How to Set up a Medical Clinic in Malaysia

How to Set up a Medical Clinic in Malaysia

After years of experience in hospitals and long working hours, are you ready to set up a medical clinic in Malaysia you can call your own?

With overcrowding being a persistent problem in the public healthcare system, Malaysians started favouring private healthcare since they provide more advanced facilities and better medical care. So, setting up a clinic would be a sensible choice.

Due to the surge in demand for private healthcare, the Private Healthcare Facilities and Services Act 1998 and Regulations 2006 was formed. It constitutes a private clinic as one that is built on a non-government premise with intentions to practice medicine and treat outpatients.

treatment

It defines treatment as:

  1. Identification, diagnosis, and treatment of a patient suffering from any physical or mental ailment
  2. Preventive or promotive healthcare
  3. To provide the patient relief from any physical or mental abnormal condition prevailing in them

Hence, the Act helped to simplify the licensing and incorporation process for private healthcare services in Malaysia.

The Malaysian healthcare system is a two-tier organisation – Public Universal healthcare and Private healthcare. The Ministry of Health regulates and monitors the latter whereas, the Licensing Unit of Ministry issues licenses to clinics, private hospitals, nursing homes, and maternity homes.

A Guide on How to Set Up a Medical Clinic in Malaysia

Guide on How to Set Up a Medical Clinic

Location Selection

  • When selecting a location, consider and research:
    1. The demographic and their financial status.
    2. The population density.
    3. Residential or commercial are, as somewhere with sufficient parking is ideal.
    4. Are there other clinics in the vicinity? Because you might want to avoid too much competition.
  • Renting or owning a building is necessary.
  • If you are renting, be prepared for at least three months’ worth of rent and a well-written and reviewed rental agreement.
  • The Private Healthcare Facilities and Services Act 1998 and Regulations 2006 require you to register with your respective state. The state office may accept your application after you pay a processing fee and meet all requirements. They will then issue a Letter of No Objection, permitting you to begin your clinic’s interior renovation and furnishing.

Preparing Your Medical Clinic

  • As stipulated in ACT 586, you are required to draw up your clinic’s floor plan with a contractor. Be sure to include a room list and the measurements for treatment rooms, consultation rooms, etc.
  • Amend your APC (Annual Practicing Certificate) at the Ministry of Health to include your new clinic address. The Medical Act 1971 states that medical practitioners must register with the MMC and apply for the APC every year.
  • Then, you need to obtain a license for clinic advertisement from your local council or Kuala Lumpur City Hall. The processing time is approximately two months.
  • Using your APC, open an account with manufacturing companies and place your drug supply orders.
  • Moreover, complete your staff’s EPF and SOCSO accounts beforehand.
  • Additionally, installing an x-ray machine will require a specific license.
  • Register with the Companies Commission of Malaysia under the Registration of Business Act 1956. Foreign companies will need to incorporate their company under the Companies Act 2016 to set up a private practice in Malaysia.

Once everything is in place, you are ready to open a medical clinic!

Look no further for a pharmaceutical supplier. Mayflax has over 25 years of experience in the field, so register with us and gain access to over 2000 products at affordable prices. We carry brands ranging from Pfizer to Novartis. Make your order and your delivery is on their way!

Please contact us for any inquiries.

Osteoporosis in women increase risk of Parkinson’s disease

senior women with osteoporosis picture

Osteoporosis in women increase risk of Parkinson's disease

senior women with osteoporosis picture

According to a recent study, a women that suffered osteoporosis are more likely to develop Parkinson’s disease (PD).

Estrogen plays an important role to maintain bone strength. Therefore,  women that has menopause their levels of  estrogen will decrease. Hence, the rate of bone loss increases for approximately 8 to 10 years before returning to premenopausal rates. Its may lead to this disease.

“Risk of patients with early-stage PD can reduce the bone-mineral density levels and osteoporosis and PD always linked together (co-occur),” the authors said.

