Displaying publications 21 - 40 of 98 in total

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  1. Fulltext Provider cost of treating oral potentially malignant disorders and oral cancer in Malaysian public hospitals
    Raman S, Shafie AA, Abraham MT, Shim CK, Maling TH, Rajendran S, et al.
    PLoS One, 2021;16(5):e0251760.
    PMID: 33984051 DOI: 10.1371/journal.pone.0251760
    Oral cancer has been recognized as a significant challenge to healthcare. In Malaysia, numerous patients frequently present with later stages of cancers to the highly subsidized public healthcare facilities. Such a trend contributes to a substantial social and economic burden. This study aims to determine the cost of treating oral potentially malignant disorders (OPMD) and oral cancer from a public healthcare provider's perspective. Medical records from two tertiary public hospitals were systematically abstracted to identify events and resources consumed retrospectively from August 2019 to January 2020. The cost accrued was used to estimate annual initial and maintenance costs via two different methods- inverse probability weighting (IPW) and unweighted average. A total of 86 OPMD and 148 oral cancer cases were included. The initial phase mean unadjusted cost was USD 2,861 (SD = 2,548) in OPMD and USD 38,762 (SD = 12,770) for the treatment of cancer. Further annual estimate of initial phase cost based on IPW method for OPMD, early and late-stage cancer was USD 3,561 (SD = 4,154), USD 32,530 (SD = 12,658) and USD 44,304 (SD = 16,240) respectively. Overall cost of late-stage cancer was significantly higher than early-stage by USD 11,740; 95% CI [6,853 to 16,695]; p< 0.001. Higher surgical care and personnel cost predominantly contributed to the larger expenditure. In contrast, no significant difference was identified between both cancer stages in the maintenance phase, USD 700; 95% CI [-1,142 to 2,541]; p = 0.457. A crude comparison of IPW estimate with unweighted average displayed a significant difference in the initial phase, with the latter being continuously higher across all groups. IPW method was shown to be able to use data more efficiently by adjusting cost according to survival and follow-up. While cost is not a primary consideration in treatment recommendations, our analysis demonstrates the potential economic benefit of investing in preventive medicine and early detection.
    Matched MeSH terms: Health Resources
  2. Fulltext Performance evaluation of a mobile road traffic infraction registration system through benchmark
    Arasteh-Rad, H., Khairulmizam Samsudin, Abdul Rahman Ramli, Mohammad Ali Tavallaie
    Pertanika Journal of Science & Technology, 2012;20(1):63-80.
    MyJurnal
    The rapid development of roads and the increasing number of vehicles have complicated road traffic enforcement in many countries due to limited resources of the traffic police, specifically when traffic infraction registration is done manually. The efficiency of the traffic police can be improved by a computer-based method. This study focused on mobile traffic infraction registration system benchmarking which is used to evaluate the server performance under load. The study attempts to provide a clear guideline for the performance evaluation of mobile road traffic infraction registration system, whereby the traffic police can make decision based on them to migrate from the manual-method toward computer-based method. A closed form of benchmark tool was used for the evaluation of the system performance. The tool was configured to imitate ramp scenarios, and statistics were gathered. The server was monitored at different times and works. Contributing factors include bottleneck, traffic, and response time, which are related with criteria and measurements. The system resource was also monitored for the tests.
    Matched MeSH terms: Health Resources
  3. Fulltext Product structure initialization, the bottleneck of ERP implementation in customer driven environments: a case study
    Niestanak, S. Abedi, Faieza, A.A., Sulaiman, S., Rosnah, M.Y.
    Pertanika Journal of Science & Technology, 2011;19(1):77-92.
