GENERAL SURGERY MOH/P/PAK/483.22(TR)-e
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery Services Ministry of Health Malaysia 1
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery:
Inpatient, Outpatient, Endoscopy and Surgery (IOES)
Census Report 2016-2019
was developed by
General Surgery Services
Ministry of Health Malaysia,
in collaboration with
the Surgical Services Unit of the
Medical Services Development Section, Ministry of Health Malaysia
Block E1, Parcel E, Federal Government Administrative Centre,
62590 Putrajaya, Malaysia
www.moh.gov.my
Published in 2021
A catalogue record of this document is available from the Institute of Medical
Research, Ministry of Health;
And also available from the National Library of Malaysia;
All rights reserved.
No part of this publication may be reproduced or distributed in any form or any
means, or stored in a database or retrieval system, without prior written permission
of the Ministry of Health, Malaysia.
2 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
Editorial Board
Editor-in-Chief
Dato’ Seri Dr Haji Mohamed Yusof bin Haji Abdul Wahab
Senior Consultant General Surgeon
Head of General Surgery Service
Ministry of Health
Associate Editors
Dr Praveen a/l Nadarajah
Medical Officer UD54
Hospital Tengku Ampuan Rahimah
Dr Lee Hui Mei
Medical Officer UD48
Hospital Tengku Ampuan Rahimah
Secretariat
Dr Davis Johnraj
Senior Principle Assistant Director and Unit Head
Surgical Services Unit
Medical Development Division
Dr Nor Mashitah binti Haji Jobli
Senior Principle Assistant Director
Surgical Services Unit
Medical Development Division
Puan Sabariah binti Ahmad
Chief Nurse
Surgical Services Unit
Medical Development Division
Puan Lindadiana binti Bahruddin
Administrative Assistant
Surgical Services Unit
Medical Development Division
General Surgery Services Ministry of Health Malaysia 3
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
CONTRIBUTORS Dr Yan Yang Wai
Senior Consultant General Surgeon and Head
Dato’ Dr Fitjerald Henry Hospital Raja Permaisuri Bainun
Senior Consultant General Surgeon and Head Ipoh, Perak
Department of General Surgery
Hospital Selayang, Dr Nik Azim bin Nik Abdullah
Selangor Senior Consultant Hepatobiliary Surgeon and Head
Department of General Surgery
Dr Hanif bin Hussein Hospital Umum Sarawak,
Senior Consultant Vascular Surgeon and Head Kuching, Sarawak
Department of General Surgery
Hospital Kuala Lumpur, Dr Chieng Tiong How
Wilayah Persekutuan Kuala Lumpur Consultant Colorectal Surgeon and Head
Department of General Surgery
Dr Clement Edward a/l Thaumanavar Hospital Sibu,
Consultant General Surgeon and Head Sarawak
Department of General Surgery
Hospital Tengku Fauziah, Datin Rohamini @ Rumani binti Sibin
Kangar, Perlis Consultant General Surgeon and Head
Department of General Surgery
Dato’ Dr Cheong Yew Teik Hospital Queen Elizabeth,
Consultant Breast and Endocrine Surgeon and Head Kota Kinabalu, Sabah
Department of General Surgery
Hospital Pulau Pinang, Dr Siti Zubaidah binti Sharif
Pulau Pinang Consultant Breast and Endocrine Surgeon and Head
Department of General Surgery
Dr Nagarajan a/l T. Vellasamy Hospital Queen Elizabeth 2,
Consultant General Surgeon and Head Kota Kinabalu, Sabah
Department of General Surgery
Hospital Seberang Jaya, Dato’ Dr Ahmad Shanwani bin Mohamed Sidek
Pulau Pinang Consultant Colorectal Surgeon and Head
Department of General Surgery
Dr Nil Amri bin Mohamed Khalid Hospital Raja Perempuan Zainab II,
Consultant Colorectal Surgeon and Head Kota Bahru, Kelantan
Department of General Surgery
Hospital Sultanah Bahiyah, Dr David Ong Li Wei
Alor Setar, Kedah Consultant Colorectal Surgeon and Head
Department of General Surgery
Dr Rashide bin Yaacob Hospital Tengku Ampuan Afzan,
Consultant General Surgeon and Head Kuantan, Pahang
Hospital Sultan Abdul Halim,
Sungai Petani, Kedah Dr Abd Hamid bin Daud
Consutant General Surgeon and Head
Dr Umasangar a/l M. Ramasamy Department of General Surgery
Consultant General Surgeon and Head Hospital Kemaman,
Department of General Surgery Terengganu
Hospital Taiping,
Perak Dr Nor Hisham bin Muda
Consultant Breast and Endocrine Surgeon and Head
Dr Ramesh a/l Thangaratnam Department of General Surgery
Consultant General Surgeon and Head Hospital Sultanah Nur Zahirah,
Department of General Surgery Kuala Terengganu, Terengganu
Hospital Serdang,
Selangor Dr Khairudzi bin Salekan
Consutant General Surgeon and Head
Dr Lewellyn Rajakumar a/l Kovil George Department of General Surgery
Consultant General Surgeon and Head Hospital Sultanah Nora Ismail,
Department of General Surgery Batu Pahat, Johor
Hospital Teluk Intan,
Perak
4 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
CONTRIBUTORS Dr Jasiah binti Zakaria
Consultant Colorectal Surgeon
Dr Ros’Aini binti Paijan Hospital Tuanku Ja’afar,
Consutant General Surgeon and Head Seremban, Negeri Sembilan
Department of General Surgery
Hospital Pakar Sultanah Fatimah, Dato’ Dr Muhammad Safian bin Naim
Muar, Johor Consultant General Surgeon and Head
Department of General Surgery
Dr Ainani binti Muhamad Husin Hospital Melaka,
Consultant General Surgeon and Head Melaka
Department of General Surgery
Hospital Tanah Merah, Dr Mathew Thomas
Kelantan Consutant General Surgeon and Head
Department of General Surgery
Dr Mohd Asri bin Che Jusoh Hospital Sultan Ismail,
Consultant General Surgeon and Head Johor Bahru, Johor
Department of General Surgery
Hospital Sultan Ismail Petra Dr Andre Das
Kuala Krai, Kelantan Consultant General Surgeon and Head
Department of General Surgery
Dr Tuan Nur’Azmah binti Tuan Mat Hospital Kajang,
Consultant General Surgeon and Head Selangor
Department of General Surgery
Hospital Sultanah Aminah, Dr Lee Yuk Loong
Johor Bahru, Johor General Surgeon and Head
Department of General Surgery
Dr Anita binti Baghawi Hospital Shah Alam,
Consultant Breast and Endocrine Surgeon and Head Selangor
Department of General Surgery
Hospital Putrajaya, Dr Yap Lee Ming
Wilayah Persekutuan Putrajaya General Surgeon and Head
Department of General Surgery
Dr. Lo Gin Yong Hospital Sungai Buloh,
General Surgeon and Head Selangor
Department of General Surgery
Hospital Kulim, Dr Atiki Falparado bin Ahmad
Kedah General Surgeon
National Cancer Institute,
Dr Ahmad Khairil Irham bin Harun Wilayah Persekutuan Putrajaya
General Surgeon and Head
Department of General Surgery Dr Saravanan a/l Ramasamy
Hospital Langkawi, General Surgeon and Head
Kedah Department of General Surgery
Hospital Enche’ Besar Hajjah Khalsom,
Dr Tan Wing Nung Kluang, Johor
General Surgeon and Head
Department of General Surgery Dr Norly binti Salleh
Hospital Seri Manjung, General Surgeon and Head
Perak Department of General Surgery
Hospital Segamat,
Dr Azuddin bin Mohd Khairy Johor
Trauma Surgeon and Head
Department of General Surgery Dr Zaidah binti Ali
Hospital Tengku Ampuan Rahimah, General Surgeon and Head
Klang, Selangor Department of General Surgery
Hospital Tuanku Ampuan Najihah,
Dr Mohamed Akbar bin Mohamed Bahari Kuala Pilah, Negeri Sembilan
General Surgeon and Head
Department of General Surgery
Hospital Ampang,
Selangor
General Surgery Services Ministry of Health Malaysia 5
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
CONTRIBUTORS
Dr Syahrir Sukarno bin Mohd Fadzil Dr Lai Chun Ket
General Surgeon and Head General Surgeon and Head
Department of General Surgery Department of General Surgery
Hospital Labuan, Hospital Duchess of Kent,
Sarawak Sandakan, Sabah
Dr Khasnizal bin Abd. Karim Dr Nithya. Devi a/p Kandasami
General Surgeon and Head General Surgeon and Head
Department of General Surgery Department of General Surgery
Hospital Tawau, Hospital Keningau,
Sabah Sabah
Dr Patrick Chang Siong Junk Dr Doon Yoke Kiet
General Surgeon and Head General Surgeon and Head
Department of General Surgery Department of General Surgery
Hospital Sarikei, Hospital Lahad Datu,
Sarawak Sabah
Dr Dayang Azzyati binti Awang Dahlan Dr Mohd Faizal bin Azizan
General Surgeon and Head General Surgeon and Head
Department of General Surgery Department of General Surgery
Hospital Miri, Hospital Kuala Lipis,
Sarawak Pahang
Dr Rashidah binti Mohamad Khalid Dr Azmi bin Hassan
General Surgeon and Head General Surgeon and Head
Department of General Surgery Department of General Surgery
Hospital Port Dickson, Hospital Sultan Haji Ahmad Shah
Negeri Sembilan Temerloh, Pahang
Dr Ahmad Burhan bin Idris Dr Sara Liyana binti Mohd Hisyam
Medical Officer Medical Officer
Hospital Tengku Fauziah, Hospital Pulau Pinang,
Kangar, Perlis Pulau Pinang
Dr Mohariz bin Musa Dr Rosita binti Zakaria
Medical Officer Medical Officer
Hospital Tengku Fauziah, Hospital Seberang Jaya,
Kangar, Perlis Pulau Pinang
Dr Kumaresan Subramanian Dr Mahuzah binti Ismail
Medical Officer Medical Officer
Hospital Sultanah Bahiyah, Hospital Seberang Jaya,
Alor Setar, Kedah Pulau Pinang
Dr Por Jin Sik Dr Zuhrirahmi bin Ramli
Medical Officer Medical Officer
Hospital Sultan Abdul Halim, Hospital Raja Permaisuri Bainun
Sungai Petani, Kedah Ipoh, Perak
Dr Tan Kah Hooi Dr Calvin Dinash Joackim
Medical Officer Medical Officer
Hospital Kulim, Hospital Taiping,
Kedah Perak
Dr Burkhairi bin Azmi Dr Adrian Li-Siang Satish
Medical Officer Medical Officer
Hospital Langkawi, Hospital Teluk Intan,
Kedah Perak
Dr Maslinda Yuhainis binti Firus Khan
Medical Officer
Hospital Seri Manjung,
Perak
6 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
CONTRIBUTORS Dr Muhammad Ikram Harzany bin Che Yaziz
Medical Officer
Dr Ahmad bin Humaizy Hospital Putrajaya,
Medical Officer Wilayah Persekutuan Putrajaya
Hospital Selayang, Dr Ramizah binti Mohd Shariff
Selangor Medical Officer
Dr Rosmalinda binti Kamaruddin National Cancer Institute,
Medical Officer Wilayah Persekutuan Putrajaya
Hospital Ampang, Dr Felicia Kong Chiew Yen
Selangor Medical Officer
Dr Imran bin Abdul Jamil Hospital Tuanku Ja’afar,
Medical Officer Seremban, Negeri Sembilan
Hospital Sungai Buloh, Dr Nuramira binti Izhar
Selangor Medical Officer
Dr How Chu Kean Hospital Tuanku Ampuan Najihah,
Medical Officer Kuala Pilah, Negeri Sembilan
Hospital Serdang, Dr Navin Raj Balachandran
Selangor Medical Officer
Dr Len En Yean Hospital Port Dickson,
Medical Officer Negeri Sembilan
Hospital Serdang, Dr Narmatha Kamalanathan
Selangor Medical Officer
Dr Farabi bin Abdul Manaf Hospital Melaka,
Medical Officer Melaka
Hospital Kajang, Dr Nadia binti Ismail
Selangor Medical Officer
Dr Josiah Williams Hospital Melaka,
Medical Officer Melaka
Hospital Shah Alam, Dr Mohamad Azril Rizal bin Ghazali
Selangor Medical Officer
Dr Musaddiq bin Mohd Nizar Hospital Sultanah Aminah,
Medical Officer Johor Bahru, Johor
Hospital Shah Alam, Dr Mogaraj Sellapan
Selangor Medical Officer
Dr Lim Shin Tom Hospital Sultan Ismail,
Medical Officer Johor Bahru, Johor
Hospital Banting, Dr Lim Shiao Ping
Selangor Medical Officer
Dr Khairul Adli bin Salim Hospital Pakar Sultanah Fatimah,
Medical Officer Muar, Johor
Hospital Kuala Lumpur, Dr Hirdayu binti Abu Bakar
Wilayah Persekutuan Kuala Lumpur Medical Officer
Dr Vikram Singh Sandhu Hospital Sultanah Nora Ismail,
Medical Officer Batu Pahat, Johor
Hospital Kuala Lumpur, Dr Sharmaine Marie
Wilayah Persekutuan Kuala Lumpur Medical Officer
Dr Annisaa binti Abu Samah @ Abdul Malek Hospital Enche’ Besar Hajjah Khalsom,
Medical Officer Kluang, Johor
Hospital Putrajaya,
Wilayah Persekutuan Putrajaya
General Surgery Services Ministry of Health Malaysia 7
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
CONTRIBUTORS Dr Ng Jun Jeat
Medical Officer
Dr Muhammad Haziq bin Nasir Hospital Queen Elizabeth
Medical Officer Kota Kinabalu, Sabah
Hospital Segamat,
Johor Dr Chiew Tien Chuen
Medical Officer
Dr Salehah binti Tahkin Hospital Tawau,
Medical Officer Sabah
Hospital Raja Perempuan Zainab II,
Kota Bahru, Kelantan Dr Nigel Loke
Medical Officer
Dr Wan Nur Syahirah binti Wan Rahimi Hospital Duchess of Kent,
Medical Officer Sandakan, Sabah
Hospital Raja Perempuan Zainab II,
Kota Bahru, Kelantan Dr Ahmad Fakhzan bin Alias
Medical Officer
Dr Muhammad Nazreen bin Zakaria Hospital Keningau,
Medical Officer Sabah
Hospital Sultan Ismail Petra
Kuala Krai, Kelantan Dr Mohamed Nabil bin Mohamed Nazri
Medical Officer
Dr Hapsah binti Aripin Hospital Lahad Datu,
Medical Officer Sabah
Hospital Tanah Merah,
Kelantan Dr Edward Chong
Medical Officer
Dr Khairul Anwar bin Abdul Rahman Hospital Miri,
Medical Officer Sarawak
Hospital Sultanah Nur Zahirah,
Kuala Terengganu, Terengganu Dr Yogeneswaran Pachiaffen
Medical Officer
Dr Suad Fahkriah Hospital Sarikei,
Medical Officer Sarawak
Hospital Kemaman,
Terengganu Dr Jonah Seeni a/l John Devasagayam
Medical Officer
Dr Vickneswaran Ghanapathy Hospital Labuan,
Medical Officer Sarawak
Hospital Tengku Ampuan Afzan,
Kuantan, Pahang
Dr Ahmad Fazwan bin Junaidi
Medical Officer
Hospital Sultan Haji Ahmad Shah
Temerloh, Pahang
Dr Kesavan Chandrasekar
Medical Officer
Hospital Kuala Lipis,
Pahang
Dr Marianne Lee Li Chii
Medical Officer
Hospital Queen Elizabeth
Kota Kinabalu, Sabah
8 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
TABLE OF CONTENTS
1 Abbreviations and Acronyms .......................................................................................................... 11
2.a Director General Foreword ........................................................................................................... 12
2.b Deputy Director General Foreword ............................................................................................ 13
3 Executive Summary ........................................................................................................................... 14
4 Introduction / Background .............................................................................................................. 15
5 Methodology ........................................................................................................................................ 17
6 Section A : Inpatient, Outpatient, Endoscopy and Surgery (IOES) .......................................... 19
6.1 Total IOES ......................................................................................................................................... 19
6.2 INPATIENT ......................................................................................................................................... 20
6.2.1Admissions ................................................................................................................................ 20
6.3 OUTPATIENT ...................................................................................................................................... 26
6.3.1 SOPC New case Visits ............................................................................................................ 31
6.3.2 SOPC Follow up Visits ............................................................................................................. 35
6.3.3 New Case Workload (Inpatient admissions + New Cases in SOPC) ................................. 39
6.4 ENDOSCOPY .................................................................................................................................... 43
6.4.1 OGDS ....................................................................................................................................... 48
6.4.2 Colonoscopy .......................................................................................................................... 52
6.4.3 ERCP ........................................................................................................................................ 56
6.5 SURGERY .......................................................................................................................................... 59
6.5.1 Daycare Surgery .................................................................................................................... 61
6.5.1.1 Daycare Surgery – General Anaesthesia (GA) ...................................................... 66
6.5.1.2 Daycare Surgery – Local Anaesthesia (LA) ............................................................ 70
6.5.2 Inpatient Surgery .................................................................................................................... 74
