Journal articles on the topic 'Medical care Malaysia'
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S.Ramasamy, Mohan, Rahimah Ibrahim, Zainal Madon, and Zarinah Arshat. "A Validity Study of Malay-translated Version of the Modified Caregivers Strain Index Questionnaire (M-CSI-M)." Journal of Business and Social Review in Emerging Economies 3, no. 2 (December 31, 2017): 217–26. http://dx.doi.org/10.26710/jbsee.v3i2.47.
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The diversity of the population of the world suggests a great need for validated cross-cultural survey instruments or scales. Health care professionals should have access to reliable sources and valid concepts of interest in their own cultures and languages to provide quality patient care. Therefore, the aims of this study were to translate the Modified Caregiver Strain Index (M-CSI) in the national language of Malaysia. Also to evaluate the validity and reliability of the Malay-translated version of Modified Caregiver Strain Index (M-CSI-M). Instrument was translated forward and rearward through the translation strategy, reconciled by a panel, and verified by the Malaysian Institute of Translation & books as experts of content. After methodological approaches for the translation, adaptation and transcultural validation of Modified Caregiver Strain Index (M-CSI). The latest version of Malaysia was administered to 50 informal care providers of dependent elderly with the Parkinson's disease, at the Association of Parkinson Malaysia (MPDA) and University Kebangsaan Malaysia (UKM) Medical Centre in May 2017. The Malaysians Modified Caregiver Strain Index (M-CSIM) has good face validity and content, as well as inner consistency (Cronbach's alpha 0.75). In conclusion, the M-CSI-M is a reliable tool for the evaluation of caregiving strain levels experienced by informal care providers in Malaysia. M-CSI-M is recommended as a brief and valid measurement that can be used by doctors, counselors, social workers and psychologists to locate the caregiving strain levels of the informal care providers of dependent elderly in Malaysia
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Leong, Richard Lim Boon. "Palliative Care in Malaysia." Journal of Pain & Palliative Care Pharmacotherapy 17, no. 3-4 (January 2004): 77–85. http://dx.doi.org/10.1080/j354v17n03_11.
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Leong, Richard Lim Boon. "Palliative Care in Malaysia." Journal Of Pain & Palliative Care Pharmacotherapy 17, no. 3 (January 28, 2004): 77–85. http://dx.doi.org/10.1300/j354v17n03_11.
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Gopalan, Nishakanthi, Siti Nurani Mohamed Noor, and Mohd Salim Mohamed. "The Pro-Medical Tourism Stance of Malaysia and How it Affects Stem Cell Tourism Industry." SAGE Open 11, no. 2 (April 2021): 215824402110168. http://dx.doi.org/10.1177/21582440211016837.
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Developing countries like India, Thailand, and Malaysia are promoting medical tourism as a commodity, generating income through their economic trade contributing to their national revenue. However, there is no legal framework formulated within these countries to regulate its medical tourism industry. In Malaysia, the current legislation that regulates the private health care facilities is not enough to cover all avenues of medical tourism, especially since the industry largely implicates the private sector. Hence, we aim to explore the consequences of the pro-medical tourism stance of Malaysia and its impact toward stem cell tourism. The in-depth interviews of Malaysian policymakers and the systematic review of academic articles and government documents revealed that the current legislation in Malaysia neglects many areas within medical tourism namely medical visa, insurance, and medical extradition that protects the wellbeing of tourists. The deficiency in the absence of a specific law or policy cultivates stem cell tourism that remains generally unregulated plagued with many ethical exploitations, judging by the pro-medical tourism stance.
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Cheah, Yong Kang, Azira ABDUL ADZIS, Juhaida ABU BAKAR, Chor Foon TANG, Hock Kuang LIM, and Chee Cheong KEE. "AGE, EDUCATION AND CONSUMPTION OF MEDICAL CARE: EVIDENCE FROM MALAYSIA." Malaysian Journal of Public Health Medicine 20, no. 1 (May 1, 2020): 109–21. http://dx.doi.org/10.37268/mjphm/vol.20/no.1/art.486.
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The present study examines age and education determinants of consumption of medical care using Malaysian data. The present study offers a better understanding of the effects of age and education on medical care and assists policy makers in developing more effective intervention measures to improve population health. A nationally representative data with a large sample size (n = 14838) was used for analyses. Several important findings are noteworthy. First, age and education are positively associated with consumption of medical care. Second, the impact of education on medical care varies across age. Third, there is no diminishing marginal effect of education on medical care. Findings of the present study suggest that age and education play an important role in determining consumption of medical care. When designing policies to improve population health, consideration should be given to the effects of age and education factors on consumption of medical care. It is important for policy makers to understand which age group and education level of people are more or less likely to use medical care.
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Rahman, NHNA, and CJ Holliman. "Emergency Medicine in Malaysia." Hong Kong Journal of Emergency Medicine 12, no. 4 (October 2005): 246–51. http://dx.doi.org/10.1177/102490790501200410.
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The concept of emergency medical health care systems in Malaysia has existed since the 1950s. As in other countries in Asia, their functions and important contributions to the overall healthcare system have been much underestimated compared to other specialties. Historically, the concept of prehospital care management was almost non-existent and the casualty (accident & emergency department) was considered as a dumping place for under-performed medical officers. Postgraduate training in Emergency Medicine in Malaysia is still at its infancy and a lot more effort is required to improve the training program. The establishment of a structured residency training program and certified emergency physicians have revolutionized the emergency services that were neglected for so many years. Many challenges have been encountered since the start of the first program but each of the problems was tackled with great enthusiasm. It is hoped that in time Emergency Medicine and emergency health care in the country would be placed equal or even higher than any other specialty.
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MAH, Ahmad, Abd Jalil IJ, Nur Azah Binti Mohd Isa, Nizamani SM, and NasimulIslam Mohd. "Legal Issues in Medical Practice in Malaysia." INTERNATIONAL JOURNAL OF ETHICS, TRAUMA & VICTIMOLOGY 7, no. 01 (December 25, 2021): 29–34. http://dx.doi.org/10.18099/ijetv.v7i01.6.
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The health regulatory system in Malaysia is solely relying on complaints made by members of the public which mean a legal intervention is required in a case of medical negligence. Based on the number of claims and medical negligence cases reported in Malaysia, legal issues pertaining to medical practice have become a profound concern by medical doctors. Legal issues in medical practice are circulating in various aspects of care which comprise consent, confidentiality, doctor-patient relationship, documentation or record keeping and many others. There will be positive and negative implications congruent with these legal issues in medical practice. One of the negative implications is the medical doctors will unconsciously practice defensive medicine due to fear of impending medical litigation. On the other hand, due to the fear of impending medical litigation, medical doctors will become more aware and concern about the legal issues in medical practice. As a result, they will continuously improve their practice, quality of care which leads them to be more confident in practicing medicine.
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Ganasegeran, Kurubaran, Wilson Perianayagam, Rizal Abdul Manaf, Saad Ahmed Ali Jadoo, and Sami Abdo Radman Al-Dubai. "Patient Satisfaction in Malaysia’s Busiest Outpatient Medical Care." Scientific World Journal 2015 (2015): 1–6. http://dx.doi.org/10.1155/2015/714754.
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This study aimed to explore factors associated with patient satisfaction of outpatient medical care in Malaysia. A cross-sectional exit survey was conducted among 340 outpatients aged between 13 and 80 years after successful clinical consultations and treatment acquirements using convenience sampling at the outpatient medical care of Tengku Ampuan Rahimah Hospital (HTAR), Malaysia, being the country’s busiest medical outpatient facility. A survey that consisted of sociodemography, socioeconomic, and health characteristics and the validated Short-Form Patient Satisfaction Questionnaire (PSQ-18) scale were used. Patient satisfaction was the highest in terms of service factors or tangible priorities, particularly “technical quality” and “accessibility and convenience,” but satisfaction was low in terms of service orientation of doctors, particularly the “time spent with doctor,” “interpersonal manners,” and “communication” during consultations. Gender, income level, and purpose of visit to the clinic were important correlates of patient satisfaction. Effort to improve service orientation among doctors through periodical professional development programs at hospital and national level is essential to boost the country’s health service satisfaction.
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S, Deep, and Vidisha V. "Medical Tourism." Journal of Biomedical Research & Environmental Sciences 3, no. 2 (February 2022): 179–80. http://dx.doi.org/10.37871/jbres1418.
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Transnational medical travel, widely quoted as medical combines health care with leisure travel. Asia-Pacific is the leading contributor to the global market revenue in medical tourism and the global turnover is expected cross over USD 31.21 billion by 2026. With protracted and expensive visa and medical services patients seek sophisticated but inexpensive healthcare unavailable in their country. These issues are capitalized by many developing and developed countries like Thailand, India, Malaysia and Singapore by the virtue of their marked cost differentials, economical airfare, advanced medical care, favourable health care infrastructures, destination competitiveness, service quality, travel and entertainment facilities, making them a popular medical destination.
