SME Healthcare Operators’ Readiness to Accreditation: Challenges and the way forward


  • Nuraisyah Chua Abdullah Faculty of Law, Universiti Teknologi MARA Shah Alam Malaysia
  • Herwina Rosnan Arshad Ayub Graduate Business School, Universiti Teknologi MARA Shah Alam. Selangor.
  • Norzayana Yusof Centre for Postgraduate and Professional Studies, Faculty of Business and Management, University Teknologi MARA. Shah Alam. Selangor.



Medical Tourism, SME Healthcare, Accreditation, Readiness


SME healthcare include the number of beds and other healthcare facilities that are not inpatient-based. While there is over 70 Malaysian healthcare centres that attract foreign patients, only thirteen are internationally accredited. Analysis from literature found that Malaysian SME healthcare providers are not ready for accreditation which partially due to financial and human resource constraints. Future research is called to gain empirical data on understanding the readiness, challenges and strategies to be implemented. The article is prominent in assisting the SME healthcare providers’ behavioural change on the way towards accreditation for the growth of the medical tourism industry in Malaysia.

eISSN: 2398-4287© 2018. The Authors. Published for AMER ABRA cE-Bsby e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license ( Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.



Ahmed, T. M. F., Rajagopalan, P., & Fuller, R. (2015). A Classification of Healthcare Facilities:Toward the Development of Energy Performance Benchmarks for Day Surgery Centers in Australia. HERD: Health Environments Research & Design Journal, 8(4), 139-157. doi:10.1177/1937586715575910

Bahadori, M., Teymourzadeh, E., Ravangard, R., & Alimohammadzadeh, K. (2016). Responses to the Criticisms about “The Accreditation of Hospitals in Iran”. Iran J Public Health, 45(6), 840-842.

Chin, C. (2016). Keeping Our Patients. The Star Online. Retrieved from

DNV-GL. (2014). Market Sector Profile: Small and Medium Healthcare- Final

El-Jardali, F., Hemadeh, R., Jaafar, M., Sagherian, L., El-Skaff, R., Mdeihly, R., . . . Ataya, N. (2014). The impact of accreditation of primary healthcare centers: successes, challenges and policy implications as perceived by healthcare providers and directors in Lebanon. BMC Health Services Research, 14(1), 86.

Ghani, S. N. A., Ainuddin, H. A., & Dahlan, A. (2016). Quality of Life Amongst Family Caregivers of Older Persons with Terminal Illnesses. Procedia - Social and Behavioral Sciences, 234, 135-143. doi:

Ghazali, R., & Abbas, M. Y. (2012). Newly Built Public Paediatric Wards Increase Length of Stay (LOS)? In M. Y. Abbas, A. F. I. Bajunid, & N. F. N.

Azhari (Eds.), Ace-Bs 2012 Bangkok (Vol. 50, pp. 623-632). Amsterdam: Elsevier Science Bv.

Hanafiah, M. H., Azman, I., Jamaluddin, M. R., & Aminuddin, N. (2016). Responsible Tourism Practices and Quality of Life: Perspective of Langkawi Island communities. In M. Y. Abbas, A. F. I. Bajunid, & S. Thani (Eds.), Asean-Turkey Asli Qol2015: Aicqol2015 (Vol. 222, pp. 406-413).

Haron, S. N., Hamida, M. Y., & Talib, A. (2012). Towards Healthcare Service Quality: An Understanding of the Usability Concept in Healthcare Design. Procedia - Social and Behavioral Sciences, 42, 63-73. doi:

Hashim, F., & Hussin, R. (2012). Family Needs of Patient Admitted to Intensive Care Unit in a Public Hospital. In M. Y. Abbas, A. F. I. Bajunid, & N. F. N. Azhari (Eds.), Asean Conference on Environment-Behaviour Studies (Vol. 36, pp. 103-111). Amsterdam: Elsevier Science Bv.

Joint Commission International. (2017). Achieve Accreditation. Retrieved from

Kamali, N. J., & Abbas, M. Y. (2012). Healing Environment: Enhancing Nurses’ Performance through Proper Lighting Design. Procedia - Social and Behavioral Sciences, 35, 205-212. doi:

Lawson, B. (2013). Design and the Evidence. Procedia - Social and Behavioral Sciences, 105, 30-37. doi:

Malaysian Society for Quality and Health. (2017). Education and Training Programmes. Retrieved from

Ministry of Finance. (2017). 2018 Budget. Kuala Lumpur: Percetakan Nasional Malaysia Berhad.

Ngowtanasuwan, G., & Ruengtam, P. (2013). Applied Simulation Model for Design of Improving Medical Record Area in Out-patient Department (OPD) of a Governmental Hospital. Procedia - Social and Behavioral Sciences, 101, 147-158. doi:

Othman, N. L., Jaafar, M., Harun, W. M. W., & Ibrahim, F. (2015). A Case Study on Moisture Problems and Building Defects. In M. Y. Abbas (Ed.), Asian Conference on Environment-Behaviour Studies (Vol. 170, pp. 27-36).

Rani, N. A. A., Baharum, M. R., Akbar, A. R. N., & Nawawi, A. H. (2015). Perception of Maintenance Management Strategy on Healthcare Facilities. Procedia - Social and Behavioral Sciences, 170, 272-281. doi:

Samah, Z. A., Ibrahim, N., & Amir, J. S. (2013). Translating Quality Care Factors to Quality Space: Design Criteria for Outpatient Facility. Procedia - Social and Behavioral Sciences, 105, 265-272. doi:

Samah, Z. A., Ibrahim, N., Othman, S., & Wahab, M. H. A. (2012). Assessing Quality Design of Interiors: A case study of a Hospital Outpatient Unit in Malaysia. Procedia - Social and Behavioral Sciences, 35, 245-252. doi:

Setyowati, E., Harani, A. R., & Falah, Y. N. (2013). Green Building Design Concepts of Healthcare Facilities on the Orthopedic Hospital in the Tropics. In M. Y. Abbas (Ed.), Amer (Vol. 101, pp. 189-199). Amsterdam: Elsevier Science Bv.

SME Corp. (2013). New Definition of SMEs - An additional 8,120 establishments set to be classified as SMEs, bringing the share of SMEs to total establishments from 97.3% to 98.5%. Retrieved from

Smits, H., Supachutikul, A., & Mate, K. S. (2014). Hospital accreditation: lessons from low- and middle-income countries. Globalization and Health, 10, 65. doi:10.1186/s12992-014-0065-9

Um, M. H., Lyu, E. S., Lee, S. M., & Park, Y. K. (2018). International hospital accreditation and clinical nutrition service in acute care hospitals in South Korea: results of a nationwide cross-sectional survey. Asia Pacific journal of clinical nutrition, 27(1), 158-166.

Yildiz, A., & Kaya, S. (2014). Perceptions of nurses on the impact of accreditation on quality of care: A survey in a hospital in Turkey. Clinical Governance:. Clinical Governance: An International Journal, 19(2), 69-82.



How to Cite

Abdullah, N. C., Rosnan, H., & Yusof, N. (2018). SME Healthcare Operators’ Readiness to Accreditation: Challenges and the way forward. Environment-Behaviour Proceedings Journal, 3(8), 83-88.



Hospitality / Tourism Environment

Most read articles by the same author(s)

1 2 > >>