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Published in: BMC Health Services Research 1/2016

Open Access 01-12-2016 | Research article

Issues in healthcare services in Malaysia as experienced by Japanese retirees

Authors: Ayako Kohno, Ghazali Musa, Nik Daliana Nik Farid, Norlaili Abdul Aziz, Takeo Nakayama, Maznah Dahlui

Published in: BMC Health Services Research | Issue 1/2016

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Abstract

Background

Worldwide, international retirement migration is growing in its popularity and Japanese retirees choose Malaysia as their most preferred destination. This study examines the pertinent issues related to healthcare services as experienced by Japanese retirees in this country.

Methods and results

From January to March 2015, we conducted focus group discussions with 30 Japanese retirees who live in Kuala Lumpur and Ipoh. Guided by the social-ecological model, we discovered seven pertinent themes: ‘language barriers’,’healthcare decisions’, ‘medical check-ups’,‘healthcare insurance’, ‘nursing and palliative care’, ‘trust and distrust of healthcare services’, and ‘word-of-mouth information’.

Discussion

We identified seven pertinent issues related to healthcare services among Japanese retirees in Malaysia, of which four are especially important. These issues are explained as integrated themes within the social-ecological model. Language barriers prohibit them from having difficulty accessing to healthcare in Malaysia, but lack of will to improve their language skills exist among them. For that reason, they rely heavily on word-of-mouth information when seeking for healthcare. As a consequence, some develop feelings of trust and distrust of healthcare services. In addition, we have identified the needs for provide nursing and palliative care among Japanese retirees in Malaysia.