6.5.2.1 Emergency Surgery ................................................................................................... 79
6.5.2.2 Elective Surgery ......................................................................................................... 83
7 Section B : Surgical Procedures ...................................................................................................... 87
7.1 Case-mix of Surgery in Training Hospitals ................................................................................... 87
7.2 Total OT Log Procedures ................................................................................................................ 90
7.3 Trauma ............................................................................................................................................. 95
7.3.1 Trauma Craniotomy ............................................................................................................. 91
7.3.2 Trauma Laparotomy ............................................................................................................. 103
7.3.3 Trauma Thoracotomy ........................................................................................................... 107
7.4 Endocrine ......................................................................................................................................... 110
7.4.1 Hemithyroidectomy .............................................................................................................. 115
7.4.2 Total Thyroidectomy ............................................................................................................. 118
7.4.3 Total Thyroidectomy with Neck Dissection ......................................................................... 121
7.4.4 Total Parathyroidectomy ...................................................................................................... 123
7.4.5 Focus Parathyroidectomy .................................................................................................... 126
7.4.6 Adrenelectomy ..................................................................................................................... 128
7.5 Breast ................................................................................................................................................ 131
7.5.1 Breast Imaging ...................................................................................................................... 136
7.5.2 Mastectomy and Reconstruction ....................................................................................... 137
7.5.3 Wide Local Excisions ............................................................................................................. 140
7.5.4 Axillary Clearance ................................................................................................................. 143
7.6 Thoracic .......................................................................................................................................... 146
7.6.1 Video Assisted Thoracoscopic Surgery (VATS) ................................................................. 149
7.6.2 Non-Trauma Thoracotomy ................................................................................................ 151
7.7 Upper Gastrointestinal ................................................................................................................... 154
7.7.1 Heller’s Cardiomyotomy ..................................................................................................... 159
7.7.2 Esophagectomy .................................................................................................................. 161
General Surgery Services Ministry of Health Malaysia 9
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
TABLE OF CONTENTS
7.7.2.1 Esophagogastrectomy ................................................................................................ 166
7.7.2.2 Trans-Hiatal Esophagectomy ....................................................................................... 167
7.7.2.3 Ivor Lewis /McKeown Esophagectomy ...................................................................... 168
7.7.2.4 Laparoscopic / Thoracoscopic Assisted Esophagectomy ...................................... 169
7.7.3 Fundoplication ............................................................................................................................ 170
7.7.4 Underrunning of Bleeding Peptic Ulcer (Gastric & Duodenal) .............................................. 172
7.7.5 PGU and PDU Surgery ................................................................................................................ 175
7.7.5.1 PGU and PDU Simple Omentum Patch Closure – Open .......................................... 178
7.7.5.2 PGU and PDU Simple Omentum Patch Closure – Laparoscopic ............................ 180
7.7.5.3 PGU and PDU Partial Gastrectomy ............................................................................. 181
7.7.6 Total / Partial Gastrectomy ....................................................................................................... 182
7.8 Bariatric Surgery .................................................................................................................................... 185
7.8.1 Sleeve Gastrectomy .................................................................................................................. 188
7.8.2 Other Bariatric Procedures ....................................................................................................... 189
7.9 Hepatopancreaticobiliary (HPB) ......................................................................................................... 190
7.9.1 Cholecystectomy (Open and Laparoscopic) ....................................................................... 194
7.9.2 Cholecystectomy with Common Bile Duct (CBD) Exploration ............................................ 197
7.9.3 Hepatectomy ............................................................................................................................ 200
7.9.4 Whipple’s Procedure ................................................................................................................. 202
7.10 Colorectal ............................................................................................................................................ 205
7.10.1 Abdomino-Perineal Resection (APR) ................................................................................... 210
7.10.2 Ultra Low Anterior Resection (ULAR) .................................................................................... 214
7.10.3 Low Anterior Resection (LAR) ............................................................................................... 218
7.10.4 Anterior Resection (AR) ......................................................................................................... 222
7.10.5 Hartmann’s Procedure .......................................................................................................... 226
7.10.6 Hemicolectomy (Right / Left / Sigmoid) .............................................................................. 230
7.10.7 Total Colectomy ..................................................................................................................... 233
7.10.8 Stapler Hemorrhoidectomy .................................................................................................. 236
7.10.9 Fistula-in-ano Surgery ............................................................................................................. 239
7.11 Vascular ............................................................................................................................................... 242
7.11.1 Chemoport Insertion .............................................................................................................. 242
7.11.2 BCF/ RCF Creation ................................................................................................................. 246
7.11.3 High Saphenous Vein Ligation (HSVL) and Stripping .......................................................... 249
7.11.4 Embolectomies ....................................................................................................................... 252
7.12 Spleen (Elective only) ......................................................................................................................... 255
7.12.1 Elective Splenectomy ............................................................................................................ 255
7.13 Appendix .............................................................................................................................................. 258
7.13.1 Lanz Appendicectomy .......................................................................................................... 262
7.13.2 Laparoscopic Appendicectomy .......................................................................................... 265
7.13.3 Midline Laparotomy and Appendicectomy ....................................................................... 268
7.13.4 Midline Laparotomy and Limited Right Hemicolectomy ................................................... 271
7.14 Inguinal Hernia Surgery ....................................................................................................................... 274
7.14.1 Inguinal Hernia Repair under LA ............................................................................................ 278
7.14.1.1 Daycare ................................................................................................................... 282
7.14.1.2 Inpatient ................................................................................................................... 283
7.14.2 Inguinal Hernia Repair under GA .......................................................................................... 284
7.14.2.1 Open ......................................................................................................................... 288
7.14.2.2 Laparoscopic ........................................................................................................... 290
7.15 Pediatric Hernia and Scrotal Surgery ................................................................................................. 292
7.15.1 Unilateral Herniotomy .............................................................................................................. 296
7.15.2 Bilateral Herniotomy ................................................................................................................ 299
7.15.3 Orchidopexy ............................................................................................................................ 302
7.15.4 Orchidectomy .......................................................................................................................... 305
8 References ......................................................................................................................................... 308
9 Appendix ........................................................................................................................................... 309
10 Figures and Table ............................................................................................................................. 311
10 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
1 Abbreviations and Acronyms
APR Abdomino-Perineal Resection
AR Anterior Resection
BCF Brachio-cephalic Fistula
BMS Big, Medium, Small
ERCP Endoscopic Retrograde Cholangiogram
EMR Electronic Medical Records
GA General Anaesthesia
HDoK Hospital Duchess of Kent
HEBHK Hospital Enche’ Hajjah Besar Kalsom
HoSHAS Hospital Sultan Haji Ahmad Shah
Hosp. Hospital
HPB Hepatopancreaticobiliary
HPSF Hospital Pakar Sultanah Fatimah
HQE Hospital Queen Elizabeth
HRPB Hospital Raja Permaisuri Bainun
HRPZ II Hospital Raja Perempuan Zainab II
HSA Hospital Sultanah Aminah
HSAH Hospital Sultan Abdul Halim
HSB Hospital Sultanah Bahiyah
HSI Hospital Sultan Ismal
HSIP Hospital Sultan Ismail Petra
HSNI Hospital Sultanah Nora Ismal
HSNZ Hospital Sultanah Nur Zahirah,
HTAA Hospital Tengku Ampuan Afzan
HTAR Hospital Tengku Ampuan Rahimah
HTF Hospital Tuanku Fauziah
HTJ Hospital Tuanku Ja’afar
LA Local Anaesthesia
LAR Low Anterior Resection
MoH Ministry of Health
OGDS Oesophagogastroduodenoscopy
OT Operating Theatre
PDU Perforated Duodenal Ulcer
PGU Perforated Gastric Ulcer
POMR Post-Operative Mortality Rate
RCF Radio-Cephalic Fistula
SOPC Surgical Outpatient Clinic
ULAR Ultra Low Anterior Resection
General Surgery Services Ministry of Health Malaysia 11
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
2.a Director
General Foreword
General Surgery Services as a major service This report is a very useful reference for policy
provided by Ministry of Health has evolved makers and implementers to plan workforce
and progressed over the last few years. One requirement and placement, fair distribution
of the recent national agenda is to ensure of allocation for procurement of assets and
the accessibility of the essential surgical consumables and a tool to strategize the
services to the rural areas and hence the equitable service delivery planning based on
implementation of Global Surgery Framework the workload across the country.
and Ecosystem has been rolled out since
2018. Finally, I would like to take this opportunity to
congratulate the technical committees who
In 2015, The Lancet Commission on Global contributed to the development of this report.
Surgery recommended the development of
National Surgical, Obstetric, and Anaesthesia
Plans (NSOAPs) to address existing gaps
using a systems-based approach. The five
key messages, six surgical indicators and
roadmap to improve access by 2030 in the
report have become the primary guidance
for surgical fraternities worldwide to translate
into action and impactful outcomes.
To understand the evolving needs and to
enhance the surgical service delivery, data
collection and analysis is crucial. It also
helps us to understand the complexity of the
disease burden in Ministry of Health hospitals
in the country.
The general surgery fraternity under the
leadership of the Head of General Surgery
Services, Dato’ Seri Dr Haji Mohamed
Yusof bin Haji Abdul Wahab, have made
great effort in collecting, compiling and
analyzing surgical output data and hence
the publication of this report namely General
Surgery: Inpatient, Outpatient, Endoscopy
and Surgery (IOES) Census Report 2016-2019.
TAN SRI DATO’ SERI DR NOOR
HISHAM BIN ABDULLAH
Director General of Health
Ministry of Health, Malaysia
12 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
2.b Deputy Director
General Foreword
Ministry of Health hospitals serve as the main Medical Program will continue to
secondary and tertiary healthcare providers encourage and support the publication
for the country. There are total of 146 hospitals of the same kind of report not only for the
and institutions in the country whereby in 2022, surgical services but also other services
54 specialist hospitals provide general surgery as well. This report is very useful for the
service with at least two general surgeons Medical Program and other stakeholders
posted in each hospitals. The subspecialty care to understand the overall view of the
like hepatobiliary, colorectal surgery, breast surgical workload in order to plan for the
and endocrine surgery, upper gastro-intestinal enhancement of the surgical services in the
surgery, vascular surgery and thoracic surgery country.
are also being provided under the umbrella of
general surgery service at the state and major Last but not least, congratulations to Dato’
specialist hospitals. Seri Dr Haji Mohamed Yusof bin Haji Abdul
Wahab, the Head of General Surgery
With the implementation of Global Surgery Service and all the technical committees for
Framework and Ecosystem, the essential developing this report.
surgical services are also provided at the non-
specialist hospitals in the rural or suburban
areas.
