How to Seek An OutPatient Treatment at Government Clinic
What have you heard so far about Getting an OutPatient Treatment at Government Clinic?
When is the last time you have been to Government Clinic?
Are you happy with the Treatment Received so far?
Due to inflation, increase price in every essential items have effect all of us. Increase in Medical cost is no exception in this case.
For a normal Cough and Sore Throat problem, the out patient in Private clinic cost could easily be around RM30.00.
Normally if you an employee, your medical cost is covered as a part of employee benefit.
What about for those who are Self-Employed or Not Working?
What are the other options that are available should they need to seek Out Patient Treatment?
Yes.
Government Clinic.
My skin got rashes and decide to seek treatment at Government clinic.
It cost only RM1 for getting an Out Patient Treatment at Government Clinic which include consultant and medicine.
This only apply to Malaysian as foreigner would pay difference rate as the cost is fully subsidize.
What is the process like when Seeking an Out Patient Treatment at Government Clinic?
PROCEDURE FOR OUTPATIENT CARE
1) Register yourself at Registration Counter by giving your Identification card(Mycard) to the staff and wait for the number.
This take about 5 minutes
2) Once you get the number and wait for doctor consultant.
3) When reach your turn, a doctor would give you consultation
4) Doctor will write a prescription
5) Submit the prescription to pharmacy counter and take a number
6) Pharmacy dispense the medicine
7) Done! 
I went to the clinic at 10:00am and finished of by 11:30am. Total One hour and the half.
The duration is depend on the crowd.
Maybe there were a lot people in the morning as I see people asking for Medical Certification(MC).
The next round I will try go in the afternoon.
The opening hour for Outpatient Treatment at Government Clinic:
Monday to Thursday
8.00 am – 1.00 pm
2.00 pm - 9.30 pm
Friday
8.00 am – 12.15 pm
2.45 pm - 9.30 pm
Saturday
8.00 am – 12.15 pm
(Closed on Sunday and public holidays)
I would say the Government Clinic has improve a lot compare to in the past.
There are still more room for improvement like shorter Queue and waiting time etc.
I truly hope the Government would strive to live up to the slogan “One Malaysia. People First. Performance Now (Rakyat Didahulukan, Pencapaian Diutamakan).
.
Therefore If you wanna a Quality and Affordable Treatment, Government clinic maybe a Good Option then.
Related posts:
Do You know Malaysians can get dental checks Easily as the fee charged for dental checks is only RM1 while for filling is only RM2?
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Malaysians must get regular dental checks
KUALA LUMPUR: Adult Malaysians should get periodical dental checks once or twice a year while children should get them once every six months for early detection of any dental problem, said Kuala Lumpur Deputy Director of Health (Dental), Dr Ahmad Bujang.
He said given the dental status situation of Malaysians now, getting periodical checks was important, as early treatment was more effective when there was early detection of problems.
“During the checks if a person does not have problems the person can get preventive dental service. “The preventive dental treatment is a proactive step to prevent dental disease, for as we all know, prevention is better than cure,” he said.
Dr Ahmad was commenting on a statement issued by the Ministry of Health’s Senior Director of the Health Division (Dental), Datuk Dr Norain Abdul Talib, on Nov 15 stating that only 6% of adults out of 28 million Malaysians used government dental services and half of that percentage being school students.
Asked if the cost of treatment was among reasons adults did not get dental treatment, Dr Ahmad said that was not a main factor.
He said people should not grumble about high cost as now they can get treatment all over the country for as low as RM1.
“In government dental services, cost is not a factor in ensuring Malaysians get dental checks as the fee charged for dental checks is only RM1 while for filling is only RM2,” he said.
Besides that there is no appointment for government dental service and it could be got at any of 615 dental clinics around the country.
People in Kuala Lumpur can get services at 14 clinics at Putrajaya, Cahaya Suria, Cheras Baru, Bandar Tun Razak, Bangsar, Petaling Bahagia, Tanglin, Jinjang, Sentul, Batu, Keramat, Setapak, Kampung Pandan and the Police Training Centre (Pulapol) in Jalan Semarak.
Through observation of adults, their awareness of dental health care may be less compared to children as the latter get more exposure to dental health care in school.
As an example, the Kuala Lumpur Dental Service had carried out a campaign of dental health care through the Trainee Teachers Dental Health programme.
Among activities in the campaign were dental checks and talks, and a workshop to prepare plans for daily education and role play related to dental health.
