A strategy to guarantee oncological surgical care during the COVID-19: the public and private healthcare partnership

AbstractOver the last year, the dangerous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly around the world. Malaysia has not been excluded from this COVID-19 pandemic. The resurgence of COVID-19 cases has overwhelmed the public healthcare system and overloaded the healthcare resources. Ministry of Health (MOH) Malaysia has adopted an Emergency Ordinance (EO) to instruct private hospitals to receive both COVID-19 and non-COVID-19 patients to reduce the strain on public facilities. The treatment of COVID-19 patients at private hospitals could help to boost the bed and critical care occupancy. However, with the absence of insurance coverage because COVID-19 is categorised as pandemic-related diseases, there are some challenges and opportunities posed by the treatment fees management. Another major issue in the collaboration between public and private hospitals is the willingness of private medical consultants to participate in the management of COVID-19 patients, because medical consultants in private hospitals in Malaysia are not hospital employees, but what are termed “private contractors” who provide patient care services to the hospitals. Other collaborative measures with private healthcare providers, e.g. tele-conferencing by private medical clinics to monitor COVID-19 patients and the rollout of national vaccination programme. The public and private healthcare partnership must be enhanced, and continue to find effective ways to collaborate further to combat the pandemic. The MOH, private healthcare sectors and insurance providers need to have a synergistic COVID-19 treatment plans to ensure public as well as insurance policy holders have equal opportunities for COVID-19 screening tests, vaccinations and treatment.

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Surgical care in the public health agenda

Cadernos de Saúde Pública ◽

10.1590/0102-311x00104717 ◽

2017 ◽

Vol 33 (10) ◽

Cited By ~ 2

Author(s):

Mário Scheffer ◽

Saurabh Saluja ◽

Nivaldo Alonso

Keyword(s):

Public Health ◽

Universal Access ◽

Surgical Care ◽

Public Health Issue ◽

Public And Private ◽

The Public ◽

Timely Fashion ◽

Current Article ◽

Clinical Conditions ◽

Global Indicators

The current article examines surgical care as a public health issue and a challenge for health systems organization. When surgery fails to take place in timely fashion, treatable clinical conditions can evolve to disability and death. The Lancet Commission on Global Surgery defined indicators for monitoring sustainable universal access to surgical care. Applied to Brazil, the global indicators are satisfactory, but the supply of surgeries in the country is marked by regional and socioeconomic inequalities, as well as between the public and private healthcare sectors.

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Disparities in Acute Myocardial Infarction Treatment Between Users of the Public and Private Healthcare System in Sergipe

International Journal of Cardiovascular Sciences ◽

10.5935/2359-4802.20180043 ◽

2018 ◽

Author(s):

Jussiely Cunha Oliveira ◽

Laís Costa Souza Oliveira ◽

Jeferson Cunha Oliveira ◽

Ikaro Daniel de Carvalho Barreto ◽

Marcos Antonio Almeida-Santos ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Healthcare System ◽

Public And Private ◽

The Public ◽

Private Healthcare

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Healthcare in the news media: The privileging of private over public

Journal of Sociology ◽

10.1177/1440783317733324 ◽

2017 ◽

Vol 54 (4) ◽

pp. 574-590 ◽

Cited By ~ 7

Author(s):

Sophie Lewis ◽

Fran Collyer ◽

Karen Willis ◽

Kirsten Harley ◽

Kanchan Marcus ◽

...

Keyword(s):

Private Sector ◽

Healthcare System ◽

News Media ◽

Healthcare Sector ◽

Public Healthcare ◽

Public And Private ◽

The Public ◽

Print News ◽

Private Healthcare ◽

Time Period

This article reports on a discourse analysis of the representation of healthcare in the print news media, and the way this representation shapes perspectives of healthcare. We analysed news items from six major Australian newspapers over a three-year time period. We show how various framing devices promote ideas about a crisis in the current public healthcare system, the existence of a precarious balance between the public and private health sectors, and the benefits of private healthcare. We employ Bourdieu’s concepts of field and capital to demonstrate the processes through which these devices are employed to conceal the power relations operating in the healthcare sector, to obscure the identity of those who gain the most from the expansion of private sector medicine, and to indirectly increase health inequalities.

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Surgery in Brazilian Health Care: funding and physician distribution

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-69912017002016 ◽

2017 ◽

Vol 44 (2) ◽

pp. 202-207 ◽

Cited By ~ 5

Author(s):

NIVALDO ALONSO ◽

BENJAMIN B. MASSENBURG ◽

RAFAEL GALLI ◽

LUCAS SOBRADO ◽

DARIO BIROLINI

Keyword(s):

