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The future of the private healthcare in Johor and in the Iskandar Malaysia (IM) special economic zone in particular is intimately tied to larger property developments and trends in the region, both because private healthcare developers are increasingly the same as property developers and because IM’s future population growth relies heavily on corporate settlement in IM and the jobs that such settlement generates. Volatility in corporate investment and settlement in IM may have significant consequences for the sector’s development. The Federal and Johor State Governments intend to turn IM into a world-class private healthcare destination for local residents and foreign visitors alike. A range of strategies and policies have been launched to develop IM’s medical care, aged care, and lifestyle and well-being sectors. It is essential to track the impact of federal and regional fiscal incentives for private healthcare development and monitor actual demand for private sector capacity in order to assess the value and utility of such incentives, especially given the potential for such incentives policies to promote the generation of excessive private sector hospital and clinical capacity if left unchecked. Private healthcare providers in the region depend mostly on local residents as their consumer base because Johor and IM are not (yet) significant medical tourism destinations. Given the current rate of expansion of existing hospitals and construction of new ones in Johor and specifically in IM, local demand must be secured via measures that increase the Johor household income base, foster interstate migration, attract higher income talent in larger numbers to live in the region, and improve quality of life in the region. To strengthen medical tourism, private players — both large and small — require greater coordination and cooperation at the regional level in promoting medical tourism and in setting up centres of excellence and medical tourist-friendly services that cater to the actual needs of international patients.
In 1990, the Malaysian state of Johor—along with Singapore and the Indonesian island of Batam—launched the Growth Triangle to attract foreign direct investment. For Johor, this drive was very successful, transforming its economy and driving up income levels. Today, Johor is one of Malaysia’s “developed” states, housing large clusters of electrical and electronics, food processing, and furniture producing firms. While welcome, this structural transformation has also entailed important challenges and strategic choices. After three decades, Johor’s manufacture-for-export model is under question, as it faces increasing competition and flat-lining technological capabilities. In response, the state has sought to diversify its economy through strategic investments in new, mostly service-based activities. Yet, Johor retains pockets of excellence in traditional sectors that also require support and policy attention. The state’s economic transformation has also been accompanied by far-reaching political, social, and environmental change. Not least, Johor’s growing population has generated demand for affordable housing and put pressure on public services. The strain has been exacerbated by workers from other states and overseas. These demographic factors and large-scale projects have, in turn, put stress on the environment. These economic and social changes have also had political ramifications. While Johor is a bastion of two of the country’s oldest and most established political parties, the state’s large, urban and connected electorate has made it hospitable terrain for new political organisations. Beyond electoral politics, Johor is also the home of a powerful and influential royal family, with very specific ideas about its role in the state’s political life. Building on earlier work by the ISEAS – Yusof Ishak Institute on the Singapore-Johor-Riau Islands Cross-border Region, this book focuses on this important Malaysian state, as it deals with important domestic challenges on one hand and strives to engage with international markets on the other. “I have always felt that there are many more complementarities possible between Singapore and Johor. This would be to the benefit of both economies, but the political division between the two was just too great. The two economies lived adjacent but separate lives—Singapore looking out to the world and Johor looking north—until initiatives such as the Iskandar Malaysia development corridor began to change things significantly. The concern now is that the pendulum may have swung too much the other way, driven by the huge income and price differentials as well as Singapore’s global city status. Francis and Serina’s compilation is a welcomed attempt at understanding Johor in a much more comprehensive manner; not just its changing economy but how its politics and society have been impacted by these changes – which is a more endogenized view of economic integration.” — Dr Nungsari Ahmad Radhi, former MP Balik Palau and Executive Director, Khazanah Nasional “Drawing on the expertise of internationally known specialists, this insightful collection explores the multiple ways in which Johor’s economic development has influenced the contemporary political scene, and the effects on local society and the environment. Skillfully edited and meticulously researched, Johor: Abode of Development? is not merely required reading for anyone interested in contemporary Malaysia, but will be of immense value to historians of the future.”—Barbara Watson Andaya, Professor of Asian Studies, University of Hawai’i
