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Fulltext The short- and long-run effect of human capital on income inequality: Empirical evidence in the ASEAN region

Vo DH, Vo AT, Ho CM

PLoS One, 2024;19(7):e0304678.
PMID: 39083555 DOI: 10.1371/journal.pone.0304678

Human capital is a nation's primary source of inner strength to achieve sustainable economic growth and development. Meanwhile, income inequality is a critical issue preventing sustainable economic growth and social transformation, especially in developing countries. This paper investigates the effect of human capital on income inequality in both the short and long term using the mean group, pooled mean group, and threshold regressions for the ASEAN-7 (including Indonesia, Laos, Malaysia, the Philippines, Singapore, Thailand, and Vietnam) from 1992 to 2018. The paper develops a theoretical linkage between human capital and income inequality by combining the learning theory and the Kuznets hypothesis. This linkage is then tested using data from the ASEAN countries. Findings from the paper indicate that human capital reduces income inequality in the short run in the ASEAN countries. However, the effect is reverted in the long run, suggesting that human capital may increase the income gap in these countries. Particularly, the inverted U-shaped relationship between human capital and income inequality is established for the ASEAN countries whose GDP per capita is lower than USD 8.2 thousand per year. In contrast, the U-shaped relationship is found for the countries with income per capital of more than USD 8.2 thousand. All these findings suggest that social policies targeting reducing income inequality should be prioritized and stay at the centre of any economic policies to achieve sustainable economic growth and development in the ASEAN countries.

Matched MeSH terms: Developing Countries/economics
Paving the way for affordable and equitable liposomal amphotericin B access worldwide

Lee JSF, Cohen RM, Khan RA, Burry J, Casas EC, Chung HY, et al.

Lancet Glob Health, 2024 Sep;12(9):e1552-e1559.
PMID: 39151989 DOI: 10.1016/S2214-109X(24)00225-0

Amphotericin B has long been crucial for treating many serious infectious diseases, such as invasive fungal infections and visceral leishmaniasis, particularly for patients who are immunocompromised, including those with advanced HIV infection. The conventional amphotericin B deoxycholate formulation has largely been replaced in high-income countries with liposomal amphotericin B (LAmB), which has many advantages, including lower rates of adverse events, such as nephrotoxicity and anaemia. Despite an evident need for LAmB in low-income and middle-income countries, where mortality from invasive fungal infections is still substantial, many low-income and middle-income countries still often use the amphotericin B deoxycholate formulation because of a small number of generic formulations and the high price of the originator LAmB. The pricing of LAmB is also highly variable between countries. Overcoming supply barriers through the availability of additional quality-assured, generic formulations of LAmB at accessible prices would substantially facilitate equitable access and have a substantial effect on mortality attributable to deadly fungal infections.

Matched MeSH terms: Drugs, Generic/economics
Fulltext Enhanced forecasting of rice price and production in Malaysia using novel multivariate fuzzy time series models

Bilal M, Alrasheedi MA, Aamir M, Abdullah S, Norrulashikin SM, Rezaiy R

Sci Rep, 2024 Dec 02;14(1):29903.
PMID: 39622831 DOI: 10.1038/s41598-024-77907-4

A significant portion of the world's population relies on rice as a primary source of nutrition. In Malaysia, rice production began in the early 1960s, which led to the cultivation of the country's most significant food crop up till the present day. Research on various aspects of the price and production of rice has been done by various methods in the past. In this study, we have adopted novel multivariate fuzzy time series models (MFTS) i.e. fuzzy vector autoregressive models (FVAR) alongside conventional vector autoregressive model (VAR) for assessing rice price and production using a dataset from the Malaysian Agricultural Research and Development Institute (MERDI). The proposed method(s) especially with the usage of Trapezoidal Fuzzy Numbers (TrFNs) have commendable accuracy with great future forecasts over the VAR model. The model selection was made by the least MAPE with the corresponding highest Relative Efficiency as criteria. The study fills the gap in applying advanced fuzzy models for rice forecasting, aiming to improve accuracy using fuzzy vector autoregressive (FVAR) models with Triangular Fuzzy Numbers (TFNs) and Trapezoidal Fuzzy Numbers (TrFNs) over traditional VAR models. The study's findings imply that the enhanced forecasting accuracy of FVAR models with Trapezoidal Fuzzy Numbers (TrFNs) can significantly assist local farmers and stakeholders in making informed decisions about production and pricing. This improved forecasting capability is expected to promote business growth within the Malaysian market and facilitate increased rice exports, ultimately contributing to the country's economic prosperity.