Local Population ◽

Surgical Care ◽

National Database ◽

Public Healthcare ◽

Health Coverage ◽

Inequality Index ◽

Public And Private ◽

Healthcare Facilities ◽

The Public ◽

The North

ABSTRACT Objective: to analyze demographic Brazilian medical data from the national public healthcare system (SUS), which provides free universal health coverage for the entire population, and discuss the problems revealed, with particular focus on surgical care. Methods: data was obtained from public healthcare databases including the Medical Demography, the Brazilian Federal Council of Medicine, the Brazilian Institute of Geography and Statistics, and the National Database of Healthcare Establishments. Density and distribution of the medical workforce and healthcare facilities were calculated, and the geographic regions were analyzed using the public private inequality index. Results: Brazil has an average of two physicians for every 1,000 inhabitants, who are unequally distributed throughout the country. There are 22,276 board certified general surgeons in Brazil (11.49 for every 100,000 people). The country currently has 257 medical schools, with 25,159 vacancies for medical students each year, with only around 13,500 vacancies for residency. The public private inequality index is 3.90 for the country, and ranges from 1.63 in the Rio de Janeiro up to 12.06 in Bahia. Conclusions: A significant part of the local population still faces many difficulties in accessing surgical care, particularly in the north and northeast of the country, where there are fewer hospitals and surgeons. Physicians and surgeons are particularly scarce in the public health system nationwide, and better incentives are needed to ensure an equal public and private workforce.

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Trends in treatment of anterior cruciate ligament injuries of the knee in the public and private healthcare systems of Brazil

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2013.1314498 ◽

2013 ◽

Vol 131 (4) ◽

pp. 257-263 ◽

Cited By ~ 7

Author(s):

Diego Costa Astur ◽

Rodrigo Ferreira Batista ◽

Gustavo Goncalves Arliani ◽

Moises Cohen

Keyword(s):

Anterior Cruciate Ligament ◽

Cruciate Ligament ◽

Treatment Options ◽

Cross Sectional Study ◽

Medical Decision ◽

Cross Sectional ◽

Public And Private ◽

The Public ◽

Private Healthcare ◽

Anterior Cruciate

CONTEXT AND OBJECTIVE Orthopedic surgery implies high costs for both public and private healthcare. The aim of this study was to better understand the differences between the public and private sectors regarding treatment of a damaged anterior cruciate ligament, which is a common knee injury. DESIGN AND SETTING Descriptive cross-sectional study conducted during the Brazilian Orthopedics Congress in Brasília. METHODS We applied questionnaires during the 2010 Brazilian Orthopedics Congress, with participation by 241 knee surgeons from 24 Brazilian states. This was followed by statistical analysis on the data that were obtained. RESULTS The orthopedic surgeons who were evaluated used different approaches and treatment options in different Brazilian states, comparing between the public and private systems. CONCLUSION Both in the public and in the private systems in Brazil, because of non-medical issues surrounding the treatment, the best medical decision is not always made. This may be harmful both to patients and to physicians.

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Testing times: trends in availability, price, and market share of malaria diagnostics in the public and private healthcare sector across eight sub-Saharan African countries from 2009 to 2015

Malaria Journal ◽

10.1186/s12936-017-1829-5 ◽

2017 ◽

Vol 16 (1) ◽

Cited By ~ 14

Author(s):

Kara Hanson ◽

◽

Catherine Goodman

Keyword(s):

Market Share ◽

Healthcare Sector ◽

African Countries ◽

Public And Private ◽

The Public ◽

Private Healthcare ◽

Sub Saharan

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Środki trwałe w publicznej i prywatnej ochronie zdrowia w latach 1999–2018

Zdrowie Publiczne i Zarządzanie ◽

10.4467/20842627oz.20.025.14142 ◽

2021 ◽

Vol 18 (3) ◽

pp. 236-241

Author(s):

Marcin Kautsch

Keyword(s):

Gdp Growth ◽

Healthcare Financing ◽

Public And Private ◽

The Public ◽

Private Healthcare ◽

Rate Of Increase ◽

Fixed Assets ◽

The Subject ◽

Public Payer ◽

Financial Mechanism

Fixed assets in public and private healthcare in 1999-2018 The presented article deals with the subject of fixed assets in healthcare: their gross value, condition and degree of wear, broken down into the public and private sectors. Above the value grew extremely strongly in the analysed period, particularly impressive in private healthcare. The financing of this growth seems to have the largest share of funds obtained from EU and the EEA Financial Mechanism and the Norwegian Financial Mechanism as well as from public payer funds. The rate of increase of funds in healthcare from other public sources is significantly lower than, for example, the rate of GDP growth, which may indicate the withdrawal of state structures from healthcare financing. The increase in the degree of wear of fixed assets, which took place in the analysed period, may cause some concern.

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Private healthcare will expand in Latin America

Emerald Expert Briefings ◽

10.1108/oxan-db235625 ◽

2018 ◽

Keyword(s):

Latin American ◽

Health Spending ◽

Health Coverage ◽

Lower Growth ◽

Public And Private ◽

Content Type ◽

The Public ◽

Private Healthcare ◽

Latin American Countries ◽

Universal Health

Subject The outlook for private healthcare. Significance During 2003-13, various Latin American countries introduced expansionary healthcare reforms. Aiming to secure universal health coverage, they increased spending and created new non-contributory programmes. This did not necessarily affect private provision, which in several countries benefited from growing purchasing power and new private-public interactions. Impacts Regional expansion of private healthcare is likely to accelerate in the coming decade. Ageing populations will require increased health spending in both the public and private spheres. Lower growth and commodities prices may increasingly put the onus on private health spending.

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