Transitional Health, Transitional Care – Part 1


 Figure 1.  Statistics for the Personal Blog Site, Developed for the PhD program at Northcentral University.  Source: Altonen, B.  (2014, March 8).  Stats for March 8, 2015.   Retrieved from


Recently I had a few visitors at my Blog who were from Malaysia.

The majority of my visitors over the years have been from the U.S. and England.  Presumably, that is because my work at this site focuses on western medical traditions and the U.S. managed care system, and is written in English.

My other site,, receives more than 80,000 hits per year, 60,000 visitors, or about 5000 visitors per month (many overlapping).

However, since many countries can speak and read English, I do not expect language barriers to be the determining factor for a visitor.  It ends up, the topics I discuss are why people visit the managed care focused site.    Based on my re-review of the page those four visited– — the page focused on the Quality of Health Care in the up and coming future.  “Seeing the Elephant” was the phrase I assigned to this complex issue we have, the need to be able to more precisely evaluate the quality of care being provided, at home or afar.

seeingtheelephant-ins2 (2)

Figure 2.  Cartoon from my posting “The Truth Sometimes Hurts about Healthcare Industries”, published January 22, 2014,  


The quality of healthcare is now an international health concern.  We should expect other nations or countries to visit a site that provides its viewers with the best insights into healthcare, U.S. culture, and even health in their own country.

There are several impending crises brewing in health care in general, regarding cost and the quality of care, the transition of care from one form of medicine to the next, the acculturation or “assimilation” of foreign healthcare practices as part of the more global western medical system being promoted, by the World Health Organization as well as the United States and allies.

What is the best form of care to adhere to–a totally U.S.-like system devoted to  technology and western health care paradigms?  the older more traditional culture, but updated, mechanically and staff wise, due to its fitness it has for the country it has served?  of is there a hybrid between the two that can be developed?

Malaysia is one of the countries much like the latter.  It has Oriental and Western paradigms, philosophies and religion.

The following are the facts about Global Health in Malaysia, as well as three countries that will be studied.


Table 1.  Age-Gender Statistics for Four Major Countries Evaluated for this Project.  

Source: The World Factbook 2013-14. (2013). Accessible at, or



Table 2.  Demographic Data for 3 of the 4 Countries Evaluated, extracted from the Course Textbook (Wen, Hung & Li, 2012, 252; Hadal & Allen, 2012, 303; Gaydos, 2012, 694).  

Source:  Fried & Gaydos, 2012


 Figure 3.  Population Pyramids for Malaysia, China, Cuba and the United States. 

Source: The World Factbook 2013-14. (2013). Accessible at, or   Note:  The Malaysia pyramid is considered a typical outcome for a developed country, due to the very high youth population bands.  China and Cuba produced transitional population age-gender curves.  The United States age-gender results represent a developed country, at a higher economic status.




Central Intelligence Agency.  (2013).  The World Factbook 2013-14. Washington, DC: Central Intelligence Agency.  Accessed at  Accessible as well at

Fried, B., Gaydos, L. M. (Eds.).  (2012).  World Health Systems.  Challenges and Perspectives.  2ed.  Chicago: Health Administration Press.

Gaydos, C. L.  (2012).  United States of America.  In Fried, B., & Gaydos, L.M. (Eds.) World Health Systems.  Challenges and Perspectives. 2ed. (pp. 693-716).  Chicago: Health Administration Press.

Hadad, J., and Allen, E. M.  (2012).  Cuba.  In Fried, B., & Gaydos, L.M. (Eds.) World Health Systems. Challenges and Perspectives. 2ed. (pp. 301-316). Chicago: Health Administration Press.

Wen, H., Hung, P., Ji, X., and Li, S.  (2012). China.  In Fried, B., & Gaydos, L.M. (Eds.) World Health Systems.  Challenges and Perspectives. 2ed. (pp. 251-268).  Chicago: Health Administration Press.




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