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Title: Issues in healthcare services in Malaysia as experienced by Japanese retirees
Authors: Kohno, Ayako
Musa, Ghazali
Nik Farid, Nik Daliana
Abdul Aziz, Norlaili
Nakayama, Takeo  kyouindb  KAKEN_id
Dahlui, Maznah
Author's alias: 中山, 健夫
Keywords: Japanese retirees
Qualitative study
Focus group discussion
Malaysia my second home
Issue Date: 5-May-2016
Publisher: BioMed Central Ltd.
Journal title: BMC Health Services Research
Volume: 16
Thesis number: 167
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.
Rights: © 2016 Kohno et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
DOI(Published Version): 10.1186/s12913-016-1417-3
Appears in Collections:Journal Articles

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