    MyJurnal
    This study of the implementation of enterprise resource planning (ERP) in a customer driven environment analyzes the critical success factors throughout the initialization phase. The dynamic and stochastic nature of customer driven environments results in a massive workload of product structure configuration tasks related to new arrivals on one hand and a constant updating process on the other. Meanwhile, the development and implementation of an ERP system was studied from the very first step (i.e. the feasibly study for implementing an ERP) to the last step (i.e. testing the outputs of the implemented system) in an office furniture company for three years. The study involved analyzing of the data collected that were from a series of interviews, as well as direct observations and reviewing of the company’s documents. Based on the output of the analysis phase, a top-down hierarchical analysis of goals and CSFs were carried out according to the CSF analysis method. Three top level objectives included reducing project failure risk, project cost, and project time. Analysing the primary results of the study (i.e. activity model, data flow diagram DFD of different levels, system problems and potential solutions descriptions, etc.) revealed that the critical phase of the implementation project would be product structure initialization and this should be taken into consideration as the bottleneck of production planning in customer driven environment, which dramatically reduced the ERP efficiency in this kind of environment. Moreover, initializing issues of the same process is the main obstacle to the success of the ERP implementation, as it considerably raises the project failure risk and cost. Therefore, the simplification, facilitation, and automation of the PSCM process, which lead to acceleration of this process, are the most significant success factors for the ERP implementation projects in customer driven environment.
    Matched MeSH terms: Health Resources
  4. Fulltext A review of the mechanism and role of wax inhibitors in the wax deposition and precipitation
    Hao, Lim Zhen, Hikmat Said Al-Salim, Norida Ridzuan
    Pertanika Journal of Science & Technology, 2019;27(1):499-526.
    MyJurnal
    The continuous depletion of global oil reserves with the propensity for light distillates
    propels the oil and gas industry to explore heavier fractions of crude oils with significant
    amount of paraffin waxes. However, the precipitation and deposition of waxes during the
    transportation of these waxy crude oils in the pipelines contribute to several issues, such as
    the flowability reduction, excessive pumping cost, and wax gel formation, that adversely
    affect the supposedly steady offshore oil production. As a result, substantial resources are
    expended to resolve these flow assurance problems. The wax inhibitors and pour point
    depressants are developed and modified to meet the wax remediation criteria. Essentially,
    the wax crystals are formed through the nucleation, growth, and agglomeration processes,
    while the deposition of these waxes occurs via molecular diffusion and shear dispersion.
    The wax inhibitors are able to control the growth of wax crystals through nucleation, cocrystallization,
    adsorption, and dispersion interactions. This paper particularly assessed
    the following compounds: (1) polymeric wax inhibitors, (2) nano-hybrid pour point
    depressants, (3) organic solvents, and
    (4) surfactants. Given the significance of
    these compounds in the deposition and
    precipitation of waxes, it is imperative to
    comprehensively explore the types and
    nature of these compounds and their recent
    applications as well as to critically assess
    their strengths and drawbacks, which were
    addressed in this paper. Furthermore, the
    challenges of using these compounds and the factors that govern their efficiencies were also discussed. Accordingly, the carbon
    length and the molecular weight of both paraffin waxes and wax inhibitors are among the
    most influential factors.
    Matched MeSH terms: Health Resources
  5. Fulltext Evaluation of risk factors for prolonged invasive mechanical ventilation in Paediatric Intensive Care Unit (PICU)
    Ismail, I., Yap, B.W., Abidin, A.S.Z.
    Pertanika Journal of Science & Technology, 2017;25(3):811-824.
    MyJurnal
    Prolonged mechanical ventilation (PMV) is associated with increase in mortality and resource utilisation as well as hospitalisation costs. This study evaluates the risk factors of PMV. A retrospective study was conducted involving 890 paediatric patients comprising 237 neonates, 306 infants, 223 of pre-school age and 124 who are of school going age. The data mining decision trees algorithms and logistic regression was employed to develop predictive models for each age category. The independent variables were classified into four categories, that is, demographic data, admission factors, medical factors and score factors. The dependent variable is the duration of ventilation where it is categorized 0 denoting non-PMV and 1 denoting PMV. The performances of three decision tree models (CHAID, CART and C5.0) and logistic regression were compared to determine the best model. The results indicated that the decision tree outperformed the logistic regression model for all age categories, given its good accuracy rate for testing dataset. Decision trees results identified length of stay and inotropes as significant risk factors in all age categories. PRISM 12 hours and principal diagnosis were identified as significant risk factors for infants.
