962 http://www.ukm.my/fep/jem/content/2019.html |
| spellingShingle | Roshanim Koris, Norashidah Mohamed Nor, Sharifah Azizah Haron, Tengku Aizan Hamid, Syed Mohamed Aljunid, Amrizal Muhammad Nur, Normaz Wana Ismail, Asrul Akmal Shafie, Suraya Yusuff, Maimaiti, Namaitijiang The cost of healthcare among Malaysian community-dwelling elderly |
| title | The cost of healthcare among Malaysian community-dwelling elderly |
| title_full | The cost of healthcare among Malaysian community-dwelling elderly |
| title_fullStr | The cost of healthcare among Malaysian community-dwelling elderly |
| title_full_unstemmed | The cost of healthcare among Malaysian community-dwelling elderly |
| title_short | The cost of healthcare among Malaysian community-dwelling elderly |
| title_sort | cost of healthcare among malaysian community dwelling elderly |
| url | http://journalarticle.ukm.my/14070/1/jeko_53%281%29-8.pdf |
| work_keys_str_mv | AT roshanimkoris thecostofhealthcareamongmalaysiancommunitydwellingelderly AT norashidahmohamednor thecostofhealthcareamongmalaysiancommunitydwellingelderly AT sharifahazizahharon thecostofhealthcareamongmalaysiancommunitydwellingelderly AT tengkuaizanhamid thecostofhealthcareamongmalaysiancommunitydwellingelderly AT syedmohamedaljunid thecostofhealthcareamongmalaysiancommunitydwellingelderly AT amrizalmuhammadnur thecostofhealthcareamongmalaysiancommunitydwellingelderly AT normazwanaismail thecostofhealthcareamongmalaysiancommunitydwellingelderly AT asrulakmalshafie thecostofhealthcareamongmalaysiancommunitydwellingelderly AT surayayusuff thecostofhealthcareamongmalaysiancommunitydwellingelderly AT maimaitinamaitijiang thecostofhealthcareamongmalaysiancommunitydwellingelderly AT roshanimkoris costofhealthcareamongmalaysiancommunitydwellingelderly AT norashidahmohamednor costofhealthcareamongmalaysiancommunitydwellingelderly AT sharifahazizahharon costofhealthcareamongmalaysiancommunitydwellingelderly AT tengkuaizanhamid costofhealthcareamongmalaysiancommunitydwellingelderly AT syedmohamedaljunid costofhealthcareamongmalaysiancommunitydwellingelderly AT amrizalmuhammadnur costofhealthcareamongmalaysiancommunitydwellingelderly AT normazwanaismail costofhealthcareamongmalaysiancommunitydwellingelderly AT asrulakmalshafie costofhealthcareamongmalaysiancommunitydwellingelderly AT surayayusuff costofhealthcareamongmalaysiancommunitydwellingelderly AT maimaitinamaitijiang costofhealthcareamongmalaysiancommunitydwellingelderly |