Fun Weng Hong, Tan Ee Hong, Sararaks Sondi, Md Sharif Shakirah, Ab Rahim Iqbal, Jawahir Suhana, Eow Vivien Han Ying, Sibert Raoul Muhammad Yusof, Fadzil Malindawati Mohd, Mahmud Siti Haniza
Institute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Malaysia.
Hospital Pakar Sultanah Fatimah, Muar 84000, Malaysia.
Healthcare (Basel). 2021 May 31;9(6):653. doi: 10.3390/healthcare9060653.
Dual practice was implemented in selected Ministry of Health Malaysia hospitals to reduce brain drain and provide an alternative for patients willing to pay higher user fees to seek prompt treatment from the specialist of their choice. This study aimed to assess the implications of dual practice on waiting time and rescheduling for cataract surgery.
A retrospective study was conducted in a referral hospital. Inpatient medical records of patients who underwent cataract procedures were used to study the waiting times to surgery and rescheduling between private and public groups.
Private patients had a considerably shorter waiting time for cataract surgery, seven times shorter compared to public patients where all surgeries were conducted after hours on weekdays or weekends. Additionally, 14.9% of public patients experienced surgery rescheduling, while all private patients had their surgeries as planned. The main reason for surgery rescheduling was the medical factor, primarily due to uncontrolled blood pressure and upper respiratory tract infection.
Private service provision utilizing out-of-office hours slots for cataract surgery optimizes public hospital resources, allowing shorter waiting times and providing an alternative to meet healthcare needs.
马来西亚卫生部选定的一些医院实施了双重执业制度，以减少人才流失，并为愿意支付更高费用的患者提供一种选择，使其能够从自己选择的专科医生那里获得及时治疗。本研究旨在评估双重执业对白内障手术等待时间和重新安排手术时间的影响。
在一家转诊医院进行了一项回顾性研究。使用接受白内障手术患者的住院病历，研究私人组和公共组之间的手术等待时间和重新安排手术时间的情况。
私人患者进行白内障手术的等待时间明显更短，比公共患者短七倍，公共患者的所有手术都在工作日下班后或周末进行。此外，14.9%的公共患者经历了手术重新安排，而所有私人患者的手术都按计划进行。手术重新安排的主要原因是医疗因素，主要是由于血压控制不佳和上呼吸道感染。
利用非工作时间进行白内障手术的私人服务提供方式优化了公立医院资源，缩短了等待时间，并提供了满足医疗需求的替代方案。
