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Comparative performance of public and private primary care service delivery in Malaysia: An analysis of findings from QUALICOPC

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  • Su Miin Ong
  • Ming Tsuey Lim
  • Seng Fah Tong
  • M N Kamaliah
  • Peter Groenewegen
  • Sheamini Sivasampu

Abstract

Introduction: Primary care services are essential in achieving universal health coverage and Malaysia is looking into public-private partnership to overcome resource constraints. The study aims to compare the performance of primary care service delivery dimensions between public and private sector. Methods: This cross-sectional study used the data from the Malaysian International Quality and Costs of Primary Care (QUALICOPC) study conducted in 2015–2016. The relative performance of each sector in four dimensions was compared using multi-level linear regression by incorporating a dummy variable indicating public sector in the model. Results: The public sector was shown to have higher performance in comprehensiveness and coordination, while the private sector was better in continuity. There was no significant difference in accessibility. The public primary care services were better in serving primary care sensitive conditions, better informational continuity, and with better skill-mix and inter- and intra- professional relationship. Meanwhile, the private sector was stronger in referral decision making process, specialist feedback and greater out of hours facilities access. Conclusions: The public and private sectors differ in their strengths, which the government may tap into to strengthen primary care services. Other areas for improvement include seamless care strategies that promote good referral, feedback, and information continuity.

Suggested Citation

  • Su Miin Ong & Ming Tsuey Lim & Seng Fah Tong & M N Kamaliah & Peter Groenewegen & Sheamini Sivasampu, 2022. "Comparative performance of public and private primary care service delivery in Malaysia: An analysis of findings from QUALICOPC," PLOS ONE, Public Library of Science, vol. 17(10), pages 1-14, October.
    • Handle: RePEc:plo:pone00:0276480
    DOI: 10.1371/journal.pone.0276480
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    References listed on IDEAS

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    1. Sanjay Basu & Jason Andrews & Sandeep Kishore & Rajesh Panjabi & David Stuckler, 2012. "Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review," PLOS Medicine, Public Library of Science, vol. 9(6), pages 1-14, June.
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    1. Mohammad Husni Jamal & Aznida Firzah Abdul Aziz & Azimatun Noor Aizuddin & Syed Mohamed Aljunid, 2023. "Gatekeepers in the health financing scheme: Assessment of knowledge, attitude, practices, and participation of Malaysian private general practitioners in the PeKa B40 scheme," PLOS ONE, Public Library of Science, vol. 18(10), pages 1-23, October.

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