mnha_2022.pdf

FIGURE 5.3.2: Private Sources Health Expenditure to Providers of Health Care, 2022 37 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022

TABLE 5.3.2b: Private Sources Health Expenditure to Providers of Health Care, 2011-2022 (RM Million) MNHA Code Providers of Health Care 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 MP1 All hospitals 7,278 7,697 8,256 9,030 10,392 11,373 12,710 13,761 15,276 15,127 16,338 19,729 MP2 Nursing and residential care facilities 14 18 1 1 1 4 1 3 0 3 3 4 MP3 Providers of ambulatory health care 3,906 4,582 5,201 6,125 6,370 6,651 7,196 7,476 7,713 7,226 7,741 8,847 MP4 Retail sale and other providers of medical goods 1,774 1,961 2,172 2,701 3,061 3,287 3,494 4,322 3,900 4,018 4,563 5,320 MP5 Provision and administration of public health programmes 11 17 3 3 23 30 19 19 4 406 89 8 MP6 General health administration and insurance 1,467 1,629 1,343 1,312 1,564 1,728 1,710 1,569 1,450 1,832 2,463 2,017 MP7 Other industries (rest of the Malaysian economy) 269 293 338 358 408 443 467 454 192 222 211 229 MP8 Institutions providing health- related services 880 1,160 1,460 1,320 1,388 1,471 1,505 1,461 1,500 1,606 1,481 1,522 MP9 Rest of the world (ROW) 101 85 6 10 14 14 21 17 10 8 10 12 Total 15,702 17,442 18,780 20,859 23,222 25,001 27,121 29,084 30,046 30,448 32,900 37,688 TABLE 5.3.2c: Private Sources Health Expenditure to Providers of Health Care, 2011-2022 (Percent, %) MNHA Code Providers of Health Care 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 MP1 All hospitals 46.35 44.13 43.96 43.29 44.75 45.49 46.86 47.32 50.84 49.68 49.66 52.35 MP2 Nursing and residential care facilities 0.09 0.10 0.00 0.00 0.00 0.01 0.00 0.01 0.00 0.01 0.01 0.01 MP3 Providers of ambulatory health care 24.87 26.27 27.70 29.36 27.43 26.60 26.53 25.71 25.67 23.73 23.53 23.48 MP4 Retail sale and other providers of medical goods 11.30 11.24 11.57 12.95 13.18 13.15 12.88 14.86 12.98 13.20 13.87 14.12 MP5 Provision and administration of public health programmes 0.07 0.10 0.01 0.01 0.10 0.12 0.07 0.07 0.01 1.33 0.27 0.02 MP6 General health administration and insurance 9.35 9.34 7.15 6.29 6.73 6.91 6.30 5.39 4.83 6.02 7.49 5.35 MP7 Other industries (rest of the Malaysian economy) 1.72 1.68 1.80 1.72 1.76 1.77 1.72 1.56 0.64 0.73 0.64 0.61 MP8 Institutions providing health- related services 5.61 6.65 7.78 6.33 5.98 5.89 5.55 5.02 4.99 5.27 4.50 4.04 MP9 Rest of the world (ROW) 0.65 0.49 0.03 0.05 0.06 0.06 0.08 0.06 0.03 0.02 0.03 0.03 Total 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 38 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022

5.3.3 Health Expenditure by Private Sources of Financing for Functions of Health Care Cross-tabulations of private sector sources of financing for functions of health care respond to the question of what type of health care services and products were these privately sourced funds spent on. In 2022, majority of private sources of financing health expenditure was spent for curative care services, amounting to RM26,074 million (69.2% of private sector health expenditure). This is followed by spending for medical goods dispensed to out- patients at RM6,208 million (16.5% of private sector health expenditure), health programme administration and health insurance at RM2,017 million (5.4% of private sector health expenditure), education and training of health personnel at RM1,573 million (4.2% of private sector health expenditure) and capital formation at RM1,360 million (3.6% of private sector health expenditure). The remaining expenditure for all other functions of health care services and products was RM456 million or 1.2% of private sector health expenditure (Table 5.3.3a and Figure 5.3.3). The trend in spending by private sources of health care financing over the past 12 years show that the top 2 functions of health care for which the funds are being spent on are for services of curative care and medical goods dispensed to out-patients. Expenditure for services of curative care and medical goods dispensed to out-patients have more than doubled since 2011 (Table 5.3.3b and Table 5.3.3c). TABLE 5.3.3a: Private Sources Health Expenditure for Functions of Health Care, 2022 MNHA Code Functions of Health Care RM Million Percent MF1 Services of curative care 26,074 69.18 MF5 Medical goods dispensed to out-patients 6,208 16.47 MF7 Health programme administration and health insurance 2,017 5.35 MR2 Education and training of health personnel 1,573 4.17 MR1 Capital formation of health care provider institutions 1,360 3.61 MF6 Public health services (including health promotion and prevention) 358 0.95 MF4 Ancillary services to health care 51 0.13 MR3 Research and development in health 43 0.11 MF3 Services of long-term nursing care 4 0.01 Total 37,688 100.00 39 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022

FIGURE 5.3.3: Private Sources Health Expenditure for Functions of Health Care, 2022 Capital formation Health programme administration & health insurance Services of curative care All other functions Medical goods dispensed to out-patients Education & training of health personnel 40 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022