It is important to measure the workload of
the surgical services for the identification of
the needs and to ensure the quality of care
provided. Therefore, data on the disease
burden and workload from each of the
hospitals were collected and analyzed by a
group of hardworking medical officers and
specialists from the general surgery fraternity.
These data were compiled for 4 years started
since 2016 until 2019 and published as General
Surgery: Inpatient, Outpatient, Endoscopy and
Surgery (IOES) Census Report 2016-2019.
DATO’ DR ASMAYANI BINTI KHALIB
Deputy Director General of Health
Ministry of Health, Malaysia
General Surgery Services Ministry of Health Malaysia 13
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
3 Executive Summary
This report describes output data of surgical on the actual burden of endoscopy workload
units between year 2016 to 2019 from specialist in Ministry of Health hospitals. Issues of access
hospitals under the MOH Malaysia. These surgical for ERCP services will need to be addressed,
units were categorised into 3 groups, Big (B) with especially in East Malaysia.
surgical beds > 80, Medium (M) with surgical
beds 50 – 80, and Small (S) < 50 based (BMS). This The casemix of surgical procedures are those that
is to facilitate comparison of output between are done by General Surgery and its Sub-specialty
surgical units of similar size. which includes Breast & Endocrine, Upper GIT,
Colorectal, Hepato-pancriatico-billiary, Vascular,
Data was collected manually using an Excel Thoracic and Trauma Surgery. These numbers
Sheet template by a medical officer in the which form the denominator are essential for the
respective surgical unit and submitted to a calculation of POMR rate. Emergency surgery
coordinator. Outlier data was validated for contributes to about 60% of total inpatient
accuracy’. surgeries. Daycare elective GA cases contributes
only to about 10% of the total elective surgeries
Report is divided into two sections. Section A done under general anaesthesia.
describes gross workload for the surgical unit
based on the 4 main domains of surgical services The IOES report is aimed to promote transparency
which is Inpatient, Outpatient, Endoscopy and and accessibility to surgical data with the hope
Surgery. Section B is on number of different of improving the access to essential surgical
types of operative procedures done. The list of services throughout the country. This initiative is
procedures selected is not comprehensive to hoped to set a chain reaction amongst other
describe all the procedures done in the specialist clinical services to also embark into maintaining
hospitals. Common surgical procedures done by clinical data. The integration of data across
specialists were selected and grouped based specialities can help consolidate patient care by
on surgical subspecialities. Data from the various fostering a better understanding of the healthcare
surgical units were tabulated in their respective requirements and driving care where its needed.
BMS grouping. The data is presented using bar
charts and table. For comparison of output
between the surgical units, mean figure was
used.
The sum of new admissions to the ward and new
cases seen in the outpatient clinic is described
in a section called new case workload (Section
6.3.3). This data may be used as a surrogate
measure of surgeons’ workload and hence
assist in decision for surgeon placement and
distribution.
Endoscopy services is both provided by the
gastroenterologist and surgeons. In this report,
data is only reflective of endoscopy done by
surgeons and hence would not be reflective
DATO’ SERI DR HAJI MOHAMED YUSOF BIN HAJI ABDUL WAHAB
Senior Consultant General Surgeon
Head of General Surgery Service
Ministry of Health
14 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
4 Introduction / Background
Data will last longer than systems themselves.
Healthcare should be driven where and when it is need. Policy drawn to strengthen healthcare
systems should be based on data which can describe and demonstrate inequity in access to
healthcare. The world today is overflowing with data; and thus, the ability to utilize it, understand
it, process it, extract value from it and finally successfully communicate it is an important skill
set for all leaders to possess. Data can be converted into information, and this information
only has value if it is able to inspire those in position to make a difference, to develop insights
that can improve service delivery. In order to strengthen surgical services, it is crucial to instil a
work culture of maintaining real time health data that can be utilised to improve infrastructure,
workforce, service delivery and finance. The sustainability of this data driven culture is
dependent on end users understanding the long-term benefits and goals.
1n December 2016 during the surgeons’ annual meet, a resolution was made to collect data
which can be used to describe the burden of surgical services. Data set to be collected
was decided and data collection template was designed using an excel sheet. A medical
officer(MO) was appointed in all specialist surgical unit who was tasked with data collection.
Outlier data was re-examined and validated. The report has thus far highlighted several
variation and challenges faced in the provision of surgical services. We were able to identify
the capabilities and vulnerabilities in the system. There are numerous obstacles leading to gaps
in service, common challenges being lack of experience, maldistribution of specialists and lack
of resources. Information gathered and measured were reflective of workload in the respective
regions.
This report is divided into 2 sections:
• Section A : Inpatient admissions, Outpatient Census, Total Endoscopy, Total Surgery
• Section B : Surgical Procedures (Refer to Appendix 1)
Hospital categorization
Although the hospitals included in this report are all Specialist Hospitals, they differ greatly in
terms of bed numbers, facilities and resources. Therefore, these hospitals are classified into :
a. Big Category Hospital : > 80 surgical beds
b. Medium Category Hospital : 50 – 80 surgical beds
c. Small Category Hospital : < 50 surgical beds
Categorization of the participating Specialist Hospitals into the Big Medium Small (BMS)
category allows for a more objective comparison on performance and outcome.
General Surgery Services Ministry of Health Malaysia 15
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
Data Presentation
Data collected is presented in Graphs and Tables in Descending order (Highest to Lowest)
Graphs and Tables are presented as below :
a. Total – total number for all hospitals
b. By BMS Category
c. By BMS Hospital Category
d. Types of Procedures
e. Modality of Approach
For Graphs representing BMS Hospital Category , the hospitals are colour coded to denote their
BMS category :
BIG
MEDIUM
SMALL
Where the data recorded is zero, the hospitals will not be included into the graphs or table
unless relevant.
16 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
55 Methodology
Parameters Selection
This report aims to reflect the workload of the surgeons and thus, data collected mainly focuses
on surgeon’s related procedures.
In section A, total numbers for Admission, Outpatient encounters, Endoscopy and Surgery was
selected to reflect the burden of General Surgeons. Each of these parameters are subsequently
used in management and distribution of resources and manpower.
Section B collates the total number of selected surgeon-specific procedures which would be
used as denominator to calculate Post-Operative Mortality Rate (POMR) in the effort to monitor
outcome.
Data Source
The IOES report collates various quantitative Surgical data from Malaysia’s MoH Specialist
Hospitals. Data was collected from 53 Specialist Hospitals. Non-specialist and District Hospitals
are not included in this report as the aim of this report is to reflect specialist workload only.
Data from other surgical specialities (Urology, Neurosurgery, Pediatric Surgery, Cardiothoracic
Surgery, Plastic Surgery) are not included.
As not all hospitals have an electronic medical record (EMR) system, a large proportion of our
data are collected manually via census kept by the ward sister and OT (Operating Theatre)
book census. The heterogeneity of data source is leads to some discrepancies of data which
had to be verified several times before endorsement by the each Hospital’s Surgical Head of
Department (HoD)
Data Collection
Each of the 53 Specialist MoH Hospitals have a appointed Data Coordinator, which consists of
Medical Officers. They oversee collecting each hospital’s department set of data.
A template designed and used for data collection (Appendix 2) is distributed via the central
committee to all the data coordinator to facilitate this process. The completed template is then
reviewed and verified by each HoD before it is e-mailed back to the central committee.
The central committee which consists of the Chief editor and 2 Associate Editors, are in charge
of collating and tabulating these data. Any discrepancies noted during initial analysis of data
will be sent back to the respective Data Coordinator for verification and correction.
General Surgery Services Ministry of Health Malaysia 17
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
Data Coordinator for each Hospitals
Surgical Head of Department (HoD)
Central Comittee’s Associate Editors
Collation and
Tabulation Data
IOES Report
Figure 5.1.1 Process of Data Collection
18 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
66 Section A : Inpatient, Outpatient,
Endoscopy and Surgery (IOES)
6.1 Total IOES
a. Total
Figure 6.1.1 KKM Surgical Units Output Data
TOTAL NUMBER OF INPATIENT, OUTPATIENT,
ENDOSCOPY AND SURGERY
Inpatient 2016 2017 2018 2019
Outpatient 215037 220312 222604 225924
Endoscopy 730461 825645 842089 886134
Surgeries 104159 104560 108201 113444
104315 106554 114100 117619
TOTAL
1153972 1257071 1286994 1343121
Table 6.1.1 : Total Number of Inpatient , Outpatient , Endoscopy and Surgery
General Surgery Services Ministry of Health Malaysia 19
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
6.2 INPATIENT
6.2.1 Admissions
a. Total
Figure 6.2.1 : Total Number of General Surgical Admissions