Taiwan’s National Health Insurance Research Database is using retrospective cohort study to test this hypothesis. In the osteoporosis group, between 2002 and 2006 the investigator enrolled 23,495 patients with osteoporosis aged 50 to 80 years and approximately 23,495 patients without osteoporosis in the comparison group.

Age, sex, comorbid conditions, and socioeconomic status is included in this study. It will be use to rate the tendency scores.

Furthermore, about 31% in the osteoporosis group is likely to develop PD than the comparison group. Thus, patients with osteoporosis is significantly having lower PD-free survival rate compare to the comparison group (p<0.001).

In a gender-based analysis, women with osteoporosis is facing higher risk of developing Parkinson’s disease than men.

According to the author, “patients with osteoporosis is at high risk of developing Parkinson’s disease, and the risk appears to be greater in women.”

However, further research need to investigate the mechanisms underlying findings.

References:

Becoming a Panel Clinic and How Empanelment Works

Becoming a Panel Clinic and How Empanelment Works

“Panel Clinic’ refers to a clinic in agreement with a third-party administrator (TPA) for providing cashless treatment. Only the panel clinic network offers a cashless facility, which means patients can walk into any listed practice across Malaysia and get treated without paying upfront personally then claiming from the company after.

Panel Clinic and How Empanelment Works

What is a TPA?

A third-party administrator is an organisation that manages a panel clinic’s healthcare claims, whether it is processing patients’ insurance claims or certain facets of employee benefit plans for a separate entity.

Fundamentally, we can consider this outsourcing the administration of claims processing. 

Did you know that a good 60% of business clinics are engaged under these corporate panel clients? Non-panel clinics that have not agreed to the TPA terms and conditions cannot cover members seeking treatment. Thus, patients will have to pay for the treatment and later claim as per the usual procedure.

How Empanelment Works at Medilink-Globals Panel Clinic

How Empanelment Works at Medilink-Global

Medilink-Global is a MOH-registered TPA with over 20 years of experience in the industry, evolving from its paper trail days to the highly customised system harnessed today.

Back then, patients would present a booklet detailing their respective records at the clinics. Clinic staff are then responsible for sending in invoices to HQ for further authorisation.

With Medilink-Global’s latest developments, clinics can digitalise the tedious process and augment efficiency. This Electronic Claims Clearing System (ECCS) offers convenience for clinic staff to verify members’ eligibility and submit claims in real-time. 

Applying as Medilink-Global’s Panel Clinic

Practices that wish to apply can submit their request by filling up the e-form at https://crm.e-medilink.com/Services/panelMember. Simply attach your Annual Practicing License (APC), Borang B, and List of Services and Facilities.

The Provider Management Team will conduct verification before proceeding to an agreement and setting up the clinic as their panel. Once the process is complete, members under the medical coverage can visit your clinic to enjoy cashless treatments.

Benefits of Empanelment

Benefits of Empanelment

The digitalisation of claims administration and management has allowed prospects to easily search for listed practices on the mobile app. This can help bring patient flow to clinics in an effective way. Moreover, HR staff can track patients’ health statuses and be notified of potential disease outbreaks from high-rise illnesses in their working environments.

Everything will be traceable, unlike the paper trail days where invoices often go missing. Why take the risk?

Old-school methods can be out of our control—the booklet may fall into the wrong hands, leading to medical abuse without status termination. As a result, the TPA must cover these invalid payments. Medilink-Global helps panels avoid such fraud by monitoring each case to prevent overspending and abuse of prolonged MC relief whilst consolidating the payment process.

All in all, you can rest easy as all data is secured, and operational support is available 24/7. 

As a partner of Medilink-Global, Mayflax is an affordable one-stop-for-all when it comes to pharmaceutical needs. Clinics can also register with Mayflax to find out the best offers on medicines for their practice.

Improper Inhaler Technique: Affect Asthma Control

Picture of inhaler

Improper Inhaler Technique: Affect Asthma Control

Healthcare professionals can support patients in optimizing their technique by examining the effects of the sub-optimal inhaler.

