Press Statement DG of Health 1st September 2017 – No Delay or Demand for Payment Before Treatment by Sultanah Aminah Hospital, Johor Bahru

The Ministry of Health (MOH) Malaysia takes note of the reporting by online news portal The Independent SG (theindependent.sg) on the 31st August 2017 regarding a Singaporean man who died following injury sustained from a Motor Vehicle Accident (MVA) in Johor Bahru. Condolence to the family and friends of the deceased for the demise of this young gentlemen. However, the MOH would like to stress that there were no delay or demand for payment before treatment of this gentleman by Sultanah Aminah Hospital (HSA) Johor Bahru.

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In their article, theindependent.sg claimed that the deceased, a 25-year old Singaporean sustained critical injuries following that MVA, and alleged that there was a slow respond time by the ambulance from HSA up to 30 minutes. From the ambulance service records, it was noted that the emergency call was made at 2:57 AM on the 25th August 2017. The ambulance left HSA at 2:59 AM, arrived at the scene at 3:10 AM and departed from the scene with the patient at 3:15 AM. Kudos to the ambulance call services for a very timely response, with despatch time of two (2) minutes and response time of 13 minutes.

In view of his critical condition, the Singaporean man was admitted to the Red Zone upon arrival at the Emergency Department. Immediately, the emergency treatment as per the Advanced Trauma Life Support (ATLS) protocol was continued, which was already initiated by the ambulance team earlier. The Emergency Department team also initiated the necessary imaging (primary survey X-rays, CT-scan of brain, cervical and thorax), treatment (including intubation) and referral to the relevant team in a very timely and professional manner, without asking for any deposit since this is an emergency case. This is in line with the MOH policy as per the MOH Secretary General circular dated 4th March 2015 regarding deposit payment for foreigners in MOH hospitals.

In view of the injury to his brain, the patient was referred to Neurosurgery team, and urgent decompressive craniectomy plus removal of clot and intracranial pressure monitoring was planned without demand for any deposit payment. Subsequent to this, the family members arrived, and only then they were requested to make deposit payment as per protocol for foreigner patient; but it is important to note that the emergency imaging and treatments required were not withheld or delayed. However the family members opted for discharge at own risk (AOR discharge) and arranged for admission to a hospital in Singapore after understanding the risk involved of further delaying the surgery.

The MOH urges all relevant parties to be responsible in reporting and further commenting, as releasing inaccurate information and baseless statement can lead to misunderstanding and disrupt the harmony. The MOH has always valued life and does it utmost best to treat any patient, regardless of their background or nationality. This is in line with MOH’s ethos and corporate culture of “Caring, Professionalism and Teamwork”.

“We’re Ready to Help”

DATUK DR. NOOR HISHAM ABDULLAH
DIRECTOR GENERAL OF HEALTH MALAYSIA

1st September 2017

 

kkm

Kenyataan Akhbar KPK 

Tiada Kelewatan atau Desakan Bayaran Pendahuluan oleh Hospital Sultanah Aminah Hospital, Johor Bahru

Kementerian Kesihatan Malaysia (KKM) mengambil maklum laporan portal akhbar atas talian “The Independent SG” (theindependent.sg) bertarikh 31 Ogos 2017 mengenai seorang warga Singapura yang telah meninggal dunia setelah terlibat dalam satu kemalangan jalan raya di Johor Bahru. Takziah diucapkan kepada keluarga dan rakan mendiang atas pemergian beliau. Namun begitu, KKM ingin menjelaskan bahawa tiada kelewatan atau desakan bayaran pendahuluan oleh Hospital Sultanah Aminah (HSA) Johor Bahru bagi pesakit ini.

Dalam laporan tersebut, the theindependent.sg menyatakan bahawa lelaki warga Singapura yang berumur 25 tahun itu telah mengalami kecederaan kritikal akibat kemalangan jalan raya di Johor Bahru. Portal itu juga melaporkan bahawa masa respon ambulan dari HSA adalah lewat iaitu 30 minit. Semakan rekod perkhidmatan ambulan HSA mendapati bahawa panggilan kecemasan telah dibuat pada 25 Ogos 2017, pukul 2:57 pagi. Ambulan telah dihantar daripada HSA pada pukul 2:59 pagi dan telah tiba di tempat kejadian pada pukul 3:10 pagi. Ambulan kemudiannya telah bertolak kembali ke HSA pada pukul 3:15 pagi. Syabas diucapkan kepada perkhidmatan ambulan yang telah berjaya memberikan perkhidmatan kecemasan yang pantas, iaitu dengan masa penghantaran (despatch time) selama dua (2) minit dan masa respon selama 13 minit.

Keadaan pesakit didapati kritikal dan setibanya di Jabatan Kecemasan HSA, beliau telah dikejarkan ke Zon Merah di mana rawatan kecemasan yang telah sebelum itu dimulakan oleh petugas ambulan adalah diteruskan mengikut protokol Advanced Trauma Life Support (ATLS). Pasukan Jabatan Kecemasan yang cekap telah melaksanakan tugasan dengan professional dan pantas, termasuk menjalankan ujian yang diperlukan (Imbasan X-ray, imbasan CT otak, tengkuk dan dada), rawatan (termasuk bantuan pernafasan) dan rujukan kepada pasukan pakar yang berkaitan. Memandangkan ini adalah kes kecemasan, rawatan dan ujian tersebut telah dijalankan tanpa memohon sebarang bayaran atau deposit terlebih dahulu. Ini adalah selaras dengan Surat Pekeliling Ketua Setiausaha KKM bertarikh 4 Mac 2015 berkaitan Garis Panduan pengurusan kutipan hasil bagi pesakit warga asing yang tidak membayar deposit semasa mendapatkan rawatan di hospital Kerajaan.

Memandangkan beliau telah mengalami kecederaan otak, pesakit telah dirujuk kepada pasukan Pembedahan Neuro di mana pembedahan kecemasan telah dirancang (decompressive craniectomy plus removal of clot and intracranial pressure monitoring), tanpa sebarang permintaan untuk bayaran deposit. Hanya setelah keluarga pesakit tiba di HSA, mereka telah dipohon membuat bayaran deposit iaitu sama seperti protokol pengurusan kutipan hasil bagi pesakit warga asing. Suka dinyatakan di sini bahawa sebarang ujian dan rawatan kecemasan yang diperlukan pesakit tidak pernah diberhentikan atau dilewatkan seperti yang dilaporkan. Malahan keluarga pesakit sendiri telah memohon untuk mendiscaj pesakit bertentangan dengan nasihat oleh pakar (discharge at own risk – AOR discharge). Mereka berhasrat untuk dimasukkan ke sebuah hospital di Singapura, iaitu setelah memahami risiko yang terlibat dengan melengahkan pembedahan tersebut.

KKM memohon semua pihak yang terlibat untuk berhati-hati dalam membuat laporan dan mengeluarkan komen dengan penuh bertanggungjawab. Tindakan mengeluarkan maklumat yang tidak tepat dan kenyataan yang tidak berasas boleh mengakibatkan salah faham dan boleh menggugat keharmonian. KKM sememangnya menghargai nyawa dan berusaha sehabis baik untuk merawat sebarang pesakit tanpa mengira latar belakang mahupun status kewarganegaraan. Ini adalah selaras dengan budaya kerja dan korporat KKM iaitu “Penyayang, Profesionalisme dan Kerja Berpasukan”.

“Kami Sedia Membantu”

 

DATUK DR. NOOR HISHAM ABDULLAH

KETUA PENGARAH KESIHATAN MALAYSIA

 

1 September 2017

 

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