Matched MeSH terms: Agriculture/economics
The perceived cancer-related financial hardship among patients and their families: a systematic review

Azzani M, Roslani AC, Su TT

Support Care Cancer, 2015 Mar;23(3):889-98.
PMID: 25337681 DOI: 10.1007/s00520-014-2474-y

PURPOSE: The escalating health-care spending for cancer management has caused cancer patients to struggle further as a result of financial burden. This systematic review was carried out to investigate the prevalence of perceived financial hardship and associated factors among cancer patients and their families.
METHODS: A systematic search for studies concerning the perception of financial burden among cancer patients and their families was conducted. Several electronic resources such as Medline, Elsevier (Science Direct), Web of Science, Embase, PubMed, CINAHL and Scopus (SciVerse) were searched. Additionally, manual search through indices citation was also thoroughly utilized. The main outcome of interest was the prevalence of perceived financial hardship among cancer patients and their families. Studies reported only the cost of cancer treatment and qualitative studies were excluded. Our search was limited to articles that were published from 2003 to 2013.
RESULT: Ten studies were included in this review and with a majority originating from high-income countries. The prevalence of the financial burden perception was reported between 14.8 and 78.8 %. The most frequent and significant risk factor reported associated with the perception of financial difficulty was the households with low income. Discontinuation of treatment and poverty were conversely the important consequences of financial burden in cancer patients and their families.
CONCLUSION: Evidently, cancer is a long-term illness that requires a high financial cost, and a significant number of cancer patients and families struggle with financial difficulty. Identifying such groups with a high risk of facing financial difficulty is a crucial measure to ensure safety nets are readily available for these targeted population.

Matched MeSH terms: Delivery of Health Care/economics; Neoplasms/economics*; Caregivers/economics
Choosing between 7-, 10- and 13-valent pneumococcal conjugate vaccines in childhood: a review of economic evaluations (2006-2014)

Wu DB, Chaiyakunapruk N, Chong HY, Beutels P

Vaccine, 2015 Mar 30;33(14):1633-58.
PMID: 25681663 DOI: 10.1016/j.vaccine.2015.01.081

BACKGROUND: Seven-valent pneumococcal conjugate vaccines (PCV7) have been used in children for more than a decade. Given the observed increase in disease caused by pneumococcal serotypes not covered by PCV7, an increasing number of countries are switching from 7-valent to 10- and 13-valent PCVs ("PCV10" and "PCV13"). Economic evaluations are important tools to inform decisions and price negotiations to make such a switch.
OBJECTIVE: This review aims to provide a critical assessment of economic evaluations involving PCV10 or PCV13, published since 2006.
METHODS: We searched Scopus, ISI Web of Science (SCI and SSCI) and Pubmed to retrieve, select and review relevant studies, which were archived between 1st January 2006 and 31st January 2014. The review protocol involved standard extraction of assumptions, methods, results and sponsorships from the original studies.
RESULTS: Sixty-three economic evaluations on PCVs published since January 2006 were identified. About half of these evaluated PCV10 and/or PCV13, the subject of this review. At current prices, both PCV13 and PCV10 were likely judged preferable to PCV7. However, the combined uncertainty related to price differences, burden of disease, vaccine effectiveness, herd and serotype replacement effects determine the preference base for either PCV10 or PCV13. The pivotal assumptions and results of these analyses also depended on which manufacturer sponsored the study.
CONCLUSION: A more thorough exploration of uncertainty should be made in future analyses on this subject, as we lack understanding to adequately model herd and serotype replacement effects to reliably predict the population impact of PCVs. The introduction of further improved PCVs in an environment of evolving antibiotic resistance and under the continuing influence of previous PCVs implies that the complexity and data requirements for relevant analyses will further increase. Decision makers using these analyses should not just rely on an analysis from a single manufacturer.
KEYWORDS: Cost-effectiveness; Cost–benefit; Pneumococcal conjugate vaccine; Streptococcus pneumoniae