Inhalers used to treat asthma and chronic obstructive pulmonary disease (COPD). Thus, inhalation techniques play a major role in improving drug adherence.

About 92% people with asthma use their device incorrectly. Improper inhaler have been reported in children and adults, including experienced inhaler users

Moreover, improper inhaler technique can prevent drugs from reaching to lungs. It can be effective if the patient used in correct ways. Good inhalation techniques are very important to maximize the benefits of these drugs.

Hence, the correct technique depends on what type of inhaler. Some inhaler steps differ according to the type  of inhaler.

Besides, healthcare professionals must be proficient in how to use correctly of each inhaler device and need to be aware of common mistakes so they can confidently demonstrate in front of patients.

However, you can purchase the inhaler with doctor’s prescription at any pharmacy, and healthcare professional can buy from any pharmaceutical company such as Mayflax.

Types of Asthma Devices

    Common inhaler are used to deliver asthma and chronic obstructive pulmonary disease (COPD) medications which are metered dose inhalers (MDIs), dry powder inhalers (DPIs), and soft mist inhalers (SMIs).

Meanwhile, each type of inhaler has advantages and disadvantages. Below,  the various types and technique of inhaler medical device :-

1. Pressurised metered dose inhaler (PMDI)

Description

  • Drug is stored under pressure in the metal canister
  • A fine mist of medication is released upon pressing the canister that can be inhaled into the lungs
  • Works well with a valved holding chamber (VHC) or spacer.

How to use?

  1. First, need to remove cap.
  2. Second, hold inhaler upright and shake well.
  3. Third, breathe out gently and away from inhaler.
  4. Fourth, put mouthpiece between teeth without bite and close lips to form a good seal.
  5. Start to breathe in slowly and deeply. At the same time, press the inhaler device.
  6. Hence, hold breath for 5 to 10 seconds.
  7. While holding breath, remove inhaler from mouth.
  8. Breathe out gently and away from the inhaler.
  9. Repeat dose if needed and replace cap.
  10. Lastly, clean device if necessary after use.
Picture of metered dose inhaler

Available Brand in Malaysia

  • Ventolin® MDI (Salbutamol)
  • Flixotide MDI (Fluticasone)
  • Flutiform® MDI (Fluticasone/Formoterol)
  • Foster®  MDI (Beclometasone/Formoterol)
  • Alvesco® MDI (Ciclesonide)

2. Tuberhaler

Description

  • Dry powder inhaler (DPI)
  • No coordination required
  • Device dispenses a small amount of very fine powder directly into the lungs
  • Comes with a dose indicator

How to use?

  1. First, need to unscrew and remove cover.
  2. Second, check dose counter.
  3. Third,  keep inhaler upright while twisting grip at the base.
  4. Twist around and then back until click is heard.
  5. Then, breathe out gently, and away from the inhaler.
  6. Fourth, put mouthpiece between teeth without bite and close lips to form good seal
  7. Do not cover the air vents.
  8. Breathe in strongly and deeply.
  9. Fifth, hold breath about 5 to 10 seconds.
  10. Hence, remove the device before breathing out fully.
  11. If more than one dose is needed, repeat all steps starting from step 3.
  12. Lastly, replace cover and clean the device if necessary.
PIcture of taking tuberhaler

Available Brand in Malaysia

  • Symbicort® Turbuhaler (Budesonide/Formoterol)
  • Pulmicort® Turbuhaler (Budesonide)
  • Bricanyl® Turbuhaler (Terbutaline)

3. Respimat soft mist inhaler

Description

  • Dispenses fine and easy to inhale droplets directly deep into the lungs.
  • Requires very less effort during inhalation
  • Comes with a dose indicator

 How to use?