Through the campaign, trainee teachers are exposed to the importance of dental health and become effective agents in promoting it among students. This differed from adults who took it lightly and only go to clinic when the problem is critical.
This opinion was supported by the president of the Malaysian Private Dental Practitioners Association, Dr Jaspall Singh, who said there were people who refused to come for treatment as their problems had become critical and they began to think of the cost of treatment.
“They did not care earlier about their teeth and only see a doctor when in pain. “Maybe at that time it is too late, they think of the cost of seeing a private doctor and that to see a government doctor they have to wait for a long time,” he said.
He said if people practised periodic checks, costs and long waiting periods, can be avoided.
“Possibly in an early visit the teeth may only need to be cleaned or filled…a filling and a extraction process is cheaper around RM50 and RM60 but seeing a specialist could cost around RM400,” he said.
He did not discount the possibility that adults did not visit government clinics as they had to wait a long time for treatment as the clinics operated according to appointments.
A spokesman for the Ministry of Health’s dental health division, Dr Norinah Mustapha, said the government was striving to improve dental services especially in rural areas to attract more adults to get treatment.
“Till November 2009, 60.7% of dental officers posts based in rural areas had been filled and rest have yet to be filled. Clinics number 2,208 and these will be increased and upgraded from time to time,” she said.
Right now the ratio of government dentists to population is 1:15,243 while the ratio for population to both government and private doctors combined is 1:7,941
“This does not meet the target of the World Health Organisation whose target is one dentist for 4,000 people. However, with dentists graduating both locally and abroad the target ration will be achieved in 2018 (1:4,093),” she said
The government is trying to overcome the shortage by taking in retired dental officers or foreign dental officers on contract and also by improving the dental officers service scheme to encourage them to continue serving in government service.
Dr Norinah also said that the number of people who received government service increases by 3% each year. “We support campaigns like Media Talks over the radio and television with the cooperation of the Health Education Division of the Ministry of Health, setting up the MyHealth Portal which is a website where people can find out about their dental health; printing posters in the main three languages to be distributed through clinics and schools; and during dental health promotion campaigns,” she added. — Bernama
from:thestar.com.my/news/story.asp?file=/2009/11/22/nation/20091122102714&sec=nation
Only RM1 treatment charge for common illnesses
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At the age of 85, retiree Quah Kok Seng still works and earns a living by doing odd jobs, which does not provide him a permanent income to help pay for medical treatment.
He is happier now that a 1Malaysia Clinic has opened near his flat at Lembah Subang, where he needs to pay only RM1 for treatment and medicine.
“It is within walking distance,” he said when met yesterday after the opening of the government-subsidised clinic by Prime Minister Datuk Seri Najib Tun Razak.
“Even if I’m healthy, you can’t expect me at my age to go through the hassle of waiting, calling for a taxi or walking so far to have my treatments.”
Malaysians can begin getting medical treatment for common illnesses for RM1 at 45 1Malaysia Clinics from today.
A total of 50 such clinics will open in a week after Najib launched the first one in Lembah Pantai yesterday.
The 1Malaysia Clinics offer treatment for common illnesses like fever, cough and cold, and follow-up treatment for well-controlled diabetes, hypertension and asthma as well as dressing and stitch-removal procedures.
Opening hours are between 10am and 10pm to better serve those who work office hours.
Sundry shop owner S. Selvaratna, who lives near the Lembah Subang branch, could not believe that a clinic had opened near her place.
“There are no buses passing by here, so every time we need to go to a clinic, we have to pay at least RM10 for taxi and then about RM20 to RM30 for a simple flu treatment,” said the 33-year-old.
Proton factory worker Zakaria Jusoh, 31, said he was relieved at the opening of the Lembah Subang branch.
However, he said his wife Norhayati Zulkifli wished there were facilities to treat pregnant women and children as well.
Family Health Development director Dr Safurah Jaafar, who coordinated the set-up of the clinics in two months, said the clinics not only provide treatment but also help people understand healthy diets and lifestyles.
She said an assistant medical officer, a staff nurse and an assistant health officer with at least five years’ experience would staff each clinic. “Doctors from the nearest clinic or hospital will also make a visit once a week to audit, evaluate and ensure the clinics are maintained well,” she said.
from:thestar.com.my/news/story.asp?file=/2010/1/8/nation/5435368&sec=nation
Good to see improvement on Public health care
SMS to cut hospital wait
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The Health Ministry is introducing an SMS-based system to notify patients of their appointments to reduce queues at hospitals.