Matched MeSH terms: Heptavalent Pneumococcal Conjugate Vaccine/economics*; Pneumococcal Infections/economics; Pneumococcal Vaccines/economics*
The cost-effectiveness of boceprevir for hepatitis C

Neoh CF, Kong DC

Expert Rev Pharmacoecon Outcomes Res, 2014 Jun;14(3):319-34.
PMID: 24708054 DOI: 10.1586/14737167.2014.906306

Hepatitis C virus (HCV) infection is costly to treat and, has high morbidity and mortality. The addition of new protease inhibitors (i.e., boceprevir, telaprevir), to the standard dual therapy with pegylated interferon-α and ribavirin, for the treatment of HCV infection has demonstrated superior efficacy with shorter treatment duration, but at higher drug acquisition costs and incidence of adverse events. Robust economic data are required to inform healthcare decision for the optimal use of these expensive antiviral agents. Accordingly, this review will explore the clinical and economic aspects of boceprevir-based treatment strategies. Important considerations, challenges and gaps for future pharmacoeconomic research in this setting are highlighted.

Matched MeSH terms: Antiviral Agents/economics; Proline/economics; Economics, Pharmaceutical
Fulltext SEM-PLS analysis of inhibiting factors of cost performance for large construction projects in Malaysia: perspective of clients and consultants

Memon AH, Rahman IA

ScientificWorldJournal, 2014;2014:165158.
PMID: 24693227 DOI: 10.1155/2014/165158

This study uncovered inhibiting factors to cost performance in large construction projects of Malaysia. Questionnaire survey was conducted among clients and consultants involved in large construction projects. In the questionnaire, a total of 35 inhibiting factors grouped in 7 categories were presented to the respondents for rating significant level of each factor. A total of 300 questionnaire forms were distributed. Only 144 completed sets were received and analysed using advanced multivariate statistical software of Structural Equation Modelling (SmartPLS v2). The analysis involved three iteration processes where several of the factors were deleted in order to make the model acceptable. The result of the analysis found that R(2) value of the model is 0.422 which indicates that the developed model has a substantial impact on cost performance. Based on the final form of the model, contractor's site management category is the most prominent in exhibiting effect on cost performance of large construction projects. This finding is validated using advanced techniques of power analysis. This vigorous multivariate analysis has explicitly found the significant category which consists of several causative factors to poor cost performance in large construction projects. This will benefit all parties involved in construction projects for controlling cost overrun.

Matched MeSH terms: Construction Materials/economics*; Referral and Consultation/economics*; Construction Industry/economics*
Cigarette price level and variation in five Southeast Asian countries

Liber AC, Ross H, Ratanachena S, Dorotheo EU, Foong K

Tob Control, 2015 Jun;24(e2):e137-41.
PMID: 24500266 DOI: 10.1136/tobaccocontrol-2013-051184