Figure 6.2.2 : 5 years Projection of Total Surgical Admissions
20 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
b. By BMS Category
Figure 6.2.3 : Total Number of Admissions based on Hospital Category
INPATIENT ADMISSIONS
HOSPITAL 2016 2017 2018 2019
CATEGORY
Big 105366 49% 109183 50% 108213 49% 104829 46%
Medium 79863 37% 80867 37% 80959 36% 85351 38%
Small 29808 14% 30262 14% 33432 15% 35744 16%
TOTAL 215037 100% 220312 100% 222604 100% 225924 100%
Table 6.2.1 : Total Number of Admissions based on Hospital Category
General Surgery Services Ministry of Health Malaysia 21
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
c. By Hospital Category
Figure 6.2.4 : Inpatient Admissions for Big Category Hospitals
INPATIENT ADMISSIONS :
BIG HOSPITALS
NO HOSPITALS 2016 2017 2018 2019 MEAN
1 Hosp Melaka 13481 15496 14147 9265 13097
2 HRPZII Kota Bharu 8173 11594 11000 10502 10317
3 HSB Alor Setar 215037 9819 9846 9669 9745
4 HTAR Klang 9647 9007 7596 9295 8822
5 HTJ Seremban 9388 9451 9176 6527 8256
6 HSA Johor Bahru 7871 7264 8088 8197 8225
7 Hosp Pulau Pinang 9350 6490 6674 9036 7348
8 HRPB Ipoh 7193 7277 7236 7036 7062
9 HUS Kuching 6697 7552 7465 7294 6999
10 HSNZ Kuala Terengganu 5685 6445 7672 6900 6916
11 HQE Kota Kinabalu 6648 5790 6545 6802 6525
12 Hosp Kuala Lumpur 5768 6053 5767 7957 6386
13 Hosp Selayang 5757 6040 6775 6915 6372
14 HTAA Kuantan 5406 4078 3202 3094 3945
TOTAL 105366 109183 108213 104829 106898
Table 6.2.2: Inpatient Admissions for Big Category Hospitals
22 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
Figure 6.2.5 : Inpatient Admissions for Medium Category Hospitals
INPATIENT ADMISSIONS :
MEDIUM HOSPITALS
NO HOSPITALS 2016 2017 2018 2019 MEAN
1 Hospital Taiping 7574 7004 6954 6894 7107
2 HSAH Sungai Petani 6326 6549 7452 7827 7039
3 HSNI Batu Pahat 5171 5715 5663 6262 5703
4 Hosp Kajang 4776 4884 5430 5126 5054
5 Hospital Seberang Jaya 5057 5577 4824 4632 5023
6 HoSHAS Temerloh 5596 4713 4377 4779 4866
7 Hospital Sibu 5213 4685 4592 4762 4813
8 HSI Johor Bahru 5058 4459 4413 5286 4804
9 HPSF Muar 4686 3796 4241 4460 4296
10 Hospital Serdang 3861 4009 3449 3491 3703
11 Hospital Teluk Intan 3389 3742 3359 3873 3591
12 Hospital Miri 3806 3877 3767 2379 3457
13 Hospital Kangar 3098 2867 3799 3255 3255
14 Hospital Sungai Buloh 2691 2932 3460 3873 3239
15 Hospital Putrajaya 2955 2865 3286 3444 3138
16 Hospital Ampang 2894 2812 2584 3752 3011
17 HTAN Kuala Pilah 2333 3069 2883 3150 2859
18 HEBHK Kluang 2783 2474 2649 3496 2851
19 Hospital Tawau 2596 2978 2725 2645 2736
20 Hospital Queen Elizabeth 2 1860 1052 1965 1626
0
TOTAL 80867 80959 85351 82166
79863
Table 6.2.3: Inpatient Admissions for Medium Category Hospitals
General Surgery Services Ministry of Health Malaysia 23
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
Figure 6.2.6: Inpatient Admissions for Small Category Hospitals
INPATIENT ADMISSIONS :
SMALL HOSPITALS
NO HOSPITALS 2016 2017 2018 2019 MEAN
1 HDoK Sandakan 2979 3094 3072 3058 3051
2 Hosp Shah Alam 1895 2470 3505 3167 2759
3 Hosp Kulim 2545 2260 2984 3017 2702
4 Hosp Bintulu 2431 2528 2417 3289 2666
5 Hosp Segamat 2836 2423 2606 2486 2588
6 Hosp Seri Manjung 2774 2394 2442 2557 2542
7 Hosp Keningau 2287 2614 2339 1955 2299
8 Hosp Sarikei 1377 1609 2009 1899 1724
9 Hosp Tanah Merah 1467 1553 1859 1851 1683
10 HSIP Kuala Krai 1824 983 1408 2152 1592
11 Hosp Kemaman 1400 1580 1703 1647 1583
12 Hosp Kuala Lipis 1268 1303 1393 1892 1464
13 Hosp Lahad Datu 1017 985 1141 1127 1068
14 HSM Langkawi 946 1044 946 1006 986
15 Hosp Port Dickson 830 834 965 1058 922
16 Hosp Labuan 1018 869 801 885 893
17 Institut Kanser Negara 680 721 720 1131 813
18 Hosp Banting 234 275 285 1226 505
TOTAL 29808 30262 33432 35744 32470
Table 6.2.4 : Inpatient Admissions for Small Category Hospitals
24 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 23
d. By BMS Hospital Category
d) By BMS Hospital Category
Mean Admissions 2016 - 2019
14000
12000
10000
8000
6000
4000
2000
0
Hosp Melaka
HRPZII Kota Bharu
HSB Alor Setar
HTAR Klang
HTJ Seremban
HSA Johor Bahru
Hosp Pulau Pinang
Hosp Taiping
HRPB Ipoh
HSAH Sg Petani
HUS Kuching
HSNZ Kuala Terengganu
HQE Kota Kinabalu
Hosp Kuala Lumpur
Hosp Selayang
HSNI Batu Pahat
Hosp Kajang
Hosp Seberang Jaya
HoSHAS Temerloh
Hosp Sibu
HSI Johor Bahru
HPSF Muar
HTAA Kuantan
Hosp Serdang
Hosp Teluk Intan
Hosp Miri
Hosp Kangar
Hosp Sungai Buloh
Hosp Putrajaya
HDoK Sandakan
Hosp Ampang
HTAN Kuala Pilah
HEBHK Kluang
Hosp Shah Alam
Hosp Tawau
Hosp Kulim
Hosp Bintulu
Hosp Segamat
Hosp Seri Manjung
Hosp Keningau
Hosp Sarikei
Hosp Tanah Merah
HQEII Kota Kinabalu
HSIP Kuala Krai
Hosp Kemaman
Hosp Kuala Lipis
Hosp Lahad Datu
HSM Langkawi
Hosp Port Dickson
Hosp Labuan
Institut Kanser Negara
Hosp Kapit
Hosp Banting
Figure 6.2-7: Mean Inpatient Admissions by BMS Hospital Category
GeneralFSiguurrgeer6y.2:.I7n:pMaetieannt,InOpuatptiaetnietnAt,dEmnidssoisocnospyb,ySBuMrgSerHyo(sIpOiEtaSl)CCaetnesguosrRy eport 24
Figure 6.2-8: Mean Inpatient Admissions by BMS Category
Figure 6.2.8: Mean Inpatient Admissions by BMS Category
6.3 OUTPATIENT
a) Total
Total
Surgical
Out-‐pa:ent
Clinic
Visits
1000000
730,461
825,645
842,089
886,134
900000
800000
General Surgery Services Ministry of Health Malaysia 25
700000
600000
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
6.3 OUTPATIENT Figure 6.2-8: Mean Inpatient Admissions by BMS Category
6.3 OUTPATIENT
a. aT)oTtaotal l
Total
Surgical
Out-‐pa:ent
Clinic
Visits
1000000
730,461
825,645
842,089
886,134
900000
800000
567935
643712
651804
685446
700000
600000
162526
181933
190285
200688
500000
400000
2016
2017
2018
2019
300000
New
Follow
Up
200000
100000
0
Figure 6.3-1 : Total Number of SOPC Visits
Figure 6.3.1 : Total Number of SOPC Visits
SOPC 2016 2017 2018 2019
New Cases 162526 22% 181933 22% 190285 23% 200688 23%
Follow Up 567935 78% 643712 78% 651804 77% 685446 77%
730461 100% 825645 100% 842089 100% 886134 100%
Total
Table 6.3.1 : Total Number of SOPC Visits
26 General Surgery Services Ministry of Health Malaysia
2016 2017 2019
181933 22% 200688 23%
GENERAL SURGERYSOPC
New Cases 162526 22% 2018
190285 23%
Follow UINpPAT5IE6N79T3,5OUTP7C8A%ETNIESNUTS,6ER4N3E7PD1OO2 RSTC2O70P81Y%6A- 2N0D1695S1U8R0G4 ERY7(7I%OES) 685446
77%
Total 730461 100% 825645 100% 842089 100% 886134 100%
Table 6.3-1 : Total Number of SOPC Visits
ab). ByyBBMMSSCCataegtoergy ory
Total SOPC Visits : Hospital Category - Big
50000 43089 37672 45000
45000
40000 36337 40000
35000 31954 31672 30822
30000 26288 23974 23653 23607 35000
25000
20000 22110 19950 30000 Mean
15000
10000 18546 18412 25000
5000 20000
0 15000
10000
5000
0
2016 2017 2018 2019 Mean
FigurFeig6u.r3e.26.3: -T2o:taTol taSlOSPOCPCVVisiistists––BBiigg CCaatetgeogryoHryosHpoitaslpsitals
TOTAL SOPC VISITS : BIG HOSPITALS
No Hospitals 2016 2017 2018 2019 Mean
43089
1 HRPTBOITpoAhL SOPC VISITS : 41704 45710 42060 42880 37672
3M63E3A7N
2 HTABRIGKlaHngOSPITALS 33590 36368 39303 41425 3413905849
3317667722
3 NHOosp Kuala LuHmOpSuPr ITALS 343270716 365250117 368725018 375424019 12322223332233303962163016661829983699205187258327757240038482472
4 H1SAHJRoPhBorIpBoahhru 3074515704 3074555710 3415428060 3214472880 11228833456614056273
5 H2ospHPTuAlRauKlPainngang 3093737590 3243163368 3187399303 3141471425 38282018130
6 HHHHHHHH3894765SSoQooRTsssNBJPEpppZSZHHHHHHHAKSUMeIoSooTooKIleJroAmsssssoeelKppppptuSalrmauJaeayoSoKMUSPmkKlbarteuaeuhemaaaneitllaoSmnTnaagalBuarlaaruyeambhrkBbraaaPaeaaLanwSriunnlhnugaumgararugkanpawgunrauk 12212212632086881382433213247722220400263661266791433757772536717 12123226926349342334333322383447312626067244781435744345451135281 22322214559643219836598122993323235664157168595881582175979576889 32222224614479277986327550482233332655894724917174579154470456727
7 1722929842 1872232317 1920241125 1896214328 19950
8 18546
9 18412
10
11
12
13
14 1H0TAHASKB uAalonrtaSnetar 1982530826 1761899387 1596249329 2014216884
11 HRPZTIIOKToAtaLBharu 34921462226 38972441274 39922836685 41402644255
12 HSNZ Kuala TerenggTaanblue 6.3-2 : Total S1O8P8C26Visits - B1ig93C3at4egory Ho1sp9i9ta9ls1 21649
13 HQE Kota Kinabalu 17299 18722 19201 18961
14 HTAA Kuantan 19850 17689 15969 20141
TOTAL 349242 389741 399286 414064 388083
Table 6.3.2 : Total SOPC Visits - Big Category Hospitals
General Surgery Services Ministry of Health Malaysia 27
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 26
Total SOPC Visits : Hospital Category - Medium
35000 2914827080 30000
30000 27500
25000 23708 25000
20000 20591 20561 22500
15000 18738 1779417688 20000
10000 17500
5000 1533315304146341426413435 132171250811524 110119738 15000 Mean
12500
0 9347 8993 10000
7500
5000
2500
0
2016 2017 2018 2019 Mean
Figure 6.3-3 : Total SOPC Visits – Medium Category Hospitals
Figure 6.3-3 : Total SOPC Visits – Medium Category Hospitals
TOTAL SOPC VISITS : MEDIUM HOSPITALS
No HToOspTitAalsL SOPC VISITS : 2016 2017 2018 2019 Mean
1 HMSAEHDSIuUnMgai PHetOanSi PITALS 27535 28123 30489 30444 29148
2 Hosp Putrajaya 23202 24903 28972 31243 27080
3NO Hosp TaipingHOSPITALS 231200716 235121017 23268201824946 2019 2370M8 EAN
4 1 HSHISAJoHhoSruBnaghariuPetani 1862672535 1990288123 211213048922671 30444 2059129148
5 2 HoHsopsSpePbuertraanjgaJyaaya 1912133202 2128204903 185362897223315 31243 2056127080
6 3 HoHsopsSpuTnagiapiinBguloh 1592634107 1772233511 198422326821422 24946 1873823708
7 4 HoHsSpI TJoehluokr IBnatahnru 1581087662 1947169908 177112112118183 22671 1779420591
8 5 HPHSoFspMSueabr erang Jaya 1601290113 1786221280 180381853618832 23315 1768820561
1191067 HHHSooHHssNooppssIASppBemTSaredtupualnaunPngkgagahIniaBttaunloh 113453179594964 115725321067723 1144450224198421157808082 21422 115533034318738
128 HoHsPpSKF Manugaarr 1011852807 1743129476 154481771115473 18183 1463417794
139 HoHsopsMp Airimpang 1491361020 1488147862 121411803815099 18832 1426417688
1410 HoHSSHNAI BSaTtuemPaerhloaht 1411833579 1494147526 14811144249803 15802 1343515333
1371848394 1268185230 127871450213606 17088 1321715304
1511 HoHsopsKp aSjeanrdgang
1131008182 1153167432 130581544814131 15473 1250814634
1612 HoHsopsTpaKwaanugar 1051645931 1342164884 12683121419420 15099 1152414264
1713 HoHsopsSpibMuiri 681014183 1211134944 128421481112286 9803 1101113435
1814 HEHBoSHHKAKS lTueamngerloh 671453788 964172688 107851278711775 13606 973813217
1915 HTHAosNpKKuaajalanPgilah 781421308 852101536 100151305811009 14131 934712508
