Shortage of Oncologists - Government Hospitals



There are only 26 oncologists at government hospitals to handle the 30,000 cancer patients diagnosed annually. Deputy Health Minister Datuk Seri Dr Hilmi Yahaya said these numbers only represented those who sought treatment at government hospitals. 
The oncologists are serving in the Kuala Lumpur, Penang, Johor, Sarawak, Sarikei and Likas hospitals, and the National Cancer Institute.
“The number of patients are expected to rise in the future,” he said yesterday. 
He said about half of the 30,000 patients were suffering from stage three or four cancers. “For every stage three or four cancer patient that we know, we believe there is one who goes unreported,” he said.
He cited breast, lung and colorectal cancer as the three main forms affecting Malaysians.
“Cancer is the cause of the 4th highest number of deaths in the country, or 13% of all deaths here,” he added.
On efforts to increase the number of specialists, he said that 1,000 scholarships were offered for various medical disciplines annually. “Of the 1,000, only 500 who passed served with the Government. But 100 of those doctors will usually resign to go into private practice,” he added.
/theSTAR 17-05-2016


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Latest Player in the Hospital sector.



Diversified group Oriental Holdings Bhd, with cash reserves of RM1.1bil, has gone into healthcare business. The company, with interests from automotive to plantations, started its healthcare operations in January 2015.
It has a 300-bed fully-integrated hospital in Malacca called the Oriental Melaka Straits Medical Centre (OMSMC). Oriental operates the hospital through 51%-owned Melaka Straits Medical Centre Sdn Bhd.
Its healthcare division also houses the Oriental Nilam College of Nursing and Health Sciences, which is placed under Nilam Healthcare Education Centre Sdn Bhd..
The division is, however, still in a loss-making position due to high start-up and capital expenditure. “At this moment, it is not contributing to our profits yet. It will still be making an operating loss until next year,” Managing Director of Healthcare division Dr Tan Hui Ling said.
“The healthcare division’s performance is expected to improve over the next few years, mainly from the results of OMSMC, and is expected to register yearly positive operating profits and net profits in the years 2017 and 2020 – in the third and sixth year of operations of OMSMC, respectively,” she added.
The healthcare division was the only loss-making one among Oriental’s businesses, accounting for a segment loss of RM26.4mil with a revenue contribution of RM14.19mil in the financial year ended Dec 31, 2015
Due to high capital investments, FY15’s depreciation and amortisation costs for the division amounted to RM12.41mil, which is close to half of its segmental loss. “The total start-up capex cost for the healthcare division is RM266mil for both the hospital and college,” Tan said.
“Losses are still projected to be incurred by this segment in the second year of operations. Operating losses are projected to reduce by 30% and no significant reduction in net loss in FY16 due to increasing depreciation and interest costs,” she added.
The healthcare division’s assets amounted to RM236.95mil in FY15.
Moving forward, Tan anticipates strong growth in both inpatient and outpatient numbers that will help increase returns to the group. “We are very confident that these figures will be achieved. OMSMC served 32,120 outpatients and 2,167 inpatients in FY15 and the numbers are expected to grow to 50,000 outpatients and 5,000 inpatients per year respectively in FY16,” she said.
The growth will be supported by a capex allocation of RM12.5mil for FY16.
“This is mainly for opening new wards for inpatients and acquiring additional medical equipment for new disciplines and services to be introduced. We have opened 76 beds, and will be opening one more ward this year with 29 beds. So, all in all, we will have 105 beds by the end of the year,” Tan said.
“We can build up to 300 beds at OMSMC but the Health Ministry only allows us to open it in stages,” she added.
The company will fund the capex mostly through borrowings, she said.
Oriental’s projected strong growth in the healthcare segment is in line with that of other industry players such as IHH Healthcare Bhd.
However, the break-even time for Oriental is longer compared to industry leaders such as IHH that has an average break-even time of less than three years, likely due to the latter’s economies of scale dynamics. IHH’s break-even time also depends a lot on the location of its hospitals.
 /theSTAR 09-05-2016
Disclaimer: Views or opinions expressed are solely those of the Author and should be used with discretion. The Author shall not be held liable for any acts or omissions arising from the use of the information. The user will be personally liable for any damages or other liability arising hereof.


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