OBJECTIVES: To monitor and analyse impacts of the interaction between tobacco excise tax policy and industry price strategy, on the price level and variation of cigarettes sold in five Southeast Asian countries (Indonesia, Cambodia, Lao PDR, the Philippines and Vietnam).
METHODS: Prices of cigarette sold by sticks and packs were collected through an in-person survey of retailers during 2011. Mean cigarette prices and price variation were calculated in each study country for single cigarettes, whole packs and brand groups.
RESULTS: Price variation of whole packs was greater in countries with ad-valorem excise tax structures (Cambodia, Lao PDR and Vietnam) than in countries with multitiered specific excise taxes (Indonesia and the Philippines). The price variation for single sticks appeared to be driven by local currency denomination. Cigarettes sold individually cost more per stick than cigarettes sold in whole packs in every brand group except for Indonesia's domestic brands.
CONCLUSIONS: Tobacco industry strategy and excise tax structure drove the price level and variation of cigarettes sold in packs, while currency denominations influence the selling price of single sticks. To maximise the effectiveness of tobacco tax policies, countries should adopt specific excise tax structures to decrease cigarette price variation, which would minimise opportunities for smokers to 'trade down' to a cheaper brand to avoid a tax-driven price increase.
KEYWORDS: Low/Middle Income Country; Packaging and Labelling; Price; Surveillance and Monitoring; Taxation

Matched MeSH terms: Smoking/economics*; Tobacco Industry/economics*; Tobacco Products/economics*
Fulltext Salinity tolerance turfgrass: history and prospects

Uddin MK, Juraimi AS

ScientificWorldJournal, 2013;2013:409413.
PMID: 24222734 DOI: 10.1155/2013/409413

Land and water resources are becoming scarce and are insufficient to sustain the burgeoning population. Salinity is one of the most important abiotic stresses affecting agricultural productions across the world. Cultivation of salt-tolerant turfgrass species may be promising option under such conditions where poor quality water can also be used for these crops. Coastal lands in developing countries can be used to grow such crops, and seawater can be used for irrigation of purposes. These plants can be grown using land and water unsuitable for conventional crops and can provide food, fuel, fodder, fibber, resin, essential oils, and pharmaceutical products and can be used for landscape reintegration. There are a number of potential turfgrass species that may be appropriate at various salinity levels of seawater. The goal of this review is to create greater awareness of salt-tolerant turfgrasses, their current and potential uses, and their potential use in developing countries. The future for irrigating turf may rely on the use of moderate- to high-salinity water and, in order to ensure that the turf system is sustainable, will rely on the use of salt-tolerant grasses and an improved knowledge of the effects of salinity on turfgrasses.

Matched MeSH terms: Agriculture/economics; Developing Countries/economics; Crops, Agricultural/economics
Radio Frequency Identification (RFID) and communication technologies for solid waste bin and truck monitoring system

Hannan MA, Arebey M, Begum RA, Basri H

Waste Manag, 2011 Dec;31(12):2406-13.
PMID: 21871788 DOI: 10.1016/j.wasman.2011.07.022

This paper deals with a system of integration of Radio Frequency Identification (RFID) and communication technologies for solid waste bin and truck monitoring system. RFID, GPS, GPRS and GIS along with camera technologies have been integrated and developed the bin and truck intelligent monitoring system. A new kind of integrated theoretical framework, hardware architecture and interface algorithm has been introduced between the technologies for the successful implementation of the proposed system. In this system, bin and truck database have been developed such a way that the information of bin and truck ID, date and time of waste collection, bin status, amount of waste and bin and truck GPS coordinates etc. are complied and stored for monitoring and management activities. The results showed that the real-time image processing, histogram analysis, waste estimation and other bin information have been displayed in the GUI of the monitoring system. The real-time test and experimental results showed that the performance of the developed system was stable and satisfied the monitoring system with high practicability and validity.

