In response to a medical officer's letter titled "Malaysia’s Health Care System is on the Verge of Complete and Utter Collapse", MOH says that while contract MO resignations surged, resignations among permanent MOs dropped from 915 in 2019 to 342 in 2022.
A nurse at a Selangor government hospital says nurses in MOH are often "blacklisted" and transferred to another department if they speak out (internally/ publicly) about problems. Unlike doctors who can "stand up", nurses face retaliation from management.
A nurse, who gets RM2,600 monthly basic salary at a teaching hospital in the Klang Valley, says 50 nurses from her hospital quit in the past 6 months to relocate to Singapore, Dubai or Brunei for higher pay, work-life balance and better working conditions.
Dr Musa Nordin offers some insights on the issue of maldistribution of the health care work force, including data-driven manpower distribution, minimising discrimination in the selection process, and a fair and competitive salary scheme for doctors.
Malaysian Medics International (MMI) is deeply concerned about the Zero HO Protocol at UMMC's Medicine Dept. "The diminishing numbers of house officers in the health care system are manifesting as a significant concern with multifaceted repercussions."
"It gives me great sorrow to acknowledge that our health care system is on the verge of complete and utter collapse. We've already known that our system has been overwhelmed since the pandemic, but the entire structure was actually on a precipice even prior."
After CodeBlue's story on a proposed "Zero HO Protocol" at UMMC's Medicine Department, the teaching hospital's management warned staff against making comments about UMMC on social media, including personal accounts, that could "tarnish" UMMC's reputation.
A senior nurse proposes that MOH hire foreign-trained nurses like what was done in the mid-90s. Max nurse-to-patient ratio in wards should be 1:8, but common ratio in MOH hospitals is now 1:15, 1:20 or higher, risking patient safety. Double shifts are common.
Dr Milton Lum writes about the state of Malaysian health care entering 2024: nicotine addiction, Covid-19 and other infections, NCDs, patient safety, medical workforce, medical tech, health care expenditure, and public trust and health policies.