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Rahman, Muhammad Khalilur, Suhaiza Zailani, and Ghazali Musa. "Tapping into the emerging Muslim-friendly medical tourism market: evidence from Malaysia." Journal of Islamic Marketing 8, no. 4 (November 13, 2017): 514–32. http://dx.doi.org/10.1108/jima-02-2016-0014.
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Purpose Emerging interest in medical tourism products offers a lucrative market and opens doors for Malaysia in positioning itself as a Muslim-preferred halal medical care center point. In spite of the tremendous capability of this industry, the Muslim-friendly medical tourism practice is rationally new idea, with endeavors to clarify such tourism product is inadequate. This paper aims to investigate the promoting Muslim-friendly medical tourism market mechanism and its prospects and challenges. Design/methodology/approach As the purpose of this study is to investigate the perceptions of the Muslim patient’s inspiration towards Muslim-friendly medical tourism market mechanism in Malaysia. This study uses structural equation modeling (SEM) technique for data analysis. The target population for this research comprised Muslim medical tourists coming to Malaysia seeking Muslim-friendly medical tourism. A total sample size of 231 is gathered through non-probability sampling method during the period between July and December 2015. Findings The outcome confirms that Muslim tourist’s perceptions play a critical part in travel intention to Malaysia for Muslim-friendly medication. Along these lines, Malaysia needs to promote the success of such medical tourism endeavors with proper practice and services they offer to pull in more outside patients. Practical implications Malaysia is a country that has long been a stronghold for Muslim leisure visitors. Differences in general and spiritual values raise challenges to Muslim-friendly medical care services. A comprehensive research is required on the best way to advance and set up emerging Muslim-friendly medical tourism market mechanism. Originality/value Muslim-friendly medical tourism is a rising advertising discipline. It is confident that the findings could expand information on Muslim-friendly medical tourism service sector and improve providers’ capacity to take advantage of the developing business sector, offering quality medical care services and opportunities that suit the Muslim patients’ needs. In addition, it is essential to understand the most ideal approach to outline Muslim-friendly medical tourism market to make it more useful to various spiritual and religious accept.
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Johari, Siti Hajar, Abu Yazid Abu Bakar, Salleh Amat, and Kadek Suranata. "Mental Readiness and Challenges faced by Health care Front liners during COVID-19 Pandemic in Malaysia." Bisma The Journal of Counseling 5, no. 1 (May 30, 2021): 28. http://dx.doi.org/10.23887/bisma.v5i1.34666.
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The readiness and mental challenges of health care front-liners are one of the big issues that need to be addressed by the Ministry of Health Malaysia (MOH) and also the Malaysian Board of Counselors (MBC). This is to ensure that all threats to health care front-liners can be overcome in order to streamline the duties of fighting the COVID-19 pandemic in Malaysia. Therefore, this study aims to understand the readiness and mental challenges of health front workers (Font liners) in facing the COVID-19 pandemic. This study uses a qualitative design with a case study approach. The study participants consisted of two medical officers and two nurses from the states of Johor and Sabah who had more than six months of experience in handling COVID-19 cases. Study data were obtained through semi-structured interview techniques. The findings state that there are two sub-theme codes from the mental readiness of health care front liners and four subtrahend codes from the mental challenges of health care front liners in facing the COVID-19 pandemic. Information from this study can be used by the MOH and MBC in dealing with the possible mental health issues of the health care front liner, post-COVID-19 in Malaysia.
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A.Kadir, Nadhilah, and Azizah Mohd. "Foster Care as A Child Protection Measure in Malaysia: A Literature Review." Malaysian Journal of Social Sciences and Humanities (MJSSH) 7, no. 12 (December 31, 2022): e002002. http://dx.doi.org/10.47405/mjssh.v7i12.2002.
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Foster care has been practised widely in other countries as one of the alternative care options for children in need of care and protection. In general, foster care refers to a placement of a child either temporarily or permanently, in the care of a person other than a parent. However, at present, there is no specific legislation governing foster care in Malaysia, except for the limited provisions in the Child Act 2001. A review of foster care as a child protection measure in Malaysia from a legal perspective was conducted and four themes emerged, namely, (a) concept of foster care; (b) international legal framework for foster care; (c) foster care in other countries; and (d) foster care in Malaysia. Results indicate that there is a comprehensive literature on foster care from a legal perspective but small literature in the context of Malaysia since there is no specific legislation governing it. At present, foster care is administered based on the practice of the Malaysia Social Welfare Department.
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Anwar Bashah, Farahnaz Ahmad, and Mohd Zulhilmi Mohd Nordin. "Attitudes among Medical Imaging Students towards older adults in Malaysia: A Preliminary Study." Environment-Behaviour Proceedings Journal 1, no. 3 (August 3, 2016): 102. http://dx.doi.org/10.21834/e-bpj.v1i3.353.
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A positive attitude is an essential element towards delivering a high-quality patient care for older people. A consequence of aging population in Malaysia is that Medical imaging students are increasingly exposed to older people during their clinical attachments and importantly as a graduated technologist. This study attempted to determine the Medical Imaging students' attitudes towards elderly in Malaysia based on 5 selective characteristics. This study employed a self-administered questionnaire involving 283 students. The finding revealed that well exposed and good result students' have a better attitude towards elderly. This study suggested relevant educational intervention and community engagement program.© 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).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.Keywords: Elderly People;Medical Imaging;Attitudes;Kogan Attitude’s Scale
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A.Kadir, Nadhilah, and Azizah Mohd. "Child Protection Through Intercountry Adoption in Malaysia: A Literature Review." Malaysian Journal of Social Sciences and Humanities (MJSSH) 7, no. 11 (November 30, 2022): e001870. http://dx.doi.org/10.47405/mjssh.v7i11.1870.
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Intercountry adoption is recognised at the international level as a child protection measure, particularly during the Second World War. The introduction of the Hague Convention on Protection of Children and Co-operation in Respect of Intercountry Adoption 1993 (Hague Convention 1993) has formally recognised intercountry adoption as one of the means of child care. However, in Malaysia, intercountry adoption is not formally practised and Malaysia is not a State party to the Hague Convention 1993. A review of intercountry adoption as a child protection measure in Malaysia from a legal perspective was conducted and four themes emerged, namely, (a) legal and policy framework; (b) legal issues; (c) sending and receiving states’ perspectives; and (d) Malaysian perspective. Results indicate that there is a comprehensive literature on intercountry adoption from a legal perspective but small literature in the context of Malaysia since it is not formally recognised as a child protection measure. At present, intercountry adoption is permitted based on the requirement of residence in the adoption statutes.
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Ming, Khoo Ee, and Christina Tan Phoay Lay. "Profile of General Practices in Malaysia." Asia Pacific Journal of Public Health 10, no. 2 (April 1998): 88–93. http://dx.doi.org/10.1177/101053959801000206.
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In this survey all practices under the headings of “Clinics”, “Medical Practitioners” and “Medical Practitioners - Registered” in the Yellow Pages telephone directories for the thirteen states of Malaysia were selected. Those excluded were clinics or medical practitioners who advertised themselves as specialists in other disciplines. A total of 2291 practices were surveyed and a response rate of 51.2% was obtained. 383(33%) of the general practitioners were trained locally for the first degree. 258(22%) had at least one postgraduate qualification. 69(6%) possessed a postgraduate qualification in primary care medicine. About 80% of general practitioners participated in continuing medical education and 4% did research in the last 3 years. 42% were involved in community activities. 75% ran solo practices. Over 90% of the practices opened six or seven days a week. The mean workload per doctor per day was 44.66. Most practices provided a comprehensive range of services including curative, preventive, dispensing services, counselling, laboratory tests, and home visits. 43% of practices had a computer.
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Wan Ismail, Wan Marina, Norhaini Majid, and Ariani Fatmawati. "Nurses’ Attitudes and Preferences towards usage of Electronic Medical Records." Environment-Behaviour Proceedings Journal 7, no. 21 (September 30, 2022): 481–87. http://dx.doi.org/10.21834/ebpj.v7i21.3579.
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Electronic Medical records document the treatment plan and patient care. This study intends to identify trained nurses' reception toward using EMR in the wards. A non-experimental cross-sectional survey covered the multi-discipline area. A stratified random sampling method in which the population in this research consisted of n= 138 trained nurses. Results found that the trained nurses tended to document the data at the nurse's station compared to the bedside entry. It's also shown that the demographics variable significantly correlated with attitude domains. Hence with the research results, it is envisaged to benefit the nurses and organization and hopefully can become the catalyst for the Ministry of Health in further improving and elevating the system throughout all hospitals in Malaysia. Keywords: Attitude, Electronic medical record, Nurses, Preferences eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v7i21.3579
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Rumyeni, Susanne Dida, Purwanti Hadisiwi, and Yanti Setianti. "Information Needs of Indonesian Infertile Patients About Cross-Border Reproductive Care." International Journal of Media and Communication Research 2, no. 1 (January 23, 2021): 37–50. http://dx.doi.org/10.25299/ijmcr.v2i1.5974.