    Matched MeSH terms: Health Resources
  6. Reducing PICU Mortality in Resource-Limited Settings
    Lum LCS
    Pediatr Crit Care Med, 2020 11;21(11):1007-1008.
    PMID: 33136989 DOI: 10.1097/PCC.0000000000002416
    Matched MeSH terms: Health Resources*
  7. Southeast Asian tropical medicine and parasitology network
    Waikagul J
    Parasitol Int, 2006;55 Suppl:S297-300.
    PMID: 16326132
    The SEAMEO TROPMED Network is a regional cooperative network established in 1967 for education, training and research in tropical medicine and public health under the Southeast Asia Ministers of Education Organization. The Network operates through four Regional Centers with respective areas of specialization and host institutions: Community Nutrition/Tropmed Indonesia; Microbiology, Parasitology and Entomology/Tropmed Malaysia; Public Health/Tropmed Philippines; and Tropical Medicine/Tropmed Thailand. To train health workers, to support research on endemic and newly emerging diseases, and to advocate relevant health policies are the main functions of these centers. SEAMEO TROPMED Network in collaboration with the Faculty of Tropical Medicine, Mahidol University and other institutions has regularly organized the Seminar on Food-borne Parasitic Zoonoses every 3-5 years over the past 15 years. The Faculty of Tropical Medicine has organized the annual Joint International Tropical Medicine Meeting since 1996. Full papers of the presentations at these two meetings have been published as supplementary issues to the Southeast Asian Journal of Tropical Medicine and Public Health, an in-house journal of SEAMEO TROPMED Network. Recently, the Parasitology Association of ASEAN Countries has rotated the hosting of the ASEAN Congress of Parasitology and Tropical Medicine. These institutional and conference networks will enable closer links, to promote the health of people in the Southeast Asian region.
    Matched MeSH terms: Health Resources/organization & administration*
  8. The economic burden of schizophrenia in Malaysia
    Teoh SL, Chong HY, Abdul Aziz S, Chemi N, Othman AR, Md Zaki N, et al.
    Neuropsychiatr Dis Treat, 2017;13:1979-1987.
    PMID: 28814869 DOI: 10.2147/NDT.S137140
    INTRODUCTION: Schizophrenia (SCZ) is a highly debilitating disease despite its low prevalence. The economic burden associated with SCZ is substantial and mainly attributed to productivity loss. To improve the understanding of economic burden of SCZ in the low- and middle-income country regions, we aimed to determine the economic burden of SCZ in Malaysia.

    METHODS: A retrospective study was conducted using a prevalence-based approach from a societal perspective in Malaysia with a 1 year period from 2013. We used micro-costing technique with bottom-up method and included direct medical cost, direct non-medical cost, and indirect cost. The main data source was medical chart review which was conducted in Hospital Kuala Lumpur (HKL). The medical charts were identified electronically by matching the unique patient's identification number registered under the National Mental Health Schizophrenia Registry and the list of patients in HKL in 2013. Other data sources were government documents, literatures, and local websites. To ensure robustness of result, probabilistic sensitivity analysis was conducted.

    RESULTS: The total estimated number of treated SCZ cases in Malaysia in 2015 was 15,104 with the total economic burden of USD 100 million (M) which was equivalent to 0.04% of the national gross domestic product. On average, the mean cost per patient was USD 6,594. Of the total economic burden of SCZ, 72% was attributed to indirect cost, costing at USD 72M, followed by direct medical cost (26%), costing at USD 26M, and direct non-medical cost (2%), costing at USD 1.7M.

    CONCLUSION: This study highlights the magnitude of economic burden of SCZ and informs the policy-makers that there is an inadequate support for SCZ patients. More resources should be allocated to improve the condition of SCZ patients and to reduce the economic burden.

