Litigation, Labor and Law: Rethinking Workforce and Liability Structures in Malaysia’s Public Healthcare Sector

  • Redwan Yasin National Defence University of Malaysia, Kuala Lumpur
  • Wan Amir Azlan Wan Haniff Universiti Teknologi Mara Johor Branch, Segamat Campus
  • Siti Mariam Atan Universiti Teknologi MARA
  • Zulhazmi Yusof Universiti Teknologi Mara Johor Branch, Segamat Campus
  • Rosnani Mohd Salleh Universiti Teknologi MARA
  • Rahmawati Mohd Yusoff Universiti Teknologi MARA
Keywords: Burnout, outpatient, reports, ex gratia, migration, delegable, takaful

Abstract

This article explores the link between medical negligence litigation, workforce migration, and structural weaknesses in Malaysia’s public healthcare system. Adopting a case study approach, it categorizes legal decisions into three areas: (A) Hospital and Doctor Liability, Surgical/Procedural Negligence; (B) Birthing-Related Negligence and Women’s Health; and (C) Diagnosis-Related, Follow-up, and Causation Issues. The analyzed cases reveal recurring themes, such as inadequate supervision, diagnostic errors, and under-resourced facilities, which have led to serious harm and an increasing legal liability. These institutional failings not only compromise patient care but also contribute to the departure of skilled medical professionals from the public sector in search of better prospects. The article recommends strategic reforms, including introducing a national health insurance model with targeted subsidies, improving doctor remuneration through revised public service fees, and shifting toward more secure, long-term employment for healthcare workers. A progressive tax policy, such as reintroducing GST, could provide sustainable funding.

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References

Amir, A.M.N.; Ezat, W.S. (2020). Physician’s intention to leave Malaysian government hospitals with the existing retention strategy. J. Public Health Policy Plan 2020, 4, 30–37.

Ahmad, M. A. H., Abd Jalil, I. J., Isa, N. A. B. M., Nizamani, S. M., & Mohd, N. (2021). Legal Issues in Medical Practice in Malaysia. International Journal of Ethics, Trauma & Victimology, 7(01), 29-34.

Ahmad Zubir v. Datuk Dr Zainal Abidin & Ors, [2019] 5 MLJ 95.

Ching, S. M., Cheong, A. T., Yee, A., Thurasamy, R., Lim, P. Y., Zarina, I. I., ... & Ramachandran, V. (2024). Prevalence and factors associated with burnout among healthcare providers in Malaysia: a web-based cross-sectional study. Irish Journal of Medical Science (1971-), 193(2), 851-863.

Daud, F., Abd Ghani, N. F., & Zahid, S. N. A. (2022). Job satisfaction among specialists in Ministry of Health Malaysia and its associated factors. Malaysian Journal of Public Health Medicine, 22(3), 1-8.

Datin Dr Teoh Su Lin v. Arjun Gopal Subramaniam [2024] 3 MLJ 679 [CA]

Dato’ Stanley Isaacs v. Government of Malaysia [2018] MLJU 1672

Dr. Hari Krishnan & Anor v. Megat Noor Ishak. [2018] 3 CLJ 427

Fadzil, M. M., Wan Puteh, S. E., Aizuddin, A. N., & Ahmed, Z. (2022, October). Specialists’ Dual practice within a public hospital setting: evidence from Malaysia. In Healthcare, 10(10), 2097). MDPI.

Garcia, C. D. L., Abreu, L. C. D., Ramos, J. L. S., Castro, C. F. D. D., Smiderle, F. R. N., Santos, J. A. D., & Bezerra, I. M. P. (2019). Influence of burnout on patient safety: systematic review and meta-analysis. Medicina, 55(9), 553.

Gold v Essex County Council and Roe v Minister of Health [1942] 2 KB 293, 301, CA.

Jinah, N., Lee, K. Y., Zakaria, N. H., Zakaria, N., Ismail, M., & Mohmad, S. (2023). Contract Doctors’ strike in Malaysia: A content analysis of the perception of the medical fraternity and stakeholders on Facebook. Plos one, 18(9), e0292213.

Kassim, P. N. J., & Najid, K. M. (2013, January). Medical negligence disputes in Malaysia: Resolving through hazards of litigation or community responsibilities?. In Proceedings of World Academy of Science, Engineering and Technology, 78, 1607. World Academy of Science, Engineering and Technology (WASET).

Kaur, S., Chin, C. A., & Aziz, M. F. B. A. (2022). ‘Medical Negligence in Malaysia: Selected Issues of Liabilities and Damages? Medical Liability in Asia and Australasia, 163-175.

Kay MP, Mitchell GK, Del Mar CB (2004). Doctors do not adequately look after their physical health. Med J Aust 181(7), 368.