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Infertile patients need to prepare variety of information before decided to perform reproductive care procedures in foreign country. Sufficient information will help the reproductive care run smoothly. The purpose of this study is to determine the source of information, the necessary information, and the barriers to fulfill the necessary information of Indonesian infertile patients undergoing IVF programs in Malaysia. This study used qualitative method by conducting in-depth interviews with 11 infertile patients who had IVF experience in Malaysia. Results showed that infertile patients obtained information about the IVF program in Malaysia through four sources of information, namely: 1) personal sources such as friends and family; 2) online media which includes the google search engine, blogs and youtube; 3) medical professionals, whether doctors, nurses or other medical personnel; and 4) seminars held by hospital management. Patients information needs include specific information about IVF, medical system information, cost information, IVF legal information, and easiness information in the destination country. Language was found as an obstacle in fulfilled information needs. In conclusion, this study provides new knowledge about various sources of information used by infertile patients in fulfil their information needs about cross-border reproductive care procedures, with language as one of the obstacles.
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Ansari, Farmud, Sushil Yadav, and Ram Hari Ghimire. "Clinical Profile of Migrant Workers Admitted in Medical Ward at Tertiary Care Hospital." Journal of Nobel Medical College 10, no. 2 (December 31, 2021): 58–62. http://dx.doi.org/10.3126/jonmc.v10i2.41780.
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Background: One of the defining elements of Nepal's socioeconomic environment is labor migration. Migrant workers are more likely to develop occupational diseases because they do dangerous tasks and have limited access to occupational health care. The purpose of this paper is to produce clinical profile of migrant workers admitted in medical ward at tertiary care hospital.
Materials and Methods: This was a descriptive cross-sectional study carried out in Nobel Medical College Teaching Hospital on migrant workers patients admitted in medical ward from October 2018 to September 2019. The sample enrollment process was consecutively who were admitted under medical ward. Pre-designed questionnaire was used to collect data for clinical profile of the patients. Data were entered in Microsoft Excel and analyzed.
Results: The migrant workers in this study mainly came from Malaysia, United Arab Emirates, Saudi Arabia, Qatar and Kuwait. They are almost male (97.1%) in this study with mean age of 30.3±7 years in age. The commonest age group of migration was 20-29 year. The highest number of workers 22 (31.1%) had visited to Malaysia in the seek of work. The most common symptoms among them were weakness 15 (21.7%) and headache 13 (18.8%). The highest diagnosis among them was diabetes mellitus 13 (18.8%) and hypertension 11(15.9%). The highest number of workers was involved in their job at different foreign countries as a labor at factories or at construction site 32 (46.4%).
Conclusion: Male from younger age group were mainly observed as migrant worker with their proclivity to work in Malaysia. The most common diagnosis among them was diabetes mellitus and hypertension. Most migrant workers worked as workers in factories and construction sites
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Alias, Fadhlina, Puteri Nemie Jahn Kassim, and Muhammad Najib Abdullah. "Dying Wishes: Understanding Advance Medical Directives from the Malaysian and Islamic Law Perspectives." Ulum Islamiyyah 32 (December 2, 2020): 18–39. http://dx.doi.org/10.33102/uij.vol32no.174.
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The respect for patient autonomy is a bioethical principle that has acquired a compelling degree of prevalence in modern medical practice. While a doctor is ethically and lawfully bound to respect a patient’s preference and personal values in administering the requisite treatment, the duty to do so is more intricate in end-of-life care, when most patients are unable to partake in the decision-making process. An advance medical directive thus provides an assurance that the patient’s right to make autonomous decisions is preserved and will not be defeated by any future incapacity. It also serves to alleviate the ethical dilemma faced by doctors and assist them to determine the course of treatment according to the incompetent patient’s wishes. In turn, this facilitates healthcare providers to effectuate a more functional allocation of resources, which include costly life-sustaining equipment. In Malaysia, although advance care planning and advance medical directives are fairly novel concepts, there have been recent calls by certain sectors to increase awareness among the public and incorporate such measures into the delivery of healthcare services. This paper seeks to discuss the viability of integrating advance medical directives into the Malaysian regulatory framework on the provision of healthcare. Accordingly, this will also include deliberation on the Islamic standpoint with regard to the subject matter, in view of Malaysia’s religious demography and the position of Islam as the official religion of the country.
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Tohid, Hizlinda, Sheen Dee Ng, Anis Azmi, Nur Farah Adrina Nur Hamidi, Syahirah Samsuri, Amir Hazman Kamarudin, and Khairani Omar. "Quality of asthma care at a university-based primary care clinic in Malaysia." Journal of Health Research 33, no. 5 (September 9, 2019): 425–34. http://dx.doi.org/10.1108/jhr-11-2018-0148.
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Purpose The quality of asthma care may be affected if asthma management is overlooked, thus needing frequent clinical audits to identify areas for improvement. The purpose of this paper is to evaluate the quality of the process (e.g. documentation of asthma-specific information), the structure (e.g. availability of resources) and the outcome (e.g. proportion of patients prescribed with asthma medications) at a university-based primary care clinic. The associated clinical factors for non-documentation of asthma control at the last visit were also examined. Design/methodology/approach This retrospective study involved auditing medical records and the pharmacy data system of 433 adult patients with asthma to evaluate 18 quality indicators. The standard target for the indicators of process and structure was 80 percent and the standard target for the indicators of outcome was 100 percent. Findings All the indicators failed to reach the standard targets. Documentation of asthma-specific information and availability of resources were deficient. The non-documentation of asthma control was significantly associated with presence of acute complaint(s) unrelated to asthma, presence of other issues and number of the documented parameters for asthma control. Although the prescription rates of inhaled reliever and preventer were substandard, they were reasonably high compared to the targets. Research limitations/implications In this study, evaluation of the quality of care was limited by absence of asthma register, use of paper-based medical records and restricted practice capacity. Besides, the asthma-specific assessments and management were only audited at one particular time. Furthermore, the findings of this study could not be generalised to other settings that used other methods of record keeping such as patient-held cards and electronic medical records. Future studies should sample asthma patients from a register, evaluate more reliable quality indicators (e.g. over-prescription of short-acting β-2 agonist and underuse of inhaled corticosteroid) and assess asthma management over a duration of time. Practical implications This study provides quality information on all aspects of asthma care (process, structure and outcome) which can be a basis for clinical improvement. It is hoped that the study could assist the stakeholders to plan strategies for improvement of the asthma care. A more strategic and reliable system of documentation is needed, such as the use of a simple template or structured form, which should not jeopardise the provision of personalised and comprehensive care. With complete documentation, thorough investigational audits can be continuously performed to determine the quality of asthma care. Social implications This study could provide useful findings to guide healthcare providers in developing a more strategic model of asthma care that can ensure asthma patients to receive a personalised, comprehensive, holistic and continuous care. Through this approach, their physical and psychosocial well-being can be optimised. Originality/value Even though our healthcare has advanced, the quality of asthma care is still suboptimal which requires further improvement. However, it could be considered assuring due to high outcome levels of asthma care despite having limited resources and practice capacity.
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Abd Aziz, Nor Azimah, Nurliyana Ain Abdul Ghani, Khairil Anuar Md Isa, and Norasyikin Mustafa. "Practice and Knowledge of Contact Lens Use Among Medical Students of Universiti Teknologi MARA." Environment-Behaviour Proceedings Journal 4, no. 11 (July 14, 2019): 53. http://dx.doi.org/10.21834/e-bpj.v4i11.1742.
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Contact lens is an optical device that is commonly used to correct refractive errors of the eye. Improper care may lead to ocular related complications. This was a descriptive study to assess contact lens care practice and knowledge on contact lens use among medical students of Universiti Teknologi MARA (UiTM). Out of seven proper practices of contact lens care listed, only hand washing practice was adhered by most of the wearer. Both groups of contact lens wearer and non-wearers showed a moderate level of knowledge with regards to lens care. Educational programs on awareness and safety usage of contact lens should be emphasized particularly to the medical studentsKeywords: Practice, Knowledge, Contact Lens, Medical StudentseISSN: 2398-4287 © 2019. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). 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.
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Ooi, G. L. "Chinese Medicine in Malaysia and Singapore: The Business of Healing." American Journal of Chinese Medicine 21, no. 03n04 (January 1993): 197–212. http://dx.doi.org/10.1142/s0192415x93000236.