    Matched MeSH terms: Health Resources
  9. Fulltext Clinical Pathway as a Strategy in Improving Healthcare Quality and Cost Containment
    Anizal, I., Saperi, S., Aljundi, M.
    Medicine & Health, 2008;3(2):239-246.
    MyJurnal
    The increasing health care cost and public awareness on the delivery of high quality services has forced healthcare service providers to look into the healthcare delivery system. Clinical Pathway (CP) has been introduced in many hospitals and has been accepted as a beneficial tool in assisting healthcare organizations worldwide. Further, the CP also provides consistently high quality and coordinates services with minimum resources. It is proven to be a beneficial tool in other countries. CP is recently being introduced into the Malaysian healthcare system. The aim of this article was to high-light the benefits of CP in improving healthcare quality and controlling the medical cost. The relevant articles have been reviewed.  The majority of literature reviewed con-cluded that there were positive effects in  implementing CP. The CP was found to be significant in reducing length of stay and medical cost. The introduction of evidence based medicine, clinical outcomes, clinical audit, multidisciplinary communication, teamwork and care planning were also improved by CP. The challenges for healthcare providers and healthcare managers are to participate and be fully committed in path-way development and implementation in order to improve healthcare quality and cost control. 
    Matched MeSH terms: Health Resources
  10. An infant with kwashiorkor: The forgotten disease
    Kamaruzaman NA, Jamani NA, Said AH
    Malays Fam Physician, 2020;15(2):46-49.
    PMID: 32843945
    Undernutrition remains a major public health concern, especially in developing countries. Despite being rich in resources, Malaysia is still home to children suffering from severe undernutrition. This paper presents the case of a 5-month-old boy with kwashiorkor stemming from improper weaning which was overlooked. This case highlights the importance of recognizing the early signs of kwashiorkor to allow for early referrals for proper management and prevent its possible complications.
    Matched MeSH terms: Health Resources
  11. Fulltext Pre-hospital emergency medical service response time phenomenon in Klang valley: an answer for the society
    MOHD SAID NURUMAL
    Malaysian Journal of Qualitative Research, 2017;4(1):17-32.
    MyJurnal
    This qualitative descriptive study, underpinned by naturalistic inquiry, explored the prehospital emergency medical service response time in Klang Valley by providing an in-depth information of the phenomenon. In this study, various levels of health care personnel participated in focus group discussion and semi-structured interview. The staff members consisted of many levels of category from the lower ranks up to the higher level administrative officers. Content analysis was employed in analysing all data. Every one of the key informants was aware of the importance of making immediate responses to each ambulance call received. They shared their thoughts, experiences, and challenges in achieving the ideal response time in line with international recommendations. There were five categories of issues that emerged and challenges that arose from delays in response time, namely, 1) insufficient key information; 2) inconsistent information leading to delayed arrival of ambulance; 3) traffic condition causing delay in ambulance speed; 4) lack of resources contributing to an increase in workload; and, 5) unassertiveness in the attitude of members of staff. The findings have provided an answer to the society with regard to the current pre-hospital emergency medical service issues related to delay in the service delivered. Thus, policy makers and pre-hospital health care service providers should develop a strategic action plan by focusing on these findings to reduce the response time of ambulance call.
    Matched MeSH terms: Health Resources
  12. Fulltext Integrated Care Pathway (ICP) on management of Occupational Related Chronic Low Back Pain (OCLBP) in Malaysia: a critical review
    Shahruz Idzwan Azmi, Sharifa Ezat Wan Puteh, Noor Hassim Ismail
    Malaysian Journal of Public Health Medicine, 2015;15(2):60-68.
