Displaying publications 21 - 40 of 648 in total

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  1. Fulltext Dr M K Rajakumar: On primary care (and population health)
    Chan C K
    CenPRIS Working Paper No. 129/10 (July 2010)
    Republished in: An Uncommon Hero. p308-320
    Dr M K Rajakumar fought the good fight on many fronts. In the 1970s, with domestic left-wing politics on the ebb, Dr Rajakumar shifted his energies to another arena of human endeavor he was passionate about, health and medical care for the needful. Throughout the 1980s and 1990s, Dr Rajakumar worked tirelessly to advance primary care medicine and to raise the standard of its practice in Malaysia and in the region. This article explores his writings on primary care within the context of an emerging population health perspective. KEYWORDS: MK Rajakumar, primary care, population health, biomedical sciences, politics
    Matched MeSH terms: Primary Health Care
  2. Message from the Director-General of WHO
    Mahler H
    Family Practitioner, 1988;11:68-69.
    Matched MeSH terms: Primary Health Care
  3. Primary healthcare models in developed countries
    Krishnan R
    Family Physician, 1996;9:7-11.
    Matched MeSH terms: Primary Health Care
  4. Fulltext Embedded research to advance primary health care
    Swaminathan S, Sheikh K, Marten R, Taylor M, Jhalani M, Chukwujekwu O, et al.
    BMJ Glob Health, 2020 12;5(12).
    PMID: 33355263 DOI: 10.1136/bmjgh-2020-004684
    Matched MeSH terms: Primary Health Care*
  5. Fulltext The importance of primary care
    Rajakumar MK
    J R Coll Gen Pract, 1987 Feb;28(187):91-95.
    PMID: 702426
    Matched MeSH terms: Primary Health Care*
  6. Planning a primary care-led health system
    Rajakumar MK
    A shared experience in Health and Education are essential ingredients of nationhood. In healthcare, it is constructive to think in terms of the characteristics of a healthcare system that a substantial majority of our people would be enthusiastic to claim ownership. It is useful to think in terms of the elements of a 'charter for health for all Malaysians towards 2020' a) Healthcare for all Malaysians, that is equitable, accessible, and comprehensive. b) Care of quality given with courtesy and respect for patients and their families, with no financial barriers at the time of need. c) A commitment to healthcare of a quality that is appropriate to a Malaysia as a developed country by the Year 2020. Each Five-Year Plan should move in that direction, guided by extensive consultation with the community on priorities and preferences. We have to overcome the 'colonial hangover' that still leaves its mark. Health investment is still concentrated in the capital city, Kuala Lumpur, and in other cities. It is a hospital-centred system. The colonial hierarchy persists with its apex in the Capital city. Government servants are separated from other citizens in access to healthcare. Finally, health has low budget priority. However, there is good reason for optimism. A remarkable consensus has emerged between health professionals and government experts on the shape of a future health system for Malaysia. This is a considerable achievement, in contrasts to the bitter divisions that have characterised changes in other countries. There is still a long road ahead, so it is most important that the leaders of the Malaysian community make clear their preferences and priorities. The Ministry of Health speaks of a 'transformation' of the health system, and advises the medical profession to prepare for radical changes in their behaviour, and in the delivery and funding of healthcare. Four strands of change can be discerned. One, all the professions of health will have to provide evidence of competency, and must learn to monitor the quality of service they provide. Second, the great divide between public and private sector will end, and we have to find ways to integrate our services. Third, a Health Financing Authority may be established, providing hope to all Malaysians that their basic health needs will be met. As citizens, we have the duty to ask that there will be no 'privatisation' of the Health Financing Authority, or of the health facilities of the Ministry of Health. There is a fourth change, arising from our entry into the World Trade Organisation (WTO). Foreign investors will demand access to Malaysian markets, under a so-called 'Globalisation'. All professions will be affected. More serious is the danger of commercialised health care that will damage the health of the less well-off in our country, and raise the cost of health for all of us. Health and education are most important concerns for all of us, yet it strange that as citizens we have contributed so little to shaping the sort of health system that we want for our families and for ourselves. I hope that this meeting is a new beginning.
    Matched MeSH terms: Primary Health Care*
  7. Fulltext Development and validation of trigger tools in primary care: A scoping review
    Dhamanti I, Zairina E, Nurhaida I, Salsabila S, Yakub F
    PLoS One, 2025;20(1):e0308906.
    PMID: 39746062 DOI: 10.1371/journal.pone.0308906
    In primary care, trigger tools have been utilized to evaluate and identify patient safety events. The use of trigger tools could help clinicians and patients detect adverse events in a patient's medical record. Due to a lack of research on the process development of trigger tools in primary care, the purpose of this scoping review is to investigate the trigger development and validation process in primary care settings. A scoping review methodology was used to map the published literature using the Joanna Briggs Methodology of performing scoping review. We considered only studies published in English in the last five years and included both qualitative and quantitative study designs. The final review included five articles. The primary care and combined primary-secondary care studies are included to gain more knowledge in the process development and validation of trigger tools. The trigger tool development process begins with clearly defining the triggers, which are then programmed into a combined computerized algorithm. The validation process was then carried out in two steps by both physician and non-physician experts for content and concurrent validity. The sensitivity, specificity, and positive predictive value (PPV) of the final algorithm were critical in determining the validity of each trigger. This study provided a comprehensive guide to developing trigger tools, emphasizing the importance of precisely defining triggers through a thorough literature review and dual validation process. There were similarities in the development and validation of trigger tools across primary care and hospital settings, allowing primary care to learn from hospital settings.
    Matched MeSH terms: Primary Health Care*
  8. Fulltext Instruments for evaluating the quality of services in chronic diseases: scoping review
    Sousa GS, Silva FVD, Longhi FG, Cortela DDCB, Silva PRS, Ferreira SMB
    Rev Lat Am Enfermagem, 2024;32:e4293.
    PMID: 39166628 DOI: 10.1590/1518-8345.7168.4293
    OBJECTIVE: to map the scientific literature on the validity of instruments for evaluating the quality of services provided in primary health care for chronic diseases related to systemic arterial hypertension, diabetes mellitus, leprosy and tuberculosis.