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Traditional Chinese medicine as it persists in several East and Southeast Asian countries, has undergone major changes. Such changes have reinforced the trading aspects of traditional Chinese medical practice with relatively little advantage for the medical care component. This paper examines the nature of changes in contemporary ethnic Chinese medical practice in Malaysia and Singapore with the aim of understanding their implications for the persistence of this medical tradition.
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Tan, Adam Jian Yang, Priyalatha Govindasamy, Nor Firdous Mohamed, Norashikin Md Sari, Nur Amani Ahmad Tajuddin, and Aizai Azan Abdul Rahim. "Reliability Testing of Self-Care of Heart Failure Index v6.2 Chinese Instrument Among Heart Failure Patients." Asia Pacific Journal of Health Management 16, no. 3 (September 29, 2021): 228–34. http://dx.doi.org/10.24083/apjhm.v16i3.719.
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Objective: Self-Care of Heart Failure Index (SCHFI) v6.2 Chinese is an instrument used to assess the ability of self-care behaviour among heart failure patients. It has been validated in Taiwan, however, it is yet to be validated in Malaysia. As a multi-ethnic country, Chinese language has been one of the major languages in Malaysia. Therefore, this study was conducted to examine the reliability of Self-Care of Heart Failure Index (SCHFI) v6.2 Chinese among Malaysian population. Design: A successive independent sample design was used throughout a 4-months data collection period. Setting: Eighty heart failure patients from University of Malaya Medical Centre and National Heart Institute were recruited through purposive sampling. The two hospitals were chosen because they have specialized heart clinics that eased the data collection. The out-patients were screened by the cardiologists for their eligibility to participate in this study. Measures: The samples were administered with SCHFI v6.2 Chinese. The item endorsement index, internal consistency and item-total correlation of SCHFI v6.2 Chinese were examined. Results: The maintenance subscale of SCHFI showed a low internal consistency (Cronbach α = .52) while the management and confidence subscales showed an acceptable internal consistency (Cronbach α = .67 and .90 respectively). Conclusion: SCHFI v6.2 Chinese is a reliable instrument to be used among the Malaysian population.
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Zulkifli, Zuliana Azwa, Azeem Fazwan Ahmad Farouk, Dayang Haszelinna Abang Ali, and Norhayati Mokhtar. "Refining The Dengue Vulnerability Assessment Based on Dengue Vulnerability Framework Malaysia (DVFM)." JPSI (Journal of Public Sector Innovations) 6, no. 2 (May 31, 2022): 57–67. http://dx.doi.org/10.26740/jpsi.v6n2.p57-67.
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This study refining the dengue vulnerability assessment using DVFM to describes the vulnerability of dengue in Malaysia during the period of 15 years to identify high-low risk areas among sample of studies (except Wilayah Persekutuan Putrajaya). The dengue reported cases in Malaysia were analyzed using the data provided by the Disease Control Division Vector, Ministry of Health Malaysia (MOH) from 2003-2017. As per literature, factors influencing the vulnerability to infectious disease outbreak were identified as population density, urbanization, medical care workforce, medical care infrastructure, public health delivery, safe water and sanitation as well as economic strength. This framework was tested using empirical cases of dengue outbreak in Malaysia. The dataset used was obtained from widely available data (from the Department of Statistics Malaysia (DOSM) and Health Indicator Report by MOH). From 2003-2017, 829, 299 cases have been reported in Malaysia. The highest number was recorded in 2015 (63198, Selangor). The key findings from this assessment included the states with their vulnerability and actual dengue reported cases. The results also concluded that the framework prediction did not match the actual outbreak reported. Recently in Malaysia, the reported cases have increased steadily in most areas. The surveillance and control strategies should be strengthened especially for areas with the most vulnerable to dengue outbreak without deprioritizing the least vulnerable state. Further research should be conducted to explore other drivers that may reflect the vulnerability of dengue outbreak.
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Ang, Brenda S. P., Tchoyoson C. C. Lim, and Linfa Wang. "Nipah Virus Infection." Journal of Clinical Microbiology 56, no. 6 (April 11, 2018): e01875-17. http://dx.doi.org/10.1128/jcm.01875-17.
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ABSTRACT Nipah virus, a paramyxovirus related to Hendra virus, first emerged in Malaysia in 1998. Clinical presentation ranges from asymptomatic infection to fatal encephalitis. Malaysia has had no more cases since 1999, but outbreaks continue to occur in Bangladesh and India. In the Malaysia-Singapore outbreak, transmission occurred primarily through contact with pigs, whereas in Bangladesh and India, it is associated with ingestion of contaminated date palm sap and human-to-human transmission. Bats are the main reservoir for this virus, which can cause disease in humans and animals. There are currently no effective therapeutics, and supportive care and prevention are the mainstays of management.
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Hwong, Wen Yea, Yvonne Mei Fong Lim, Ee Ming Khoo, and Sheamini Sivasampu. "High-risk nonsteroidal anti-inflammatory drugs prescribing in primary care: results from National Medical Care Survey Malaysia." International Journal of Clinical Pharmacy 42, no. 2 (January 20, 2020): 489–99. http://dx.doi.org/10.1007/s11096-020-00966-w.
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Rahman, Muhammad Khalilur. "Medical tourism: tourists’ perceived services and satisfaction lessons from Malaysian hospitals." Tourism Review 74, no. 3 (June 12, 2019): 739–58. http://dx.doi.org/10.1108/tr-01-2018-0006.
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Purpose The medical tourism industry has become one of the most profitable industries around the world wherein most of the countries exploit every effort to attract medical tourists to take advantage of its medical care benefits. The purpose of this study is to explore the determinants of medical tourists’ perceived services and their satisfaction for medical care in hospitals. Design/methodology/approach The quantitative method was conducted to examine the three groups of foreign travellers such as medical tourists, expats and normative medial tourists’ perceived medical services quality and satisfaction. Data from a survey of 266 respondents were analyzed using the structural equation modelling technique. Findings The findings of this study provide evidence that hospital accessibility and interpersonal behaviour are the most critical constructs that influence medical tourists’ attributes. Additionally, medical costs and health-care technicality have a significant relationship with the perceived services of medical tourists. The study also demonstrated that medical tourists’ satisfaction highly attributed to their perceived services towards the quality of medical care they received and experienced in the hospitals. Practical implications The results have important implications for managerial considerations at hospitals. Hospital accessibility is a crucial dimension to be measured at hospitals when measuring service quality. Service providers need to be mindful that all aspects of medical services are essential and need to be delivered satisfactorily to ensure customer satisfaction. Patients’ perceived services and their satisfaction is a crucial bridge in determining the likelihood of future return among patients to the hospitals. Originality/value This study has managed to convincingly secure findings to provide useful information and understanding of the hospital accessibility and interpersonal manner of health-care professionals at hospitals in Malaysia. Particularly, when any hospital offers quality services, they must consider the reasonable medical expenses that can be affordable by the average people and update their medical equipment that are necessary for technical and diagnostic purposes. By ensuring these, they can attract the medical tourists.
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Salman, Muhammad, Amer Hayat Khan, Azreen Syazril Adnan, Syed Azhar Syed Sulaiman, Khalid Hussain, Naureen Shehzadi, and Fauziah Jummaat. "Attributable causes of chronic kidney disease in adults: a five-year retrospective study in a tertiary-care hospital in the northeast of the Malaysian Peninsula." Sao Paulo Medical Journal 133, no. 6 (December 2015): 502–9. http://dx.doi.org/10.1590/1516-3180.2015.005.
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ABSTRACT CONTEXT AND OBJECTIVE: Chronic kidney disease (CKD) is an escalating medical and socioeconomic problem worldwide. Information concerning the causes of CKD, which is a prerequisite for reducing the disease burden, is sparse in Malaysia. Therefore, this study aimed to evaluate the attributable causes of CKD in an adult population at a tertiary referral hospital. DESIGN AND SETTING: Retrospective study at Hospital Universiti Sains Malaysia (HUSM). METHODS: This was an analysis based on medical records of adult patients at HUSM. Data regarding demographics, laboratory investigations, attributable causes and CKD stage were gathered. RESULTS: A total of 851 eligible cases were included. The patients' mean age was 61.18 ± 13.37 years. CKD stage V was found in 333 cases (39.1%) whereas stages IV, IIIb, IIIa, and II were seen in 240 (28.2%), 186 (21.9%), 74 (8.7%) and 18 (2.1%), respectively. The percentage of CKD stage V patients receiving renal replacement therapy was 15.6%. The foremost attributable causes of CKD were diabetic nephropathy (DN) (44.9%), hypertension (HPT) (24.2%) and obstructive uropathy (9.2%). The difference in the prevalence of CKD due to DN, HPT and glomerulonephritis between patients ≤ 50 and > 50 years old was statistically significant. CONCLUSION: Our results suggest that DN and HPT are the major attributable causes of CKD among patients at a Malaysian tertiary-care hospital. Furthermore, the results draw attention to the possibility that greater emphasis on primary prevention of diabetes and hypertension will have a great impact on reduction of hospital admissions due to CKD in Malaysia.
