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The cost of healtcare 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 diseas...

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Main Authors: Koris, Roshanim, Mohamed Nor, Norashidah, Haron, Sharifah Azizah, Hamid, Tengku Aizan, Aljunid, Syed Mohamed, Muhammad Nur, Amrizal, Ismail, Normaz Wana, Shafie, Asrul Akmal, Yusoff, Suraya, Maimaiti, Namaitijiang
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2019
Online Access:http://psasir.upm.edu.my/id/eprint/82377/1/The%20cost%20of%20healtcare%20among%20Malaysian%20community-dwelling%20elderly%20.pdf
http://psasir.upm.edu.my/id/eprint/82377/
https://www.ukm.my/jem/article/the-cost-of-healthcare-among-malaysian-community-dwelling-elderly/
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spelling my.upm.eprints.823772021-08-12T01:37:31Z http://psasir.upm.edu.my/id/eprint/82377/ The cost of healtcare among Malaysian community-dwelling elderly Koris, Roshanim Mohamed Nor, Norashidah Haron, Sharifah Azizah Hamid, Tengku Aizan Aljunid, Syed Mohamed Muhammad Nur, Amrizal Ismail, Normaz Wana Shafie, Asrul Akmal Yusoff, Suraya 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 2019-09 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/82377/1/The%20cost%20of%20healtcare%20among%20Malaysian%20community-dwelling%20elderly%20.pdf Koris, Roshanim and Mohamed Nor, Norashidah and Haron, Sharifah Azizah and Hamid, Tengku Aizan and Aljunid, Syed Mohamed and Muhammad Nur, Amrizal and Ismail, Normaz Wana and Shafie, Asrul Akmal and Yusoff, Suraya and Maimaiti, Namaitijiang (2019) The cost of healtcare among Malaysian community-dwelling elderly. Jurnal Ekonomi Malaysia, 53 (1). pp. 89-103. ISSN 0127-1962; ESSN: 2716-6058 https://www.ukm.my/jem/article/the-cost-of-healthcare-among-malaysian-community-dwelling-elderly/ 10.17576/JEM-2019-5301-8
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
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.
format Article
author Koris, Roshanim
Mohamed Nor, Norashidah
Haron, Sharifah Azizah
Hamid, Tengku Aizan
Aljunid, Syed Mohamed
Muhammad Nur, Amrizal
Ismail, Normaz Wana
Shafie, Asrul Akmal
Yusoff, Suraya
Maimaiti, Namaitijiang
spellingShingle Koris, Roshanim
Mohamed Nor, Norashidah
Haron, Sharifah Azizah
Hamid, Tengku Aizan
Aljunid, Syed Mohamed
Muhammad Nur, Amrizal
Ismail, Normaz Wana
Shafie, Asrul Akmal
Yusoff, Suraya
Maimaiti, Namaitijiang
The cost of healtcare among Malaysian community-dwelling elderly
author_facet Koris, Roshanim
Mohamed Nor, Norashidah
Haron, Sharifah Azizah
Hamid, Tengku Aizan
Aljunid, Syed Mohamed
Muhammad Nur, Amrizal
Ismail, Normaz Wana
Shafie, Asrul Akmal
Yusoff, Suraya
Maimaiti, Namaitijiang
author_sort Koris, Roshanim
title The cost of healtcare among Malaysian community-dwelling elderly
title_short The cost of healtcare among Malaysian community-dwelling elderly
title_full The cost of healtcare among Malaysian community-dwelling elderly
title_fullStr The cost of healtcare among Malaysian community-dwelling elderly
title_full_unstemmed The cost of healtcare among Malaysian community-dwelling elderly
title_sort cost of healtcare among malaysian community-dwelling elderly
publisher Penerbit Universiti Kebangsaan Malaysia
publishDate 2019
url http://psasir.upm.edu.my/id/eprint/82377/1/The%20cost%20of%20healtcare%20among%20Malaysian%20community-dwelling%20elderly%20.pdf
http://psasir.upm.edu.my/id/eprint/82377/
https://www.ukm.my/jem/article/the-cost-of-healthcare-among-malaysian-community-dwelling-elderly/
_version_ 1709669002532356096
score 13.211869

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