    METHOD: scoping review, following the Joanna Briggs Institute method and described in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. 13 databases and gray literature were included. The selection of studies was carried out after removing duplicates and individual and paired evaluation. The data was extracted based on an elaborate script and presented in tables and charts.

    RESULTS: the analysis of 28 selected studies showed that the majority were from Brazil, followed by China and Malaysia. Almost half of the validated instruments were generic, and the specific ones covered the evaluation of diabetes mellitus and leprosy. The types of validation carried out were content and construct.

    CONCLUSION: there is a need to construct specific instruments due to the scarcity of studies on the process of validating instruments for evaluating the quality of services provided by primary health care for chronic diseases.

    HIGHLIGHTS: (1) Validated instruments for evaluating services in chronic diseases.(2) Possibility of carrying out new studies on adaptations of PCAT and PACIC.(3) No evaluation was identified for minors under 18 years of age with chronic diseases.(4) Use of a generic instrument to evaluate specific chronic diseases.

    Matched MeSH terms: Primary Health Care/standards
  9. Fulltext Managing dengue fever in primary care: A practical approach
    Lum LCS, Ng CJ, Khoo EM
    Malays Fam Physician, 2014;9(2):2-10.
    PMID: 25893065 MyJurnal
    Dengue is a common cause of illness seen in primary care in the tropical and subtropical countries. An understanding of the course of disease progression, risk factors, recognition of the warning signs and look out for clinical problems during the different phases of the disease will enable primary care physicians to manage dengue fever in an appropriate and timely manner to reduce morbidity and mortality.
    Matched MeSH terms: Primary Health Care
  10. Questions commonly asked about asthma
    Md Shajahan MY, Liam CK
    Family Physician, 1993;5:16-21.
    Matched MeSH terms: Primary Health Care
  11. False positives and the problem of labelling
    Md Shajahan MY
    Family Physician, 1994;6:34-36.
    Matched MeSH terms: Primary Health Care
  12. Can local medical journals survive?
    Md Shajahan MY
    Family Physician, 1995;7:1-2.
    Matched MeSH terms: Primary Health Care
  13. Morbidity in primary care
    Teng CL, Krishnan R
    Family Physician, 1995;7:1-2.
    Matched MeSH terms: Primary Health Care
  14. Education in breast feeding
    Ruby M
    Family Practitioner, 1977;2:47-48.
    Matched MeSH terms: Primary Health Care
  15. Evaluation of hypertension
    Kang BH
    Family Physician, 1991;3:50-52.
    Matched MeSH terms: Primary Health Care
  16. Basic issues in marital and sexual counseling
    Woon TH
    Family Practitioner, 1984;7:49-50.
    Marital and sexual counselling is an important aspect of the work of a primary care physician or family practitioner. The preventive aspect of this counselling is fairly obvious in the practice of family planning. The medical practitioners have to be aware of the socio-cultural background of his patients or refer to qualified allied health professionals.
    Matched MeSH terms: Primary Health Care
  17. Fulltext Planning a community-centred health delivery system
    Rajakumar M K
    Citation: Rajakumar MK. Planning a community-centred health delivery system. Kuala Lumpur: Academy of Family Physicians of Malaysia; 1995.
    Matched MeSH terms: Primary Health Care
  18. Health and nutrition of the Orang Asli: The need for primary health care amidst economic transformation
    Chee HL
    Indigenous Minorities of Peninsular Malaysia: Selected Issues and Ethnographies, 1996.
    Citation: Chee HL. Health and nutrition of the Orang Asli: The need for primary health care amidst economic transformation. In: Abd Rashid MR (editor). Indigenous Minorities of Peninsular Malaysia: Selected Issues and Ethnographies. Kuala Lumpur : Intersocietal and Scientific; 1995, p48-73
    Matched MeSH terms: Primary Health Care
  19. Fulltext Designing Health Benefits Policies In Malaysia (EnPHC): A Country Assessment Report
    Mohd Saleh N, Nasir NH, Ibrahim NI
    Citation: Mohd Saleh N, Nasir NH, Ibrahim NI. Designing Health Benefits Policies In Malaysia (ENPHC): A Country Assessment Report. Putrajaya: Joint Learning Network for Universal Health Coverage; 2018
    Matched MeSH terms: Primary Health Care
  20. Fulltext Research Notes. 1. Why research? What research?
    Chan SC
    Family Physician, 2005;13(3):23-24.
    Matched MeSH terms: Primary Health Care
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