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Understanding the modifiable health systems barriers to hypertension management in Malaysia: a multi-method health systems appraisal approach

Risso-Gill I 1 , Balabanova D 2 , Majid F 3 , Ng KK 4 , Yusoff K 5 , Mustapha F 6 Show all authors , Kuhlbrandt C 7 , Nieuwlaat R 8 , Schwalm JD 9 , McCready T 10 , Teo KK 11 , Yusuf S 12 , McKee M 13

Affiliations 

  • 1 London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. isabellerissogill@gmail.com
  • 2 London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. dina.balabanova@lshtm.ac.uk
  • 3 Universiti Teknologi MARA, Kuala Lumpur, Malaysia. fadhlina.majid@gmail.com
  • 4 National Defence University of Malaysia, Kuala Lumpur, Malaysia. kien@upnm.edu.my
  • 5 Universiti Teknologi MARA, Kuala Lumpur, Malaysia. k.yusoff@salam.uitm.edu.my
  • 6 Universiti Teknologi MARA, Kuala Lumpur, Malaysia. dr.feisul@moh.gov.my
  • 7 London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. charlotte.kuhlbrandt@lshtm.ac.uk
  • 8 Population Health Research Institute, McMaster University, Hamilton Ontario, Canada. Robby.Nieuwlaat@phri.ca
  • 9 Population Health Research Institute, McMaster University, Hamilton Ontario, Canada. schwalj@mcmaster.ca
  • 10 Population Health Research Institute, McMaster University, Hamilton Ontario, Canada. tara.mccready@phri.ca
  • 11 Population Health Research Institute, McMaster University, Hamilton Ontario, Canada. Koon.Teo@phri.ca
  • 12 Population Health Research Institute, McMaster University, Hamilton Ontario, Canada. Salim.Yusuf@phri.ca
  • 13 London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. martin.mckee@lshtm.ac.uk
BMC Health Serv Res, 2015;15:254.
PMID: 26135302 DOI: 10.1186/s12913-015-0916-y

Abstract

The growing burden of non-communicable diseases in middle-income countries demands models of care that are appropriate to local contexts and acceptable to patients in order to be effective. We describe a multi-method health system appraisal to inform the design of an intervention that will be used in a cluster randomized controlled trial to improve hypertension control in Malaysia.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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