2016 HQHoEsIpI KTTaotwOaaTKuAinLabalu 346961824202565 387744914239426 39973386718268341114705684 9420 388959430131524
17 Hosp Sibu Table 6.3-3 : Total SOP6C8V0i1sits – Med1iu2m1C1a3tegory Ho1sp2i8ta4ls2 12286 11011
18 HEBHK Kluang 6745 9647 10785 11775 9738
19 HTAN Kuala Pilah 7842 8520 10015 11009 9347
20 HQEII Kota Kinabalu 6682 7794 9736 11758 8993
TOTAL 349242 384429 393878 414064 385403
Table 6.3.3 : Total SOPC Visits – Medium Category Hospitals
28 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 27
18000 Total SOPC Visits : Hospital Category - Small 14000
16000 12000
14000 12966
12000
10000 11985 11515
10839
8000
6000 9028 10000
4000
2000 6832 8000 Mean
5858 5547 5316 5249 6000
0
3793 3508 3500 3261 3247 3091 2771 4000
1623 1518 2000
0
2016 2017 2018 2019 Mean
Figure 6.3-4 : Total SOPC Visits –Small Category Hospitals
Figure 6.3.4 : Total SOPC Visits –Small Category Hospitals
TOTAL SOPC VISITS : SMALL HOSPITALS
No HHHSToooOssMspppTSKAitAeuaLrlliLisLmMSHaOnOjuPnSCgPIVTAISLISTS : 2016 2017 2018 2019 Mean
1 10301 18396 11697 11471 12966
2 11694 11095 12208 12943 11985
3NO Hosp Shah AHlaOmSPITALS 57022016 112221017 13503201815633 2019 1151M5 EAN
4 1 HDHooKspSKaunldimakan 1001509301 959108396 102351169713473 11471 1083192966
5 2 HoHsopsSpeSgeamri aMt anjung 762101694 852121095 96541220810317 12943 902811985
6 HoHsopsKpeSnhianghaAu lam 658443550702 6578511961221 758670161350365951202 15633 5688532811515
7 3 HHooHssDppoSBKainrSitakuenluidakan 187110059 58099590 7693102356816 13473 554710839
8 4 53079620 50088522 5356 9654 5591 10317 53169028
9 5 HoHsopsPpoSrteDgaicmksaotn
106 HoHsopsKpeKmeanminagnau 44367430 56576716 5619 7671 5284 6510 52496832
117 HoHsopsLpaBhiandtuDluatu 39455845 35475859 3822 5806 3857 5922 37935858
128 HoHsopsLpaSbaurainkei 35417871 34455809 3503 7693 3537 6816 35085547
139 HoHsopsBpaPnotirntgDickson 23651309 33015008 3823 5356 4513 5591 35005316
1410 HSHIoPspKuKaelamKarmaian 27443437 30425657 3225 5619 4032 5284 32615249
1511 HoHsopsLpaLnaghkaawdiDatu 26536945 31283547 3362 3822 3842 3857 32473793
1612 HoHsopsTpaLnaabhuMaenrah 27830547 30603445 3181 3503 3342 3537 30913508
1119781143 HIHnooHHssstoSipptIsuPKKptKuaKBupaaaliantanlsatLeinriKpgNriaseigara 20124361 12115616145533034012 3076 3827 11256772113833250610
140925743 1741 3823 1743 4513
1827 3225 1111 4032
15 Hosp LTaOngTkAaLwi 908029656 1126930128 1170023362123764 3842 1114463247
16 Hosp Tanah Merah Table 6.3-4 : Total SO2P7C8V0isits –Smal3l 0C6a0tegory Hosp3it1al8s1 3342 3091
17 Hosp Kuala Lipis 2014 2165 3076 3827 2771
18 Institut Kanser Negara 1495 1514 1741 1743 1623
19 Hosp Kapit 0 1615 1827 1111 1518
TOTAL 90809 112690 117002 123764 111446
Table 6.3.4 : Total SOPC Visits –Small Category Hospitals
General Surgery Services Ministry of Health Malaysia 29
General Surgery Services Ministry of Health Malaysia 30
30000
c. eB)yBByMBMSSHHoossppitiatlaClaCtegaortyegory
28000
26000
24000
22000
20000
18000
16000
14000
12000
10000
8000
6000
4000
2000
0
Figure 6.3.5F:igMuree6a.3n-5T:oMtaeal nSTuortgalicSuarlgiOcaul Otpuatptaiteienntt CClilninicicVisVitissibtys BbMyS HBoMspSitaHl oCsaptegitoaryl Category HTAR
Klang
Mean Surgical Out-Patient Clinic Follow-up Visits 2016 -2019 General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 28
HRPB
Ipoh
Hosp
Pulau
Pinang
Hosp
Kuala
Lumpur
HSA
Johor
Bahru
Hosp
Melaka
HSAH
Sg
Petani
Hosp
Putrajaya
Hosp
Selayang
HUS
Kuching
HSB
Alor
Setar
Hosp
Seberang
Jaya
HRPZII
Kota
Bharu
Hosp
Taiping
HSI
Johor
Bahru
HSNZ
Kuala
Terengganu
HTAA
Kuantan
HQE
Kota
Kinabalu
Hosp
Seremban
Hosp
Teluk
Intan
HPSF
Muar
Hosp
Sg
Buloh
Hosp
Kangar
Hosp
Ampang
HSNI
Batu
Pahat
Hosp
Miri
HoSHAS
Temerloh
Hosp
Kulim
Hosp
Serdang
Hosp
Tawau
Hosp
Seri
Manjung
Hosp
Sibu
HDoK
Sandakan
Hosp
Kajang
HEBHK
Kluang
Hosp
Shah
Alam
HTAN
Kuala
Pilah
HQEII
KK
Hosp
Segamat
Hosp
Keningau
Hosp
Bintulu
Hosp
Sarikei
Hosp
Kemaman
Hosp
Port
Dickson
Hosp
Lahad
Datu
Hosp
Labuan
Hosp
Tanah
Merah
HSIP
Kuala
Krai
Hosp
BanQng
HSM
Langkawi
Hosp
Kuala
Lipis
Hosp
Kapit
InsQtut
Kanser
Negara
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 30
6.3.1 SOPC New case Visits
6.3.1 SaOP. CByNeBwMcaSseCViasittsegory
a) By BMS Category
SOPC New Case Visits : Hospital Category - Big
18000 16410 18000
16000 16000
14000 10095 8873 8763 14000 Mean
12000 6418 12000
10000 5739 5214 5124 4743 4216 3953 3842 3181 10000
8000 8000
6000 2935 6000
4000 4000
2000 2000
0
0
2016 2017 2018 2019 Mean
Figure 6.3-6 : SOPC New Case Visits – Big Category Hospitals
Figure 6.3.6 : SOPC New Case Visits – Big Category Hospitals
SOPC NEW CASE VISITS : BIG HOSPITALS
No Hospitals 2016 2017 2018 2019 Mean
1 HSROPBPICpohNEW CASE VISIT1S61:14 16883 15202 17442 16410
2 HBoIsGp KHuaOla LSuPmIpTuAr LS 9826 10204 10440 10095
9909 8873
20198763
3 HHTTJASReKrelmanbgaHnOSPITALS 7898 8892 9357 9345 174462418
N4 O 66402016 9239 20179722 20198449 104450739 MEAN
51 HHosRpPBSeIlpaoyahng 549316114 6231 168836414 152705232 93455214 16410
62 HHSoAsJpohKouraBlaahLruumpur 49159909 4915 98266398 102607429 94495124 10095
75324743
73 HHosTpARPuKlalaunPginang 46897898 5642 88925191 93557333 672943921563 8873
53333842 8763
84 HHosTpJ MSeerleakmaban 26996640 6047 92395910 97252841 58413181 6418
95 HHRoPsZpIISKeolatayBahnagru 33825493 5075 62314860 64154655 56552935 5739
11016 HHSSBAAJloorhSoertaBrahru 337932414915 3369 491544726375 639448081005 480859504 5214
127 HHHUSoNSsZKpKuPcuuhalilanaugTPerinenagngganu 3832 51941210 5124
36314689 4009 56423517 59120924 4010 4743
138 HHQoEspKoMtaeKlainkaabalu 31602699 3360 60473279 48630544 4216
4210 3953
149 HHTRAPAZIKI KuoantatanBharu 29433382 2619 50752632 3842
2924 3181
10 HSB AloTrOSTeAtaLr 791283921 89939 336991688 47967259 2935
11 HUS Kuching Table 6.3-5 : SOPC New3C7a3se4Visits – Big3C8a3te2gory Hospita4ls235 3544
12 HSNZ Kuala Terengganu 3631 4009 3517
13 HQE Kota Kinabalu 3160 3360 3279
14 HTAA Kuantan 2943 2619 2632
TOTAL 79128 89939 91688 97259 89504
Table 6.3.5 : SOPC New Case Visits – Big Category Hospitals
General Surgery Services Ministry of Health Malaysia 31
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 31
SOPC New Case Visits : Hospital Category - Medium
8000 6921 7000
7000 6188
6000 6000
5000 49894719
4000 4338 4124 4069 3914 3890 3839 3524 5000
3000 2921 2746 2532 2069 1909 4000 Mean
2000 3000
1000 1810 1758 1668 1621 2000
0 1000
0
2016 2017 2018 2019 Mean
Figure 6.3-7 : SOPC New Case Visits – Medium Category Hospitals
Figure 6.3.7 : SOPC New Case Visits – Medium Category Hospitals
SOPC NEW CASE VISITS: MEDIUM HOSPITALS
No HHHSMoooOsssEpppPDiSTtauaCIlinUspgianNMigBEuHWloOhCSAPISTEAVLSISITS256402:610461 2017 2018 2019 Mean
1 6954 8124 6206
2 6103 6621 6764 6921
6188
3NO Hosp PutrajayHaOSPITALS 42222016 4786 20175140 20158808 20194989 MEAN
4 1 HoHsopsSpeTrdaaipnging 34156401 5751 6954 5066 81244642 62064719 6921
5 HHSSHNAoIHspBSaSutuunngPgaaiahPaietBtaunloi h 344478045264 4055 4189 662441662599 676444313248 6188
6 2 3820 6103 4541 51440503 58084069
50646063 4989
7 3 HSHIoJsophoPruBtraahjaruya 41294222 3693 4786 3952
8 4 HPHSoFspMSueardang 32253415 4157 5751 4212 46423914 4719
9 5 HoHsSpNKI aBjaantug Pahat 33304480 3514 4055 4171 41849546 46293890 4338
45441196
106 HoHsSpAAHmSpuannggai Petani 36813474 3630 3820 3848 39532615 46593839 4124
117 HoHsSpI TJoelhuokrIBntaahnru 30594129 3575 3693 3847 421332241835 45033524 4069
11238 HHHoooHHSssPoppHSsMSFpAeMSiKbreiauTrjaaeanmrngegrJlaoyha 226585273225 2751 2769 41721235 406322972461 3914
149 2472 4157 2739 38428301 45462532 3890
38417926 41962069 3839
1510 HoHsopsKpaAngmapr ang 25953330 2829 3514 2468
25893681 1763 3630 1623
1611 HTHAosNpKTeualulakPIinlatahn 16923059 1921 3575 2095 36151909 3524
1712 HEHBoHspKSKelbueanragng Jaya 15062682 1680 2751 1721 27629334 34831810 2921
1813 HoHsopSTHaAwSauTemerloh 18302557 1781 2472 1719 27319702 32151758 2746
22351668 2532
1914 HoHsopsSpibMuiri 13492595 1639 2829 1585 24628099 23011621 2069
2015 HQHoEsIIpKKoatangKainrabalu 9902589 1405 1763 1947 16223143 192669549 1909
16 HTAN KTuOaTlaAPLilahTable 6.3-6 : SOPC 6N2ew47C01as6e9V2isit6s 8–2M7e9di1um92C1a7te2go3r7y7Hosp2i0ta9l7s55069
17 HEBHK Kluang 1506 1680 1721 2334 1810
1702 1758
18 Hosp Tawau 1830 1781 1719 2099 1668
2143 1621
19 Hosp Sibu 1349 1639 1585
20 HQEII Kota Kinabalu 990 1405 1947
TOTAL 62470 68279 72377 75069 69549
Table 6.3.6 : SOPC New Case Visits – Medium Category Hospitals
32 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 32
SOPC
New
Case
Visits
:
Hospital
Category
-‐
Small
5000
3856
4000
Mean
4500
3500
4000
2950
2682
1039
8 57
856
855
673
650
417
202
3000
3500
2233
2500
3000
1686
1650
2000
2500
1382
1107
1077
1067
1500
2000
1000
1500
197
500
1000
0
500
0
2016
2017
2018
2019
Mean
Figure 6.3-8 : SOPC New Case Visits – Small Category Hospitals
Figure 6.3.8 : SOPC New Case Visits – Small Category Hospitals
SOPC NEW CASE VISITS: SMALL HOSPITALS
No HHSSHooMOossspppPASSitCheLagalLhasNmAHaEltaOWmSPCIATASLESVISITS222:407161665 2017 2018 2019 Mean
1 4009 4498 4452 3856
2 2870 2991 3223 2950
N3 O Hosp KulimHOSPITALS 22215016 34825017 23962018 2630 2019 2682MEAN
41 HHoospspSeSrhiaMhaAnjluanmg 19628465 22904009 2265 4498 2407 4452 22333856
52 HHDoosKp SSeangdaamkaant
763 HHHooossppspKPoKerumtlDaimmicaknson 16725716 16862870 1552 2991 1832 3223 16862950
84 HHoospspBSaentriinMg anjung 116212290215 113455883485 1796 1824 113685022682
95 HHoDspoKKeSnainngdaaukan 8912968 10872290 1506 2396 1344 2630 11072233
106 HHoospspSaProikrteDi ickson 8615675 10631686 10771686
3418620 10871358 1177 2265 1273 2407 10671650
1256 1552 1122 1832
1299 1796 1535 1824
117 HHoospspKKuealma aLimpiasn 4817219 6171458 1388 1506 1664 1344 10391382
128 HHSoIPspKBuaalnatiKngrai 1088892 7121087 718 1177 908 1273 857 1107
139 HHSoMspLKanegnkinawgai u 753865 8861063 960 1256 823 1122 856 1077
1140 HHoospspBSinatruikluei 822348 7611087 935 1299 902 1535 855 1067
1151 HHoospspTKanuaahlaMLeipraihs 613487 668617 694 1388 718 673 1039
1111187623 HIHnHHoosSSstsiIMpptPuLLtKLaaaKubhnaauagnldaasknDeaKrawrNtauiei gara 1630891750705838 163356576878162 647 697 1664 650
1194 HHoospspKBaipnittulu 0 822 230761 351 718 587 908 417 857
197 960 259 823 202 856
902
202 935 160 197 855
15 Hosp TaTnOaThAMLerah 20926813 25425668 26828 694 28360 718 25434673
16 Hosp Labuan Table 6.3-7 : SOPC New6C0a0se Visits – Sm6a5ll7Category Ho6sp4it7als 697 650
