GEORGE TOWN: Major public hospitals nationwide will be implementing a Full Pay Patient programme for the rich and foreigners, to help retain their specialists.

Deputy Health Minister Datuk Seri Dr Hilmi Yahaya said the programme won’t impact the other people, who would still pay only RM1 for medical treatment.

“The programme is only for those who can afford to pay and is a way to help retain specialists at public hospitals,” he said here yesterday.

It was introduced in 2007 and is an ongoing process to make as many hospitals as possible opt for it. Among the hospitals which opted for the programme is the Langkawi Hospital.

From the money collected from each surgery or medical process, 40% is given to the hospital while the remainder is for the specialist in charge.

“We hope that with this programme, specialists will stay with us instead of resigning and moving to private health institutions,” said Dr Hilmi.

Patients who opt for the programme can choose their own doctor and time for any surgical procedures. However, this can only be on holidays and non-peak periods.

The programme only caters to 30% of the total patients in a hospital and the charges are half that of private hospitals. — Bernama


http://www.thestar.com.my/news/nation/2016...y-patient-plan/

But there will be issue why nurse, Ho, MO who attend to the patient don't have kickback especially when they did all the dirty works

At least in private, nurse have 2-3x the salary

They got pension..

Heck, even those working for private hospitals want to work for gomen..

Unless oversea such as middle east.. Etc

of courser lah...
RM1 only, ppl can suka suka create road accident & admitted to govt hospital.
Ppl can suka suka drink poison & go hospital, coz its cheap.
While too much money wasted to threat them.

Time to look at private insurance. There is no more excuse of government hospital being cheap etc. It is only a matter of time before Malaysia become one of those no money no treatment country.

Once again this will mostly affect middle class no doubt. Those truly rich will not even go for Malaysia hospitals in the fist place.

60% for poket specialist
Pharmacy, nursing, admin staf no cut?

Genius

problem is while it benefits specialists and maybe prevent them from leaving to private, it would pull resources that will be prioritized to FPP.

Example : OT, nurses, MOs, even the Specialists time.

Private is OK because the facility and workforce pool is different. But once you implement this in a government facility, then those loosing out is the regular clients (non FPP).

Though the FPP system has the intention of retaining our trained specialist from leaving government service.. There will be several issues that will arise..
As Ibrahimovic mentioned, only the specialist will get the tip. Other staffs below are MAY NOT receive anything and still forced to do the work. There are some hospitals that pay the staff "locum pay" to compensate for this workers.. But these does not come from the paying patients, and the government will have to cough up the money. It is possible they will disallow this from happening later on.



The issue is having alot of trained specialist leaving the government service Its really a no-brainer. Specialist in private are paid 200-500% more than government pay. Even if the doctors are willing to stay, they will end up put their families in debt. No fully self sponsored medical education can pay back their education loan unless they work in private. Pension money is also chicken shit compared to the salary and working life outside.
The only advantage of staying in government service is the semi-immunity against medicolegal cases.


A third issue which i find is the most important issue, is the Bias treatment toward FFP.
In certain hospitals (sorry cant name these hospitals), FFP patients get to cut ques from the non-FFP patients.
Specialist would drop and postpone their other cases to jump at these FFPs.



This post has been edited by FluffyTee: Nov 6 2016, 02:29 PM

So the rich will have to pay. Define rich. I don't qualify for BR1M but I can't afford private healthcare either.

No not that way. U r given a choice. From previous experience, u cna choose to be private or government. If private u get more say as in op date, which specialist to attend to u which specialist will do the operation. Whereas non paying will be mos or housemen seeing u, doing the operations , after discussed with said specialists.

u sure?

This post has been edited by Zhik: Nov 6 2016, 02:36 PM

normal patient wait longer,.. make appointment for 6 months in advance,.. on appointment day take number and wait whole day,.. priority rich patient 1st,..

I can see the logic the government side. By doing this, they can immediately retain specialist and push MO to be specialist.

They know MO and nurse can't complaint about equality when they can't go anywhere as most uni are not recognized oversea. So they are stuck.

But I can foresee ' unimportant stuff for gov' happening. Happiness, equality, worsening hierarchy, worsen patient care for nonFPP. But it's a long term so it would be look into until well in the future where the government hope the economy picks up that they can just raise salary inches by inches to make everyone happy again.

Genius move I say.

partly correct. cases that need to be seen by specialist/pakar of course still be seen by them but expect huge backlog/setback. how can HO do operation kan??

it is just that i think if you have money can get faster treatment but the non peak/ holidays bit were confusing.

wasn't last time um medical centre and ukm medical center reported cases of senior or specialist being only cater to see ffp, even during daytime visit hour, then juz let junior see non ffp patient. been reported and hospital did send warning letter, don know how now. maybe these already straight move to private already?

if more & more gov hospital offer this scheme, it is seems mandatory ppl go buy medical insurance at all cost, else only c houseman in ward or 'fresh specialist' in specialist clinic.

i agree.

i think we should penalze people who use healthcare as a result of their own foolishness.

e.g kids who ride moto and get brain injury from accident. all this should be paid by their families rather than taxpayers money.

in the meantime u all barking up wrong tree claiming docs shouldnt ask for more money.

in the UK doctors are paid so much higher ,and work so much less, but they still do protests and shit.