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Dongen, Daan-Max van. "Impact of Health Financing on Healthcare Quality and Affordability in Malaysia: A Conceptual Review." Malaysian Journal of Medical and Biological Research 9, no. 1 (June 21, 2022): 33–40. http://dx.doi.org/10.18034/mjmbr.v9i1.638.
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In comparison to the majority of essential health indices, the health care system in Malaysia has performed exceptionally well. Despite this, it is still behind the techniques used in many other Asian countries, despite its great potential. The primary reason for this is that patients in Malaysia are subjected to a significant amount of financial risk while seeking medical treatment. The implications of health care finance in Malaysia are investigated in this study, with a particular focus on access and equality issues. This exemplifies the urgent requirement for novel ways to the financing of medical care that are compliant with the norms that have been established. According to the findings of this study, it is recommended that efforts should be increased by employing policy changes to include money pooling and risk sharing, subsidization for the poor and the vulnerable, and mandatory enrollment. In addition, it is recommended that the efforts be increased by employing policy changes to include money pooling and risk sharing. Finally, the implication for public policy indicates that the government ought to commit to the tremendously feasible improvement of the nation's healthcare system through spending.
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Raja Lexshimi RG, Najibah AR, Taufiq Zahari, Lau Wei Keat, Sim Linger, Nur Ain Diyana Ismail, Zaleha MI, and Jemaima CH. "KNOWLEDGE, COMPLIANCE AND COMPLICATION OF CONTACT LENS USAGE AMONG MEDICAL STUDENTS IN UNIVERSITI KEBANGSAAN MALAYSIA MEDICAL CENTRE." Malaysian Journal of Public Health Medicine 20, no. 1 (May 1, 2020): 229–34. http://dx.doi.org/10.37268/mjphm/vol.20/no.1/art.567.
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Non-compliance to hygienic practices in contact lens wear is regarded as a significant risk factor for contact lens-related complications. Non-compliant behaviour continues to prevent efforts to improve contact lens safety despite advancements in lens materials and care solutions. The objective of this study was to identify the association between knowledge, compliance and complications of contact lens wear. A cross-sectional design was used and contact lens users among medical faculty students were identified and recruited via convenience sampling throughout October 2013 to March 2014. A total of 36 close-ended questions that focused on knowledge level, compliance to standard contact lens practice, and experience of complications were administered. A total of 188 respondents, majority of females (89.4%; n=168) participated in this study. Although majority had good knowledge level (68.1%; n=128) on care and usage of contact lens while only a small number having moderate knowledge (26.6%; n=50) and poor knowledge (5.3%; n=10), most of them were partially compliant (74.5%; n=140) to the recommended contact lens practices. However, a small group was found to be fully compliant (24.4%; n=46) and the rest being non-compliant (1.1%; n=2). There was a significant association between knowledge on contact lens usage and compliance level to standard practices (p=0.0003). In addition, a significant association also existed between compliance level to recommended practices and risk of complications from contact lens usage (p=0.023). Findings of this study showed the positive association between knowledge of contact lens usage and compliance to recommended practices and negative association between knowledge of contact lens usage and complications experienced by contact lens users. By providing basic knowledge on contact lens care and usage via education, improvement on compliance and enhancement of safety of contact lens wear could invariably be achieved.
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Sim, Joong Hiong, Olivia Miu Yung Ngan, and Ho Keung Ng. "Bioethics Education in the Medical Programme among Malaysian Medical Schools: Where Are We Now?" Journal of Medical Education and Curricular Development 6 (January 2019): 238212051988388. http://dx.doi.org/10.1177/2382120519883887.
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Introduction: A global trend in medical education is the inclusion of bioethics teaching in medical programme. The objective of this article is to describe the current state of bioethics education in the medical programme among Malaysian medical schools. Method: A national survey was conducted among Malaysian medical schools between January and March 2019. One representative from each medical school was invited to respond to the survey. Respondents were faculty members involved in teaching and assessment of bioethics in their medical schools, or/and in developing and coordinating bioethics curriculum. Descriptive statistics were reported. Findings: Out of 30 medical schools, 11 completed and returned the survey (overall response rate = 36.7%). Of these 11 schools, 6/10 (60%) were from public institutions while 5/20 (25%) were from private institutions. All except 1 school implemented a formal bioethics curriculum. A wide range of bioethics topics are currently taught in the medical programme. The majority involved in teaching bioethics were health care professionals (mainly clinicians), followed by lawyers. Lecture and attendance, respectively, are the most common teaching and assessment method. Major barriers to the implementation of bioethics education included limited qualified teaching staff (6/11 = 54.5%), no established curriculum to follow (5/11 = 45.5%), limited financial resources to hire qualified staff (4/11 = 36.4%), and no consensus among faculty members (4/11 = 36.4%). Conclusion: Bioethics education in Malaysia is relatively new and mostly limited by a shortage of scholars in bioethics. National support and institutional collaboration in providing bioethics training is the key to enhance the quality of bioethics education.
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Rahman, Md Mizanur, Mohamad Taha Arif, Razitasham Safii, Zainab Tambi, Cliffton Akoi, Zulkifli Jantan, and Syahrizal Abdul Halim. "Care seeking behaviour of Bangladeshi migrant workers in Sarawak, Malaysia." Bangladesh Medical Research Council Bulletin 45, no. 1 (June 15, 2019): 47–53. http://dx.doi.org/10.3329/bmrcb.v45i1.41808.
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Background: Migrant workers are exposed to vulnerable health risks related to occupational safety, infection and personal health risk behaviours. These vulnerabilities, together with low capacity to pay medical care, and poor access to healthcare, can result in unsatisfactory health outcomes. This objective of the study was to determine the pattern of morbidity and the care seeking behaviour of Bangladeshi migrant workers in Sarawak.
Methods: This cross-sectional study was conducted among Bangladeshi migrant workers in selected districts in Sarawak, Malaysia. A total of 314 Bangladeshi workers were interviewed by face to face using a pre-designed and validated questionnaire. Simple descriptive analysis was done using SPSS version 22.0. However, to supplement the quantitative findings, field notes were also analysed.
Results: The mean (SD) age of the respondents was 35.9 (7.3) years. Most of the workers were engaged in manufacturing job (43%) followed by construction (32.2%) and a variety of job according to the employers' desire (22.9%). The median monthly salary of the workers was MYR 923 with median duration works was 10 years. One-fourth of the workers (25.5%) had no health insurance, while another one tenth of workers were unaware of health insurance. It was found that 20% had medial ailments in the last two weeks, while 45.2% had physical complaints in the last one month. The most frequent complaints were fever (48.4%) followed by injuries (11.3%) in the last two weeks. About three fifths (57.4% in last two weeks and 60.6% in last one month) visited private health hospitals or clinics for their treatment. Only a few workers visited public hospitals or clinics for their ailments. One-fifth of the workers were self-medicated. While another one tenth of workers visited traditional healer for their ailments. Qualitative analysis revealed a high cost and no scope of bargain as factors which discourage them to take treatment from public hospitals or clinics. The majority of migrant workers in this study sought healthcare when they fell ill.
Conclusion: However, knowledge about health-related insurance was poor and low wage might be significant issues in accessing health care services. The study concluded that workers’ friendly health policy could be instituted for the welfare of the foreign workers’ despite of their awareness of local health services.
Bangladesh Med Res Counc Bull 2019; 45: 47-53
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Che Hasan, Muhammad Kamil, Emma Stanmore, and Chris Todd. "A Feasibility Study of the ESCAPE-pain Programme for Patients with Knee Osteoarthritis in the Malaysian Context: Preparation of A Protocol." INTERNATIONAL JOURNAL OF CARE SCHOLARS 2, no. 2 (July 31, 2019): 21–29. http://dx.doi.org/10.31436/ijcs.v2i2.128.
