Analysing the multifaceted determinants of exorbitant medical expenses among senior citizens in Malaysia

Woo Yuen Seng; Asokan Vasudevan; Rajani Balakrishnan; Wenchang Chen; Lester Naces Udang; Xibin Huang

doi:10.24294/jipd.v8i10.6541

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Analysing the multifaceted determinants of exorbitant medical expenses among senior citizens in Malaysia

Woo Yuen Seng

Asokan Vasudevan

Rajani Balakrishnan

Wenchang Chen

Lester Naces Udang

Xibin Huang

Journal of Infrastructure Policy and Development 2024, 8(10), 6541; https://doi.org/10.24294/jipd.v8i10.6541

Submitted：21 May 2024

Accepted：21 May 2024

Published：25 Sept 2024

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Abstract

This article analyses the complex factors contributing to rising medical expenses, focusing on the senior citizen demographic in Malaysia. With the global aging population, notably in lower and middle-income countries, the study highlights the escalating medical and health insurance costs, driven by age, income source, modern healthcare, and geographical residence. The research draws on an extensive literature review, demographic analysis, and quantitative methods to examine these determinants. It critically analyzes Malaysia’s healthcare system, which operates on a dual-tier model, and the financial burden placed on senior citizens. The findings indicate that age, source of income, and geographical residence significantly influence medical expenses, whereas modern healthcare’s impact is not statistically significant. The study calls for government intervention, insurance industry adjustments, and private sector support to mitigate the financial strain on senior citizens. Recommendations include tax relief adjustments, National Health Insurance Scheme implementation, and employment sustainability for seniors. This research provides some recommendations to policymaking, the insurance industry, and academia by providing insights into managing the healthcare needs of an aging population sustainably.

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References

Ab Hamid, N. A., Othman, N., Md Abdul Salam N. Z., et al. (2023). Issues and Challenges of Population Aging: Studying fromJapan Super-Aging Nation and Malaysia Perspectives. Journal for ReAttach Therapy and Developmental Diversities, 6(3), 541-548.

Adnan, A. A., Mat Zin, S., Aziz Abdul, et al. (2021). Causes of Personal Financial Stress in Malaysia: A Phenomenological Study. Journal of Contemporary Issues in Business and Government, 27(2), 191-200.

Ahmad, D. (2019). Enhancing sustainability in healthcare delivery—a challenge to the New Malaysia. Malaysian Journal of Medical Sciences, 26(1), 1–4. https://doi.org/10.21315/mjms2019.26.1.1

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211. https://doi.org/10.1016/0749-5978(91)90020-T

AON. (2023). Available online: https://www.aon.com/insights/reports/2022/global-medical-trend-rates-report (accessed on 2 June 2023).

Ashraf, A., & Ong, S. C. (2021). Malaysia healthcare system: Protect the public or the industry? Health Promot Perspect, 11(2), 117-118. https://doi.org/10.34172/hpp.2021.16

Baharin, M. F., Juni, M. H., & Abdul Manaf, R. (2021). Equity in Out-of-Pocket Payments for Healthcare Services: Evidence from Malaysia. International Journal of Environmental Research and Public Health, 19(8), 4500. https://doi.org/10.3390/ijerph19084500

DOSM. (2023). Available online: https://www.dosm.gov.my/v1/index.php?r=column/cone&menu_id=b (accessed on 2 June 2023).

iMoney. (2023). Available online: https://www.imoney.my/medical-insurance (accessed on 2 June 2023).

Ismail, Z., Ahmad, W. I. W., Hamjah, S. H. et al. (2021). The Impact of Population Ageing: A Review. Iran J Public Health, 50(12), 2451-2460. https://doi.org/10.18502/ijph.v50i12.7927

Koris, R., Mohamed Nor, N., Haron, et al. (2019). The Cost of Healthcare among Malaysian Community-Dwelling Elderly. Jurnal Ekonomi Malaysia, 53(1), 89-103. http://dx.doi.org/10.17576/JEM-2019-5301-8

Krejcie, R. V., & Morgan, D. W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, (3), 607–610. https://doi.org/10.1177/001316447003000308

Loke, Y. J., Lim, E., S., & Senadjki, A. (2020). Health promotion and active aging among seniors in Malaysia. Journal of Health Research, 35(5), 444-456, https://doi.org/10.1108/JHR-07-2019-0148

MOF. (2023). Federal govt debt could be fully settled in 2053—MOF. Putra aya: Ministry of Finance. MOF.

Mohd Hassan, N. Z. A., Mohd Nor Sham Kunusagaran, M. S. J., Zaimi, N. A. et al. (2022). The inequalities and determinants of Households’ Distress Financing on Out-off-Pocket Health expenditure in Malaysia. BMC Public Health, 22, 449. https://doi.org/10.11

Mustafa, A., Mohamood, M., & Siaw Fong, B. B. (2022). The Determinants of Medical and Health Insurance Demand in Klang, Selangor. Asian Journal of Research in Business and Management, 4(2), 146-159. https://doi.org/10.55057/ajrbm.2022.4.2.13

Rogelj, V., & Bogataj, D. (2018). Social infrastructure of Silver Economy: Literature review and Research agenda. FAC-PapersOnLine, 52(13), 2680-2685. https://doi.org/10.1016/j.ifacol.2019.11.612

Said, R., Isamail, N., & Ismail, N. W. (2020). Determining Factors Influence Out-of-Pocket Health Expenditure among the Low-Income Group in Malaysia. International Journal of Academic Research in Business and Social Sciences, 10(10), 292-311. https://doi

Samsudin, K., Mahmud, A., & Hamedon, T. R. (2022). Incidence and determinants of catastrophic health expenditure among low-income Malaysian households. Med J Malaysia, 77(4), 474-480.

Saunders, M. N. K., Lewis, P., & Thornhill, A. (2020). Research Methods for Business Students, 8th ed. Pearson.

Sayuti, M., & Sukeri, S. (2022). Assessing progress towards Sustainable Development Goal 3.8.2 and determinants of catastrophic health expenditures in Malaysia. PLoS ONE, 17(2). https://doi.org/10.1371/journal.pone.0264422

Selvaratnam, D. P., Abu Bakar, N., & Idris, N. A. (2012). The health determinants of elderly Malaysian population. Prosiding PERKEM, VII(2), 1195-1199.

Smith, A. (2018). Available online: https://www.econlib.org/library/Smith/smWN.html (accessed on 2 June 2023).

Statista. (2023). Available online: https://www.statista.com/statistics/1078997/malaysia-breakdown-of-life-insurance-companies-income-by-type-of-income/ (accessed on 2 June 2023).

Tan, P. T., Ali, J. (2007). Medical care demand in a modern economy: A case study in Kuching, Malaysia. Available online: https://www.academia.edu/108596604/Medical_care_demand_in_a_modern_economy_A_case_study_in_Kuching_Malaysia (accessed on 2 June 2023)

Wang, C., Li, F., Wang, L. et al. (2018). The impact of population aging on medical expenses: A big data study based on the life table. Biosci Trends. PubMed, 11(6), 619-631. https://doi.org/10.5582/bst.2017.01243

Yeow, C., Tay, L. Y., Lye, C T. et al. (2021). Why do Malaysian Young Adults Buy Health Insurance? Journal of International Business, Economics and Entrepreneurship, 6(2), 46-54. https://doi.org/10.24191/jibe.v6i2.16678

Yorulmaz, M., & Mohamed, N. N. (2019). Malaysia health system review: overviews and opinions. International Journal of Health Administration and Education Congress (Sanitas Magisterium), 5(1), 45-57.

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