Home » Technology » Policy Failures Hurt Health Care — Dr Sean Thum

Policy Failures Hurt Health Care — Dr Sean Thum

New Shift⁣ System Sparks Outrage Among Malaysian Doctors ‌

A recent circular from Malaysia’s Ministry of Health (MOH) has ignited‌ widespread discontent among medical professionals. The proposed Waktu Bekerja Berlainan (WBB) system, set to pilot on February 1 in seven government hospitals, has been criticized for its potential to reduce doctors’ earnings while increasing their workload.

The WBB system limits doctors and dentists to 18 consecutive work hours, a reduction from ⁤the current 24 to 33 hours during on-call duties. Though, the system categorizes night shifts after 5pm on weekdays as part of the standard 45-hour workweek, eliminating additional allowances for these hours. This means graveyard shifts are treated as regular⁤ working hours, leaving many medical professionals feeling shortchanged.

Key Changes Under the WBB System

| aspect | Current System ‌ | WBB System ‌ |
|—————————–|—————————–|——————————|
| Maximum Consecutive‌ Hours |‌ 24 to 33 hours | 18 hours ​ ​ |
| ​Night Shift Allowances ⁣ ‍ | ⁢Additional compensation | Part of standard‌ workweek |
| Weekend/Public Holiday Shifts | Full ETAP allowance ​ | Reduced or‌ passive call rate |
| On-Call Allowance Rates | RM275 (medical officers), RM315 (specialists) | Limited to active calls⁢ on weekends/public holidays​ |

The system’s most contentious aspect is its⁣ impact on allowances. Under‌ the WBB system,​ only shifts on weekends​ or public holidays qualify for the ⁤full Elaun Tugas Atas Panggilan (ETAP) allowance. For example,‌ during Friday or pre-weekend shifts (3pm to 9am), doctors ⁣can claim a reduced ETAP ​allowance only for the second half of their shift ⁤(midnight to 9am). The first nine hours (3pm to midnight) ⁤are uncompensated,as they count toward the base workweek.

This adjustment directly‌ contradicts prime Minister Anwar Ibrahim’s announcement in the 2025 Budget Speech, where he promised an increase in on-call allowance rates by RM55 to RM65, depending on the service and department. ​This would have been the​ first increment in 13 years, and the announcement was initially well-received. However, the WBB system has left many doctors feeling betrayed.

“This ​circular directly⁢ contradicts the government’s earlier promise,” ⁣said a representative from⁣ the Malaysian medical Association. “It not only reduces our ⁢take-home ​pay but also exacerbates existing manpower shortages.”

The WBB system assumes adequate ⁢staffing to function effectively,but doctors’ ⁢groups,including hartal Doktor Kontrak,have raised alarms about its feasibility. “This system jeopardizes the workload balance and overlooks the increasing complexity of patient care,” they stated.The frustration among medical professionals highlights a⁣ critical flaw in the policymaking process: the lack of meaningful stakeholder engagement. “Effective policymaking must involve critically ​important input from those directly affected,” emphasized a spokesperson from the Malaysian Medical Association.

As the pilot launch approaches, the medical fraternity is calling for a reevaluation of the WBB system. Doctors are urging the MOH​ to address their concerns and ensure that any new policies prioritize ⁤both patient care and the ⁣well-being of healthcare​ workers.

What’s Next?
The ⁣WBB system’s ‌pilot phase will begin⁢ on February 1 in seven government hospitals. Its success—or failure—will depend on how ​the MOH responds to the growing backlash from the medical community.⁢

For ‍more details​ on the WBB⁢ system and its implications, visit the Ministry ‍of Health’s official⁤ announcement and stay updated with insights from the Malaysian ⁤Medical Association.

Engage with Us:
What are ‌your thoughts on the WBB system? Share your opinions ⁢in the comments below or join the conversation on social media using the hashtag #WBBSystem.Malaysia’s WBB Shift System: A Policy Mired in Controversy and Calls for Genuine Stakeholder Engagement

The Malaysian Ministry of Health (MOH) is under fire for its proposed​ implementation of the WBB shift system, a policy that has sparked widespread⁤ discontent among healthcare professionals.Critics ‌argue that ‌the policy was drafted without‍ adequate consultation with frontline clinicians,particularly junior medical officers who​ shoulder the heaviest burden⁢ of on-call duties.‍

Following significant backlash, the MOH hastily organized a town hall session‌ on January 17, where Health Minister Dzulkefly Ahmad lauded ‍the WBB system as a “novel game-changer.” However, many ⁣attendees felt the session was merely a formality, with the pilot implementation already seemingly set‍ in stone. This perfunctory ⁣approach, described as a fait accompli,‌ has undermined ⁢the credibility of the MOH’s stakeholder engagement efforts.

Doctors perceive ​the policy as a disregard for their welfare and a disrespect for their tireless ​efforts to uphold patient care ‌amidst ⁤challenging circumstances. The proposed changes, they argue, reflect a⁣ lack of understanding and sincerity from the management level, leaving clinicians disillusioned.⁤

As the MOH deliberates its next steps after a three-day leadership retreat, the medical fraternity is calling for the immediate halt of the WBB system’s implementation. They urge the Ministry to revisit the policymaking process, emphasizing the need for extensive consultations ‌with clinicians, especially those on the frontlines.

MOH Deputy Secretary-General (Finance) Norazman Ayob recently highlighted the importance of ⁢field engagement,⁣ stating, “We can no longer be said​ to merely ​sit in our ivory tower, in ⁤our headquarters, while we’re ignorant of what’s happening on‌ the field.” this sentiment resonates deeply with healthcare workers, who believe policymakers should experiance firsthand the realities of on-call shifts, including manpower shortages, overcrowded wards, and the⁤ current on-call allowance structure.

To foster better decision-making, the MOH ⁤is encouraged to invite ⁤officials from the Public Service Department and the Ministry⁤ of Finance to‍ witness⁢ the daily challenges faced by healthcare workers.Such immersion could provide valuable context and empathy, ensuring policies are grounded in the realities⁢ of healthcare work.

| Key‍ Issues with the WBB Shift ​System |
|——————————————| ‍
| Lack of stakeholder ⁤engagement with frontline⁢ clinicians ⁤|
| Perceived‌ disregard for doctors’ welfare and efforts |
| Policymaking process seen as insincere and uninformed ‍|⁣
| Calls for inclusive and clear policy development |

The MOH must embrace a more inclusive and transparent policymaking ‌process to address these concerns. Genuine stakeholder engagement, rooted in the realities of healthcare work, is essential to crafting policies that improve ​working conditions for medical professionals and, ultimately, the quality of ⁤care for all Malaysians.

If the Ministry fails to heed these calls, the ones who stand to⁣ lose the most are the rakyat—the very people the healthcare system is meant to serve.revolutionizing Content Creation: The Rise of AI-Powered Article Rewriters and Generators

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Engage with Us:

What are your thoughts on AI-powered content tools?⁢ Have you used an Article Rewriter ⁤or Generator? ⁤Share your experiences ‍and opinions in the comments below ‍or join the conversation on social media using the hashtag #AIContentRevolution.

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