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Background: In Malaysia, around one in ten older people are diagnosed with osteoarthritis (OA), with the knee being one of the most commonly affected areas. This can lead to functional limitations, impaired activities of daily living and reduced quality-of-life. Thus, a systematic review of the literature concludes that a programme integrating exercise, education and active coping strategies, known as Enabling Self- management and Coping with Arthritic Pain using Exercise (ESCAPE-pain) provides the best evidence for patients with knee OA. Objective: Through Thus, this study aims to evaluate the feasibility of a randomised controlled trial to explore the implementation of the ESCAPE-pain programme among patients with knee OA in the Malaysian healthcare context guided by the UK Medical Research Council Framework (2000). Methods: This is a pragmatic, feasibility randomised controlled trial (RCT) recruiting patients (n=72) with knee osteoarthritis from two hospitals in Malaysia. Participants were randomised to receive ESCAPE-pain intervention plus usual care (n=36) (intervention group) or usual care only (n=36) (control group). The ESCAPE-pain programme was delivered twice weekly for six weeks by a certified trainer. Outcomes were measured for physical function (TUG), knee injury and osteoarthritis outcome scores (KOOS), mental wellbeing (Short-WEMWBS), exercise health beliefs and self-efficacy and fear of falling (Short-FES-I) at baseline, six-week and after 12-week of intervention. Results: This is the first study to evaluate the implementation in the Malaysian healthcare context. Conclusion: The findings are hoped to facilitate the practicality of the design of a definitive randomised controlled trial, to support people living with knee osteoarthritis in Malaysia.
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Mohamed, Nor F., Siti R. Ghazali, Nor A. Yaacob, Aizai A. A. Rahim, and Oteh Maskon. "Development and Validation of a Cross-Cultural Heart Failure-Specific Quality of Life Questionnaire." Sultan Qaboos University Medical Journal [SQUMJ] 18, no. 4 (March 28, 2019): 494. http://dx.doi.org/10.18295/squmj.2018.18.04.011.
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Objectives: Heart failure (HF) is a common clinical syndrome with an enormous impact on prognosis and lifestyle. Accordingly, rehabilitation measures need to be patient-specific and consider various sociocultural factors so as to improve the patient’s quality of life (QOL). This study aimed to develop and validate a HF-specific QOL (HFQOL) questionnaire within a multicultural setting. Methods: This study took place at the National Heart Institute and Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia, between March 2013 and March 2014. A self-administered 75-item HFQOL questionnaire was designed and administrated to 164 multi-ethnic Malaysian HF patients. Exploratory factor analysis was performed to assess the instrument’s construct validity. Cronbach’s alpha coefficients were used to determine internal consistency. Results: A total of 33 out of 75 items were retained in the final tool. The HFQOL questionnaire had three common factors—psychological, physical-social and spiritual wellbeing—resulting in a cumulative percentage of total variance of 44.3%. The factor loading ranges were 0.450–0.718 for psychological wellbeing (12 items), 0.394–0.740 for physical-social wellbeing (14 items) and 0.449–0.727 for spiritual wellbeing (seven items). The overall Cronbach’s alpha coefficient of the questionnaire was 0.82, with coefficients of 0.86, 0.88 and 0.79 for the psychological, physical-social and spiritual wellbeing subdomains, respectively. Conclusion: The HFQOL questionnaire was found to be a valid and reliable measure of QOL among Malaysian HF patients from various ethnic groups. Such tools may facilitate cardiac care management planning among multi-ethnic patients with HF.Keywords: Heart Failure; Quality of Life; Culturally Competent Care; Ethnic Groups; Questionnaire Design; Reliability and Validity; Malaysia.
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Ahmed, Selim, Noor Hazilah Abd Manaf, and Rafikul Islam. "Effects of Six Sigma initiatives in Malaysian private hospitals." International Journal of Lean Six Sigma 10, no. 1 (March 4, 2019): 44–57. http://dx.doi.org/10.1108/ijlss-08-2017-0099.
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Purpose This study aims to investigate applications of Six Sigma methodology in Malaysian private hospitals. It measures Six Sigma initiatives of the private hospitals based on demographics such as gender, position and working experience. Design/methodology/approach The present study measures Six Sigma initiatives of private hospitals and used stratified random sampling to collect data from eight selected hospitals in Peninsular Malaysia. The respondents of the study include doctors, nurses, pharmacists and medical laboratory technologists. In this study, 520 questionnaires were distributed to respondents who are working in Malaysian private hospitals. In total, 251 responses were received (48.27 per cent response rate). The descriptive analysis, independent samples t-test and one-way ANOVA were undertaken using SPSS version 23. Findings The findings of this study indicate that male respondents have better perception on four aspects of Six Sigma applications such as process improvement tools, process improvement methods, manage quality improvement activities and formal planning process compared to female respondents. The research findings also indicate that doctors have better perception regarding process improvement tools to measure quality improvement process, leadership to continuous improvement processes, training in process improvement tools for employees’ skill improvement compared to nurses, pharmacists, medical laboratory technologists. Research limitations/implications The present research focussed solely on the Malaysian private hospitals, and thus the results might not be applicable to other countries. This study focussed on Six Sigma initiatives of private hospitals in Malaysia, while the future research may consider investigating the difference or conformance between private and public hospitals on Six Sigma initiatives and its relationship with quality performance. In addition, present study findings are expected to provide guidelines to enhance the applications of Six Sigma methodology in private hospitals in Malaysia as well as other countries. Originality/value This research provides theoretical and practical contributions for the Six Sigma initiatives in private hospitals. Most of the past studies of Six Sigma initiatives are centred on manufacturing sector, but few empirical studies have been conducted on the health-care organisation. Thus, findings of the present study on the health-care sector contribute to the on-going pursuit of knowledge in the area of Six Sigma by using the strength of related theories and parent disciplines.
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Babar, Muneer Gohar Gohar, Syed Shahzad Hasan, Lee Ping Lim, Phei June Lim, Nik Mohd Mazuan Nik Mohd Rosdy, and Siti Fauzza Binti Ahmad. "Tomorrow’s doctors and dentists in Malaysia: empathic or indifferent?" European Journal for Person Centered Healthcare 5, no. 2 (July 6, 2017): 205. http://dx.doi.org/10.5750/ejpch.v5i2.1287.
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Objectives: This study compared the empathic behaviour of first year to final year dental and medical students in Malaysia and explored whether academic training of dental and medical students increases their subjective empathic tendencies. Methods: This cross-sectional study was carried out among 1020 first year to final year (fifth-year) undergraduate medical and dental students using a validated, self-administered Jefferson Scale of Empathy-Health Care Provider Student Version (JSE-HPS) questionnaire. The data were collected from first year to final year (fifth-year) students enrolled in Bachelor of Medicine/Bachelor of Surgery (MBBS) and Bachelor of Dental Surgery (BDS) degree programs at 2 government-funded universities and one private university. Results: Dental students had a significantly higher total mean empathy score than medical students (84.11 versus 81.96, p < 0.05). However, medical students had a narrow actual score range (59.35 - 133.35) than dental (22.05 - 133.35) students. Males (Medical: 82.57, Dental: 84.97) and students of Malay origin (Medical: 82.52, Dental: 85.11) were more empathic than females and students of other ethnic origins. The results also indicate that third-year medical students (mean: 82.95) and fourth-year dental students (mean: 86.36) were more empathic than students in other professional years.Conclusions: We recommend the use of some form of active training and assessment to assist in the development of empathy in medical and dental students. Medical and dental schools should place more emphasis on teaching empathic communication.
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Gohain, Kastury, Seethaletchumy Thambiah, and Tan Chuie Hong. "Patients Loyalty Framework towards Healthcare Services in Malaysia." International Journal of Business and Management 13, no. 9 (August 1, 2018): 148. http://dx.doi.org/10.5539/ijbm.v13n9p148.
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The goal of this research is to determine the components that compel the healthcare stakeholders to become loyal towards the system. With extensive literature study of previously completed work, six crucial variables has been finalized. Hence, these variables will be justified to uphold loyal patients in healthcare. The findings highlighted the importance of loyalty in medical care. The factors leading to loyalty are identified and the relationship between the distinguished variable and loyalty is reconfirmed as prior documented studies.
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Thong, How Kit, Danny Kit Chung Wong, Hardip Singh Gendeh, Lokman Saim, Primuharsa Putra Bin Sabir Husin Athar, and Aminuddin Saim. "Perception of telemedicine among medical practitioners in Malaysia during COVID-19." Journal of Medicine and Life 14, no. 4 (August 2021): 468–80. http://dx.doi.org/10.25122/jml-2020-0119.
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The novel Coronavirus Disease 2019 (COVID-19) has brought unprecedented changes in the way conventional health care is delivered. This study examined if clinicians’ perceptions regarding telemedicine and its barriers to implementation in Malaysia have changed during this pandemic. A cross-sectional survey was conducted among Malaysian medical doctors of various specialties in four urban healthcare facilities between June 2020 and July 2020. A total of 146 (41.7%) out of 350 responses were obtained. 62% of doctors reported a reduction greater than 50% in outpatient visits during the COVID-19 pandemic. The majority of doctors either found telemedicine useful in situations similar to COVID-19 (34.2%) or that it is essential to their daily practice (42.5%). However, only 22% reported using telemedicine for consultation during the COVID-19 pandemic. 74% of doctors felt that telemedicine would only benefit up to 30% of their patient population. Significantly more female doctors (80%) felt that telemedicine would benefit their patients compared to male doctors (45.8%) (P=0.03). Physicians (51.3%) were more inclined to adopt telemedicine in comparison to surgeons (32.4%) (P=0.03). The majority cited medico-legal issues and consent (80.6%), billing and charges (66.7%) and insurance reimbursement (62.5%), technical difficulties (62.5%) as their barrier to the adoption of telemedicine. Female doctors and physicians were more willing to adopt telemedicine when compared to male doctors and surgeons. Although the COVID-19 pandemic appeared to improve the perception, significant barriers should be resolved before many can incorporate it into their practice.
