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MOH studies diagnosis-related group system to address rising medical costs

28 Nov 2024, 7:12 AM

KUALA LUMPUR, Nov 28 — The Health Ministry (MOH) is studying the development of a national diagnosis-related group (DRG) system for hospital care across the country as an effort to address the rising medical costs.

Deputy Minister Datuk Lukanisman Awang Sauni said that DRG, which classifies patients based on diagnosis, type of treatment, and resources used in an episode of care, is essential for financing the healthcare sector by calculating health treatment costs, management, and tariffs.

“We are actively considering ways to implement this DRG system nationwide so that university hospitals, military hospitals, and private hospitals can also adopt its use in determining patient treatment costs to avoid excess charges.

“This will also allow the M40 and B40 groups to access treatment in the private sector without the concern of excessive costs,” he said in reply to a supplementary question from Datuk Ahmad Yunus Hairi (PN-Kuala Langat) in the Dewan Rakyat today.

Lukanisman also informed that the ministry is in discussions with the Finance Ministry about the implementation of the DRG concept.

On Private Healthcare Facilities and Services (KPJKS), he said that it is regulated under the Private Healthcare Facilities and Services Act 1998, while matters related to ethics and professionalism in the medical profession are overseen by the Malaysian Medical Council.

Regarding complaints against KPJKS, Lukanisman said 720 complaints had been received by the MOH Medical Practice Division as of November 27.

“Of these, 263 were related to complaints against personnel, and of these cases, only five complaints per year involved the issue of prescribing medication beyond the patient’s needs,” he added.

— Bernama

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