Morbidity patterns and healthcare utilisation among older people in Malaysia: 1996–2015

Noorani, Aneesa; Rajini, S. Nirmala Sugirtha; N, Balkish M; Noraida, M.K.; SMaria, A.; Fadhli, Muhammad; Jabrullah, A.H.; A, Tahir

doi:10.1016/j.puhe.2018.06.018

Cited by 8 publications

(8 citation statements)

References 18 publications

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“…Focusing on heart and stroke disease prevention by targeting these risk factors will ideally result in a reduction of disease burden and a lower risk of mortality from these diseases. In Malaysia, the prevalence of hypertension, diabetes, and hypercholesterolaemia has been on the rise from 1996 to 2015 [ 24 ]. Hypertension and hypercholesterolaemia affected more than half of older adults in Malaysia in 2015, whereas more than a third of older adults in Malaysia were living with diabetes.…”

Section: Discussionmentioning

confidence: 99%

The burden of premature mortality among older adults: a population-based study in Malaysia

et al. 2022

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Background The populations of many countries—including Malaysia—are rapidly growing older, causing a shift in leading causes of disease and death. In such rapidly ageing populations, it is critical to monitor trends in burden of disease and health of older adults by identifying the leading causes of premature mortality and measuring years of life lost (YLL) to these. The objective of this study, therefore, is to describe the burden (quantified by YLL) associated with major causes of premature mortality among older adults in Malaysia in 2019. Methods All deaths that occurred in older adults aged 60 and above in Malaysia in the year 2019 were included in this study. YLL was calculated by summing the number of deaths for the disease category at 5-year age intervals, multiplied by the remaining life expectancy for the specific age and sex group. Both life expectancy and mortality data were obtained from the Department of Statistics Malaysia. Results In 2019, older adults accounted for 67.4% of total deaths in Malaysia (117,102 out of 173,746). The total number of YLL among older adults in Malaysia in 2019 was estimated at 1.36 million YLL, accounting for 39.6% of the total YLL (3.44 million) lost to all premature deaths in that year. The major causes of premature mortality among older adults were ischaemic heart disease (29.5%) followed by cerebrovascular disease (stroke) (20.8%), lower respiratory infections (15.9%), diabetes mellitus (8.1%) and trachea, bronchus and lung cancers (5.0%). Conclusions Non-communicable diseases (NCD) remained the largest contributor to premature mortality among older adults in Malaysia. Implementation of population-level NCD health promotion programmes, screening programmes among high-risk groups and holistic intervention programmes among populations living with NCD are critical in reducing the overall burden of premature mortality.

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Section: Discussionmentioning

confidence: 99%

The burden of premature mortality among older adults: a population-based study in Malaysia

et al. 2022

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“…The sub-model captures the dynamics associated with where visiting patient numbers increased based on two major factors-namely, the sick population due to morbidity and disease (medical need) and the expectations of residents related to fund allocation for healthcare (medical demand). The prevalence of diseases and the increasing and ageing population has had a large impact on healthcare utilization in Malaysia [18]. In this model, we assumed that a number of patients are disaggregated into two types of patient: outpatients and inpatients as illustrated in the following Figure 2.…”

Section: The Loop Of Patient Pathwaysmentioning

confidence: 99%

A Systems Thinking Analysis of Healthcare Supply and Demand Management

Hassan

Minato

2019

Int J Jpn Assoc Mgt Sys

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This study elucidates system structure modelling of how the growing number of patients impacts healthcare service utilization. A dynamic causal loop diagram (CLD) as a qualitative aspect of system dynamics model is employed to provide a holistic view of feedback relationships between patient pathways to the hospital and the supply of healthcare, including factors such as healthcare financing, physicians, and hospital beds. On the basis of knowledge drawn from existing studies, it is hypothesized that morbidity and disease prevalence and budget allocation as indicators of medical need and expected medical demand, respectively, are assumed to positively influence citizens' hospital visits. Healthcare funds allocated to hospitals to improve healthcare facilities and increase the number of staff have triggered positive expectations from Malaysians regarding the utilization of public healthcare facilities. Supplying an adequate medical workforce and hospital capacity via funds spent on this service are indicators of improved service quality. The causal model constructed is the initial phase of a system dynamics model for the development of a quantitative simulation model in the future.

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“…Additionally, health service utilization in Malaysia increased with age for both inpatient and outpatient care services. 5 CVD risk reduction strategies among older persons can reduce premature CVD morbidity and mortality. 6 However, information concerning the elderly age group in Malaysia was very limited.…”

Section: Introductionmentioning

confidence: 99%

“…The high prevalence of the three ailments (diabetes, hypertension and hypercholesterolemia) in the elderly age group was noted to be the main contributor to the national prevalence. Additionally, health service utilization in Malaysia increased with age for both inpatient and outpatient care services 5 …”

Section: Introductionmentioning

confidence: 99%

Self‐reported diabetes, hypertension and hypercholesterolemia among older persons in Malaysia

Majid

Hasani

Rifin

et al. 2020

Geriatrics Gerontology Int

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Aim The objective of this study is to determine the prevalence of self‐reported diabetes, hypertension and hypercholesterolemia among older persons in Malaysia and their associated factors. Methods The study used data from the National Health and Morbidity Survey in 2018. It was a cross‐sectional study with two‐staged stratified cluster sampling design. In total, 3977 adults aged ≥60 years were selected for this study. Respondents were interviewed face to face using a structured questionnaire. Self‐reported diabetes, hypertension or hypercholesterolemia was defined as having ever been told they have these diseases by a medical doctor or paramedic. Data were analyzed using SPSS version 25. The multiple logistic regression model was used to examine the factors associated with the prevalence of self‐reporting. Results The prevalence of self‐reported diabetes, hypertension and hypercholesterolemia among older persons in Malaysia were 27.7%, 51.1% and 41.8% respectively. Presence of other comorbidities and being obese showed higher odds for all three diseases. Indians, unemployed, inactive had higher odds for diabetes. Other Bumiputras, unemployed, non‐smoker, obese and inactive had higher odds for hypertension. Non‐smoker had higher odds for hypercholesterolemia. Conclusions Health promotion, vigilance, attention and services targeting on the associated factors should be strengthened for older persons in Malaysia to ensure healthy aging. Geriatr Gerontol Int 2020; 20: 79–84.

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Morbidity patterns and healthcare utilisation among older people in Malaysia: 1996–2015

Abstract: Increasing trends of health problems and healthcare utilisation were observed among older people in Malaysia. Policymakers should plan for appropriate resources to meet the challenges of an ageing population in Malaysia.

Cited by 8 publications

References 18 publications

The burden of premature mortality among older adults: a population-based study in Malaysia

The burden of premature mortality among older adults: a population-based study in Malaysia

A Systems Thinking Analysis of Healthcare Supply and Demand Management

Self‐reported diabetes, hypertension and hypercholesterolemia among older persons in Malaysia

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