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Roy, Bedanta, Nicholas Goh, and Rukhsana Hussain Malik. "Medical education system in Malaysia maintaining a gold standard – an extraordinary example from the Malaysian Society of Pharmacology and Physiology." Nepal Journal of Epidemiology 7, no. 3 (January 17, 2018): 697–98. http://dx.doi.org/10.3126/nje.v7i3.19008.
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Founded in 2011 Quest International University Perak (QIUP) is a private university in partnership with Perak state Government. Various professional programmes are conducted in Faculty of Medicine (FOM) helps the young lecturers. Enormous financial aids and moral support are provided by the University for competitive events which are highly appreciable. Universities across the world should encourage their faculties, to organize and participate healthy competitions like quiz, teachers’ prize to make a better educator who guides future health care professionals. Nepal J Epidemiol. 2017;7(3); 697-698
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Aye, Swe Zin, Htwe Htwe Sein, Myat Kalayar Nyunt, and Yupa Min. "Comparative Study of Malaysian Medical Students’ Empathy Scores Between Preclinical and Clinical Training." Education in Medicine Journal 14, no. 1 (March 30, 2022): 27–38. http://dx.doi.org/10.21315/eimj2022.14.1.3.
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This study aims to compare the empathy scores of Malaysian medical students between preclinical and clinical training, and to identify the predictive factors for empathic behaviour. In this cross-sectional study, the medical student version of the Jefferson Scale of Empathy (JSE-S) was distributed to medical students at Quest International University (QIU), Malaysia. The JSE-S scores are analysed using independent t-tests to determine any significant difference between the preclinical and clinical training. We use a one-way ANOVA test to identify the factors influencing medical students’ empathy levels. A total of 85% of the students responded to the questionnaires. The mean JSE-S scores for QIU medical students is 106.2 (M = 106.2, SD = 13.5). Female students have significantly higher empathy scores than males (F(1,240) = 8.32, p = 0.004). The compassionate domain of empathy scores increased significantly with an increase in the year of medical school (F(4,237) = 3.135, p = 0.015). Compared to medical students in preclinical training, clinical students had statistically significant higher empathy scores in compassionate care (t(240) = –2.08, p = 0.039). In general, medical students in QIU exhibited an increasing trend of empathy scores across their training. Interestingly, compared to preclinical students, clinical students had higher affective empathy scores (compassionate care) whereas their cognitive empathy scores remained unchanged. We suggest including courses on cognitive empathy training in the QIU curriculum.
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Yam, Carrie H. K., Sian M. Griffiths, S. Liu, Eliza L. Y. Wong, Vincent C. H. Chung, and E. K. Yeoh. "Medical Regulation." Journal of Medical Regulation 102, no. 1 (January 1, 2016): 16–27. http://dx.doi.org/10.30770/2572-1852-102.1.16.
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The licensing and regulation of physicians is an important topic worldwide and is often tied to discussions in various countries of health care system reform. We conducted a review of current practices for regulating physicians as a key group of health care professionals in eight jurisdictions in Asia and other parts of the world in order to draw implications for the development of future regulatory policies in Hong Kong. Jurisdictions studied included Australia, Canada, China, Malaysia, New Zealand, Singapore, the United Kingdom and the United States. A literature search, supplemented by interviews, was conducted. In analyzing information gathered about global regulatory systems, we used a framework for comparing regulatory typology, developed by the RAND Europe research institute. Our review found that the jurisdictions studied exhibited both similarities and differences in terms of how physicians are regulated and by whom. As a result of our search, we were able to identify 10 key trends in international medical regulation of importance to Hong Kong as it considers reforms to its health care system overall:Changes in medical regulation are seen as a way of improving the quality of patient care.Reform of medical regulation often requires government legislation.The creation of common principles for policies, structures and the organization of regulation between professions is an emerging practice.The involvement of lay people on boards and in inquiries is increasingly common.Medical regulation is moving away from models of self-regulation and toward regulatory models that emphasize partnership between professions and the public, physicians and patients.Health care providers and institutional regulators play complementary roles in medical regulation.Regulation impacts the quality of care — not just the detection and remediation of poor performance.Investigatory and disciplinary functions are increasingly separated and organized independently of each other.Continuous Professional Development (CPD) is compulsory for physicians in many jurisdictions.Overseas medical graduates are admitted into practice in different ways from country to country. These trends are important for regulators in all countries to note as they assess the basic structure and effectiveness of their own medical regulatory systems.
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Ali Jaleel, Ahmed, Mohamed Shukri Ab. Yajid, Ali Khatibi, and S. M. Ferdous Azam. "Examining service quality of hospitals in India, Sri Lanka, Thailand, and Malaysia: Case of outbound medical travelers from the Maldives." Polaris Global Journal of Scholarly Research and Trends 1, no. 1 (October 13, 2022): 61–77. http://dx.doi.org/10.58429/pgjsrt.v1n1a92.
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The aim of this study is to examine how outbound Maldivian travellers who have received a medical service in any hospital in India, Sri Lanka, Thailand, or Malaysia perceive the quality of the service levels. A survey questionnaire was used to gather cross-sectional data from 400 outbound medical travellers from the Maldives. Respondents who received overseas medical treatment at any hospital in India, Sri Lanka, Thailand, or Malaysia were included in a random sampling selection. SPSS 25.00, and AMOS version 23.00 used for data analysis, including structural equation modelling. The findings reveals that the service quality dimension of tangible, empathy, efficiency, and safety positively and significantly influence hospital service quality. Contrarily, the level of improvement in medical care has a negligible effect. Hospitals in Thailand and Malaysia have overall service quality perceptions scores of 91.8 and 84.6 per cent, respectively, which is higher than those in India and Sri Lanka, indicating 67.2 and 77.6 per cent, respectively. The study highlights the necessity of improving hospital efficiency and safety in India, Sri Lanka, Thailand, and Malaysia. This empirical study supports new findings of hospital service quality. As a result, academics may supplement their analyses of previously published literature with new data and empirical support from the medical industry in South Asia. The findings of this study minimise knowledge, empirical, and population gaps seen in recent literature on medical service quality related to outbound medical travellers from the Maldives.
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Jelip, Jenarun, George G. Mathew, Tanrang Yusin, Jiloris F. Dony, Nirmal Singh, Musa Ashaari, Noitie Lajanin, C. Shanmuga Ratnam, Mohd Yusof Ibrahim, and Deyer Gopinath. "Risk factors of tuberculosis among health care workers in Sabah, Malaysia." Tuberculosis 84, no. 1-2 (January 2004): 19–23. http://dx.doi.org/10.1016/j.tube.2003.08.015.
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Denan, Zarina, Nur Zana Mat Nur, and Mailud Balal. "Factors affecting the Adoption Decision of Home Grown Medical Technology in Malaysian Hospitals: An Exploratory Study." Global Journal of Business and Social Science Review (GJBSSR) Vol. 3(2) 2015 3, no. 2 (March 17, 2015): 42–51. http://dx.doi.org/10.35609/gjbssr.2015.3.2(6).
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Objective - The aim of this paper is to investigate the critical factors that will affect the decision to adopt home grown medical technology in developing countries, specifically in Malaysian health care centres. Methodology/Technique - This study integrated two models namely TOE (Technological, Organizational, and Environmental) model, and TAM model that was empirically tested among the healthcare organizations in Malaysia to achieve the aim of the study. Questionnaire strategy was employed to collect the data from key personnel in Selangor hospitals. Findings - The achieved results revealed that the most important critical factors are perceived ease of use, compatibility, relative advantages, manager's attitude and organizational readiness. In academia, this study can be used as a reference for future research in this subject and as for practitioners. Novelty - this study identifies key factors for hospitals to make an adoption decision toward home grown medical technology Type of Paper - Empirical Keywords: Adoption decision; Developing countries; Home Grown medical Technology; TOE; TAM
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Raffiq, Azman, Liew Boon Seng, Lim Swee San, Zaitun Zakaria, Ang Song Yee, Diana Noma Fitzrol, Wan Mohd Nazaruddin Wan Hassan, et al. "COVID-19 Pandemic and Its Impact on Neurosurgery Practice in Malaysia: Academic Insights, Clinical Experience and Protocols from March till August 2020." Malaysian Journal of Medical Sciences 27, no. 5 (October 27, 2020): 141–95. http://dx.doi.org/10.21315/mjms2020.27.5.14.