    MyJurnal
    Occupational Related Chronic Low Back Pain (OCLBP) is a globally recognized illness that causes reduction in productivity and substantial economic burden to the countries. It requires a multidisclipinary approach involving employer, healthcare provider, compensatory and enforcement agencies. However there is no specific guideline or pathway that has integrated the roles of each responsible agency. The objective of this article is to highlight the need and to propose a coordinated approach through the concept of Integrated Care Pathway (ICP). Therefore, we reviewed international and local guidelines as well as published articles on chronic low back pain and care pathway. We believed that development of a pathway will be able to organize the role of management at every level, reducing the variations in the management, addressing issues of communicating the findings between the responsible stakeholders, fulfilling the requirements as the laws, allows effective and feasible approaches to take place in terms of cost and practicality, and increase the awareness on occupational diseases. Expected challenges such as limitation of resources, unawareness and lack of understanding on OCLBP from every level are issue that we agreed can be bridged through ICP.
    Matched MeSH terms: Health Resources
  13. Fulltext Hospital efficiency: concept, measurement techniques and review of hospital efficiency studies
    Hossein Moshiri, Syed Mohammed Aljunid, Rahmah Mohd Amin
    Malaysian Journal of Public Health Medicine, 2010;10(2):35-43.
    MyJurnal
    In a time of rising demands on hospital reimbursement levels, focus on efficient operations is becoming more imperative. In health care systems, the measurement of efficiency is usually the first step in auditing individual performance of production units, e.g. hospitals, health centers, etc. It constitutes the rational framework for the distribution of human and other resources between and within health care facilities. The term efficiency is broadly used in economics and refers to the best utilization of resources in production. Typical example of efficiency is technical efficiency, referring to the effective use of resources in producing outputs. In the Farrell framework, a hospital is judged to be technically efficient if it is operating on the best practice production frontier in its hospital industry. In general, there are two main frontier methods in measuring efficiency. The first is Data Envelopment Analysis (DEA), a linear programming method which enables the measurement of efficiency consistent with the theoretically based concept of production efficiency. DEA typically examines the relationship between inputs to a production process and the outputs of that process. The second technique for assessing efficiency that is employed is Stochastic Frontier Analysis (SFA). This is an econometric technique to estimate a conventional function; with the difference being that efficiency is measured using the residuals from the estimated equation. The error term is therefore divided into a stochastic error term and a systematic inefficiency term.
    Matched MeSH terms: Health Resources
  14. Fulltext Island health review, progress and the way forward in the Western Pacific region
    Zin, Thant, Myint, Than, Htay, Kyaw, Shamsul, B. S.
    Malaysian Journal of Public Health Medicine, 2014;14(3):0-0.
    MyJurnal
    Island health differs from other health care systems, particularly in that there are limited resources and referral faculties available. With globalisation and climate change, island populations have become increasingly vulnerable to natural disasters and global pandemics. This study will identify, explore, compare and report on island health issues facing in the western Pacific, before making appropriate recommendations. A review of selected health indicators in Pacific islands was collected from the World Health Organization (WHO) and other publicly available resources. In the Pacific region, 15 islands saw lower health expenditure (
    Matched MeSH terms: Health Resources
  15. Fulltext Comparing cost for elective lower segment caesarean section costing using top-down and activity based costing methods
    Aniza I., Putri, N., Azimatun Noor, A., Amrizal, M.N., Saperi, S., Aljunid, S.M.
    Malaysian Journal of Public Health Medicine, 2011;11(1):36-46.
    MyJurnal
    Top-down costing and activity based costing are the most frequent costing methodologies used for analyzing cost. Top-down costing is accomplished by assigning total expenditure of hospital to patient by apportioning the expenditure of cost centers (unit of service) in hospital to give the cost per patient per visit, per day or per admission. Conversely, activity based costing is accomplished by tracking every resource used by patient individually. Since this study started in 2009, Top-down costing calculation was based on financial year in 2009 with adjusted up to 12.6% from 2008 data. This percentage was taken based on the trend of hospital expenditure during 2005 till 2008. An assumption was made that non-financial data (performance and administrative data) for 2009 was similar to 2008. Top-down costing was calculated using Clinical Cost Modeling Software developed by Unit Case-mix of UKMMC to obtain cost of elective lower segment caesarean section (LSCS) per day at ward which was RM922. Whereas activity based costing was calculated using clinical pathway of elective LSCS. Given the average length of stay in 2009 was 4 days, the cost of elective LSCS according to top-down costing was RM3, 688 and activity based costing was RM1774. As a result, cost of elective LSCS is 108% higher using top-down costing.