  1. Hold inhaler upright with the cap closed.
  2. Then, turn base in direction of arrows on label until it clicks. Half a turn.
  3. Open the cap until it snaps fully open.
  4. Breathe out gently, and away from inhaler.
  5. Moreover, put mouthpiece in mouth and close lips to form a good seal.
  6. After that, start to breathe in slowly and deeply through mouth;
  7. And at the same time, press down on the dose button.
  8. Continue to breathe in slowly and deeply.
  9. Hold breath for 5 to 10 seconds.
  10. While holding breath, remove inhaler from mouth.
  11. Breathe out gently, away from mouthpiece.
  12. Close cover to click shut.
  13.  If you need two doses, repeat from step 1 to get the full dose.
Picture of taking Respimat soft mist inhaler

Available Brand in Malaysia

  • Spriva Respimat® (Tiotropium)

4. Accuhaler

Description

  • Dry powder inhaler (DPI)
  • No coordination required
  • Device dispenses a small amount of very fine powder directly into the lungs
  • Comes with a dose indicator

How to use?

  1. Check dose counter.
  2. Open cover using thumb grip.
  3. Load dose.
  4. Keep device horizontal or upright while sliding lever until it clicks and do not shake.
  5. Then, breathe out gently but not into device.
  6. Put mouthpiece in mouth, without biting and close lips to form a good seal. 
  7. Breathe in quickly and deeply.
  8. After that, hold breath for a count of ten.
  9. While holding breath, remove inhaler from mouth.
  10. Slowly breathe out.
  11. If more than one dose is needed, repeat all steps starting from step 3.
  12. Close cover to click shut.
  13. Clean device if necessary after use.
Picture of Accuhaler

Available Brand in Malaysia

  • Seretide® Accuhaler (Salmeterol/Fluticasone)

5. Ellipta

Description

  • Medication is stored under pressure in the metal canister
  • A fine mist of medication is released upon pressing the canister that can be inhaled into the lungs
  • Works well with a valved holding chamber (VHC) or spacer.

How to use?

  1. First, check dose counter and do not shake.
  2. Second, slide cover down until click is heard.
  3. Third, breathe out away from inhaler.
  4. Fourth, put mouthpiece in mouth and close lips to form a good seal;
  5. And do not block air vent with fingers.
  6. Then, breathe in steadily and deeply.
  7. Fifth, hold breath about 5 to 10 seconds.
  8. While holding breath, remove inhaler from mouth.
  9. After that, breathe out gently, and away from inhaler.
  10. Slide the cover upwards as far as it will go, to cover the mouthpiece.
  11. Lastly, rinse your mouth with water and spit it out for a steroid-containing inhaler.

Available Brand in Malaysia

  • Ventolin® MDI (Salbutamol)
  • Flixotide MDI (Fluticasone)
  • Flutiform® MDI (Fluticasone/Formoterol)
  • Foster®  MDI (Beclometasone/Formoterol)
  • Alvesco® MDI (Ciclesonide)
Picture of taking ellipta

Common Errors with Inhaler Technique

  • Not breathing with the proper way.
  • Breathing in too early and too late when pressing the inhaler canister.
  • Forget to shake the inhaler before use.
  • Not waiting for the next puff. Some inhalers, need to wait at least 30 to 60 seconds before taking the next puff.
  • Hence, not breathing out before using the inhaler and does not have  a tight lip seal.
  • Not lifting your chin slightly before breathing in. 
  • Furthermore, not holding your breath after taking the inhaler;
  • As well as, not using a spacer when needed.

Guidance of How To Use Your Asthma Devices?

This video shown how to use different types of inhalers. 

Inhaler, technique, improper, common error, asthma, COPD, healthcare professionals, patients, effect, medication, prescription, doctor, lungs, throat, onset, dose, propellant-free technology, symptoms, inhale, inhalation, droplets, maximize, dispenses, types inhaler, brand, canister, metal canister, breath in, breath out, spacer, puff, valved holding chamber, asthma devices, guidance, optimum, desired, outcome.

