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35   EXTENDED EXECUTIVE SUMMARY



                                      Table 12: Requirement Model (Sub-Models) for AMO



                                                   REQUIREMENT MODEL
                                                           (AMO)
                         Service Category                                 Sub-Model
                  1.    Preventive care            1.    School health
                                                   2.    Child health
                                                   3.    Men’s health
                                                   4.    Quit smoking
                                                   5.    Special purpose medical check-up
                                                   6.    Domiciliary care
                                                   7.     Adolescent screening
                                                   8.    Elderly screening
                  2.    Disease Based Care         1.    Outpatient
                                                   2.    Procedure
                                                   3.    Intensive Care Unit (ICU)
                  3.    Others Medical Care        1.    Forensic Services
                                                   2.    Pre-Hospital Care
                                                   3.    Psychiatry Services
                                                   4.    Emergency Services
                                                   5.    Haemodialysis



                 The following Figure 18 shows a sample of the system dynamics-based models that
                 have been developed and used in this study to project the requirement for AMOs.



                                     Figure 18: AMO Requirement Model (Forensic Medicine)



                                             AMO time for inpatient
                              % Inpatient deaths  deaths procedure  Number of AMO for
                                                                 inpatient deaths

                             <Total   Total inpatient  Number of AMO for
                           admissions>   deaths        inpatient deaths
                                       % BID require
                                        postmortem  AMO Time for BID Number of AMO
                          % BID from total          procedures      for BID
                             deaths
                                                                           Total AMO Time for   Total AMO FTE for
                                                           Toatl AMO Time
                                           Total BID                         forensic service  Forensic Services
                                                              for BID
                           Total deaths
                                                    AMO Time for
                            %OSCC cases of        OSCC examination  Number of AMO for      <AMO FTE
                          total ED attendances  % require forensic  OSCC cases            Working Hours>
                                             services
                     <Total emergency  OSCC Cases 0    Total AMO time
                  department attendances>             required for ASCC
                                                           cases











                  SUPPLY AND NEEDS-BASED REQUIREMENT PROJECTIONS OF MALAYSIAN HUMAN
                  RESOURCES FOR HEALTH USING SYSTEM DYNAMICS APPROACH 2016 - 2030
   38   39   40   41   42   43   44   45   46   47   48