Health Minister Datuk Seri Liow Tiong Lai said the pilot project had been implemented at the Mamodiah Outpatient Clinic here.
The queue management and appointment reminder would also send out an SMS when there are five patients before their turn.
“We are still fine tuning the system and once the kinks are ironed out, we will start implementing it at medical facilities with high patient rates,” he said, adding that the project was carried out in collaboration with Celcom.
“This system will also allow for updated statistics for hospital services in the country. Through the system, we will be able to monitor the number of patients, the illnesses they are being treated for, and even the duration at the various departments within the hospital and clinics.”
Liow said at present only 70% of local hospitals had achieved the 30-minute waiting limit set by the ministry last year.
“Although there has been progress, we hope that technology can help us further reduce patients’ waiting time,” he said after a briefing on the system here yesterday.
At another event, during the groundbreaking for a new block of the Southern College in Skudai, Liow said the ministry would propose a new Act to govern traditional and complementary medication (T&CM) at the next parliamentary seating.
“The Act would help to ensure the safety and quality of T&CM and help the industry to grow locally,” he said.
fr:thestar.com.my/news/story.asp?file=/2010/1/12/nation/5454316&sec=nation
Multi-ethnic settings vital for 1Malaysia clinics
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YAYASAN 1Malaysia (1Malaysia Foundation) commends Datuk Seri Najib Tun Razak’s Government for implementing 1Malaysia clinics in different parts of the country. For now, 44 out of the 50 clinics earmarked for the first phase of the programme have begun operations.
Aimed at providing quality primary healthcare to the urban poor, these clinics will be located in the less advantaged areas of the city. The paramedics who will manage the clinics will attend to minor ailments for which they are trained under the supervision of a doctor.
More importantly, a patient will be charged only a Ringgit per visit to any 1Malaysia clinic. Since these clinics provide service to everyone, regardless of ethnicity, their role could help in a small way to strengthen the idea that the needs of all Malaysians will be taken care of in a fair and just manner.
To the extent that it is possible, 1Malaysia clinics should be located in multi-ethnic settings. The paramedics staffing the clinics should also come from different ethnic backgrounds if possible.
If 1Malaysia clinics target directly the perennial question of social justice and address indirectly the complex challenge of ethnic integration, there is no reason why doctors should not volunteer to involve themselves in this excellent community based initiative.
We are told by the Director-General of the Health Ministry Tan Sri Dr Ismail Merican that the ministry, which is managing the programme, has enlisted a group of doctors in the public and private sectors who will see 1Malaysia clinic patients that require urgent attention.
In addition to this, Yayasan 1Malaysia feels that the Malaysian Medical Association (MMA) should encourage its members, especially those living and working in the vicinity of these clinics, to set aside three or four hours a week to work with, and perhaps even guide, 1Malaysia paramedics.
This free, voluntary work on the part of the MMA doctors could be considered public service of a high order, and should be recognised as such by state and society.
While the 1Malaysia clinic is a significant milestone in the endeavour to improve the quality of life of low-income denizens of urban Malaysia, the Government knows that there is much more to be done to raise the dignity of the poor and marginalised in our midst.
DR CHANDRA MUZAFFAR
Chairman, Board of Trustees,
Yayasan 1Malaysia.
fr:thestar.com.my/news/story.asp?file=/2010/1/12/focus/5449051&sec=focus
Good idea but get private clinics to help out
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SETTING up 1Malaysia clinics is a good idea but there must be strict criteria. There will be more harm than good if there are no doctors present unless the Hospital Assistants are allowed only to give first aid, do nursing care work such as dressing and dispense medications prescribed by qualified doctors.
One way out I can think of is for the Government to allow some selected private clinics to help out by allowing them to see those poor patients but obtained their drugs from the government clinics.
Governments in the past have been closing down private clinics without doctors attending full time because of the harm this can do, which I do agree, but why the double standards as we are now establishing government clinics without doctors?
Some doctors, I am certain, will be willing to help the Government by seeing patients sent by government clinics and sending them back to obtain medicine from the government clinics.
For these poor patients, the doctors can just charge a nominal fee to cover the overhead and give free service to those who really cannot afford.