The future of the private healthcare in Johor and in the Iskandar Malaysia (IM) special economic zone in particular is intimately tied to larger property developments and trends in the region, both because private healthcare developers are increasingly the same as property developers and because IM{u2019}s future population growth relies heavily on corporate settlement in IM and the jobs that such settlement generates. Volatility in corporate investment and settlement in IM may have significant consequences for the sector{u2019}s development. The Federal and Johor State Governments intend to turn IM into a world-class private healthcare destination for local residents and foreign visitors alike. A range of strategies and policies have been launched to develop IM{u2019}s medical care, aged care, and lifestyle and well-being sectors. It is essential to track the impact of federal and regional fiscal incentives for private healthcare development and monitor actual demand for private sector capacity in order to assess the value and utility of such incentives, especially given the potential for such incentives policies to promote the generation of excessive private sector hospital and clinical capacity if left unchecked. Private healthcare providers in the region depend mostly on local residents as their consumer base because Johor and IM are not (yet) significant medical tourism destinations. Given the current rate of expansion of existing hospitals and construction of new ones in Johor and specifically in IM, local demand must be secured via measures that increase the Johor household income base, foster interstate migration, attract higher income talent in larger numbers to live in the region, and improve quality of life in the region. To strengthen medical tourism, private players {u2014} both large and small {u2014} require greater coordination and cooperation at the regional level in promoting medical tourism and in setting up centres of excellence and medical tourist-friendly services that cater to the actual needs of international patients.
Health systems are fluid and their components are interdependent in complex ways. Policymakers, academics and students continually endeavour to understand how to manage health systems to improve the health of populations. However, previous scholarship has often failed to engage with the intersections and interactions of health with a multitude of other systems and determinants. This book ambitiously takes on the challenge of presenting health systems as a coherent whole, by applying a systems-thinking lens. It focuses on Malaysia as a case study to demonstrate the evolution of a health system from a low-income developing status to one of the most resilient health systems today. A rich collaboration of multidisciplinary academics working with policymakers who were at the coalface of decision-making and practitioners with decades of experience, provides a candid analysis of what worked and what did not. The result is an engaging, informative and thought-provoking intervention in the debate. This title is Open Access.
Most of the chapters in this volume were first presented at the Penang Outlook Forum 2009, held on 1-2 June 2009 at the E&O Hotel in Penang. A few others have been added to complement those at the conference. At present, comprehensive and authoritative studies on Penang's current economic conditions are a rarity. This book is thus an effort to correct that lack. Evidence does suggest that the state had not been doing well in the first half of the first decade of the new millennium. Being a small state situated relatively far away from the administrative capital of Putrajaya, Penang has to be economically innovative if it is to regain its place at the forefront of Malaysian development. The relationship between the state and the federal government remains a vital matter.
To Singapore’s immediate south, Indonesia’s Riau Islands has a population of 2 million and a land area of 8,200 sq kilometers scattered across some 2,000 islands. The better-known islands include Batam, the province’s economic motor; Bintan, the area’s cultural heartland and site of the provincial capital, Tanjungpinang; and Karimun, a ship-building hub strategically located near the Straits of Malacca. Leveraging on its proximity to Singapore, the Riau Islands—and particularly Batam—has been a key part of Indonesia’s strategy to develop its manufacturing sector since the 1990s. In addition to generating a large number of formal sector jobs and earning foreign exchange, this reorientation opened the way for a number of far-reaching political and social developments. Key among them has been: large-scale migration from other parts of the country; the secession of the Riau Islands from the larger Riau Province; and the creation of a new provincial government. Building on earlier work by the ISEAS – Yusof Ishak Institute on the SIJORI Cross-Border Region, spanning Singapore, the Malaysian state of Johor, and the Riau Islands, and a second volume looking specifically at Johor, the third volume in this series explores the key challenges facing this fledgling Indonesian province.