FIGURE 6.1: Total Expenditure on Health to Providers of Health Care, 2022 55.2% 21.1% 9.2% 7.1% 3.5% 3.3% 0.6% All hospitals Ambulatory health care General health administration & insurance Retail sale & medical goods Institutions providing health- related services Provision and administration of public health programmes All other providers Total Health Expenditure (TEH): RM 78,945 Million All hospitals Ambulatory health care Retail sale & medical goods All other providers General health administration & insurance Institutions providing health- related services Provision and administration of public health programmes Total Health Expenditure (TEH): RM78,945 Million 44 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022
TABLE 6.1b: Total Expenditure on Health 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 18,635 21,047 21,962 24,793 26,848 28,061 30,429 32,767 35,675 35,881 39,316 43,575 MP2 Nursing and residential care facilities 16 20 2 2 2 5 2 5 1 54 5 5 MP3 Providers of ambulatory health care 6,650 7,773 8,756 10,311 10,744 11,189 12,147 12,987 13,864 13,872 19,618 16,676 MP4 Retail sale and other providers of medical goods 1,909 2,129 2,374 2,921 3,350 3,578 3,799 4,505 4,073 4,223 4,807 5,616 MP5 Provision and administration of public health programmes 1,136 1,467 1,166 1,429 1,435 1,628 1,553 1,335 1,683 2,678 2,843 2,582 MP6 General health administration and insurance 4,674 3,961 4,096 4,003 4,509 3,742 5,025 5,241 5,631 6,323 7,082 7,281 MP7 Other industries (rest of the Malaysian economy) 388 430 609 556 547 601 615 603 337 361 969 421 MP8 Institutions providing health- related services 2,442 2,536 2,676 2,754 2,804 2,936 2,813 3,067 3,062 3,652 3,052 2,775 MP9 Rest of the world (ROW) 102 86 7 11 19 16 22 18 11 8 11 12 Total 35,953 39,448 41,647 46,780 50,256 51,756 56,404 60,528 64,336 67,051 77,703 78,945 TABLE 6.1c: Total Expenditure on Health 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 51.83 53.35 52.73 53.00 53.42 54.22 53.95 54.14 55.45 53.51 50.60 55.20 MP2 Nursing and residential care facilities 0.04 0.05 0.00 0.00 0.00 0.01 0.00 0.01 0.00 0.08 0.01 0.01 MP3 Providers of ambulatory health care 18.50 19.70 21.02 22.04 21.38 21.62 21.53 21.46 21.55 20.69 25.25 21.12 MP4 Retail sale and other providers of medical goods 5.31 5.40 5.70 6.24 6.67 6.91 6.74 7.44 6.33 6.30 6.19 7.11 MP5 Provision and administration of public health programmes 3.16 3.72 2.80 3.06 2.85 3.14 2.75 2.20 2.62 3.99 3.66 3.27 MP6 General health administration and insurance 13.00 10.04 9.84 8.56 8.97 7.23 8.91 8.66 8.75 9.43 9.11 9.22 MP7 Other industries (rest of the Malaysian economy) 1.08 1.09 1.46 1.19 1.09 1.16 1.09 1.00 0.52 0.54 1.25 0.53 MP8 Institutions providing health- related services 6.79 6.43 6.42 5.89 5.58 5.67 4.99 5.07 4.76 5.45 3.93 3.52 MP9 Rest of the world (ROW) 0.28 0.22 0.02 0.02 0.04 0.03 0.04 0.03 0.02 0.01 0.01 0.02 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 45 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022
6.2 HEALTH EXPENDITURE TO PROVIDERS OF HEALTH CARE - HOSPITALS The cross-tabulations of expenditure at all hospitals by sources of financing respond to the question as to who or which agencies finance health care services provided at all hospitals in the country. In 2022, RM43,575 million or 55.2% of TEH was spent at all hospitals. MOH as the highest source of financing was RM20,552 million (47.2% of health expenditure at all hospitals), followed by private household OOP at RM14,216 million (32.6% of health expenditure at all hospitals), private insurance enterprises (other than social TABLE 6.2a: Health Expenditure at All Hospitals by Sources of Financing, 2022 MNHA Code Sources of Financing RM Million Percent MS1.1.1.1 Ministry of Health (MOH) 20,552 47.16 MS2.4 Private household out-of-pocket expenditures (OOP) 14,216 32.63 MS2.2 Private insurance enterprises (other than social insurance) 5,443 12.49 MS1.1.1.2 Ministry of Higher Education (MoHE) 1,771 4.06 MS1.1.1.9 Other federal agencies (including statutory bodies) 969 2.22 MS1.1.2.2 Other state agencies (including statutory bodies) 178 0.41 MS1.2.2 Social Security Organisation (SOCSO) 173 0.40 MS1.2.1 Employees Provident Fund (EPF) 73 0.17 MS2.6 All corporations (other than health insurance) 65 0.15 MS1.1.1.3 Ministry of Defence (MOD) 60 0.14 MS1.1.3 Local authorities (LA) 38 0.09 MS1.1.2.1 (General) State government 31 0.07 MS2.5 Non-profit institutions serving households (NGO) 4 0.01 Total 43,575 100.00 insurance) at RM5,443 million (12.5% of health expenditure at all hospitals), Ministry of Higher Education (MoHE) at RM1,771 million (4.1% of health expenditure at all hospitals) and other federal agencies (including statutory bodies) at RM969 million (2.2% of health expenditure at all hospitals). The remaining expenditure from various sources at all hospitals amounted to RM624 million (1.4% of health expenditure at all hospitals) (Table 6.2a and Figure 6.2). The 2011-2022 time series expenditure by the top two sources of financing at all hospitals, MOH and private household OOP amounted to an average of 80.3%. The remaining sources of financing spent an average of 19.7% (Table 6.2b and Table 6.2c). 