17 Institut Kanser Negara 395 335 351 587 417
18 Hosp Lahad Datu 187 166 197 259 202
19 Hosp Kapit 0 230 202 160 197
TOTAL 25425 26828 28360 25434 69549
Table 6.3.7 : SOPC New Case Visits – Small Category Hospitals
General Surgery Services Ministry of Health Malaysia 33
General Surgery Services Ministry of Health Malaysia 34
16000
b. bB)MBSy BHMoSspHoitsapiltaCl Caatteegogroy ry
14000
12000
10000
8000
6000
4000
2000
0
Figure 6.3F.9igu: rMe 6e.3a-9n: SMOeaPnCSONPeCwNeCw Caassee VVisiististsbybByMSBMHoSspHitaol sCpatietagolrCy ategory HRPB
Ipoh
Mean SOPC New Case Visits 2016 - 2019 General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 33
Hosp
Kuala
Lumpur
HTAR
Klang
Hosp
Seremban
Hosp
Taiping
Hosp
Selayang
Hosp
Sungai
Buloh
HSA
Johor
Bahru
Hosp
Pulau
Pinang
Hosp
Melaka
Hosp
Putrajaya
HRPZII
Kota
Bharu
Hosp
Serdang
HSNI
Batu
Pahat
HSB
Alor
Setar
HSAH
Sungai
Petani
HSI
Johor
Bahru
HUS
Kuching
HPSF
Muar
Hosp
Kajang
Hosp
Shah
Alam
HSNZ
Kuala
Terengganu
Hosp
Ampang
Hosp
Teluk
Intan
HQE
Kota
Kinabalu
H
Segamat
HTAA
Kuantan
Hosp
Seberang
Jaya
HoSHAS
Temerloh
Hosp
Kulim
Hosp
Miri
Hosp
Seri
Manjung
Hospital
Kangar
HTAN
Kuala
Pilah
HEBHK
Kluang
Hosp
Tawau
HDoK
Sandakan
Hosp
Sibu
Hosp
Port
Dickson
HQEII
Kota
Kinabalu
Hosp
Kemaman
Hosp
BanPng
Hosp
Keningau
Hosp
Sarikei
Hosp
Kuala
Lipis
HSIP
Kuala
Krai
HSM
Langkawi
Hosp
Bintulu
Hosp
Tanah
Merah
Hosp
Labuan
InsPtut
Kanser
Negara
Hosp
Lahad
Datu
Hosp
Kapit
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 35
6.3.2 SOPC Follow up Visits
6.3.2 SOPC Follow up Visits
a. By BMS Category
a) By BMS Category
SOPC Follow-up Visits : Hospital Category - Big
35000 26698 26678 26458 26242 26215 25698 30000
30000 19870
25000 19700 25000
20000 19391 17367 16108 15478 15365
15000 20000
10000 15212 Mean
5000 15000
0
10000
5000
0
2016 2017 2018 2019 Mean
Figure 6.3-10 : SOPC Follow up Visits – Big Category Hospitals
Figure 6.3.10 : SOPC Follow up Visits – Big Category Hospitals
SOPC FOLLOW-UP VISITS : BIG HOSPITALS
No Hospitals 2016 2017 2018 2019 Mean
1 HTSAORPKClanFgOLLOW-UP VISIT25S69:2 27476 29946 32080 26698
2 HRBPIBGIpHohOSPITALS 28827 26858 25438 26678
25590
3NOHosp Pulau PHinOanSgPITALS 262288016 267721017 26688201826084 2019 2645M8 EAN
4 1 HoHsTpAKRuKallaanLgumpur 2442658692 2672257476 266712994627104 32080 2624226698
5 HHSoHsARpPJMBoheIoplarokBhaahru 215368224504590 235083492058827 2279796080268582285841658 25438 225626912856678
6 2 1692768288 2010206771 201822668822220 26084 1987206458
1912048468 1948256725 198902667120318 27104 1970206242
7 3 HoHsopsSpelPauylaanug Pinang 1992055840 1601285840 195622776022079 25418 1939216215
8 4 HUHSosKpuKchuianlga Lumpur
9 5 HSHBSAAlJoorhSoertaBrahru
10 6 HRHPoZsIpI MKoetlaakBaharu 1281434624 1919390395 188252990818600 28865 1736275698
11 7 HSHNoZspKSueallaayTaenregngganu 1511965978 1532250100 164742018217439 22220 1610189870
12 8 HTHAUAS KKuucahnitnang 1691097108 1507109485 133371989016597 20318 1547189700
13 9 HQHESBI KAolotar KSeintaabr alu 1411399905 1536126018 159221956216037 22079 1536159391
1410 HTHJRSPeZrIeI mKobtaan Bharu 1351326844 1320199199 155751882518526 18600 1521127367
11 HSNZ KTuOaTlaATLerenggTaabnleu6.3-8 : SOP2C70Fo11l1l5o41w9u5p V2is9it9s 8–10B52ig3C2a5te3g0or7y5H9o81sp6it4a7ls431680517439 29647196108
12 HTAA Kuantan 16907 15070 13337 16597 15478
13 HQEI Kota Kinabalu 14139 15362 15922 16037 15365
14 HTJ Seremban 13536 13209 15575 18526 15212
TOTAL 270114 299802 307598 316805 296479
Table 6.3.8 : SOPC Follow up Visits – Big Category Hospitals
General Surgery Services Ministry of Health Malaysia 35
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 36
SOPC Follow-up Visits : Hospital Category - Medium
30000 25024 25000
25000 22091
20000
15000 22500
10000
5000 17640 20000
0 16787 16521 17500
1427013774
12550121951149140965 1090410472 99159766 9343 15000 Mean
12500
8618 7928 7438 7371 10000
7500
5000
2500
0
2016 2017 2018 2019 Mean
Figure 6.3-11 : SOPC Follow up Visits – Medium Category Hospitals
Figure 6.3.11 : SOPC Follow up Visits – Medium Category Hospitals
SOPC FOLLOW-UP VISITS: MEDIUM HOSPITALS
No Hospitals 2016 2017 2018 2019 Mean
1 HSSOAHPSCg PFetOanLi LOW-UP VISI2T4S06:1 24303 25948 25785 25024
2 HMosEp DPuItrUajMayaHOSPITALS 18980 20117 23832 25435 22091
3 Hosp Seberang Jaya 16431 18529 15767 19832 17640
4NO Hosp TaipingHOSPITALS 167062016 16557201715144 20188740 201196787 MEAN
5 1 HSHISJAoHhoSrgBPahertuani 1453234061162152430317169 2591488168 2578156521 25024
6 2 HoHsopsTpePluuktrIanjtaanya 1274188980159012011713864 2381342568 2543154270 22091
7 3 HPHSoFspMSuearberang Jaya 1279156431137051852913826 1571647769 1983123774 17640
198054 HoHsopsSpuTnagiapi iBnugloh 1102730410267061113162210165571103251218 151114244679588 187411022515905 16787
HHooHssSppI AKJomanhpgoaarnrBgahru 989814533138961621510576 1711619606 1816181494 16521
116 HSHNoIspBaTteuluPkahIanttan 991412748111751590110313 1381624459 1456180965 14270
1158182795121151370512343 138725668 1476190904 13774
127 HoHsPpSMF Miriuar
138 HoHSoHspASSuTnegmaeirlBouhloh 1123110700102161162010048 1321201391 1465180472 12550
149 HoHsopsSperKdaannggar 676712342116811312110382 1051108831 127998915 12195
1510 HoHsopsTpaAwmaupang 87359898 116451389610964 105777618 116096766 11494
1118671112 HHHEooHHssBSoppNHsKSpIKiaBbMjKuaaintlruugi aPnaghat 579475829914 18004272411175181828577 10319105318857 1245989361438 10965
1913 HTHAoSNHKAuSaTlaePmilearhloh 523911588 7967 121159064 123944341 75687928 10904
615011231 6599 102167920 100940883 103971438 10472
2014 HQHoEsIIpKSoetardKainngabalu 9915
56926767 6389 116817789 103986215 108371371
15 Hosp TTaOwTaAuL 227948073526024711642558832 10927634237 7712855064 9766
16 Hosp Sibu Table 6.3-9 : SOPC Follow5u4p5V2isits – Med1iu0m4C7a4tegory Hos1pi1ta2ls57 10187 9343
17 Hosp Kajang 7978 8022 8887 9585 8618
18 HEBHK Kluang 5239 7967 9064 9441 7928
19 HTAN Kuala Pilah 6150 6599 7920 9083 7438
20 HQEII Kota Kinabalu 5692 6389 7789 9615 7371
TOTAL 260247 258832 273237 255064 69549
Table 6.3.9 : SOPC Follow up Visits – Medium Category Hospitals
36 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 37
SOPC Follow-up Visits : Hospital Category - Small
16000 10285 12000
14000 10000
12000 9753 8000
10000 9153 7659 6000
8000 4000
6000 6078 5755 5003 4480 1320 1206 2000 Mean
4000 3868 3667 3591 2858 0
2000 2418 2404 2392 2392 1732
0
2016 2017 2018 2019 Mean
Figure 6.3-12 : SOPC Follow up Visits – Small Category Hospitals
Figure 6.3.12 : SOPC Follow up Visits – Small Category Hospitals
SOPC FOLLOW-UP VISITS: SMALL HOSPITALS
No HHHSSooosssMOpppiKSPtAaeuClrLlsiiLmMFHaOnOjuLnLSgOPIWTA-ULPS VISIT28S00:1866 2017 2018 2019 Mean
1 14911 9301 8841 10285
2 9726 8805 9943 10536 9753
3NOHDoK SandaHkaOnSPITALS 83824016 79042017 8683 201811641 2019 9153MEAN
32387086
4 1 HoHsposSphaKhulAimlam 49094726 721124911 9005 930111181 8841 765910285
5 2 HoHsposSpegSaemriaMt anjung 550526835384 56528805 6663 9943 7094 10536 60789753
6 HHHoooHHssspppDosoBSKpKaienrSnSithkiuanealnguihaduaAklaamn 15233237 550659837904 6415 5388 557005359153
7 3 32148904 47227212 4871 8683 5020 11641 44807659
8 4 36859565 41995652 38686078
6394 9005 5281 11181
9 5 HoHsposKpeSmeagmaamn at 37558023 4113 6663 3940 7094
10 6 HoHsposPporKteDniicnkgsaonu 36505653 3560 6415 3767 5388 36675755
11 7 HoHsposLpahBaindtuDlautu 33815098 3625 4871 3598 5020 35915003
12 8 HoHsposLpabSuaarnikei 29417523 27884722 2856 6394 2840 5281 28584480
13 9 HoHsposTpanKaehmMaemraahn 21637218 23924199 2487 4113 2624 3940 24183868
1410 HSHIPosKpuPaolartKDriacikson 16535689 23303650 2507 3560 3124 3767 24043667
1511 HoHsposBpanLatihngad Datu 14639758 22143381 2646 3625 3240 3598 23923591
1612 HSHMosLpanLagkbauwain 19023947 22422788 2402 2856 3019 2840 23922858
1713 HoHsposKpuTaalanLaihpiMs erah 15227167 15482392 1688 2487 2163 2624 17322418
11981145 IHnosHHstipSotuIsKPtpaKKBpTuaainOatnslTaetirnAKNgLraegi ara 619180081101646559 811731287695225231340 911063129750422654076919515450164 811623020160122439042
3124
3240
16 HSM Langkawi Table 6.3-10 : SOPC Fol1lo9w0u3p Visits – S2m2al4l 2Category Ho2s4p0ita2ls 3019 2392
17 Hosp Kuala Lipis 1527 1548 1688 2163 1732
18 Institut Kanser Negara 1100 1179 1390 1156 1206
19 Hosp Kapit 0 1385 1625 951 1320
TOTAL 69881 87265 90174 95404 86011
Table 6.3.10 : SOPC Follow up Visits – Small Category Hospitals
General Surgery Services Ministry of Health Malaysia 37
General Surgery Services Ministry of Health Malaysia 38
30000
b) By BMS Hospital Category
28000
26000
b. BMS Hospital Category
24000
22000
20000
18000
16000
14000
12000
10000
8000
6000
4000
2000
0
Figure 6.3-13 : Mean SOPC Follow up Visits by BMS Hospital Category HTAR
Klang
Mean Surgical Out-Patient Clinic Follow-up Visits 2016 -2019 General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 38
HRPB
Ipoh
Figure 6.3.13 : Mean SOPC Follow up Visits by BMS Hospital Category Hosp
Pulau
Pinang
Hosp
Kuala
Lumpur
HSA
Johor
Bahru
Hosp
Melaka
HSAH
Sg
Petani
Hosp
Putrajaya
Hosp
Selayang
HUS
Kuching
HSB
Alor
Setar
Hosp
Seberang
Jaya
HRPZII
Kota
Bharu
Hosp
Taiping
HSI
Johor
Bahru
HSNZ
Kuala
Terengganu
HTAA
Kuantan
HQE
Kota
Kinabalu
Hosp
Seremban
Hosp
Teluk
Intan
HPSF
Muar
Hosp
Sg
Buloh
Hosp
Kangar
Hosp
Ampang
HSNI
Batu
Pahat
Hosp
Miri
HoSHAS
Temerloh
Hosp
Kulim
Hosp
Serdang
Hosp
Tawau
Hosp
Seri
Manjung
Hosp
Sibu
HDoK
Sandakan
Hosp
Kajang
HEBHK
Kluang
Hosp
Shah
Alam
HTAN
Kuala
Pilah
HQEII
KK
Hosp
Segamat
Hosp
Keningau
Hosp
Bintulu
Hosp
Sarikei
Hosp
Kemaman
Hosp
Port
Dickson
Hosp
Lahad
Datu
Hosp
Labuan
Hosp
Tanah
Merah
HSIP
Kuala
Krai
Hosp
BanQng
HSM
Langkawi
Hosp
Kuala
Lipis
Hosp
Kapit
InsQtut
Kanser
Negara
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 39
6.63.3..33 NNeewwCCasae WseorWklooardk(lIonpaadtie(nItnapdmaitssieionnst +aNdemw Cisassieos innsSO+PNCe) w Cases in SOPC)
In a speInciaalisstpderciviaenlisctadrerivsyesntemca, rweosrkylsoteadme,swtimoarktiloonadforetshteimsapeticoianlifsot risthimepsoprteacntiafolisrthiusmimanporetsaonutrcfeor
planninhguamndadnisrtersibouutricone. pAlmanonngintgheasncdopdeisotfribspuetcioianli.sAt wmoorkngis tthoesesecaolpl neewofcsapseesc,ibaolitsht winoparktieisnttoansdee
outpatieanllt.new cases, both inpatient and outpatient.
New CaNseewWoCrkalsoeadWcaonrkbloeaudsedcaasna bsuerrougseatde maesasaurseuorrfosgpaectiealimstewaosrukrleoaodfinspdieffceiraelnisttcwenoterkrslo. ad in
different centers.