Not sure but I heard this from Kpj staff and some local private hospital. Their salary around RM5k++ for 5 years or more experience. Maybe they include overtime and other perks.

in that case why not say houesman , cleaner also need to get their cut??

reason is simple.

pharmacy, nursing, admin staff wanna leave? sure go ahead. the gvt can easily fill the vacancies.

this scheme is to retain specialists as there is a lack of them .

mind you with the 60% pocketed by specialists theyre still erning way lower than what they can earn elsewhere.

actually, they can even say screw all this , lets do locum in private, and earn more.

This post has been edited by arsenwagon: Nov 6 2016, 02:56 PM

by right FPP doesnt mean able to cut queue

however,FPP runs on a separate list from normal elective cases.

and, FPP patients are fewer than non paying patients. so theres literally a shorter queue. coz you only queue with other FPP who are logically fewer than those who dont have the means to pay for FPP treatment.

therefore, in practice, FPP can get earlier treatment.

PPUM and PPUKM are considered "semi private". The patients there are also full paying patients but are not the same FFP as in the Ministry of Health hospitals. PPUM and PPUKM are also training centers for Masters and Housemenship, so patients can be attended by Specialist, MO or HO. I have not heard of such warning letters as such as it is meant for the patients to be attended by MO and HOs, Ofcoz the specialist will be monitoring them, just as in government hospitals. The only difference is these centers may have slight higher quality of treatment as their Medical Officers are usually the Selected Masters Student to be specialist in the future.

But speaking of the other hospitals that provide FFPs, there has been ALOT of time where the specialist will order the MO/HO to attend to the FFP patient first. I find this ok IF the specialist is genuinely busy (eg in the middle of surgery), but there has been times, where the specialist are just lazy. But if it is such the case, patients can provide feedback and can request to change to another specialist.

U ve phrase it in another way.. but unfortunately it is happening.. Not all cases are elective, may i remind u. Im not making this up.

Once a hospital has "FFP" they tend to give priority to them.
I ve seen it happen everyday... Eg, the emergency OT is used for FFP patient for an abscess while another patient with acute appendicitis will have to wait until next day with the reason "No OT available", or an MRI appointment for a patient with brain tumor gets a 2month later appointment while some FFP person gets his appointment next day at 8am for an MRI spine for back pain, and all the non-ffp patient who were given 8am appointment have to wait.



This post has been edited by FluffyTee: Nov 6 2016, 03:04 PM

Thanks for the clarification. I certainly hope things stay this way.

i read this: http://www.thesundaily.my/news/1059238

so u r from purtrajaya or selayang hospitals?

This post has been edited by coolstore: Nov 6 2016, 03:18 PM

Thats why kempen anti rokok and anti obesiti will not work coz rakyats know gomen hospital will b there for them cheaply 20 or 30 yrs down the road. Now can enjoy sinfood and welcome global restaurant franchise to expand here. I pity the small % rakyats who did their best to stay healthy ..but still succumb to illness n forced to gomen hospital queieing alongside those YOLO patients who never cared bout their own health during younger days.

The patient has the choice to opt to pay more. By paying more, u can skip the queue.

Ukm we done before. Well housemen n operation, if under supervision houseman can indeed do simple procedures. Some centers housemen are required to perform c secs.
Usually paying n nons will be parallel. But many instances the specialists will aks for help on weekends , asking the registra to have a look at his private pts and will pay a small amount.
Having said that , human factors will come into play. Do u think specialists will pay the same amount of attention to both ?

This post has been edited by kkk8787: Nov 6 2016, 03:32 PM

couldn't agree more. money matters

Eh...i did not say docs should be paid better....
Just thought that RM1 facility is being abused.

Here cannot apply the same concept. The dinosaur doesn't mampus yet. And politics are too fucking thick.

You will be fucked forever till achieve certain grade.

tahts why everyone should be charged at a rate which is less than ffp but higher than current charges which is absurdly low.

then we wil have less people demanding for tests which are not indicated for them, but just want to do because "they feel like it".

if we start charging say, 30% of private charges then less people would come in demanding doctor i want this and that med. and also let the meds rot , coz they paid some money for it so they might become more appreciative of what theyre given.

Lol where u get the info of nurse salary

COmpare fresh grad nursing student

Gomen - fresh grad, rm 3k include allowance.
Private - rm 1.5k-rm 1.9k basic + stingy allowance (seaside hospital helang hospital etc), from diploma to degree variant.
I have tonnes of friends got this salary even grads degree from local U or oversea U like Hongkong, Taiwan, US, etc.

Work like hel everyday OT unpaid at least 1 hour do all the shiat works, one month sure got double shift (say 6.30am until 8.30pm, of course will not end 8.30pm normall at least 9.30pm)

Friend who work in gomen hospital not KL, before work end queue to wait punch card.

that's why you will hear always lack of nurse, but seldom lack of doctor, imba psycho position in working and salary.

Where..nurse in saudi?

Nurse in private & government in malaysia almost same salary lar.

I agreed public hospital should charge more for foreigner. I saw alot foreigner crowding in klinik kesihatan in KL Selangor.

agreed..