    Matched MeSH terms: Health Resources
  16. Fulltext Mercury-added products management: challenges in developing countries and lessons learned from medical facility
    Mohamad Mahathir Amir Sultan, Goh CT, Peterson PJ, Sharifah Ezat Wan Puteh, Mazlin Mokhtar
    Malaysian Journal of Public Health Medicine, 2017;17(1):59-68.
    The risks of mercury use have prompted the establishment of Minamata Convention on Mercury which placed strong emphasis on management of mercury-added products. This convention aims to reduce and phase out the use, manufacturing and trade of mercury-added products including batteries, switches and non-electronic measuring devices. This commitment will cause significant impacts especially in the developing countries in designing the right approach to achieve it. This is also true for medical industry which is well known for the utilization of mercury-added devices and dental amalgam in its services but had embarked on efforts in eliminating mercury for many years. The experiences learned within a medical facility can be useful in efforts to meet this global ambition of mercury phase out. This paper aims to provide conceptual discussion on the challenges faced by developing countries and lessons learned from medical facility that can helps the formulation of appropriate approaches to manage mercury-added products. The paper adopted medical industry as a case study and used document analysis to discuss the issue. The main challenges identified for developing countries include lacks of capacity, funding, data and newer technologies. Based on analysis of previous studies, this study proposed a mercury management framework in medical facility and identified the recommended practices, namely technological application, policy instrument, capacity building and guidelines development. These identified approaches are found to have specific relationships between cost and potential impacts, hence giving flexibility for adoption based on the available resources in promoting better mercury management system.
    Matched MeSH terms: Health Resources
  17. Fulltext Job stress and its associated factors among nurses in primary healthcare facilities in Kuala Langat District, Selangor, Malaysia in 2019
    Nur Emmy Fizreena Shamsuddin, Huda Zainuddin, Salmiah Md. Said
    Malaysian Journal of Medicine and Health Sciences, 2019;15(104):104-104.
    MyJurnal
    Introduction: Job stress is defined as harmful physical, negative, emotional responses that occur when the require-ments of the job do not match the capabilities, resources or needs of the worker. Factors influencing job stress among nurses in primary healthcare in Malaysia are poorly identified. The objective of this study is to assess the job stress score and identify the predictors of job stress among nurses in Primary Health Care (PHC) facilities in Kuala Lan-gat district of Selangor. Methods: A cross-sectional study conducted among 216 nurses in PHC facilities of Kuala Langat District. Data collection conducted using self-administered questionnaire adopted and modified from Job Stress Scale, Nursing Stress Scale (NSS) and Expanded Nursing Stress Scale (ENSS). Results: There is evidence of job stress with mean score of 28.4(5.5) among nurses in PHC facilities of Kuala Langat District, Selangor, Malaysia. There are association between age, role in organization, duration of services, outside job scope, family size, doing house chores, balance between work and family, balance between work and leisure activities, workload, inadequate preparation, lack of staff support, uncertainty concerning treatment, role conflicts and patients and their families with job stress (p
    Matched MeSH terms: Health Resources
  18. Fulltext Improvement of urgent tests laboratory turnaround time through laboratory lean management
    Salbiah Isa, Rohayu Hami, Hanita Hashim, Mohd Nizam S., Harani MS., Sairi S., et al.
    Malaysian Journal of Medicine and Health Sciences, 2020;16(102):15-21.