a) By BMS Category
a. By BMS Category
Mean New Case Workload : Hospital Category- Big
25000 23472
20000
15000 18222 17695 17019 16481 15060 13964
10000
5000 13961 12790 12562 10952
0 10758 9705
6880
Admissions SOPC New Case Total
Figure 6.3F.i1g4ure: M6.3e-1a4n: MNeeanwNCewaCsaeseWWoorrkkllooada-dB-igBCiagteCgoaryteHgosopirtyalsHospitals
MEAN NEW CASE WORKLOAD – BIG HOSPITALS
No Hospitals Admission Mean Mean SOPC New Cases Total
1 HMREPAB INpohNEW CASE WORKL7O06A2D
2 H–oBspIGMelHakOa SPITALS 16410 23472
13097 5124 18222
3 HTAR Klang ADM8IS8S2I2ON MEAN S8O87P3C NEW 17695
N4 O HTJ SereHmObSaPnITALS M8EA25N6 C8A7S6E3S 1T7O01T9AL
51 HHoRsPpBKIupaolahLumpur
76036826 1160401905 1263484172
1158062022
62 HHRoPsZpIIMKeolatakBaharu 113039177 54172443
1137966495
73 HHSTAARJoKhloarnBgahru 88822225 85877339 1137960119
84 HHSTBJ SAelorermSebtaarn 89275465 84726136 1126794081
95 HHoospspSeKluaayalangLumpur 66338762 106401985 1125560260
1103959264
106 HHoRsPpZPIIuKlaoutaPiBnhanagru 107331478 45724134 1103759861
117 HHoSsAp UJomhuomr BSaahrarwuak 86292959 53793593 917207590
618285062
128 HHSSNBZAKlouraSlaetTaerrengganu 96794156 43281462 10952
10758
139 HHQoEspKSoetalaKyiannabgalu 6635725 63411881
9705
1140 HHToAspA PKuulaanutaPninang 7394485 52291345 6880
11 Hosp Umum SarawTaabkle 6.3-11 : Mean N6ew99C9ase Workload - Big Category3H9o5s3pitals
12 HSNZ Kuala Terengganu 6916 3842
13 HQE Kota Kinabalu 6525 3181
14 HTAA Kuantan 3945 2935
Table 6.3.11 : Mean New Case Workload - Big Category Hospitals
General Surgery Services Ministry of Health Malaysia 39
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 40
Mean New Case Workload : Hospital Category-
Medium
16000 14028
14000 11163
12000 10041 9427 8944 8873 8421 8210 8127 7944 7613 7115 6850 6481 5989 5324 4768 4661 44943247
10000
8000
6000
4000
2000
0
Admissions SOPC New Case Total
Figure 6.3.F1ig5ur:eM6.e3-a15n:NMeeawn NCeawsCeasWe Woorkrkllooaadd- M- eMdieumdiCuamtegCoray tHeogspoitrayls Hospitals
MEAN NEW CASE WORKLOAD – MEDIUM HOSPITALS
No MHoEspAitNalsNEW CASE WOARdKmLisOsioAn DMean Mean SOPC New Cases Total
14028
1 H–osMp TEaDipIiUngM HOSPITALS 7107 6921 11163
1T0O0T4A1 L
2 HSAH Sg Petani 7039 4124 8919444207428
ADM5IS7S0I3ON MEAN S4O33P8C NEW 818171363
3NO HSNI BaHtuOPSaPhIaTtALS 814020141
M735E120A0357N94 C6A36918S289E108S 89241207
4 1 HHHooossppspKSuTanajaginpagiinBguloh 74083094 44102649 88192474
5 53770033 44373189 78984743
62 HHSSIAJoHhoSgr BPaehtrauni 78641231
73 HHoSspNSI BeradtaunPgahat 78121150
56678984918852410974
84 HHPoSsFpMSuanrgai Buloh 34223996 63198184 57362143
47716185
95 HHoospspPuKtarajjaanyga 53015348 34899809 46686510
46449841
106 HHoSspI JSoehboerraBnaghJrauya 45800243 42096291 35294879
34780636 42771497
117 HHooSHspASSeTrdeamnegrloh 43259961 33951244 5324
128 HHoPspSFTMeluukarIntan 35334018042351183371 42123996858233691289
111354190 HHHHHooooossspppssppAMSiPSmbireuuiptbaraengjraaynag Jaya 43826565 22704679 4768
1611 HHoospSHKAanSgTaermerloh 32589519 31592049
1712 HHToAsNp KTeulaulka IPnitlaahn 32081511 31883190 4661
1813 HHEoBsHpKAKmlpuaanngg
1914 HHoospspTaSwibauu 42871336 11676588 4494
2015 HHQoEsIpI KMoirtia Kinabalu 31465276 21563221 3247
16 Hosp Kangar Table 6.3-12 : Mean New3C2a5s5e Workload - Medium Catego2r0y 6H9ospitals
17 HTAN Kuala Pilah 2859 1909
18 HEBHK Kluang 2851 1810
19 Hosp Tawau 2736 1758
20 HQEII Kota Kinabalu 1626 1621
Table 6.3.12 : Mean New Case Workload - Medium Category Hospitals
40 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 41
Mean New Case Workload : Hospital Category-
Small
7000 6615
6000 5538 5383 4774 4737
5000 3521 3376 2964 2791 2571 2503 2448 2356 1841 1612 1543 1270 1230 861
4000
3000
2000
1000
0
Admissions SOPC New Case Total
Figure 6.3F.ig1u6re: 6M.3e-1a6 n: MNeeanwNCewaCsaeseWWoorrkkllooaad d- S-maSlml Caatlel gCoraytHeogspoirtaylsHospitals
MEAN NEW CASE WORKLOAD – SMALL HOSPITALS
No HMosEpAitaNls NEW CASE WOARdmKiLssOioAn MDean Mean SOPC New Cases Total
1 H–osSp MShAahLALlaHmOSPITALS 2759 3856 6615
5538
2 Hosp Segamat 2588 2950 5TO38T3AL
4774
3NOHosp KulHimOSPITALS ADM2I7S0S2ION MEAN S2O68P2C NEW 46763175
4 Hosp Seri Manjung 35552318
5 1 HDHooKspSSahnadahkAanlam M2E5A4N2 C2A2S3E3S 35337863
6 2 HoHsopsBpinSteugluamat 23705591 31865866 24976744
24779317
22568686 289550 23557211
23530736
7 3 HoHsopsKpeKnuinligmau 22720929 21608727 222439546684
12874911
8 4 HoHsopsKpeSmearimMananjung 21554823 21233832 12651721
31075214 11608667 12554033
9 5 HoHsDpoSKarSikaenidakan 2696226 1865550 12247408
10 6 HoHsopsPpoBrtinDtuiclukson 21249694 11007379 12233506
11 7 HoHsopsKpuKaelanLinigpiasu 111565898323 1683578372 8168141
12 HHHoSSHHsIMooPpssTKLppaauSKnnaaaeglharkmikaKMawermeiairiaahn 1792854 1805667 1612
13 8 952025 11615007
14 9 1486934 1605309 1543
11509628 825072
1510 HoHsopsBpaPnotirntgDickson 1270
1611 HoHsopsLpaKbuuaanla Lipis
1230
1712 HoHsSpIPLaKhuaadlaDKatruai
861
1813 InsHtiotuspt KTaannsaehr NMeegraarah 168813 647137
1914 HoHsSpMKLaapintgkawi 968654 815967
15 Hosp Banting Table 6.3-13 : Mean New5C0a5se Workload - Small Categor1y1H0o7spitals
16 Hosp Labuan 893 650
17 Hosp Lahad Datu 1068 202
18 Institut Kanser Negara 813 417
19 Hosp Kapit 664 197
Table 6.3.13 : Mean New Case Workload - Small Category Hospitals
General Surgery Services Ministry of Health Malaysia 41
General Surgery Services Ministry of Health Malaysia 42
Figure 6.3F.i1g7ure: 6M.3e-1a7n: MNeeanwNCewaCsaeseWWoorrkkloloadabdy BbMySBCMateSgoCryaHteosgpiotarlys Hospitals HRPB Ipoh b) By BMS Hospital Category
Hosp Melaka
HTAR Klang b. By BMS Hospital Category
HTJ Seremban
Hosp Kuala Lumpur 25000
HRPZII Kota Bharu 20000
Hosp Taiping 15000
HSA Johor Bahru 10000
HSB Alor Setar
Hosp Selayang 5000
Hosp Pulau Pinang 0
HSAH Sg Petani
HUS Kuching General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 42
HSNZ Kuala Terengganu
HSNI Batu Pahat Mean Total New Case Workload
HQE Kota Kinabalu
Hosp Sungai Buloh
Hosp Kajang
HSI Johor Bahru
Hosp Serdang
HPSF Muar
Hosp Putrajaya
Hosp Seberang Jaya
HoSHAS Temerloh
Hosp Teluk Intan
HTAA Kuantan
Hosp Ampang
Hosp Shah Alam
Hosp Sibu
Hosp Miri
Hosp Segamat
Hosp Kulim
Hosp Kangar
HEBHK Kluang
Hosp Seri Manjung
HTAN Kuala Pilah
HDoK Sandakan
Hospital Tawau
Hosp Bintulu
Hosp Keningau
HQEII Kota Kinabalu
Hosp Kemaman
Hosp Sarikei
Hosp Port Dickson
Hosp Kuala Lipis
HSIP Kuala Krai
Hosp Tanah Merah
HSM Langkawi
Hosp Banting
Hosp Labuan
Hosp Lahad Datu
Institut Kanser Negara
Hosp Kapit
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 43
6.4 E6N.4DOESNCDOOPGYeSnCeraOl SPuYrgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 43
Endosopic ProEcneddousorepsic/ iPnrotecrevdenutreiosn/sindtoenrveebnytioSnusrdgoicnael UbyniStusr:g-ical Units: -
54321.....E6.n4CSEOCd321inooyeg...sdslsmEooptoopSCOnNhsosii45321ooceacigDc.....dslosgmooPpcoOpoCCESOnprhoosini-oogySoaceipcgdcdsgsmlCosyaeocRootoppodsonsOos-ehtuyspcgcoritcadorPyaorosepogosocY-pstydpgosori/cocury-piag-oonydRdapdtueeesyeorttrnvCrdooeoehg-nnsdortcoaiuloosadocnpneodsygpedCiy(onoOh(no-oOpGeslacaGbDnonyDcSpgSSry)ieou)a(-rOgtpoiaGcgnarDlcaSUpr)ehnayittso(:gE-rRapChPy) (ERCP)
4. Endoscopic Retrograde Cholangio-pancreatography (ERCP)
a) T5o.talCays.toTsocotapyl
a) Total Total Endoscopy
120000 Total Endoscopy
100001020000
104159 104560 108201 113444
100000 104159 104560 108201 113444
80000
80000
60000
60000
40000
40000
20000
20000
0 20162016 20210177 20210818 20192019
0
FigFuirgFeuigr6ue.r46e..614.-4:1-1T:o:TtTaootltaaNll NuNumummbbbeeerrroooffEfEnEndndodsocosocspocypoy py
OGODGDS,SC, Coololonnoossccoopy && EERRCCPPCCenesnussus
65000 65000 ((22001166 -201199)) 5859809909 6094360943
60000 60000 5321593219 5757116688
55000 55000
50000 50000
45000
45000 40000 37107 38335 4065140651
37107 38335
40000 35000 34502
35000 30000 34502
30000 25000
25000 20000
20000 15000
15000 10000 4888 5308 5536 5992
10000 5000 5308 5536 5992
5000 0 4888 2017
2016 2018 2019
0
OG2D0S17 Colono ERCP2018
2016 2019
FigureF6ig.4u.r2e 6:.4To-2ta: TOl oNGtauDlmNSubmebrerooff OOCGGolDoDSnSo, C, ColoonloosncoEopRsycCaoPndpEyRaCnPd ERCP
Figure 6.4-2 : Total Number of OGDS , Colonoscopy and ERCP 43
General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 44
b. Bb)y BByMBMS SCCaatteegogroy ry
Total Endoscopy : Hospital Category - Big
9000 7115 6521 8000
8000 7000
7000 6198 5789 6000
6000 5000
5000 4808 4341 4000
4000 3000
3000 3852 3817 3536 3299 2106 2081
2000 2000
1000 2319 2223 1000
0
0
2016 2017 2018 2019 Mean
Figure 6.4-3 : Total Endoscopy – Big Category Hospital
Figure 6.4.3 : Total Endoscopy – Big Category Hospital
TOTAL ENDOSCOPY : BIG HOSPITALS
No HToOspTitAalLs ENDOSCOPY : 2016 2017 2018 2019 Mean
1 HBSAIGJohHorOBSahPruITALS 7797 6420 6970 7271 7115
2 Hosp Selayang 7752 5632 5705 6996 6521
3NOHRPB Ipoh HOSPITALS 2019 6198 MEAN
4 1 HoHsSpAPuJloahuoPrinBaanhgru 54312016 63122017 6219 20186830 7271 5789 7115
57537797 6840 6420 5643 69704918
6996 4808 6521
5 2 HUHSosKpuScheilnagyang 47897752 4200 5632 4952 57055292
6 3 HSHBRPABloIrpSoehtar 55415431 3772 6312 3857 62194195 6830 4341 6198
7 4 HoHsopsMpePlauklaau Pinang 44075753 3505 6840 3683 56433811 4918 3852 5789
8 5 HTHAURS KKulacnhging 34324789 4106 4200 3531 49524200 5292 3817 4808
9 HHHQoTHHsJESopSIBsKepKArueoMlamotlaaerbKlSLaaeniukntmaaabpraulru 329975935541 3182 3740 385733326499 3536
10 6 21384407 3363 3772 3506 36832527 4195 3299 4341
11 7 16923432 35312416
14243973 2202 3505 2410 37402321 3811 2319 3852
12 8 HSHNTAZRKKulaalangTerengganu 2478 4106 2307 4200 2223 3817
13 9 HRHPTZJ ISIeKreomta bBahnaru 2209 3182 2468 3249 2106 3536
1410 HTHAQAEIKKuoatnataKninabalu 19232959 2045 3363 2092 35062264 3369 2081 3299
11 Hosp KTuOaTlaALLumpur 590121138 562662202 57083 241509659 252758005 2319
12 HSNZ Kuala TerenggaTnabule 6.4-1 : Total E1nd6o9sc2opy – Big C2a4te7g8ory Hospita2l 307 2416 2223
13 HRPZII Kota Bharu 1424 2209 2468 2321 2106
14 HTAA Kuantan 1923 2045 2092 2264 2081
TOTAL 59011 56266 57083 59659 58005
Table 6.4.1 : Total Endoscopy – Big Category Hospital
44 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 45
Total Endoscopy : Hospital Category - Medium
4000 3439 3341 4000
3500 3500
3000 3133 3000
2500 2695 2505 2500 2500
2000 2223 2087 1942 1754 2000
1500 1706 1601 1582 1581 1500
1000 1213 1210 1000
1082 902 866
500
0 156 500
0
2016 2017 2018 2019 Mean
Figure F6i.g4u.r4e :6.T4o-4ta: lTEotnadl Eonsdcooscpopyy –– MMeeddiuimumCatCegaotrey gHoosrpyitaHlospital
HHooTMssppOiEStTaDuAlnsIgULaiMEBNuHlDohTOOOSSTPCAILTOAEPNLYSDO: SC23O2061P62Y : MEDIUM HOSPITALS
2017 2018
No 3319 3393 2019 Mean
1 3782 3439
334M1EAN
2 NOHosp Taiping HOSPITALS 30328016 30827017 37612018 3477 2019 31333439
3 1HosHpoSsepbeSruannggaJiaByualoh 29233262 31273319 33863393 3094 3782 26935341
4 2HosHpoSseprdTaanipging 32037038 24183087 26943761 2460 3477 25035133
25020695
5 3HSNHIoBspatSuePbaehraatng Jaya 22427923 23663127 25753386 2833 3094 22223505
20827500