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The newly discovered coronavirus disease 2019 (COVID-19) is an infectious disease introduced to humans for the first time. Following the pandemic of COVID-19, there is a major shift of practices among surgical departments in response to an unprecedented surge in reducing the transmission of disease. With pooling and outsourcing of more health care workers to emergency rooms, public health care services and medical services, further in-hospital resources are prioritised to those in need. It is imperative to balance the requirements of caring for COVID-19 patients with imminent risk of delay to others who need care. As Malaysia now approaches the recovery phase following the pandemic, the crisis impacted significantly on neurosurgical services throughout the country. Various emergency measures taken at the height of the crisis may remain as the new normal in the provision of neurosurgical services and practices in Malaysia. The crisis has certainly put a strain on the effective delivery of services and as we approach the recovery era, what may have been a strain may prove to be a silver lining in neurosurgical services in Malaysia. The following details are various measures put in place as the new operational protocols for neurosurgical services in Malaysia.
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Tullo, Ellen StClair, and Tony Johnstone Young. "Medical students’ attitudes toward people with dementia: an international investigation." International Psychogeriatrics 26, no. 1 (October 18, 2013): 165–71. http://dx.doi.org/10.1017/s1041610213001737.
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ABSTRACTBackground:The changing demographics of societies mean that medical students worldwide must be sufficiently prepared to care competently for patients with dementia through development of appropriate knowledge, skills, and attitudes. No previous research had explored undergraduate medical students’ attitudes toward people with dementia.Methods:An adapted version of the Approaches to Dementia Questionnaire (ADQ) was completed by 501 medical undergraduates in years 1, 3, and 5 of their degree programs in the UK and Malaysia. Non-parametric statistical analysis focused on any differences between year groups and geographical locations.Results:The mean ADQ response indicated a generally positive attitude across the sample, comparable with other healthcare professionals previously surveyed. Year 3 and year 5 students expressed significantly more positive attitudes than year 1 students. Year 1 students based in the UK expressed significantly more positive attitudes than year 1 student based in Malaysia, but there were no significant differences between year 3 students based in different locations.Conclusion:The more positive attitudes found amongst year 3 and year 5 students compared to year 1 may be a result of teaching emphasizing a person-centered approach. The differences between entry-level students from Malaysia and the UK may reflect variance in cultural norms and expectations, or the ADQ's “Western” origin. Medical schools aiming to equip students with dementia-specific skills and knowledge can draw on the generally positive attitudes found in this study.
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Katherason, Supaletchimi Gopal, Lin Naing, Kamarudin Jaalam, Kamarul Imran Musa, Nik Abdullah Nik Mohamad, Subramaniar Aiyar, Kavita Bhojani, Najah Harussani, Aisai Abdul Rahman, and Asma Ismail. "Ventilator-associated nosocomial pneumonia in intensive care units in Malaysia." Journal of Infection in Developing Countries 3, no. 09 (October 22, 2009): 704–10. http://dx.doi.org/10.3855/jidc.115.
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Background: The outcome indicator of nosocomial infection (NI) in the intensive care unit (ICU) is used to benchmark the quality of patient care in Malaysia. We conducted a three-year prospective study on the incidences of ventilator-associated pneumonia (VAP), risk factors, and patterns of the microorganisms isolated in three ICUs. Methodology: A follow-up in prospective cohort surveillance was conducted on patients admitted to an adult medical-surgical ICU of a university hospital and two governmental hospitals in Malaysia from October 2003 to December 2006. VAP was detected using CDC criteria which included clinical manifestation and confirmed endotracheal secretion culture results. Results: In total, 215 patients (2,306 patient-days) were enrolled into the study. The incidence of ICU-acquired device-related NI was 29.3 % (n = 63). The device-related VAP infection rate was 27.0 % (n = 58), with a mechanical ventilator utilization rate of 88.7%. The death rate due to all ICU-acquired NI including sepsis was 6.5%. The most common causative pathogen was Klebsiella pneumoniae (n = 27). Multivariate analysis using Cox regression showed that the risk factors identified were aspiration pneumonia (HR = 4.09; 95% CI = 1.24, 13.51; P = 0.021), cancer (HR = 2.51; 95% CI = 1.27, 4.97; P = 0.008), leucocytosis (HR=3.43; 95% CI= 1.60, 7.37; P=0.002) and duration of mechanical ventilation (HR=1.04; 95% CI = 1.00, 1.08; P = 0.030). Age, gender and race were not identified as risk factors in the multivariable analysis performed. Conclusion: The incidence of VAP was comparable to that found in the National Nosocomial Infection Surveillance (NNIS) System report of June 1998. The incidence of VAP was considered high for the three hospitals studied.
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Osman, Ahmad Farid, Muzalwana Abdul Mutalib, Khaled Tafran, Makmor Tumin, and Chin Sieng Chong. "Demographic and Socioeconomic Variables Associated With Health Care–Seeking Behavior Among Foreign Workers in Malaysia." Asia Pacific Journal of Public Health 32, no. 1 (January 2020): 42–48. http://dx.doi.org/10.1177/1010539519893801.
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Foreign workers in Malaysia face various barriers in accessing health care, which results in many of them being unable to obtain appropriate medical treatment in case of sickness. This study investigates the foreign workers’ health care–seeking behavior and the demographic and socioeconomic variables that influence it. Data were collected from 502 foreign workers using a self-administered questionnaire. Multiple logistic regression was used to estimate the influence of demographic and socioeconomic variables on health care–seeking behavior among foreign workers. In cases of severe sickness, 20.5% of foreign workers stated that they will not go or are unlikely to go to a clinic or hospital. The multiple logistic regression revealed that foreign workers’ tendency to avoid medical treatment is associated with gender, marital status, monthly income, preferred language of communication, and work classification. Nonetheless, in cases of mild sickness, demographic and socioeconomic variables do not influence foreign workers’ health care–seeking behavior.
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Khan, Nohman, Muhammad Imran Qureshi, Ishamuddin Mustapha, Sobia Irum, and Rai Naveed Arshad. "A Systematic Literature Review Paper on Online Medical Mobile Applications in Malaysia." International Journal of Online and Biomedical Engineering (iJOE) 16, no. 01 (January 21, 2020): 63. http://dx.doi.org/10.3991/ijoe.v16i01.12263.
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<p class="0abstract"><strong>Abstract—</strong>The introduction of mobile devices to the worldwide market has marvelous possible to disturb the way Health care is providing. In this paper, we will overview the work done in the five years from 2014 to 2018 in the field of mHealth in Research perspective. For that purpose, we choose the Scopus database to review the past research published on mHealth in Malaysia. For that purpose, the quantitative review has been observed in bibliometric analysis and a Qualitative review is done through systematic review in the order through PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis). After the selection of 58 papers, the process based on the different steps. In the first step, the corresponding to Microsoft excels in a descriptive analysis of the published literature on mobile Healthcare in the field of online Healthcare like the distribution of the year, distribution of subjects and distribution of the author. Quantitative studies are 15 in number collected from the past literature, the researcher used the quantitative method for measuring the results Quantitative research collects data that will be processed to understand the indicators, overall trends, and requirements of the market. The qualitative studies collected from past research were 27 in numbers, collected studies were processed on the excel sheet to find out the areas discussed in the past. Traditional Health Care of Malaysia is top of the list in the world, but the mHealth still needs to improve in the region. Past studies in the mHealth are discussing physical health and wearable devices in detail with connectivity to smartphones but serious diseases are cover in very some studies. Like diabetes and HIV apps and patient are not highlighted in the collected data. Patient record management and coordination with families are also part of some research studies and that is very important for recovery in some cases.</p>
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Annisa Purwatiningsih, Asih Widi Lestari, and Lisa Dhuhaniyati. "IMPLICATIONS OF HEALTHCARE SYSTEM IN SINGAPORE AND MALAYSIA AS INTERESTING LESSONS TOWARDS PRIMARY SERVICE INNOVATION FOR INDONESIA." ASKETIK 6, no. 1 (June 30, 2022): 16–28. http://dx.doi.org/10.30762/asketik.v6i1.185.
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Excellent service of health become a necessity for the community, even as a promising business opportunity today. Hospitals in Indonesia and hospitals abroad are competing to provide the best service for their patients. The comparison of the health care system and the quality of medical services in Indonesia is very different from that of Singapore and Malaysia. So that many patients from Indonesia go to Singapore and Malaysia for treatment. The causative factor is the perception of hospital services, medical personnel, doctors, and the quality of hospital services.Service innovation becomes excellent service that changes from time to time, lifestyle and life expectancy, so that the Quality Adjusted Life Year approach becomes the focus of prime quality health outcomes.