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45   EXTENDED EXECUTIVE SUMMARY



                 b.     Supply scenario



                 Scenario analysis was carried out to assess the impact of change in certain
                 parameters on the outcome. A scenario in which by awarding less sponsorship
                 equates  to  less  medical  student  intake  was  simulated.  Table  18    shows the  gap
                 between supply following reduce sponsorship and requirement based on needs.




                 Table 18: The Gap between Supply Following Reduce Sponsorship and Requirement of Doctor in
                                                    Malaysia, 2016 – 2030



                                                  Requirement (Need)             Requirement (Demand)

                                                                 Gap                             Gap
                     Year        Supply                        (Supply                         (Supply
                                                  n                               n
                                                              Scenario  -                     Scenario -
                                                                Need)                          Demand)
                  2016           40,982         78,142         -37,160          62,117          -21,135

                  2017           43,730        80,462          -36,732         64,194          -20,464
                  2018           46,821         82,573         -35,752         66,067          -19,246
                  2019           50,121        84,465          -34,344          67,709          -17,588
                  2020           54,150        86,100          -31,950          69,107          -14,957
                  2021           58,477        87,500          -29,023          70,271          -11,794
                  2022           62,994        88,859          -25,865          71,399          -8,405
                  2023           66,071         90,219         -24,148         72,524           -6,453
                  2024           69,115         91,567         -22,452         73,638           -4,523
                  2025           72,124        92,905          -20,781          74,747          -2,623

                  2026           75,096        94,262          -19,166          75,873           -777
                  2027           78,029         95,651         -17,622          77,026          +1,003
                  2028           80,920         97,053         -16,133          78,195          +2,725
                  2029           83,766         98,487         -14,721          79,391          +4,375
                  2030           86,565        99,942          -13,377         80,607           +5,958
                 Notes: Positive (+) gap indicates a surplus, and negative (-) gap indicates a shortage


                 The scenario in which by awarding less sponsorship equates to less medical student intake, it is
                 projected that there will be less supply of doctors. This scenario leads to a significant wide gap
                 in meeting population health care needs and demands as compared to the baseline projection
                 of supply. Nevertheless, this projection may differ to a real situation in which despite a reduction
                 in sponsorship awarded, the number of medical graduates may remain increases over the
                 years. This may be due to an increase in self-paying and student’s loan to study medicine.













                  SUPPLY AND NEEDS-BASED REQUIREMENT PROJECTIONS OF MALAYSIAN HUMAN
                  RESOURCES FOR HEALTH USING SYSTEM DYNAMICS APPROACH 2016 - 2030
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