To avoid abuses, the Government can screen such patients at the 1Malaysia clinics and give them a note to see the GP and then go back for their medicine.
Doctors are mainly against the establishment of government clinics without doctors not because of the potential loss of earnings.
It is because it will do more harm to patients and is also unethical.
I have personally seen many diabetics and hypertensive patients, who obtain medicine from government clinics not manned by doctors, with serious side effects which could have been avoided if these patients were properly cared for by qualified doctors.
The Government should also give GPs a break as they already have a tough time with the implementation of the Private Health Care Bill. Although I am not a GP, I always believe that General Practice (Family Medicine) is a very important discipline, which is unfortunately getting less and less popular.
DATUK DR LEE YAN SAN,
George Town.
fr:thestar.com.my/news/story.asp?file=/2010/1/12/focus/5446262&sec=focus
1Malaysia clinics to go ahead without docs
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The 1Malaysia clinics will operate without doctors, and patients with serious illnesses would be referred to polyclinics and government hospitals.
Health Minister Datuk Seri Liow Tiong Lai said although he understood the concerns of the Malaysian Medical Association (MMA), the country was facing a shortage of doctors.
“It is our intention to have doctors at all clinics. But we do not even have enough doctors in hospitals. This does not mean the people should be deprived of medical services. Medical assistants and nurses can help out here,” he said.
MMA president Dr David Quek had expressed concern over the 1Malaysia clinics.
He said they should be manned by registered medical doctors, as clinics run by medical assistants and nurses could lead to a poorer standard of healthcare.
Liow said he met with MMA representatives on Jan 8 to address their concerns.
“The MMA and the Government have the same objective, which is to improve the standard of health services,” he added.
“We are short of doctors, even in hospitals and the big clinics. So doctors, and also locums, will be posted there. 1Malaysia clinics are only for illnesses such as coughs and colds.
“Patients with more serious illnesses should go to hospitals and polyclinics.
“We will stick with the first 50 and evaluate their performance. Forty-four have begun operating, and the remaining six will be opened by the end of the month,” he said, adding that the delay was due to renovation work.
Liow was speaking to reporters after handing out RM2mil each to the Tung Shin Hospital and the Chinese Maternity Hospital yesterday
fr:thestar.com.my/news/story.asp?file=/2010/1/13/nation/5457191&sec=nation
More bite from March for national dental health care
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The Health Ministry will launch a nationwide dental health awareness campaign in March.
Minister Datuk Seri Liow Tiong Lai said a survey by the ministry found that 60% of 12-year-olds had dental caries (tooth decay or cavities), with the number rising to 75% among those aged 16 and 90% in adults.
He said this was despite the fact that Malaysia boasted comprehensive dental care services, including preventive efforts like free screening and educational programmes in pre-schools and schools.
He said the ministry had similar preventive programmes for the elderly and special children.
“The high number of people with dental problems is a cause for concern.
“Checks among children as young as six have found that 70% of them have dental caries.
“At that age, it is not too worrisome because their permanent teeth have not grown yet, but the lack of care continues as they grow older and we want to change this,” he said, adding that the campaign would be carried out in collaboration with the Malay-sian Dental Association (MDA).
Liow was speaking at a press conference after receiving a courtesy call from the Chinese Stomatological Association (CSA) delegation here yesterday.
He also said Malaysia was looking to increase the number of dentists it produced annually, from the current 250 to 800 over the next few years.
The aim, he said, was to change the current dentist-to-population ratio by 2018 from the current 1:7,840 to the World Health Organisation standard of 1:4,000.
On the CSA visit, he said it was to enhance collaboration between Malaysia and China in dental care.
CSA president Prof Dr Wang Xing led the delegation, which is in Malaysia to attend the International Dental Federation (FDI)-MDA Scientific Convention and Trade Exhibition starting tomorrow.
fr:thestar.com.my/news/story.asp?file=/2010/1/16/nation/5483270&sec=nation
1Malaysia clinics no threat to private clinics: PM (Updated with full list)
KUALA LUMPUR: Prime Minister Datuk Seri Najib Tun Razak said private doctors need not worry that their earnings would be affected by 1Malaysia clinics.
He said this was because the 50 1Malaysia clinics set up nationwide would concentrate on giving patients normal medical examinations like checking blood pressure level for hypertension, and sugar level.
“Actually, they (private doctors) will not be affected because the cases from here (1Malaysia clinics) will be referred to them for further examination or treatment, or the patients will then go to the government hospitals.
