MyMedR

Fulltext A nationwide survey of public healthcare providers' impressions of family medicine specialists in Malaysia: a qualitative analysis of written comments

Chew BH, Cheong AT, Ismail M, Hamzah Z, A-Rashid MR, Md-Yasin M, et al.

BMJ Open, 2016 Jan 07;6(1):e009375.

PMID: 26743703 DOI: 10.1136/bmjopen-2015-009375

OBJECTIVE: To examine impressions of public healthcare providers/professionals (PHCPs) who are working closely with family medicine specialists (FMSs) at public health clinics.
DESIGN: Cross-sectional study.
SETTING: This study is part of a larger national study on the perception of Malaysian public healthcare professionals on FMSs (PERMFAMS).
PARTICIPANTS: PHCPs from three categories of health facility: hospitals, health clinics and health offices.
MAIN OUTCOME MEASURES: Qualitative analyses of written comments of respondents' general impression of FMSs.
RESULTS: The participants' response rate was 58.0% (780/1345), with almost equal proportions from each public healthcare facility. A total of 23 categories for each of the 648 impression comments were identified. The six emerging themes were: (1) importance of FMSs; (2) roles of FMSs; (3) clinical performance of FMSs; (4) attributes of FMSs; (5) FMS practice challenges; (6) misconception of FMS roles. Overall, FMS practice was perceived to be safe and able to provide effective treatments in a challenging medical discipline that was in line with the current standards of medical care and ethical and professional values. The areas of concern were in clinical performance expressed by PHCPs from some hospitals and the lack of personal attributes and professionalism among FMSs mentioned by PHCPs from health clinics and offices.
CONCLUSIONS: FMSs were perceived to be capable of providing effective treatment and were considered to be important primary care physicians. There were a few negative impressions in some areas of FMS practice, which demanded attention by the FMSs themselves and the relevant authorities in order to improve efficiency and safeguard the fraternity's reputation.
Study site: Klinik Kesihatan, Hospitals, Malaysia

Matched MeSH terms: Family Practice*

Setting up a laboratory in general practice

Beh CC

Family Practitioner, 1987;10:34-35.

Matched MeSH terms: Family Practice

The "processes" and content of general practice

Carson NE

Family Practitioner, 1977;2:13-17.

Matched MeSH terms: Family Practice

Family health and family planning

Williams CD, Casazza L

Lancet, 1973 Aug 11;2(7824):318.

PMID: 4124792 DOI: 10.1016/s0140-6736(73)90813-1

Matched MeSH terms: Family Practice

Specialisation in Primary Health Care: Training for the New General Practice in Malaysia

Rajakumar MK, Ahmad MD, Balasundaram R, Low BT, Tan FEH, Wan KC, et al.

Citation: Rajakumar MK, Ahmad MD, Balasundaram R, Low BT, Tan FEH, Wan KC, Catterall RA. Specialisation in Primary Health Care: Training for the New General Practice in Malaysia. Kuala Lumpur: College of General Practitioners Malaysia, 1986

Matched MeSH terms: Family Practice

Emergency medicine in general practice

Catterall RA

Family Practitioner, 1977;2:78-79.

Matched MeSH terms: Family Practice

Fulltext Notes for primary care teachers: mentoring - a personal experience

Ch'ng KS

Malays Fam Physician, 2007;2(2):79-80.

PMID: 25606086

Matched MeSH terms: Family Practice

Fulltext Comment on: Managing tooth pain in general practice

Ngeow WC, Chai WL

Singapore Med J, 2019 07;60(7):383.

PMID: 31378826 DOI: 10.11622/smedj.2019078

Matched MeSH terms: Family Practice

Fulltext Notes for the primary care teacher: quality assurance in teaching

Chan SC

Malays Fam Physician, 2008;3(2):104-6.

PMID: 25606128

Matched MeSH terms: Family Practice

Fulltext Notes for primary care teachers: assessments - the basics

Chan SC

Malays Fam Physician, 2007;2(2):81-3.

PMID: 25606087

Matched MeSH terms: Family Practice

Fulltext Notes for the primary care teachers: What do we hope to achieve in family practice training and how: A brief look at the current trends in medical education

Chan SC

Malays Fam Physician, 2007;2(1):22-4.

PMID: 25606072

Matched MeSH terms: Family Practice

Fulltext Audits in general practice by medical students

Chan SC

Med J Malaysia, 2004 Dec;59(5):609-16.

PMID: 15889563 MyJurnal

This paper reports the implementation, findings and feedback of the audit project of the general practice (GP) module carried out in the fifth year of the MBChB (Sheffield) twinning programme with the Perak College of Medicine. After training, each student with his/her GP tutor planned and conducted the audit. All 28 students (year 2002) satisfactorily completed their audit projects. Fifty percent did an audit of hypertension, 36% on diabetes, 7% on asthma and one each (3.5%) on upper respiratory tract infection and client satisfaction. It was the GP tutors first experience at audit in their clinics. The majority of indicators of care audited did not meet the set target standards.

Matched MeSH terms: Family Practice*

Fulltext Morbidity patterns in elderly patients presenting to a family practice

Teoh LC, Chan SC

Family Physician, 2003;12(1):24-28.