Matched MeSH terms: Computer Systems/economics*; Waste Management/economics*; Geographic Information Systems/economics
Policy trends of extended producer responsibility in Malaysia

Agamuthu P, Victor D

Waste Manag Res, 2011 Sep;29(9):945-53.
PMID: 21771873 DOI: 10.1177/0734242X11413332

This paper seeks to examine the provisions for extended producer responsibility (EPR) within the Malaysian environmental and waste management policies and to determine its existing practice and future prospects in Malaysia. Malaysian waste generation has been increasing drastically where solid waste generation was estimated to increase from about 9.0 million tonnes in 2000 to about 10.9 million tonnes in 2010, to about 12.8 million tonnes in 2015 and finally to about 15.6 million tonnes in 2020. Malaysian e-waste was estimated to be about 652 909 tonnes in 2006 and was estimated to increase to about 706 000 tonnes in 2010 and finally to about 1.2 million tonnes in 2020. The projected increasing generation of both solid waste and scheduled wastes is expected to burden the country's resources and environment in managing these wastes in a sustainable manner. The concept of EPR is provided for in the Malaysia waste management system via the Environmental Quality Act 1974 and the Solid Waste and Public Cleansing Management Act 2007. However, these provisions in the policy are generic in nature without relevant regulations to enable its enforcement and as such the concept of EPR still remains on paper whereas the existing practice of EPR in Malaysia is limited through voluntary participation. In conclusion, policy trends of EPR in Malaysia seem to indicate that Malaysia may be embarking on the path towards EPR through the enactment of an EPR regulation.

Matched MeSH terms: Refuse Disposal/economics*; Waste Management/economics*; Environmental Policy/economics*
Fulltext Health-financing reforms in southeast Asia: challenges in achieving universal coverage

Tangcharoensathien V, Patcharanarumol W, Ir P, Aljunid SM, Mukti AG, Akkhavong K, et al.

Lancet, 2011 Mar 5;377(9768):863-73.
PMID: 21269682 DOI: 10.1016/S0140-6736(10)61890-9

In this sixth paper of the Series, we review health-financing reforms in seven countries in southeast Asia that have sought to reduce dependence on out-of-pocket payments, increase pooled health finance, and expand service use as steps towards universal coverage. Laos and Cambodia, both resource-poor countries, have mostly relied on donor-supported health equity funds to reach the poor, and reliable funding and appropriate identification of the eligible poor are two major challenges for nationwide expansion. For Thailand, the Philippines, Indonesia, and Vietnam, social health insurance financed by payroll tax is commonly used for formal sector employees (excluding Malaysia), with varying outcomes in terms of financial protection. Alternative payment methods have different implications for provider behaviour and financial protection. Two alternative approaches for financial protection of the non-poor outside the formal sector have emerged-contributory arrangements and tax-financed schemes-with different abilities to achieve high population coverage rapidly. Fiscal space and mobilisation of payroll contributions are both important in accelerating financial protection. Expanding coverage of good-quality services and ensuring adequate human resources are also important to achieve universal coverage. As health-financing reform is complex, institutional capacity to generate evidence and inform policy is essential and should be strengthened.

Matched MeSH terms: Insurance, Health/economics*; Health Care Reform/economics*; Universal Coverage/economics*
Challenges and issues in moving towards sustainable landfilling in a transitory country - Malaysia

Agamuthu P, Fauziah SH

Waste Manag Res, 2011 Jan;29(1):13-9.
PMID: 20880936 DOI: 10.1177/0734242X10383080

Malaysia disposes of 28,500 tonnes of municipal solid waste directly into landfills daily. This fact alone necessitates sustainable landfills to avoid adverse impacts on the population and the environment. The aim of the present study was to elucidate the issues and challenges faced by waste managers in moving towards sustainable landfilling in Malaysia. Various factors influence the management of a landfill. Among them is the human factor, which includes attitude and public participation. Although Malaysia's economy is developing rapidly, public concern and awareness are not evolving in parallel and therefore participation towards sustainable waste management through the 'reduce, reuse and recycle' approach (3Rs) is severely lacking. Consequently, landfill space is exhausted earlier than scheduled and this is no longer sustainable in terms of security of disposal. Challenges also arise from the lack of funding and the increase in the price of land. Thus, most waste managers normally aim for 'just enough' to comply with the regulations. Investment for the establishment of landfills generally is minimized since landfilling operations are considered uneconomical after closure. Institutional factors also hamper the practice of sustainable landfilling in the country where 3Rs is not mandatory and waste separation is totally absent. Although there are huge obstacles to be dealt with in moving towards sustainable landfilling in Malaysia, recent developments in waste management policy and regulations have indicated that positive changes are possible in the near future. Consequently, with the issues solved and challenges tackled, landfills in Malaysia can then be managed effectively in a more sustainable manner.