Conclusion

Based on the magnitude of the discussion, we concluded that there are four crucial healthcare issues among Japanese retirees; ‘language barriers’, ‘trust and distrust of healthcare services’, ‘word-of-mouth information’ and ‘nursing and palliative care’. We propose that further dialogue by healthcare stakeholders should be carried out to improve further the healthcare service provisions for Japanese retirees in Malaysia.
Literature
2.
go back to reference Stapa SH, Musaev T, Hieda N, Amzah N. Issues of language choice, ethics and equity: Japanese retirees living in Malaysia as their second home. Lang Intercultural Commun. 2013;13(1):60–77.CrossRef Stapa SH, Musaev T, Hieda N, Amzah N. Issues of language choice, ethics and equity: Japanese retirees living in Malaysia as their second home. Lang Intercultural Commun. 2013;13(1):60–77.CrossRef
3.
go back to reference Legido-Quigley H, McKee M. Health and social fields in the context of lifestyle migration. Health Place. 2012;18(6):1209–16.CrossRefPubMed Legido-Quigley H, McKee M. Health and social fields in the context of lifestyle migration. Health Place. 2012;18(6):1209–16.CrossRefPubMed
6.
go back to reference Wong KM, Musa G. Retirement motivation among ‘Malaysia My Second Home’ participants. Tour Manag. 2014;40(0):141–54.CrossRef Wong KM, Musa G. Retirement motivation among ‘Malaysia My Second Home’ participants. Tour Manag. 2014;40(0):141–54.CrossRef
7.
go back to reference Abdul-Aziz A-R, Loh C-L, Jaafar M. Malaysia's My Second Home (MM2H) Programme: An examination of Malaysia as a destination for international retirees. Tour Manag. 2014;40(0):203–12.CrossRef Abdul-Aziz A-R, Loh C-L, Jaafar M. Malaysia's My Second Home (MM2H) Programme: An examination of Malaysia as a destination for international retirees. Tour Manag. 2014;40(0):203–12.CrossRef
10.
go back to reference Gibler KM, Manuel Casado-Díaz J, Angeles Casado-Díaz M, Rodríguez V, Taltavull P. Late life second move housing choices of international retiree migrants. Int J Housing Markets Anal. 2009;2(2):190–210.CrossRef Gibler KM, Manuel Casado-Díaz J, Angeles Casado-Díaz M, Rodríguez V, Taltavull P. Late life second move housing choices of international retiree migrants. Int J Housing Markets Anal. 2009;2(2):190–210.CrossRef
11.
go back to reference Legido-Quigley H, Nolte E, Green J, la Parra D, McKee M. The health care experiences of British pensioners migrating to Spain: A qualitative study. Health Policy. 2012;105(1):46–54.CrossRefPubMed Legido-Quigley H, Nolte E, Green J, la Parra D, McKee M. The health care experiences of British pensioners migrating to Spain: A qualitative study. Health Policy. 2012;105(1):46–54.CrossRefPubMed
14.
go back to reference Rodríguez V, Fernández-Mayoralas G, Rojo F. International retirement migration: Retired Europeans living on the Costa del Sol, Spain. Popul Rev. 2004;43(1):1–36. Rodríguez V, Fernández-Mayoralas G, Rojo F. International retirement migration: Retired Europeans living on the Costa del Sol, Spain. Popul Rev. 2004;43(1):1–36.
16.
go back to reference Fukahori H, Baba Y, Hioki F, Monkong S, Intarasombat P, Malathum P. Healthcare services for Japanese elderly long-staying in Thailand from the perspective of the patient and healthcare providers: a survey study. Arch Gerontol Geriatr. 2011;53(2):e168–73.CrossRefPubMed Fukahori H, Baba Y, Hioki F, Monkong S, Intarasombat P, Malathum P. Healthcare services for Japanese elderly long-staying in Thailand from the perspective of the patient and healthcare providers: a survey study. Arch Gerontol Geriatr. 2011;53(2):e168–73.CrossRefPubMed
18.
go back to reference Iwasa H, Masui Y, Gondo Y, Yoshida Y, Inagaki H, Kawaai C, et al. Personality and participation in mass health checkups among Japanese community-dwelling elderly. J Psychosom Res. 2009;66(2):155–9.CrossRefPubMed Iwasa H, Masui Y, Gondo Y, Yoshida Y, Inagaki H, Kawaai C, et al. Personality and participation in mass health checkups among Japanese community-dwelling elderly. J Psychosom Res. 2009;66(2):155–9.CrossRefPubMed
20.
go back to reference White F. Primary health care and public health: foundations of universal health systems. Med Princ Pract. 2015;24(2):103–16.CrossRefPubMed White F. Primary health care and public health: foundations of universal health systems. Med Princ Pract. 2015;24(2):103–16.CrossRefPubMed
22.
go back to reference Hunter W, Wang W, Worsley A. Retirement planning and expectations of Australian babyboomers: are they ready to retire? Ann N Y Acad Sci. 2007;1114:267–78.CrossRefPubMed Hunter W, Wang W, Worsley A. Retirement planning and expectations of Australian babyboomers: are they ready to retire? Ann N Y Acad Sci. 2007;1114:267–78.CrossRefPubMed
23.
go back to reference Dierckx de Casterlé B, Gastmans C, Bryon E, Denier Y. QUAGOL: A guide for qualitative data analysis. Int J Nurs Stud. 2012;49(3):360–71.CrossRefPubMed Dierckx de Casterlé B, Gastmans C, Bryon E, Denier Y. QUAGOL: A guide for qualitative data analysis. Int J Nurs Stud. 2012;49(3):360–71.CrossRefPubMed
24.
go back to reference Grbich C. In: Carol G, editor. Qualitative data analysis : an introduction. London: Sage; 2007. Grbich C. In: Carol G, editor. Qualitative data analysis : an introduction. London: Sage; 2007.
25.
go back to reference Liamputtong P. Research methods in health: foundations for evidence-based practice. South Melbourne: Oxford University Press; 2013. Liamputtong P. Research methods in health: foundations for evidence-based practice. South Melbourne: Oxford University Press; 2013.
27.
go back to reference Bourdieu P. Outline of a Theory of Practice: New York: Cambridge university press; 1977 Bourdieu P. Outline of a Theory of Practice: New York: Cambridge university press; 1977
28.
go back to reference Legido-Quigley H, McKee M, Green J. Trust in health care encounters and systems: a case study of British pensioners living in Spain. Sociol Health Illn. 2014;36(8):1243–58.CrossRefPubMedPubMedCentral Legido-Quigley H, McKee M, Green J. Trust in health care encounters and systems: a case study of British pensioners living in Spain. Sociol Health Illn. 2014;36(8):1243–58.CrossRefPubMedPubMedCentral
29.
go back to reference Hudelson P. Improving patient-provider communication: insights from interpreters. Fam Pract. 2005;22(3):311–6.CrossRefPubMed Hudelson P. Improving patient-provider communication: insights from interpreters. Fam Pract. 2005;22(3):311–6.CrossRefPubMed
30.
go back to reference Hsieh E. Provider-interpreter collaboration in bilingual health care: competitions of control over interpreter-mediated interactions. Patient Educ Couns. 2010;78(2):154–9.CrossRefPubMedPubMedCentral Hsieh E. Provider-interpreter collaboration in bilingual health care: competitions of control over interpreter-mediated interactions. Patient Educ Couns. 2010;78(2):154–9.CrossRefPubMedPubMedCentral
31.
go back to reference Berger J. Word of mouth and interpersonal communication: A review and directions for future research. J Consum Psychol. 2014;24(4):586–607.CrossRef Berger J. Word of mouth and interpersonal communication: A review and directions for future research. J Consum Psychol. 2014;24(4):586–607.CrossRef
Metadata
Title
Issues in healthcare services in Malaysia as experienced by Japanese retirees
Authors
Ayako Kohno
Ghazali Musa
Nik Daliana Nik Farid
Norlaili Abdul Aziz
Takeo Nakayama
Maznah Dahlui
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2016
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-016-1417-3

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