6 4HSAHHosSpgSPeerdtaanni g 25931207 22172418 26752694 2518 2460 19422223
7 5HosHpSSNibI uBatu Pahat 19226247 21922366 23862575 2386 2833 17524087
8 6HPSHFSAMHuaSrg Petani 19628591 20442217 21222675 2212 2518 111157560088111111261695770840541226
87HHoossHHppoPTMSseFpilruMiSkiubIaunrtan 16410926 20602192 19842386 2082 2386 12113581
9 15414968 21582044 16002122 1712 2212 12110213
10 1119021HHHooSssIHHHHppJooSooPAIssshuJpppmotorrpTAMaheBajmoianlrauriygphkBaraauInnhgtraun 1114570641111027645544047420 111146554064949111212564106604509148 111155672498461411111675960889204414 2082 10812210
13HoSHHoAspS PTuetmraejarlyoah 16817760 11501549 1712 371896550216619850608622
11 10711687 12731150 1829 1829
12 12612071 1879 1879 156
13 1526 1526
14 1543 37515
15 14HTAHNoSKHAuaSlaTePmilaehrloh 11721546 1458 1543
16 15HosHpTKAaNnKgaurala Pilah 10471172 1259 1458
17 16HosHpoKspajaKnagngar 10312262 10061273 10961047 1195 1259
18 17HEBHHosKpKKlaujaanngg 7961032 3168307490912112800700162 389814828385431980289846 31929142515425911911219555
19 1189HHoQsEHHpIEoTIBsKapHwTKoTataOKauwlTKuaAaiunnLagbalu 355440575704967
20
20 HQEII Kota KinabaluTable 6.4-2 : Total Endo0scopy – Medium39Category Hos1pi8ta5l 244
TOTAL 35450 36492 38433 39529
Table 6.4.2 : Total Endoscopy – Medium Category Hospital
General Surgery Services Ministry of Health Malaysia 45
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 46
Total Endoscopy : Hospital Category - Small
2000 1573 1494 1600
1800 1026 1024 971 1400
1600 987 730 713 690 1200
1400 1000
1200 800
1000
800 428 419 392 600
600 419 400
310 281
400 219 217 177 167 200
200
00
2016 2017 2018 2019 Mean
Figure 6.4-5: Total Endoscopy – Small Category Hospital
Figure 6.4.5: Total Endoscopy – Small Category Hospital
TOTAL ENDOSCOPY : SMALL HOSPITALS
No TOHoTsApiLtaElsNDOSCOPY : 2016 2017 2018 2019 Mean
1 SHMDAoKLLSaHndOakSanPITALS
N123O Hosp SSSaehrnaihHdMaOAkaSlnaaPjmnuITnAgLS 1273 1407 1760 1851 1573
HHDoosKp
24 HHoossppSSheaghamAalat m 210219710733612 211049301937736 2111077061250854 1121180815517319 M1E511A7403N2946
1073726 1383767 11725650 11188533 14190424
35 HHoossppSBeirni tMulaunjung 975189 9190304 1807234 11418117 1029687
46 HHoossppSKeuglaimmat 777699 8170732 11206108 11013843 1029471
57 HHoossppBKinetnuilnugau 587917 1060146 877334 1845821 987730
977113
68 HHoSsIpPKKuuliamla Krai 797907 1063521 1608178 180374 736090
714328
79 HHoossppKSeanriknegiau 713732 681063 73542 887532 644912449081199
180 HHSoIPspKKuaelmaaKmraain 704720 655611 648673 286097 413992
111190112 HHHHHooooSssssMppppSKKKLaueauraminaklgalaeakmiLaLiwpaipinisis 334273430327635 485443060313444 734336552539259 452588116710903 393210
1123 HHSoMspLaPnogrtkDaiwcki son 464510 430942 342058 345881 312081
1134 HHoossppPToarnt aDhicMkseoranh 413012 33928 430287 237548 282119
1145 HInosstpituTat KnaahnsMereNraehgara 31219 322087 32779 421774 212917
1156 IHnsotistputLKaabnusaenr Negara 112928 220476 317499 245117 211777
1167 HHoossppLLaabhuaadnDatu 171767
221867 224567 114899 225551 11627236
1178 HHoossppLBaahnatdingDatu 1678 225574 128293 222535 37515
1189 HHoossppBKaanptint g 80 2504 2203 126273
19 Hosp KapTitOTAL 90698 110802 120685 14126576
Table 6.4-3 : To3ta5l 4En5d0oscopy –3S6m4a9ll2Category3H8o4sp3i3tal
TOTAL 39529
Table 6.4.3 : Total Endoscopy – Small Category Hospital
46 General Surgery Services Ministry of Health Malaysia
Figure 6.4-6 : Mean Total Endoscopy by BMS Hospital CategoryGENERAL SURGERYHSA
Johor
Bahru
c) By BMS Hospital Category
Hosp
Selayang
Figure 6.4.6 : Mean Total Endoscopy by BMS Hospital CategoryINPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)HSB
Alor
Setar
c. By BMS Hospital Category
CENSUS REPORT 2016 - 2019 HRPB
Ipoh
7500
General Surgery Services Ministry of Health Malaysia 47 Hosp
Pulau
Pinang
7000
HUS
Kuching
6500
Hosp
Melaka
6000
HTAR
Klang
5500
5000
HTJ
Seremban
4500
Hosp
Sungai
Buloh
4000
3500
Hosp
Taiping
3000
HQE
Kota
Kinabalu
2500
Hosp
Seberang
Jaya
2000
1500
Hosp
Serdang
1000
HSNI
Batu
Pahat
HSAH
Sg
Petani
500
Hosp
Kuala
Lumpur
0
HSNZ
Kuala
Terengganu
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 47
Hosp
Sibu
HPSF
Muar
Mean
Total
Endoscopy
HTAA
Kuantan
HRPZII
Kota
Bharu
Hosp
Ampang
Hosp
Teluk
Intan
Hosp
Miri
HSI
Johor
Bahru
Hosp
Putrajaya
HDoK
Sandakan
HoSHAS
Temerloh
Hosp
Shah
Alam
HTAN
Kuala
Pilah
Hosp
Kangar
Hosp
Kajang
Hosp
Seri
Manjung
Hosp
Segamat
Hosp
Bintulu
Hosp
Kulim
HEBHK
Kluang
Hosp
Tawau
Hosp
Keningau
HSIP
Kuala
Krai
Hosp
Sarikei
Hosp
Kemaman
Hosp
Langkawi
HSIP
Kuala
Lipis
Hosp
Port
Dickson
Hosp
Tanah
Merah
InsRtut
Kanser
Negara
Hosp
Labuan
Hosp
Lahad
Datu
Hosp
BanRng
HQEII
Kota
Kinabalu
Hosp
Kapit
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 49
66..44.1.1 OOGDGSDS
a) Bay B. MByS cBatMegSoryCategory
OGDS : Hospital Category - Big
4500 3812 3445 4000
4000 3500
3412
3500 2709 3000
3000
2500 2245 2115 1583 1579 2500 Mean
2000 1912 2000
1500 1500
1000 1356 1229
957 784 680 1000
500 500
00
2016 2017 2018 2019 Mean
Figure 6.4-7 : Total Number of OGDS – Big Category Hospital
Figure 6.4.7 : Total Number of OGDS – Big Category Hospital
OGDS : OGDS : BIG HOSPITALS
No HBoIsGpitaHlsOSPITALS
2016 2017 2018 2019 Mean
1 HSA Johor Bahru 4159
3579 3579 3931 3812
2NO Hosp Pulau PHinOanSgPITALS 36002016 4273 2017 3146 20128762 20193445 MEAN
3 1 HRHSPAB JIpoohhor Bahru 27123579 3469 3579 3501 39331967 41593412 3812
4 2 HUHoSsKpuPcuhliangu Pinang 26963600 2542 4273 2795 31426804 27622709 3445
5 3 HoHsRpPSBeIlpayoahng 21152712 2035 3469 2222 35021607 39672245 3412
6 HHToHsAUpSRMKKeullcaankhaging 219100292696 2370 1878 279125931406 280412911125 2709
7 4 16052115 1731 2542 1863 22212693 26071583 2245
20691902 18718290 23101579 2115
8 5 HSHBosAploSreSlaeytaar ng 1514 2035 1519
9 6 HTHJTASRerKemlabnagn 1231 2370 1726
107 HQHoEsKpoMtaeKlainkaabalu 11392109 1420 1731 1496 18613367 19461356 1912
118 HSHNSBZAKluoarlSaeTtearrengganu 8371605 1338 1514 1309 15119431 16931229 1583
129 HTHATJASeKrueamntbanan 8792069 938 1231 1001 17216009 1290 957 1579
1367 784 1356
1310 HoHsQpEKKuoaltaaLKuimnapburalu 7621139 732 1420 768 1496873 1431 680 1229
1411 HRHSPNZIZIKKuoatalaBThearreungganu 438 837 955 1338 766 1309561 100927817 957
12 HTAA KTuOaTnAtaLn Table 6.4-4 : Tota2l 6N4um4b28er7o9f OG2D8S12– 7Big93C8ate2g7or9y2H1osp1ita0l0218779
13 Hosp Kuala Lumpur 762 732 768 873 784
14 HRPZII Kota Bharu 438 955 766 561 680
TOTAL 28127 27921 28779 27817 58005
Table 6.4.4 : Total Number of OGDS – Big Category Hospital
48 General Surgery Services Ministry of Health Malaysia
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 50
OGDS : Hospital Category - Medium
3000 2530 2600
2400
2500 1962 2200 Mean
2000 1827 2000
1500 1800
1000 1564 1600
500 1443 1391 1332 1264 1209 1400
987 945 873 834 771 720 680 609 607 526 1200
1000
0 800
600
400
89 200
0
2016 2017 2018 2019 Mean
Figure 6.4-8 : Total Number of OGDS – Medium Category Hospital
Figure 6.4.8 : Total Number of OGDS – Medium Category Hospital
OGDS : OGDS : MEDIUM HOSPITALS
No HMosEpDitaIlUs M HOSPITALS 2016 2017 2018 2019 Mean
1 Hosp Sungai Buloh 2466 2430 2397 2826 2530
N42312O HHHHHoSooossNppssIppSTBeaSSabieupteunbirngaePHgnaraOaghi naBSJtaguPylIoJaTaAhyLaS 111378222312614084261666 111594948212802049831027 212116474782222031941728 2019 111589266427M21E95A6302N
1897 2826
1808 1897
1838
53 HHoospspSeTradiapningg 14313734 14215590 15532177 1361 1808 14431827
64 HHSSANHI BSagtuPePtaanhiat 14218321 12018448 14831648 1444 1838 13911564
75 HHoospspMSierirdang 11711433 13716425 13751553 1407 1361 13321443
86 HHoSsAp HSiSbgu Petani 10412428 12219208 13731483 1412 1444 12641391
97 HHPoSsFpMMuiarir 11718171 11714376 12221375 1263 1407 12091332
108 HHoospspTeSliubkuIntan 8817042 11010229 984 1373 975 1412 987 1264
119 HHoPspSFPMuturaajarya 10715178 8451174 909 1222 949 1263 945 1209
1120 HHSoI sJpohToerluBkahInrutan 794887 8321100 860 984 1004 975 873 987
1131 HHooSsHpAPSuTtreamjaeyrlaoh 10012075 793845 746 909 796 949 834 945
1142 HHTSAI NJoKhouarlBaaPhilrauh 707794 757832 737 860 883 1004 771 873
1153 HHoospSHAAmSpTaenmg erloh 6914002 715793 745 746 725 796 720 834
1164 HHHHEoTosBApsHpNKKAaKnmKugalapulraaannPggilah 743707 721757 544 737 710 883 680 771
1175 507694 564715 562 745 802 725 609 720
1186 HHoospspKKajaanngg ar 564743 591721 615 544 656 710 607 680
1197 HHoEsBpHTKawKaluuang 30507 608564 625 562 566 802 526 609
2108 HHQoEsIpI KKaojtaa nKginabalu 0564 32 591 136 615 187 656 89 607
19 Hosp TaTwOaTuAL 20873705 21426008 22833 625 23509 566 22160526
20 HQEII Kota KinabaTluable 6.4-5 : Total Number0of OGDS – Me3di2um Category H1o3sp6ital
187 89
TOTAL 20877 21420 22833 23509 22160
Table 6.4.5 : Total Number of OGDS – Medium Category Hospital
General Surgery Services Ministry of Health Malaysia 49
GENERAL SURGERY
INPATIENT, OUTPATIENT, ENDOSCOPY AND SURGERY (IOES)
CENSUS REPORT 2016 - 2019
General Surgery: Inpatient, Outpatient, Endoscopy, Surgery (IOES) Census Report 51
OGDS : Hospital Category - Small
1200 907 950
1000 841 850
800 750
600 671 650
400 675 550
200 450
664 617 350
0 586 250
150
430 50 Mean
-50
348 157 150 129
294
259 244 233 218 164
35
2016 2017 2018 2019 Mean
Figure 6.4F.9igu: rTeo6t.a4-l9N:uTmotabl eNrumobfeOr oGf ODGSD–SS–mSmaallllCCaatteeggoroyrHyoHspoitsapl ital
TOTAL ENDOSCOPYO:GDS : SMALL HOSPITALS
No SHMosApiLtaLlsHOSPITALS 2016 2017 2018 2019 Mean
1 HDoK Sandakan 785 748 996 1100 907
N24321O HHHHooDosssopppKSSSShehagaaahnhmHdAAaaOltaklSamaPmnITALS 2544740139981102256 2765770778747181877 185021849300359331638 11700421160600117061109 M86689E04477A17151N
53 HHHooossspppKBSiuenlgtiumalumat 554381 752708 718943 667746
8675476 HHHHHHHooooooossssssspppppppiKSSKKBSeeeaiuernnrirlntiiiimuMkniMnlegugaiaanaunjuujunngg 552545516316436538065 565766532112383944109 466502766519921809591 5668241666544068405747 667654
98 HHSoIsPpKi SuaarliakeKirai 320153 353203 354859 395824 456665687613816174760
109 HHSSMIP KLuaanglakaKwraii 330095 235330 253158 363198 343408
1110 HHoSsMp KLaunaglakLawipiis 232069 229533 222751 293061 234984
1121 HHoossppKKeumaalamLainpis 223286 323903 242127 162690 229549
20166 225494
1132 HHoossppTKaenmahaMmearnah 225348 235310 222741 24343
23138
1143 HHoossppPToarnt aDhicMkseornah 220534 224501 232827 19201 121684
16547
1154 HHoossppLPaohratdDDicaktsuon 123013 129490 132938 181792 1570
1165 HHoossppKLaaphiat d Datu 1031 119999 311939 101887 15209
13259
1176 HHoossppBKaanptiint g 40 116999 123619 151408 763519
1187 HHoossppLBaabnutainng 1343 113629 91626 151454 7619
1198 IHnsotsitputLKabanusaenr Negara 11373 41532 6896 10154
19 Institut KTaOnsTeAr NLegara 591070 764251 815658 865150
Table 6.4-6 : Total Number of OGDS – Small Category Hospital
TOTAL 5900 7621 8155 8655
Table 6.4.6 : Total Number of OGDS – Small Category Hospital
50 General Surgery Services Ministry of Health Malaysia
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