Matched MeSH terms: Refuse Disposal/economics*; Waste Management/economics*; Recycling/economics*
Out-of-pocket costs associated with rotavirus gastroenteritis requiring hospitalization in Malaysia

Chai PF, Lee WS

Vaccine, 2009 Nov 20;27 Suppl 5:F112-5.
PMID: 19931708 DOI: 10.1016/j.vaccine.2009.08.069

From August 2006 to July 2007 a prospective study of out-of-pocket costs incurred by care-givers of children hospitalized for rotavirus gastroenteritis was conducted in a hospital in Malaysia. Data on caretaker out-of-pocket costs were collected from 260 children hospitalized with diarrhoea. A stool sample was collected from 198 of these children of which 46 (23%) were positive for rotavirus by latex agglutination assay. The mean (median; interquartile range) out-of-pocket cost incurred by the care-givers was US$194 (US$169; US$47-738), constituting 26% of average monthly income of the households surveyed. Major components of the cost were hospital expenses (45%) and productivity loss (37%). These findings will allow further assessment of the cost-effectiveness of any future rotavirus immunization program in Malaysia.

Matched MeSH terms: Gastroenteritis/economics*; Hospitalization/economics; Rotavirus Infections/economics*
Consumers' views on generic medicines: a review of the literature

Hassali MA, Shafie AA, Jamshed S, Ibrahim MI, Awaisu A

Int J Pharm Pract, 2009 Apr;17(2):79-88.
PMID: 20214255

OBJECTIVES: To review the literature on consumers' knowledge, attitudes and opinions of the use of generic medicines.
METHOD: A narrative review of studies conducted from 1970 to 2008 on consumers perceptions and views towards generic medicines was performed. An extensive literature search was undertaken using indexing services available at the authors' institution library. The following keywords were used for the search: brand, generic, multisource, medications, medicines, drugs, pharmaceuticals and consumers, customers, and patients. Electronic databases searched were Medline, Inside Web, ISI Web of Knowledge, Science Direct, Springer Link, JSTOR, Proquest, Ebsco Host and Google Scholar. These electronic databases were searched for full text papers published in English from 1970 to October 2008.
KEY FINDINGS: Twenty studies were identified. Eleven were from the USA, four were from Europe, two were from Canada and one each was from Australia, Brazil and Malaysia. In general, consumers showed mixed reactions towards the use of generic medicines. This was evident from the divergence of views observed by country development level, consumers' socioeconomic characteristics, drug product characteristics, pharmaceutical reimbursement system, policy environment, contact with health care professionals, past experience with medications, and knowledge of the seriousness of a medical condition.
CONCLUSIONS: Patient confidence and knowledge pertaining to generic medicines use have increased over the past four decades, especially in developed countries. Mass educational efforts, financial incentives, and greater communication among patients and health care professionals were seen as major drivers to the uptake of generic medicines among consumers.

Matched MeSH terms: Insurance, Pharmaceutical Services/economics; Reimbursement Mechanisms/economics; Drugs, Generic/economics
Estimates of economic burden of providing inpatient care in childhood rotavirus gastroenteritis from Malaysia

Lee WS, Poo MI, Nagaraj S

J Paediatr Child Health, 2007 Dec;43(12):818-25.
PMID: 17608648

To estimate the cost of an episode of inpatient care and the economic burden of hospitalisation for childhood rotavirus gastroenteritis (GE) in Malaysia.