“So, I do not regard this as a win-lose situation but actually a win-win situation … it’s easy for the people while the private clinics will receive patients as usual,” he told reporters after launching the Kerinchi 1Malaysia Clinic in Lembah Pantai here Thursday.
The prime minister was replying to a question on the concern voiced by the Malaysian Medical Association (MAA) over the existence of 1Malaysia clinics as they felt it could affect their income.
He said Health Minister Datuk Seri Liow Tiong Lai would hold a dialogue session with MMA members to assure them on the matter.
However, he stressed that 1Malaysia clinics were established solely for the benefit of the people.
“It is all for the interest of the rakyat (people) who are our No 1 concern … this is what the Government stands for,” he said, adding that there were already 44 1Malaysia clinics in operation nationwide.
Najib said establishing the 44 clinics within two months was a record for the Health Ministry under the 2010 Budget, as the target of setting up 50 such clinics was almost met within such a short time.
On the proposal to increase the number of 1Malaysia clinics, he said the Government would evaluate the need based on the public response and the effects of the new approach in expanding public healthcare.
“If the response and effects are good, the clinics will possibly be increased … but let us evaluate first as 50 (clinics) is a big number. And we also need to determine the effectiveness of these clinics and this new approach. From there, we can decide,” he said.
Najib said most of the 1Malaysia clinics were located in town areas as outside urban areas were 2,000 rural clinics which had existed since the country’s independence.
He said the Government had allocated RM10mil for the 50 1Malaysia clinics this year, but the amount was not for the buildings but for the internal fittings and medicines only.
Earlier, Najib who is also Finance Minister, said the setting up of the clinics was truly in line with the 1Malaysia concept mooted by him, as they were open to all races, especially from the low-income group.
He said the effort was introduced and implemented by the Government to ensure that quality health services in this country could be justly, equitably and wholly accessed by the people.
“That’s the Government’s aspiration,” he added.
“And access to the service (from 1Malaysia clinics) definitely involves a minimum cost, that is, RM1 … the cheapest in the world or can be regarded as almost free.
“Besides that, patients don’t have to wait long as the 1Malaysia clinics will provide fast service. In this situation, the Health Ministry also benefits as the government hospitals will be less crowded with patients needing just basic treatment.”
Najib said the 1Malaysia clinics would operate daily, seven days a week, from 10am to 10pm, and manned by paramedics comprising medical assistants and trained nurses.
Following is the list of 1Malaysia Clinics nationwide (date of operation in parenthesis)
PERLIS (Jan 1)
1. Klinik 1Malaysia Kangar, No 6 Grd Floor, Jalan Lintasan Kangar, Taman Pertiwi, Kangar
KEDAH (Jan 6)
1. Klinik 1Malaysia Bandar Puteri Jaya, No 41, Grd Floor, Jalan BPJ 1/1, Bandar Puteri Jaya, Sungai Petani
2. Klinik 1Malaysia Taman Kota Kenari, No 208, Jalan Kota Kenari 3 shophouses, Taman Kota Kenari, Kulim
PENANG (Jan 6)
1. Klinik 1Malaysia Jelutong, 116, Grd Floor, Jalan Jelutong
2. Klinik 1Malaysia Teluk Air Tawar, No 6, Kedai 1 Tingkat, Lorong Teluk Air Tawar 14, Butterworth
3. Klinik 1Malaysia Batu Kawan, No 19, Lorong Cempaka 1, Taman Cempaka, Batu Kawan, Seberang Perai Selatan
4. Klinik 1Malaysia Sungai Ara: 2A1, Tkt Kenari 5, Taman Desa Ria, Sungai Ara Bayan Lepas