Kerajaan Malaysia & Anor v. Nurul Rabihah Abdul Rahman [2024] 5 MLJ 88 [CA]

Kerajaan Malaysia v. Nur Syarafina Binti Sa'ari & Ors [2019] 12 MLJ 41

Kerajaan Malaysia & Ors v. Norfazlin Zamani [2024] 8 AMR 687, CA

Khor, S. K., Chua, E. P. W., & Fried, C. (2024). Sustainability and Resilience in the Malaysian Health System.

Metzner, J. L., & Gendel, M. H. (2022). The stress of being sued. Malpractice and liability in Psychiatry, 79-84.

Mohd Yusof, A. N., & Haji Razali, H. Y. (2024). Moving Away from the Blame Culture: The Way Forward to Manage Medical Errors. Malaysian Journal of Medical Sciences, 31(6).

Muhammad Zulkarnain Bin Mohamed Rokani & Ors V Pengarah Hospital Sultan Ismail Johor Bahru & Ors [2020] Mlju 133

Nur Syarafina Binti Sa’ari v Kerajaan Malaysia & Ors [2018] MLJU 1158

Omar, N. F. B. (2022). The Effects Of Job Demands And Resources Variables On Health Status of Medical Doctors From Public Hospitals In Malaysia: The Role Of Job Burnout As A Mediator (Doctoral dissertation).

Rassip, M. N. A. B. A., Zakaria, N. H. B., Baki, P. A., Haron, M. A., Sibert, M. Y., Bidin, N. B., ... & Ibrahim, N. H. B. (2023). Resource management for full-paying patient service in Malaysia: issues and challenges. International Journal of Healthcare Technology and Management, 20(1), 53-73.

Rohgetanaa a/p Mayathevan (An Infant Suing Through Her Father And Litigation Representative, Mayathevan A/L Mayandi) v Dr Navin Kumar & Ors and Other Appeals [2017] 4 MLJ

Roslan, N. S., Yusoff, M. S. B., Asrenee, A. R., & Morgan, K. (2021). Burnout Prevalence and its associated factors among Malaysian healthcare workers during the COVID-19 pandemic: an embedded mixed-method study. In Healthcare, 9(1), 90. MDPI.

Samah, A. A. (2022). Benefits and Drawbacks of Imposing a Non-Delegable Duty of Care on Private Healthcare Facilities in Malaysia: Comparative Analysis on the Common Law and the Malaysian Law Approach. KDU LJ, 2, 1.

Shaharul, N. A., Ahmad Zamzuri, M. A. I., Ariffin, A. A., Azman, A. Z. F., & Mohd Ali, N. K. (2023). Digitalisation of medical records: improving efficiency and reducing burnout in healthcare. International Journal of Environmental Research and Public Health, 20(4), 3441.

Siow Ching Yee v. Columbia Asia Sdn Bhd, [2024] CLJU 404

Soomro, A., & Ramendran, C. (2024). Workplace Stress and Burnout Among Healthcare Workers in Malaysia: HRM Interventions A Review. Asia Pacific Journal of Business, Humanities and Education, 9(1), 22-40.

Supian, N. S., & Ibrahim, M. I. (2024). Factors influencing sleep quality among nurses in Tertiary hospitals in Kelantan, Malaysia: a cross-sectional study. BMC nursing, 23(1), 1-10.

Tan Sri Datuk Seri Mohd Hussein Abd Hamid v. Gleneagles Hospital, [2024] MLJU 3690.

Wah, K., & Ng, J. (2024). Can Malaysia Tackle the Cancer Crisis? Addressing the Oncologist Shortage and Shaping Healthcare Innovations for a Healthier Future Over the Next Decade. Addressing the Oncologist Shortage and Shaping Healthcare Innovations for a Healthier Future Over the Next Decade (June 26, 2024).

Wieclaw, J., Agerbo, E., Mortensen, PB., Burr, H., Tuchsen, F. & Bonde, JP, (2008). Psychosocial Working conditions and the risk of depression and anxiety disorders in the Danish workforce. BMC Public Health 8(1), 280.

Woodland v. Swimming Teachers' Association [2013] 3 WLR 1227.

Published
2025-06-26
How to Cite
Yasin, R., Wan Haniff, W. A. A., Atan, S. M., Yusof, Z., Mohd Salleh, R., & Mohd Yusoff, R. (2025). Litigation, Labor and Law: Rethinking Workforce and Liability Structures in Malaysia’s Public Healthcare Sector. Information Management and Business Review, 17(2(I), 116-123. https://doi.org/10.22610/imbr.v17i2(I).4468
Section
Research Paper