Matched MeSH terms: Gastroenteritis/economics; Hospitalization/economics*; Rotavirus Infections/economics
Planning for sustainable tourism in southern Pulau Banggi: an assessment of biophysical conditions and their implications for future tourism development

Teh L, Cabanban AS

J Environ Manage, 2007 Dec;85(4):999-1008.
PMID: 17204361

A priori assessments of a site's biophysical and socio-economic capacity for accommodating tourism are less common than tourism impact studies. A priori evaluations can provide a contextual understanding of ecological, economic and socio-cultural forces, which shape the prospects for sustainable tourism development at the host destination, and can avert adverse impacts of tourism. We conduct an a priori assessment of the biophysical environment of Pulau Banggi, in the Malaysian state of Sabah for sustainable tourism development. We characterise baseline conditions of the island's marine biodiversity, seasonality, and infrastructure. We then evaluate how existing biophysical conditions will influence options for sustainable tourism development. In particular, we suggest conditions, if there are any, which constitute a limit to future tourism development in terms of compatibility for recreation and resilience to visitor impacts. We find that the biggest constraint is the lack of adequate water and sanitation infrastructure. Blast fishing, although occurring less than once per hour, can potentially destroy the major attraction for tourists. We conclude that while Pulau Banggi possesses natural qualities that are attractive for ecotourism, financial and institutional support must be made available to provide facilities and services that will enable local participation in environmental protection and enhance prospects for future sustainable tourism.

Matched MeSH terms: Environment Design/economics; Environmental Monitoring/economics; Recreation/economics*
Medicines prices and Malaysia--untangling the medicines web

Hill S

PLoS Med, 2007 Mar 27;4(3):e149.
PMID: 17388686
Matched MeSH terms: Economics, Medical; Pharmacies/economics; Drugs, Essential/economics
Evaluating drug prices, availability, affordability, and price components: implications for access to drugs in Malaysia

Babar ZU, Ibrahim MI, Singh H, Bukahri NI, Creese A

PLoS Med, 2007 Mar 27;4(3):e82.
PMID: 17388660

Malaysia's stable health care system is facing challenges with increasing medicine costs. To investigate these issues a survey was carried out to evaluate medicine prices, availability, affordability, and the structure of price components.

Matched MeSH terms: Economics, Medical; Pharmacies/economics; Drugs, Essential/economics
Utilization of debate as an educational tool to learn health economics for dental students in Malaysia

Khan SA, Omar H, Babar MG, Toh CG

J Dent Educ, 2012 Dec;76(12):1675-83.
PMID: 23225687

Health economics, a special branch of science applying economic principles to the health delivery system, is a relatively young subdiscipline. The literature is scanty about teaching health economics in the medical and dental fields. Delivery methods of this topic vary from one university to another, with lectures, seminars, and independent learning reported as teaching/learning tools used for the topic. Ideally, debates should foster the development of logical reasoning and communication skills. Health economics in dentistry is taught under the community oral health module that constitutes part of an outcome-based dental curriculum in a private dental school in Kuala Lumpur, Malaysia. For this study, the students were divided into two groups: active participants (active debaters) and supporting participants (nonactive debaters). The debate style chosen for this activity was parliamentary style. Active and nonactive debaters' perceptions were evaluated before and after the activity through a structured questionnaire using a five-point rating scale addressing the topic and perceptions about debate as an educational tool. Cronbach's alpha coefficient was used as a measure of internal consistency for the questionnaire items. Among a total of eighty-two third-year dental students of two successive cohorts (thirty-eight students and forty-four students), seventy-three completed the questionnaire, yielding a response rate of 89 percent. Students' responses to the questionnaire were analyzed with the Kruskal-Wallis analysis of variance test. Results revealed that the students felt that their interest in debate, knowledge of the topic, and reinforcement of the previous knowledge had improved following participation in the debate. Within the limitations of this study, it can be concluded that debate was a useful tool in teaching health economics to dental students.

Matched MeSH terms: Delivery of Health Care/economics*; Economics, Medical*

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