Page 92 - MOH Supply and Needs-Based Requirement Hyperlink 02032021

EXTENDED EXECUTIVE SUMMARY 84

GLOSSARY

Attrition rate Percentage at which health personnel professionally becomes
inactive due to death, complete retirement or outmigration, exit
compulsory training period to obtain full registration without
completion
Complete Complete retirement refers total withdrawal from occupation;
retirement professionally inactive
Demand Demand is the number of health workers that the health system
(both public and private) can support in terms of funded positions
or economic demand for services (Scheffler et al. 2016). However,
demand in this study refers to the ‘adjusted need’ which is defined
as the health care needs adjusted to follow close the current health
care utilizations.
Direct patient care Direct patient care is defined as health care services encompassing
the entire spectrum of care provided directly to patient as an
individual, ranging from preventive care, and primary to tertiary care.
Drop out Students from a cohort leaving health workforce education and
training without completion
Expert opinion Data obtained from consensus of expert panels on the subject;
panel of experts as source of input data
Full Time Equivalent One (1) full time equivalent of health personnel is defined as one-
(FTE) health personnel working full time providing direct patient care.
Respective profession has its own FTE
House Officer House Officer in this study refers to medical graduates undergoing
housemanship training at selected healthcare facilities in Malaysia.
House Officer obtains provisional licencing with Malaysia Medical
Council
Indirect patient care Indirect patient care revolves around public health services,
administration, academic, research and regulatory.
Health care Health care personnel to population ratio can be calculated
personnel to from health care professional density by dividing the number of
population ratio population to the number of health care professionals

Eg. Five (5) AMOs in 10,000 population in year 2015
= 10,000 / 5 = 2,000
Therefore, the AMOs to population ratio in 2015 was 1 AMOs to
2,000 population (1:2000)
Human resource All people engaged in actions whose primary intent is to enhance
for health (HRH) health (Scheffler et al. 2016).
Need Need in this study refers to population health care needs for
preventive, disease-based and other health care services based
on health care provider’s perspective, and estimated using Needs-
based approach. “Need” for human resource for health in the
analysis is defined as the number of health workers required to
fulfil the Malaysia population healthcare service requirement.
Needs-based Needs-based is the approach used in this study to estimate the
total population health care needs as the basis for determining the
number of HRH workforce required to serve all the need.

SUPPLY AND NEEDS-BASED REQUIREMENT PROJECTIONS OF MALAYSIAN HUMAN
RESOURCES FOR HEALTH USING SYSTEM DYNAMICS APPROACH 2016 - 2030