The morbidity patterns of elderly patients presenting to a family physician clinic was studied by the attending physician completing a questionnaire on all elderly patients aged 60 and above attending the clinic between 1st January to 31st March 2000. 612 elderly patients registered during the study period. The most common presentations included upper respiratory tract infections (21.6%), hypertension and diabetes mellitus (18%), gastritis/dyspepsia (5.0%) and injuries (5.0%), Musculoskeletal complaints (backache, gout, osteoarthritis) and anxiety were also among the top 10 most common presenting complaints. Injuries were mainly soft tissue injuries and sprains sustained at home. Some were preventable.

Matched MeSH terms: Family Practice

The recognition of emotional illness in general practice

Chancellor A

Family Practitioner, 1977;2:88-90.

Matched MeSH terms: Family Practice

Fulltext A survey of breast feeding practices in infants seen in general practice

Chia SF

Med J Malaysia, 1992 Jun;47(2):134-8.

PMID: 1494334

This is a study of infant feeding practices of 126 mothers. Seventy-seven mothers or 61.1% practised breast feeding. The typical breast feeding mother was more likely to be a Malay, with lower family income and residing in the rural area. The educational status of the mother was not an important factor in influencing her to breast feed. Health education on breast feeding should be intensified in schools to reinforce the implementation of the Malaysian Code of Ethics for Infant Formula Products.

Matched MeSH terms: Family Practice

Fulltext Are interventions to increase the uptake of screening for cardiovascular disease risk factors effective? A systematic review and meta-analysis

Cheong AT, Liew SM, Khoo EM, Mohd Zaidi NF, Chinna K

BMC Fam Pract, 2017 Jan 17;18(1):4.

PMID: 28095788 DOI: 10.1186/s12875-016-0579-8

BACKGROUND: Cardiovascular disease (CVD) is the leading cause of death globally. However, many individuals are unaware of their CVD risk factors. The objective of this systematic review is to determine the effectiveness of existing intervention strategies to increase uptake of CVD risk factors screening.

METHODS: A systematic search was conducted through Pubmed, CINAHL, EMBASE and Cochrane Central Register of Controlled Trials. Additional articles were located through cross-checking of the references list and bibliography citations of the included studies and previous review papers. We included intervention studies with controlled or baseline comparison groups that were conducted in primary care practices or the community, targeted at adult populations (randomized controlled trials, non-randomized trials with controlled groups and pre- and post-intervention studies). The interventions were targeted either at individuals, communities, health care professionals or the health-care system. The main outcome of interest was the relative risk (RR) of screening uptake rates due to the intervention.

RESULTS: We included 21 studies in the meta-analysis. The risk of bias for randomization was low to medium in the randomized controlled trials, except for one, and high in the non-randomized trials. Two analyses were performed; optimistic (using the highest effect sizes) and pessimistic (using the lowest effect sizes). Overall, interventions were shown to increase the uptake of screening for CVD risk factors (RR 1.443; 95% CI 1.264 to 1.648 for pessimistic analysis and RR 1.680; 95% CI 1.420 to 1.988 for optimistic analysis). Effective interventions that increased screening participation included: use of physician reminders (RR ranged between 1.392; 95% CI 1.192 to 1.625, and 1.471; 95% CI 1.304 to 1.660), use of dedicated personnel (RR ranged between 1.510; 95% CI 1.014 to 2.247, and 2.536; 95% CI 1.297 to 4.960) and provision of financial incentives for screening (RR 1.462; 95% CI 1.068 to 2.000). Meta-regression analysis showed that the effect of CVD risk factors screening uptake was not associated with study design, types of population nor types of interventions.

CONCLUSIONS: Interventions using physician reminders, using dedicated personnel to deliver screening, and provision of financial incentives were found to be effective in increasing CVD risk factors screening uptake.

Matched MeSH terms: Family Practice/organization & administration

Ultrasound diagnosis of urinary tract disorders in general practice

Chong HH

Family Physician, 1990;2:25-27.

The causes of urinary tract disorders in 69 patients evaluated with ultrasound were analysed. They included renal, ureteric, and bladder disorders.

Matched MeSH terms: Family Practice

Fulltext Unplanned pregnancies in a semi-urban practice

Chua WT

Family Practitioner, 1985;8(2):57-62.

One hundred and twenty-four women from a semi-urban area who came for consultation for unplanned pregnancy during an eight month period are analysed. It is found that women with a high risk of unplanned pregnancy are mostly housewives, aged between 20 and 34, who have given birth to one or three children, the last of whom is usually below one or two years old. They belong to the lower socio-economic class and are lowly-educated. Most of them have not completed their families. Although most of them have either used or heard of contraceptives begore, the majority were not using any contraceptive at the time of consultation or were using an ineffective method. Their reasons for non-use or default are identified, many of which are related to the pill. Proper motivation of would-be contraceptive receptors and regular follow-up of acceptors by general practitioners or Family Planning Clinic Staff who are knwoledgable in all available methods of contraception are offered as a solutionto the problem of high rate of defaulting and consequent high rate of unplanned pregnancies.
Study site: private general practice clinic, Perak, Malaysia

Matched MeSH terms: Family Practice

Common skin conditions seen in general practice

Chua WT

Family Practitioner, 1982;5(1):65-76.

Matched MeSH terms: Family Practice

Management of chronic renal failure in general practice

Chung SF

Family Practitioner, 1983;6:51-56.

Matched MeSH terms: Family Practice

Displaying publications 21 - 40 of 167 in total