WORKING H THE DOCTORS

51 • • ≥ • • • • • Table 6.1.1: Characteristics o f primary care patients in 2014 Characteristics U nweighted count n 5 Weighted count n 5 Percent patients 9 5 CI Sector Public 15,470 131,624 40.4 34.9–45.9 Private 12,117 194,194 59.6 54.1–65.1 Gender Male 12,108 149,026 46.4 45.1–47.8 Female 15,030 171,904 53.6 52.2–54.9 Missing a 4 4 4, - Age years 1 776 7,611 2.3 1.9–2.8 1–4 1,599 18,582 5.7 5.1–6.3 5–19 3,599 38,060 11.7 10.9–12.6 20–39 8,899 120,897 37.3 35.1–39.4 40–59 7,728 90,706 28.0 26.7–29.2 ≥ 60 4,882 48,610 15.0 13.5–16.4 Missing a 104 1, 3 - Nationality Malaysian 25,622 297,259 93.3 91.9–94.6 Non-Malaysian 1,424 21,487 6.7 5.4–8.1 Missing a 4 7,073 - Ethnicity Malay 16,428 188,777 62.6 59.0–66.2 Chinese 5,234 63,959 21.2 18.2–24.2 Indian 2,673 32,551 10.8 9.1–12.5 Others b 1,634 16,367 5.4 3.8–7.0 Missing a 1, 6 24, 6 4 - Mod e payment Government subsidies 15,473 131,653 43.0 37.3–48.6 Out of pocket 7,005 104,435 34.1 30.4–37.7 Third party payer 3,903 68,332 22.3 19.3–25.3 Combinations c 53 1,007 0.3 0.2–0.4 Others d 61 1,035 0.3 0.2–0.5 Missing a 1, 1 3 6 - Typ e income No income 9,466 96,344 36.0 33.3–38.7 Income 11,846 155,607 58.1 55.3–61.0 Pension 1,333 14,110 5.3 4.5–6.1 Parental income e 142 1,581 0.6 0.3–0.8 Missing a 4, 0 0 1 6 - 52 National Medical Care Statistics 2014 Table 6.1.1 continued: Characteristics primary care patients in 2014 Characteristics nweighted count n +, . +2 Weighted count n 7 ., : 2 Percent ; patients . CI Monthly income MYR f 400 398 3,657 2.3 1.6–2.9 400–499 139 1,351 0.8 0.6–1.1 500–699 539 5,364 3.3 2.6–4.1 700–999 1,519 18,198 11.3 9.7–12.9 1,000–1,999 4,298 51,678 32.1 29.2–35.0 2,000–2,999 2,643 37,155 23.1 21.4–24.7 3,000–3,999 1,596 22,948 14.3 13.2–15.3 4,000–4,999 557 9,477 5.9 4.2–7.6 ≥ 5,000 728 11,180 6.9 5.9–8.0 Missing a A B C D E A F G - Education level No formal education 2,756 28,109 11.0 9.7–12.2 Primary 4,855 53,200 20.8 19.5–22.1 Secondary 10,264 119,959 46.9 45.1–48.6 Tertiary 3,962 54,601 21.3 19.2–23.5 Missing a H E A H F B GE G I G - Issuan c J ; medical certi icate Yes 5,224 77,884 31.2 28.6–33.7 Public 1,636 12,972 5.2 3.9–6.5 Private 3,588 64,912 26.0 22.7–29.3 No 15,397 171,917 68.8 66.3–71.4 Missing a BE G B B A BE 017 - Duration ; sick leave days g 0.5–1 3,978 59,532 79.9 76.1–83.6 1.5–2 840 12,622 16.9 13.9–20.0 3–7 140 2,138 2.9 1.8–3.9 7 14 245 0.3 0.0–0.7 Missing a C H C 3,347 - a Missing data excluded from analysis b Include all ethnic groups that do not fall into the three groups listed c Combination of two or more modes of payment d Includes Foreign Workers Medical Examination Monitoring Agency FOMEMA, Social Security Organisation SOCSO and no payment e Patients below age 15 with income recorded f Patients with missing income, patients who reported no income and patients below age 15 were excluded g Encounters with missing sick leave entry or without sick leave were excluded • • • • ≥ 53 2.3 0.8 3.3 11.3 32.1 23.1 14.3 5.9 ≥ 6.9 11.0 20.8 46.9 21.3 31.2 5.2 26.0 68.8 79.9 16.9 2.9 0.3

6.2 AGE-GENDER DISTRIB

K L ION Figure 6.2.1 and Figure 6.2.2 show the age-gender distribution of patients attending public clinics and private clinics, respectively. • Females accounted for 59.6 of encounters in public clinics. The proportion of female patients was significantly higher among the adult age groups 20–39 years: 19.0 versus 8.1; 40–59 years: 18.4 versus 11.8, while no significant gender differences were observed among infants, children, adolescents and the elderly. • In the private sector, the proportions of male and female patients were similar, both overall and across all age groups. • Patients aged 40–59 years accounted for the greatest proportion 30.3 of encounters recorded in public clinics, while most 44.3 patients who presented to private clinics were between 20 and 39 years of age. • Nearly one-quarter 22.9 of the patients who visited public clinics were 60 years and older, about 2.6 times higher than the projected proportion of elderly in the general population for 2014 reported by the Department of Statistics Malaysia 8.8. 1 In contrast, the proportion of elderly patients in private clinics 9.7 was similar to the projected proportion of elderly population. Figure 6.2.1: Distribution o M public patients by age and gender in 2014 Note: Missing data excluded from analysis. 1 1–4 5–19 20–39 40–59 ≥ 60 Female 1.5 2.5 6.0 19.0 18.4 12.3 Male 1.6 2.4 5.9 8.1 11.8 10.7 5 10 15 20 25 30 35 40 45 N Q R S Q T V W X Q T S W Y T V Q R Z [ \ ] Age group years Chapter 6 : The Patients