2020
DOI: 10.47836/pjssh.28.4.09
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Exploring Patients’ Experience on Hospital Merger: Have they benefited from Cluster Hospital Initiative in Malaysia?

Abstract: Cluster Hospital Initiative (CHI) in Malaysia is a hospital merger exercise to establish an integrated network of specialist and non-specialist hospitals. The resource sharing, services realignment, and better care coordination from this integration have been shown to improve operational efficiency and quality of care from the providers’ perspective. However, there are very limited studies which focus on the effects of hospital merger on patients. Therefore, this study aims to explore patients’ and caregivers’… Show more

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Cited by 4 publications
(5 citation statements)
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References 37 publications
(50 reference statements)
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“…Hospital merger and clustering have been shown to enable smooth delivery of care [38,39], reduce duplication of services [40], enhance quality of care [41] and increase patient satisfaction. [42][43][44] Meanwhile, there are concerns within the broader healthcare system that medical tourism activities in private hospitals have a crowding-out effect on labour productivity, in which expansion of the medical tourism sector leads to a reduction of public healthcare provision. [45,46] Nonetheless, medical tourists only represent a small proportion of patients in participating hospitals to ll in the excess capacity.…”
Section: Discussionmentioning
confidence: 99%
“…Hospital merger and clustering have been shown to enable smooth delivery of care [38,39], reduce duplication of services [40], enhance quality of care [41] and increase patient satisfaction. [42][43][44] Meanwhile, there are concerns within the broader healthcare system that medical tourism activities in private hospitals have a crowding-out effect on labour productivity, in which expansion of the medical tourism sector leads to a reduction of public healthcare provision. [45,46] Nonetheless, medical tourists only represent a small proportion of patients in participating hospitals to ll in the excess capacity.…”
Section: Discussionmentioning
confidence: 99%
“…Through experience, meaning is constructed via specific issues. Therefore, resistance is necessary for human life as it can sustain the construction of meaning in life (Abowitz, 2000;Ng et al, 2020). Although resistance plays a role in dialectical change, resistance related to health and religion has a different meaning.…”
Section: Introductionmentioning
confidence: 99%
“…Meanwhile, the term 'Rawa' carries a more distinct meaning in the Malay Peninsula referring to a particular ethnic group whose descendants migrated from Rao in West Sumatra. The integration process in Indonesia explains the amalgamation of the Rawas into the larger Minang group, yet in the Malay Peninsula, according to one view (Bungo, 2012), the ethnic name 'Rawa' is preserved due to the tendency among the migrants to remind themselves of their homeland and identity.…”
Section: Introductionmentioning
confidence: 99%
“…This paper aims to trace the migration of the Sumatran people, particularly Rawas to Pulau Pinang, against the existing theories pertaining to the formation of early settlements and their contributions to the development of the state. Given the view that the migration of Sumatran people to the Malay Peninsula had occurred long before the arrival of Western colonial powers, possibly as early as 5 th century CE (Bungo, 2012;Omar, 2005), not to mention the special connection between Pulau Pinang and Sumatran Island and other feasible reasons, the history of the state is, therefore worthy to re-look into.…”
Section: Introductionmentioning
confidence: 99%
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