Zamaludin Mohammad Zahid, Sukumaran Sri Devi, Mohammad Saiful Nizam, Hasan Mohamad Shahir Mohamad, Khamis Noraziani, Keat Chan Huan
Engineering Services Division, Ministry of Health, Putrajaya, Malaysia.
Institute for Health Management (IHM), National Institutes of Health (NIH), Ministry of Health, Shah Alam, Selangor, Malaysia.
BMC Health Serv Res. 2025 Aug 8;25(1):1041. doi: 10.1186/s12913-025-13146-1.
Primary healthcare (PHC) is often the first point of contact for patients in the healthcare system. Well-maintained medical equipment is essential to ensure the smooth operation of PHC centres. As an initiative to enhance the quality of medical equipment in PHC centres in Malaysia through a Public‒Private Partnership (PPP), the Ministry of Health (MOH) of Malaysia launched the Medical Equipment Enhancement Tenure (MEET) initiative known as the MEET Programme in 2014. The focus of MEET is to outsource the acquisition and maintenance of biomedical equipment at PHC centres, which are managed by the concessionaire. Thus, this article provides an overview of the MEET Programme, which describes the programme’s development, implementation, and outcome from the MOH perspective. Additionally, the practical application of lessons from the MEET program to similar initiatives in Malaysia or abroad was further clarified, to highlight how this best practice could be adopted both nationwide and internationally, and applied to other healthcare-related services.
The Engineering Services Division of the Research and Technical Support Programme of the MOH and the concessionaire were engaged by researchers to gather comprehensive information regarding the MEET Programme. The information was acquired through a multi-faceted approach, which included one-on-one, face-to-face interviews with stakeholders using a developed interview guide, as well as a retrospective review of relevant administrative secondary data, a thorough literature review, and a database search.
The MEET programme involves participation from the Family Health Development Division of the Public Health Programme, Oral Health Programme, Procurement and Privatisation Division of the MOH. The MEET programme has enhanced not only the acquisition but also the maintenance of biomedical equipment, mainly through meeting key performance indicators (KPIs) for both new and existing equipment. The four KPIs developed for the maintenance of biomedical equipment under the MEET programme include response time, repair time, scheduled maintenance, and uptime guarantee. According to the data collected between 2015 and 2022, the programme has made continuous progress in terms of KPIs and prolonged medical equipment breakdown rectification. In addition, the initiative saved approximately RM 150 million (30%) in cost between 2015 and 2016, which was subsequently utilised to purchase an additional 4000 units of medical equipment.
The MEET programme demonstrates significant benefits for public health services in Malaysia, suggesting that it is a potential model for future PPP initiatives.
The online version contains supplementary material available at 10.1186/s12913-025-13146-1.
基层医疗保健（PHC）通常是患者在医疗保健系统中的首个接触点。维护良好的医疗设备对于确保基层医疗保健中心的顺利运作至关重要。作为一项通过公私伙伴关系（PPP）提高马来西亚基层医疗保健中心医疗设备质量的举措，马来西亚卫生部（MOH）于2014年发起了医疗设备提升任期（MEET）计划，即MEET项目。MEET的重点是将基层医疗保健中心生物医学设备的采购和维护外包给特许经营者进行管理。因此，本文概述了MEET项目，从卫生部的角度描述了该项目的发展、实施和成果。此外，还进一步阐明了从MEET项目中吸取的经验教训在马来西亚或国外类似举措中的实际应用，以突出这种最佳实践如何在全国和国际范围内被采用，并应用于其他医疗保健相关服务。
研究人员与卫生部研究与技术支持计划的工程服务部门及特许经营者合作，收集有关MEET项目的全面信息。这些信息通过多方面的方法获取，包括使用编制好的访谈指南与利益相关者进行一对一的面对面访谈，以及对相关行政二级数据进行回顾性审查、全面的文献综述和数据库搜索。
MEET项目涉及公共卫生项目的家庭健康发展司、口腔健康项目以及卫生部的采购与私有化司的参与。MEET项目不仅加强了生物医学设备的采购，还加强了其维护，主要是通过满足新设备和现有设备的关键绩效指标（KPI）。在MEET项目下为生物医学设备维护制定的四个关键绩效指标包括响应时间、维修时间、定期维护和正常运行时间保证。根据2015年至2022年收集的数据，该项目在关键绩效指标和延长医疗设备故障整改方面不断取得进展。此外，该举措在2015年至2016年期间节省了约1.5亿马来西亚林吉特（30%）的成本，随后这些资金被用于额外购买4000台医疗设备。
MEET项目为马来西亚的公共卫生服务带来了显著益处，表明它是未来公私伙伴关系举措的一个潜在模式。
在线版本包含可在10.1186/s12913 - 025 - 13146 - 1获取的补充材料。