TABLE 5.3.3b: Private Sources Health Expenditure for Functions of Health Care, 2011-2022 (RM Million) MNHA Code Functions of Health Care 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 MF1 Services of curative care 10,288 11,151 12,179 13,686 14,779 15,806 17,694 18,594 20,136 19,622 21,347 26,074 MF2 Services of rehabilitative care 1 0 na na na na na na na na na na MF3 Services of long-term nursing care 14 18 1 1 1 4 1 3 0 3 3 4 MF4 Ancillary services to health care 72 86 97 112 78 40 44 44 108 58 44 51 MF5 Medical goods dispensed to out- patients 2,135 2,339 2,561 3,115 3,644 3,965 4,216 5,058 4,642 4,647 5,328 6,208 MF6 Public health services (including health promotion and prevention) 582 724 843 933 1,295 1,373 1,306 1,282 797 798 731 358 MF7 Health programme administration and health insurance 1,468 1,629 1,343 1,312 1,564 1,728 1,710 1,570 1,451 1,833 2,464 2,017 MR1 Capital formation of health care provider institutions 251 317 272 343 435 583 610 976 1,352 1,827 1,513 1,360 MR2 Education and training of health personnel 879 1,153 1,461 1,328 1,398 1,482 1,523 1,521 1,551 1,628 1,433 1,573 MR3 Research and development in health 12 25 23 28 29 20 16 34 9 33 38 43 Total 15,702 17,442 18,780 20,859 23,222 25,001 27,121 29,084 30,046 30,448 32,900 37,688 TABLE 5.3.3c: Private Sector Health Expenditure for Functions of Health Care, 2011-2022 (Percent, %) MNHA Code Functions of Health Care 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 MF1 Services of curative care 65.52 63.93 64.85 65.61 63.64 63.22 65.24 63.93 67.02 64.44 64.88 69.18 MF2 Services of rehabilitative care 0.01 0.00 na na na na na na na na na na MF3 Services of long-term nursing care 0.09 0.10 0.00 0.00 0.00 0.01 0.00 0.01 0.00 0.01 0.01 0.01 MF4 Ancillary services to health care 0.46 0.49 0.52 0.54 0.34 0.16 0.16 0.15 0.36 0.19 0.13 0.13 MF5 Medical goods dispensed to out- patients 13.60 13.41 13.64 14.94 15.69 15.86 15.54 17.39 15.45 15.26 16.19 16.47 MF6 Public health services (including health promotion and prevention) 3.70 4.15 4.49 4.47 5.58 5.49 4.82 4.41 2.65 2.62 2.22 0.95 MF7 Health programme administration and health insurance 9.35 9.34 7.15 6.29 6.73 6.91 6.31 5.40 4.83 6.02 7.49 5.35 MR1 Capital formation of health care provider institutions 1.60 1.82 1.45 1.65 1.87 2.33 2.25 3.36 4.50 6.00 4.60 3.61 MR2 Education and training of health personnel 5.60 6.61 7.78 6.37 6.02 5.93 5.62 5.23 5.16 5.35 4.36 4.17 MR3 Research and development in health 0.08 0.14 0.12 0.14 0.12 0.08 0.06 0.12 0.03 0.11 0.11 0.11 Total 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 41 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022

HEALTH EXPENDITURE TO PROVIDERS OF HEALTH CARE T he providers of health care services and products include all hospitals (i.e. health care facilities under MP1 code of MNHA Framework, which include general hospitals, psychiatric hospitals and speciality hospitals), nursing and residential care facility providers, providers of ambulatory health care, retail sale and other providers of medical goods, provision and administration of public health programme providers, general health administration and insurance, other industries, institutions providing health related services and rest of the world. This chapter contains four sections. Section 6.1 describes health expenditure to all providers of health care as classified in MNHA Framework. Health expenditure to providers of all hospitals and providers of ambulatory care services are reported in Sections 6.2 and 6.3, respectively. The overview of health expenditure to providers of health care is shown in Figure 6.0. 6 . 1 HEAL TH EXPENDITURE TO ALL
PROVIDERS OF HEAL TH CARE In 2022, the analysis of providers of health care showed that all hospitals consumed RM43,575 million or 55.2% of TEH. This was followed by providers of ambulatory health care at RM16,676 million (21.1% of TEH), general health administration and insurance providers at RM7,281 million (9.2% of TEH), retail sale and other providers of medical goods at RM5,616 million (7.1% of TEH), institutions providing health-related services at RM2,775 million (3.5% of TEH) and provision and administration of public health programmes at RM2,582 million (3.3% of TEH). The remaining providers of health care services and products amounted to RM439 million or 0.6% of TEH (Table 6.1a and Figure 6.1). The 2011-2022 time series data also shows a similar pattern with the same top two providers CHAPTER 6 42 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022 (all hospitals and providers of ambulatory health care) contributing to an average of 74.8% share of TEH throughout the same period. The third-highest expenditure from 2011 to 2022 was contributed by expenditure to general health administration and insurance providers (Table 6.1b and Table 6.1c). TABLE 6.1a: Total Expenditure on Health to Providers of Health Care, 2022 MNHA Code Providers of Health Care RM Million Percent MP1 All hospitals 43,575 55.20 MP3 Providers of ambulatory health care 16,676 21.12 MP6 General health administration and insurance 7,281 9.22 MP4 Retail sale and other providers of medical goods 5,616 7.11 MP8 Institutions providing health-related services 2,775 3.52 MP5 Provision and administration of public health programmes 2,582 3.27 MP7 Other industries (rest of the Malaysian economy) 421 0.53 MP9 Rest of the world (ROW) 12 0.02 MP2 Nursing and residential care facilities 5 0.01 Total 78,945 100.00 Expenditure at all hospitals shows a 2-fold increase. Spending at providers of ambulatory health care and at retail sale and other providers of medical goods show an almost 3-fold increase (Table 6.1b and Table 6.1c). Ambulatory Care Hospitals Health Expenditure to Providers of Health Care All Providers FIGURE 6.0: Organogram of Health Expenditure to Providers of Health Care 43 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022