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10.1186/s12992-015-0131-y http://scihub22266oqcxt.onion/10.1186/s12992-015-0131-y C4652362!4652362 !26582159     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26582159 &cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26582159 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Global+Health 2015 ; 11 (ä): 44 Nephropedia Template TP {{tp|p=26582159 |t=2015. Rethinking health care commercialization: evidence from Malaysia |pdf=|usr=}}{{26582159 }} gab.com Text Rethinking health care commercialization: evidence from Malaysia JO: Global Health http://www.kidney.de/pget.php?&tw=1&pmid=26582159 #FOAvip BACKGROUND: Against the backdrop of systemic inefficiency in the public health care system and the theoretical claims that markets result in performance and efficiency improvement, developing countries' governments have been rapidly commercializing health care delivery. This paper seeks to determine whether commercialization through an expansion in private hospitals has led to performance improvements in public hospitals. METHODS: Inpatient utilization records of all public hospitals in Peninsular Malaysia over the period 2006-2010 were used in this study. These records were obtained from the Ministry of Health. The study relied on utilization ratios, bed occupancy rates (BOR), bed turnover rates (BTR) and average length of stay (ALOS). The data were analyzed using SPSS 22 Statistical Software and the Pabon Lasso technique. RESULTS: Over 60 % of public hospitals in Malaysia are inefficient and perform sub-optimally. Average BOR among the public hospitals was 56 % in 2006 and 61 % in 2010. There was excessive BTR of 65 and 73 times within the period. Overall, the ALOS was low, falling from 3.4 days in 2006 to 3.1 days in 2010. CONCLUSIONS: This study demonstrates that commercialization has not led to performance improvements in the public health care sector in Malaysia. The evidence suggests that efforts to improve performance will require a focus directly on public hospitals. Twit Text FOAVip Rethinking health care commercialization: evidence from Malaysia ????Global Health http://www.kidney.de/pget.php?&tw=1&pmid=26582159 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26582159 #FOAvip English Wikipedia <ref>{{Cite pmid|26582159 }}</ref> Rethinking health care commercialization: evidence from Malaysia #MMPMID26582159 Nwagbara VC ; Rasiah R Global Health 2015[Nov]; 11 (ä): 44 PMID26582159 show ga BACKGROUND: Against the backdrop of systemic inefficiency in the public health care system and the theoretical claims that markets result in performance and efficiency improvement, developing countries' governments have been rapidly commercializing health care delivery. This paper seeks to determine whether commercialization through an expansion in private hospitals has led to performance improvements in public hospitals. METHODS: Inpatient utilization records of all public hospitals in Peninsular Malaysia over the period 2006-2010 were used in this study. These records were obtained from the Ministry of Health. The study relied on utilization ratios, bed occupancy rates (BOR), bed turnover rates (BTR) and average length of stay (ALOS). The data were analyzed using SPSS 22 Statistical Software and the Pabon Lasso technique. RESULTS: Over 60 % of public hospitals in Malaysia are inefficient and perform sub-optimally. Average BOR among the public hospitals was 56 % in 2006 and 61 % in 2010. There was excessive BTR of 65 and 73 times within the period. Overall, the ALOS was low, falling from 3.4 days in 2006 to 3.1 days in 2010. CONCLUSIONS: This study demonstrates that commercialization has not led to performance improvements in the public health care sector in Malaysia. The evidence suggests that efforts to improve performance will require a focus directly on public hospitals. |Benchmarking/methods [MESH] |Delivery of Health Care/*economics/methods/standards [MESH] |Hospitals, Private/economics/*standards [MESH] |Hospitals, Public/economics/*standards [MESH] |Humans [MESH] |Malaysia [MESH]Rethinking health care commercialization: evidence from Malaysia (epmc).pdf DeepDyve Pubget Overpricing