Equity implications of household out-of-pocket payment for health care in Malaysia, 1993-2004
Principal Investigator: Dr Ng Chiu Wan
Funding: RM 6,500 (Vote F)
Agency: University of Malaya
Grant Vote F
Amount RM 6,500
Period 2007-2008
The country's health financing system plays an important role in the improvement of health status of the population, mainly in providing financial protection against the costs of ill-health. It has been argued that in an equitable and fair system, the rich should pay more for health care than the poor as the latter is less likely to be in a position to afford all needed care. However, not all modes of financing are equally equity promoting. In particular, out-of-pocket (OOP) payment is one of the more regressive modes of health care financing. The unpredictability of ill-health makes it difficult to save sufficient amounts to cover all eventualities, especially so for the poor. In Malaysia, OOP payment forms a significant portion of the overall financing of health care where it has been estimated that 32.62% of the total health care expenditures in 2002 were financed through OOP. Financial barriers to access health care and the resultant negative effect on their health status would further disadvantage the poor


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The Occupational Medicine Clinic is a referral clinic for occupational diseases and is open on every Friday in University Malaya Medical Centre.