46 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022
FIGURE 6.2: Health Expenditure at All Hospitals by Sources of Financing, 2022 47.2% 32.6% 12.5% 4.1% 2.2% 1.4% MOH Private household OOP Private insurance MoHE Public other federal agencies All other sources of financing Health Expenditure at All Hospitals: 55% of TEH (RM43,575 Million) 1.4% 2.2% 1.4% 12.5% 32.6% 47.2% MOH Private household OOP Private insurance MoHE Public other federal agencies All other sources of financing 47 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022
TABLE 6.2b: Health Expenditure at All Hospitals by Sources of Financing, 2011 - 2022 (RM Million) MNHA Code Sources of Financing 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 MS1.1.1.1 Ministry of Health (MOH) 9,462 11,331 11,683 13,610 14,277 14,392 15,442 16,535 17,552 18,078 19,980 20,552 MS1.1.1.2 Ministry of Higher Education (MoHE) 1,221 1,285 1,232 1,346 1,293 1,257 1,230 1,343 1,613 1,390 1,690 1,771 MS1.1.1.3 Ministry of Defence (MOD) 83 102 105 110 115 104 84 65 104 95 93 60 MS1.1.1.9 Other federal agencies (including statutory bodies) 420 449 489 506 553 592 610 644 690 606 732 969 MS1.1.2.1 (General) State government 15 19 18 21 17 19 19 28 18 22 29 31 MS1.1.2.2 Other state agencies (including statutory bodies) 10 13 10 12 36 138 129 142 155 151 166 178 MS1.1.3 Local authorities (LA) 20 16 13 22 21 23 31 35 37 48 42 38 MS1.2.1 Employees Provident Fund (EPF) 32 31 35 38 43 47 48 55 68 65 84 73 MS1.2.2 Social Security Organization (SOCSO) 93 104 120 98 100 117 125 158 162 301 162 173 MS2.2 Private insurance enterprises (other than social insurance) 1,474 1,583 1,878 2,373 2,761 3,032 3,311 3,685 4,400 4,028 4,058 5,443 MS2.4 Private household out-of-pocket expenditures (OOP) 5,618 5,866 6,070 6,342 7,159 7,856 8,952 9,647 10,553 10,778 11,909 14,216 MS2.5 Non-profit institutions serving households (NGO) 29 31 44 12 13 1 1 2 2 25 85 4 MS2.6 All corporations (other than health insurance) 158 216 264 303 460 484 445 428 322 295 286 65 Total 18,635 21,047 21,962 24,793 26,848 28,061 30,429 32,767 35,675 35,881 39,316 43,575 48 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022
TABLE 6.2c: Health Expenditure at All Hospitals by Sources of Financing, 2011 - 2022 (Percent, %) MNHA Code Sources of Financing 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 MS1.1.1.1 Ministry of Health (MOH) 50.78 53.84 53.20 54.90 53.18 51.29 50.75 50.46 49.20 50.38 50.82 47.16 MS1.1.1.2 Ministry of Higher Education (MoHE) 6.55 6.10 5.61 5.43 4.82 4.48 4.04 4.10 4.52 3.87 4.30 4.06 MS1.1.1.3 Ministry of Defence (MOD) 0.45 0.49 0.48 0.44 0.43 0.37 0.28 0.20 0.29 0.27 0.24 0.14 MS1.1.1.9 Other federal agencies (including statutory bodies) 2.25 2.13 2.23 2.04 2.06 2.11 2.01 1.97 1.93 1.69 1.86 2.22 MS1.1.2.1 (General) State government 0.08 0.09 0.08 0.08 0.06 0.07 0.06 0.09 0.05 0.06 0.07 0.07 MS1.1.2.2 Other state agencies (including statutory bodies) 0.05 0.06 0.05 0.05 0.13 0.49 0.42 0.43 0.44 0.42 0.42 0.41 MS1.1.3 Local authorities (LA) 0.11 0.08 0.06 0.09 0.08 0.08 0.10 0.11 0.10 0.13 0.11 0.09 MS1.2.1 Employees Provident Fund (EPF) 0.17 0.15 0.16 0.15 0.16 0.17 0.16 0.17 0.19 0.18 0.21 0.17 MS1.2.2 Social Security Organisation (SOCSO) 0.50 0.49 0.54 0.40 0.37 0.42 0.41 0.48 0.45 0.84 0.41 0.40 MS2.2 Private insurance enterprises (other than social insurance) 7.91 7.52 8.55 9.57 10.28 10.80 10.88 11.24 12.33 11.23 10.32 12.49 MS2.4 Private household out-of-pocket expenditures (OOP) 30.15 27.87 27.64 25.58 26.66 28.00 29.42 29.44 29.58 30.04 30.29 32.63 MS2.5 Non-profit institutions serving households (NGO) 0.15 0.15 0.20 0.05 0.05 0.00 0.00 0.01 0.00 0.07 0.22 0.01 MS2.6 All corporations (other than health insurance) 0.85 1.03 1.20 1.22 1.71 1.73 1.46 1.31 0.90 0.82 0.73 0.15 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 49 MALAYSIA NATIONAL HEALTH ACCOUNTS HEALTH EXPENDITURE REPORT 2011-2022