(Jan 7)
5. Klinik 1Malaysia Alma Jaya, No 38, Grd Floor, Lorong Alma Jaya 11, Taman Alma Jaya, Bukit Mertajam
PERAK (Jan
1. Klinik 1Malaysia Teluk Intan, No 1, Taman Medan Maharaja, Jalan Kampung Banjar, Teluk Intan
2. Klinik 1Malaysia Bandar Seri Iskandar, No 32, Blok D, Bandar Seri Iskandar shophouses, Perak Tengah
3. Klinik 1Malaysia Aulong, No 51 dan 53, Jalan Medan Bersatu, Taman Medan Bersatu, Taiping
4. Klinik 1Malaysia Bercham, No 6A1 dan 10, Persiaran Medan Bercham 7, Pusat Bandar Bercham Timur, Ipoh
SELANGOR (Jan 7)
1. Klinik 1Malaysia Lembah Subang, No 112 dan 113, Blok A, Taman Putra Damai, Lembah Subang, Petaling Jaya
(End of January)
2. Klinik 1Malaysia Seri Setia, Community Hall, Jalan 230, Seksyen 51 A, Petaling Jaya
3. Klinik 1Malaysia Puchong Intan, Multipurpose Hall, Jalan 1, Puchong Intan, Batu 12, Puchong
4. Klinik 1Malaysia Kota Kemuning, Sri Nevilia Hardcore Poor Housing Programme, Kota Kemuning, Shah Alam
5. Klinik 1Malaysia Taman Samudera, Taman Samudera, Batu Caves
KUALA LUMPUR (Jan 4)
1. Klinik 1Malaysia Perkasa, B01, Blok B, Perkasa People’s Housing Programme, Jalan Nakhoda Yusof, Kampung Pandan
2. Klinik 1Malaysia Kerinchi, Lembah Pantai, B01 , Kuala Lumpur City Hall Quarters, Jalan Pantai Permai 1, off Jalan Pantai Dalam
3. Klinik 1Malaysia Taman Melati, Gombak Community Centre, Taman Melati
4. Klinik 1Malaysia Intan Baiduri, B005, PPR Intan Baiduri, Kepong Utara, Mukim Batu, Kepong
5. Klinik 1Malaysia Desa Rejang, Blok B00, PPR Desa Rejang, Setapak
NEGRI SEMBILAN (Jan 7)
1. Klinik 1Malaysia Taman Rasah Jaya, No 3773 (Grd Floor), Jalan RJ611, Taman Rasah Jaya
2. Klinik 1Malaysia Taman Seremban Jaya, No 2294 (Grd Floor), Jalan SJ10/1, Taman Seremban Jaya
3. Klinik 1Malaysia Taman Semarak 2 Nilai, PT 5742 (Grd Floor), Jalan TS 2/1E, Taman Semarak, Nilai
MALACCA (Jan 7)
1. Klinik 1Malaysia Taman Merdeka, Batu Berendam, No 39, Jalan M1, Batu Berendam
2. Klinik 1Malaysia Bukit Katil, 17, Jalan IKS, Bukit Katil
3. Klinik 1Malaysia Sri Pengkalan, Alor Gajah, KM 4615, Jalan Samarinda 2, Taman Samarinda, Pengkalan, Alor Gajah
JOHOR (Dec 28)
1. Klinik 1Malaysia Taman Megah Ria, No 15 dan 15A, Jalan Bayan 37/2, Taman Megah Ria, Masai
(Jan 4)
2. Klinik 1Malaysia Taman Manis, No 392, Jalan Manis 17, Taman Manis, Kelapa Sawit, Kulaijaya, Kulai
3. Klinik 1Malaysia Stulang Laut, Blok G, Sri Stulang 1 Flat, Bakar Batu, Johor Baru
4. Klinik 1Malaysia Bandar Sri Alam, Blok A, Sri Alam Flat, Masai, Johor Baru
5. Klinik 1Malaysia Taman Seri Lambak, JKKMB Hall, Taman Seri Lambak, Kluang
PAHANG (Jan 1)
1. Klinik 1Malaysia Kempadang, No 2E, Lot 4629, Kampung Kempadang, Kuantan
2. Klinik 1Malaysia Padang Jaya, Grd Floor, B32, Kampung Padang Jaya, off Jalan Sungai Lembing, Kuantan
3. Klinik 1Malaysia Temerloh, No 12, Grd Floor Jalan Pak Sako 4, Bandar Sri Semantan, Temerloh
TERENGGANU (Jan 3)
1.Klinik 1Malaysia Bukit Payong, Marang, No 8216, Tkt Bawah, Permint shophouses, Bukit Payong, Marang
(Jan 6)
2. Klinik 1Malaysia Wakaf Baru, Kuala Terengganu, Lot PT30712, Wakaf Baru, Mukim Kuala Nerus, Kuala Terengganu
3. Klinik 1Malaysia Binjai, Kemaman, GM562, Lot 1190, Mukim Binjai, Kemaman
KELANTAN (Jan
1. Klinik 1Malaysia Sri Cemerlang, Lot 348, Jalan Sri Cemerlang, Seksyen 27, Kota Baru
(Jan 3)
2. Klinik 1Malaysia Jelawat, Lot 34, Bandar Jelawat, Bachok
3. Klinik 1Malaysia Pengkalan Batu, Lot 633B, Kampung Pengkalan Batu Jalan Pasir Pekan, Pasir Mas
SABAH (End of January)
1. Klinik 1Malaysia Bandar Sri Indah Tawau, Lot 334, TB 15058, Batu 10, Jalan Apas, Tawau
(Jan 6)
2.Klinik 1Malaysia Bundusan Square, Lot 67, Grd Floor, Blok H, Bundusan Square, Penampang
(Jan 7)
3. Klinik 1Malaysia Sandakan, Lot 7A dan 7B, Grd Floor Blok B Bandar Leila, Jalan Leila, Sandakan