    MyJurnal
    Introduction: Laboratory turnaround time (LTAT) is considered a reliable indicator of the quality and efficiency of a laboratory’s service. LTAT achievement, particularly of urgent tests, remains unsatisfactory and challenging in many clinical laboratories especially in tertiary health care centres with high workload and restricted resources. The unresolved issue of unsatisfactory urgent renal profile (RP) LTAT below the standard performance goal prompted our interest to improve laboratory’s handling of urgent test request. We thus implemented the Lean principle in the management of urgent test requests using urgent RP as the test model. Methods: The implementation of laboratory Lean involved 4 steps process; (1) Development of burning platform for change (2) Identification of waste (3) Plan- ning and implementation of control measures (4) Measuring, monitoring, and sustaining the improvement. Urgent RP LTAT and the percentage of the request met the time requirement determined based on the data extracted from laboratory information system (LIS) before and after the implementation of Lean was compared to assess the effec- tiveness. Results: Urgent RP LTAT after the implementation of Lean was reduced i.e 35 min (before) vs 31 min (after), with the percentage of LTAT met the time requirement was significantly increased above the set target i.e 82.8% (before) to 93.5% (after) with P-value = 0.001. Conclusion: Implementation of innovation using Lean management has significantly improved urgent RP LTAT achievement, thus optimised urgent test management in our Chemical Pathology laboratory. Lean is a strongly recommended strategy to improve urgent test LTAT especially in laboratories with restricted resources.
    Matched MeSH terms: Health Resources
  19. Fulltext Measuring health clinics’ workload pressure in Kelantan using the workload indicator of staffing needs
    Ahmad Zulfahmi Mohd Kamaruzaman, Mohd Ismail Ibrahim, Anees Abdul Hamid
    Malaysian Journal of Medicine and Health Sciences, 2020;16(3):35-41.
    MyJurnal
    Introduction: Proper distribution of human resources is an important factor ensuring high-quality performance and sustained service quality. The aim of this study was determining the workload pressure among medical officers in health clinics (HCs) in Kelantan. Method: A record review survey was conducted between January and April 2019 using human resources data for 2018 involving HCs in Kelantan. It included all the HCs in Kelantan and excluded community clinics. Workload pressure was determined using a tool known as Workload Indicator of Staffing Needs, developed by World Health Organization. A high workload pressure was defined as a ratio between required and acquired medical officers of less than 1. The data were presented descriptively using as frequencies and percentages. Results: All 85 HCs in Kelantan were involved in the study; 90% (9/10) of the Kelantan districts recorded high work- load pressure. Moreover, 68.2% (58/85) HCs had high workload pressure. Tanah Merah, Tumpat, Pasir Mas, and Kota Bharu had the most HCs with high workload pressure, and most such HCs were found in areas with a high-den- sity population, requiring huge coverage. Conclusion: The Kelantan State Health Department should develop better human resource distribution strategies to ensure the sustainability of quality care in HCs.
    Matched MeSH terms: Health Resources
  20. Fulltext Introduction to customized occupational safety and health website and its effectiveness in improving Psychosocial Safety Climate (PSC) among police officers
    Irniza Rasdi, Nadia Farhana Ismail, Andy, Shin Shyen Kong, Suhainizam Muhammad Saliluddin
    Malaysian Journal of Medicine and Health Sciences, 2018;14(2):67-73.
    MyJurnal
    Introduction: The prevalence of stress among Malaysian police is high in which 38.8% polices have severe stress related to work resources and workplace environment. Psychosocial safety climate is one of the indicators that can be used to avoid psychosocial health problems. Objective: This study was conducted to determine the risk factors of psychosocial safety climate and to measure the effectiveness of a customised safety website in improving the safety climate. Methodology: This study involved 105 police officers who were randomly selected from nine different departments in PDRM Bukit Aman. A survey adapted from previous study was used to determine the psychosocial safety climate levels among respondents. Then, occupational safety website was introduced to the respondents and being used for two weeks. Lastly, post survey was done to see the difference of psychosocial safety climate before and after the use of the website. Results and Discussion: Findings showed that team psychological safety (r=0.381, p= , p=
    Matched MeSH terms: Health Resources
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