ABOUT THE AUTHOR

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Raihan Ridzuan

Raihan Ridzuan, Bachelor of Science (Hons) Pharmacology, is staff officer of Mayflax, one of the nation’s leading healthcare and marketing company.

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Easy ways to attract more patients to your clinic

Cr. Foto Garage AG

Source from practicebuilders.com

One of the things essential for the success of any business and medical practice is having a healthcare marketing. 30 to 50 new patients are needed every month for a medical practice to grow. Furthermore, a practice must offer competitive services at reasonable pricing.

It is important to grow your practice and add new patients; here are some proven, possible ways to help increase the possible new clients.

  1. Identifying your target audience. Observe the office records and average age, gender, profession and location of your existing patients. This would help you find the best marketing techniques to promote your clinic and attract new patients.
  2. Training the team. It is important to have a great first impression so train your staff with things that they should know, with specific details such as pricing, equipment used during procedures, what to expect during a consult, etc.
  3. Patient follow-up. One of the easiest and cost-effective ways to grow your practice is to retain existing patients and nurture relationships with them so that it would increase referrals.
  4. Having a mobile-responsive website. Having a responsive website that works equally well on mobile devices is critical for the growth of your practice. The website is responsible for educating your potential patients so they can make an informed decision and call the clinic for an appointment. 
  5. Blogging. This would increase your SEO and adds fresh content to your site. Provide wellness tips, announce local events and share updates with consistent posting that are relevant and original so that you could keep your patients informed.
  6. Encourage online reviews. Have your patients to share their feedback in an online review maybe by sending a follow-up email thanking your patients for their visit and encouraging them to review you online.
  7. Being active in social media. Entire social circle sees when your current patients “like” or “share” your content on social media and this could direct user traffic to your page and may help generate leads.
  8. Be responsive. With an increase number of patients, you have to make sure that you have enough staff to expand your existing services and if possible, add new services to meet the needs of new patients. You can increase the number of patients and grow your practice by meeting local demands in a strategic and timely manner. 
  9. Having quality service. You must be well equipped with manners and the look and the feel of your clinic are extremely important, so that the patients would be satisfied with you and your staff’s attitude and services.
  10. Having real pictures of your staff posted. Real-life images of your team and office will display the comfort of your clinic and personality to your practice website instead of using stock and generic photos.
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Therapeutic potential in COVID-19 with colchicine

Cr. Fusion Medical Animation

Source from MIMS.com

Based on a study, survival rate in patients with COVID-19 was improved with the use of colchicine, which are usually used for the treatment of gout and other inflammatory disorders as compared with standard of care (SoC).

The well-recognised anti-inflammatory effects and potential antiviral properties made it as one of the drugs that was considered for the treatment of COVID-19.  140 hospitalized patients who contracted COVID-19 had their outcomes evaluated as they were treated with SoC (hydroxychloroquine and/or intravenous dexamethasone; and/or lopinavir/ritonavir) and in 122 patients treated with colchicine and SoC.

The SoC group, have lower serum concentrations of C-reactive prottein and ferritin, as well as neutrophil count but higher PaO2/FiO2 ratio at baseline.

Survival when being compared over 21 days of follow-up, it was more favourable in the colchicine than the SoC group. A lower risk of death was strongly associated with colchicine, on Cox proprortional hazards regression (hazard ratio, 0.151).

At entry, there were a higher serum levels of ferritin, worse Pa02/Fi02 and poor survival at older age for the risk factors. 

With no treatment discontinuation due to severe adverse events, colchicine had a good safety profile. In nine patients, dosing was reduced from 1 to 0.5 mg/day due to diarrhoea.

With the aim of preventing the patient’s autoinflammatory response, the current study provides proof-of-concept data supporting the possible use of colchicine in the treatment of the early phase of COVID-19.

To determine the efficacy and safety of colchicine, properly designed trials are needed with the best protocol in terms of dosage and timing of administartion in patients with COVID-19, said the researchers.

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