(Jan 15)
4. Klinik 1Malaysia Kota Kinabalu, Lot 37, Grd Floor, Blok E, Fasa 2 Sulaiman Sentral, Kota Kinabalu
SARAWAK (Dec 31)
1. Klinik 1Malaysia Jalan Teku, Sibu, Lot 302, Blok 7, Teku Road, Sibu
(Jan 4)
2. Klinik 1Malaysia Matang Jaya, Lot 9746, Seksyen 65, KTLD Taman Lee Ling, Jalan Matang, Kuching
(Jan 5)
3. Klinik 1Malaysia Taman Tunku, Lot 2350, Blok 5, LLD Jalan Kuching, Taman Tunku, Miri
4. Klinik 1Malaysia Sungai Plan, S/L 517, Sungai Plan, Tanjung Kidurong, Bintulu
fr:thestar.com.my/news/story.asp?file=/2010/1/7/nation/20100107101905&sec=nation
Ill-informed personnel just won’t do at clinics
THE 1Malaysia clinic is an effort by the Government to provide better healthcare service to the public, especially in rural and highly populated urban areas. Currently, there are 44 clinics in Malaysia.
However, an issue put forth by Malaysian Medical Association president has raised a valid and pertinent point. These clinics are not manned by doctors. In fact, they are managed by nurses and medical assistants (MAs).
In view of the shortage of doctors nationwide, this is as far as medical service can be provided in these clinics.
Normally, light illnesses such as the common cough and cold can be identified by medical assistants (MAs) and nurses as these are their functions during triage at an emergency department.
However, management of any illness will be brought to a doctor to assure that proper and appropriate measures are provided.
This has been the practice of medical health and treatment. The setback of having MAs and nurses at 1Malaysia clinics is their inability to identify severe illnesses which may initially be present with only mild symptoms.
At times, they could quickly progress acutely and can eventually cause death. Therefore, in the emergency departments, cases are triaged into green (mild), yellow (moderate) and red (severe) zones.
Most in the green zone are discharged with medications. Some are placed under observation and at times admissions are done based on a doctor’s suspicions of an underlying menace that may surface later.
I relate here a true case that happened in my emergency department. A toddler was seen by the MAs during the triage for cough and cold.
At the time, the child appeared to be active and cheerful and was subsequently slotted into the green zone with a waiting time of more than an hour.
During that period, the child quickly became lethargic, weak, had a seizure and eventually collapsed onto the mother’s lap. He was then quickly resuscitated and incubated but despite vigorous CPR, the child succumbed to his illness.
The paediatrics team was puzzled and after the child’s autopsy, reports mentioned of dehydration and lumbar puncture results revealed that he had suffered from Meningitis.
Although reports from the triage mentioned of an active and cheerful child, but signs such as cold peripheries, capillary refill time, poor skin turgor, dry oral mucosa and neck stiffness could have been picked up by a medical doctor.
Although this may be an isolated incident, it is a situation that opened the eyes of our paediatrics team and immediate recommendations were made to have a secondary doctor to double check paediatric cases in triage to prevent the recurrence of such a case.
As for 1Malaysia clinics, although they provide basic medical necessities, the decision for referrals or emergency medicine may not be as efficient and could prove fatal for certain medical situations.
The initiation of 1Malaysia clinics is commendable, but in time, maybe doctors should be incorporated into the scheme.
DR STANDUP,
Petaling Jaya.
fr:/thestar.com.my/news/story.asp?file=/2010/2/8/focus/5633069&sec=focus