MyMedR

Fulltext Report of a visit to Beijing Peoples' Republic of China, to advise on primary health care (3-8 May 1988)

Rajakumar MK

Hong Kong Practitioner, 1988;10:3391-406.

Matched MeSH terms: Family Practice

Fulltext Our journal

Rajakumar MK

Malays Fam Physician, 2006;1(1):4.

Matched MeSH terms: Family Practice

First William Pickles Lecture. The evolution of general practice

Rajakumar MK

Family Practitioner, 1981;4:5-10.

Matched MeSH terms: Family Practice

Fulltext Family practice: uniting across frontiers

Rajakumar MK

Singapore Family Physician, 1988;13(4):157-9.

Republished in: Teng CL, Khoo EM, Ng CJ (editors). Family Medicine, Healthcare and Society: Essays by Dr M K Rajakumar, Second Edition. Kuala Lumpur: Academy of Family Physicians of Malaysia, 2019: 27-30

Matched MeSH terms: Family Practice

Fulltext Future of family medicine in developing countries

Rajakumar MK

10th WONCA World Conference, 1983.

Republished in: Republished in: Teng CL, Khoo EM, Ng CJ (editors). Family Medicine, Healthcare and Society: Essays by Dr M K Rajakumar, Second Edition. Kuala Lumpur: Academy of Family Physicians of Malaysia, 2019: 23-26

Matched MeSH terms: Family Practice

Fulltext Training family doctors in a developing country

Rajakumar MK

International Teachers Training Workshop on Family Medicine Education, 1996.

Matched MeSH terms: Family Practice

Fulltext The role of the general practitioner/family physician in health care systems: a statement from WONCA, 1991

Bentzen BG, Bridges-Webb C, Carmichael L, Ceitlin J, Feinbloom R, Metcalf D, et al.

Citation: Bentzen BG, Bridges-Webb C, Carmichael L, Ceitlin J, Feinbloom R, Metcalf D, McWhinney I, Rajakumar MK. The Role of the General Practitioner/Family Physician in Health Care Systems: A Statement from WONCA, 1991

Matched MeSH terms: Family Practice

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: Family Practice

Fulltext Impact of various continuing medical education activities on clinical practice - a survey of Malaysian doctors on its perceived importance

Loh LC, Ong HT, Quah SH

Ann Acad Med Singap, 2007 Apr;36(4):281-4.

PMID: 17483859

INTRODUCTION: Medical talks, newsletter circulars, scientific meetings and conferences, and interaction with members of the pharmaceutical industry, have become convenient means of carrying out continuing medical education (CME) for many busy doctors.

MATERIALS AND METHODS: To study the perceived importance of these various CME activities, a self-completed posted questionnaire survey was conducted among registered practitioners of a densely populated urban state in Malaysia.

RESULTS: Of the 172 respondents [male, 77%; hospital-based, 37%; general practitioner (GP), 55%; private practice, 70%; respondent rate of 19.5%], most preferred local conferences and endorsements by local experts to their foreign counterparts. Meetings or conferences sponsored by the pharmaceutical industry were ranked similarly with those without such links, while the reputation of the pharmaceutical firms was of foremost importance. Among GPs (n = 95) and non-GPs (n = 77), medical society newsletters were rated significantly higher by GPs while overseas conferences were rated higher by non-GPs.

CONCLUSION: Our findings provide an important first look at this under-explored area among Malaysian doctors and described a high degree of acceptance for the involvement of the pharmaceutical industry in CME activities.

Matched MeSH terms: Family Practice/education*; Family Practice/standards

Physicians' professionalism from the patients' perspective: a qualitative study at a single-family practice in Saudi Arabia

AlFaris E, Irfan F, Abouammoh N, Zakaria N, Ahmed AM, Kasule O, et al.

BMC Med Ethics, 2023 Jun 07;24(1):39.

PMID: 37287002 DOI: 10.1186/s12910-023-00918-9

INTRODUCTION: Professionalism is a crucial component of medical practice. It is a culturally sensitive notion that generally consists of behaviors, values, communication, and relationships. This study is a qualitative study exploring physician professionalism from the patients' perspective.

METHODS: Focus group discussions with patients attending a family medicine center attached to a tertiary care hospital were carried out using the four gates model of Arabian medical professionalism that is appropriate to Arab culture. Discussions with patients were recorded and transcribed. Data were thematically analyzed using NVivo software.

RESULTS: Three main themes emerged from the data. (1) In dealing with patients, participants expected respect but understood delays in seeing physicians due to their busy schedules. In communication, participants expected to be informed about their health conditions and to have their questions answered. (2) In dealing with tasks, participants expected proper examination and transparency of diagnosis, but some expected the physician to know everything and did not appreciate them seeking outside opinions. They expected to see the same physician at every visit. (3) In physician characteristics preferences, participants preferred friendly smiling physicians. Some cared about the outer appearance of the physician whereas others did not.

DISCUSSION/CONCLUSIONS: The findings of the study explained only two themes of the four gates model namely dealing with patients and dealing with tasks. Cultural competence and how to benefit from patients' perceptions to be an ideal physician should be incorporated into the process of physicians' training.

Matched MeSH terms: Family Practice*

Fulltext Rejuvenating chronic disease management in Malaysian private general practice - a global perspective

Anis Safura R, Wijesinha S, Piterman L

Malays Fam Physician, 2010;5(1):49-52.

MyJurnal

Rapid epidemiological transition globally has witnessed a rising prevalence of major chronic diseases such as hypertension, diabetes, hyperlipidaemia, obesity, chronic respiratory diseases and cancers over the past 30 years. In Malaysia, these conditions are commonly managed in primary care and published evidence has consistently shown suboptimal management and poor disease control. This in turn, has led to the massive burden of treating complications in secondary care, burden to the patients and their families with regards to morbidity and premature death, and burden to the country with regards to premature loss of human capital. The crushing burden and escalating health care costs in managing chronic diseases pose a daunting challenge to our primary care system, as we remain traditionally oriented to care for acute, episodic illnesses. This paper re-examines the current evidence supporting the implementation of Wagner Chronic Care Model in primary care globally; analyses the barriers of implementation of this model in the Malaysian private general practice through SWOT (strengths, weaknesses, opportunities and threats) analysis; and discusses fundamental solutions needed to bridge the gap to achieve better outcomes.

Matched MeSH terms: Family Practice

Laboratory needs in general practice

Penang Chapter, College of General Practitioners, Malaysia

Med J Malaysia, 1977 Sep;32(1):56-8.

PMID: 609345

Matched MeSH terms: Family Practice*

Fulltext Founding of the College of General Practitioners Malaysia

Param Palam S

Family Practitioner, 1973;1(1):9-12.

Matched MeSH terms: Family Practice

Problem oriented medical recording system for general practice

Param Palam S

Family Practitioner, 1977;2:94-99.

Matched MeSH terms: Family Practice

Fulltext Doctor hopping in general practice: a Malaysian survey

Ngeow TF, Chia SF, Ong CB

Aust Fam Physician, 1981 May;10(5):397-9, 401-3.

PMID: 7283844

In a survey of 5233 patients seen in the clinics of three general practitioners, 339 patients were found to be doctor hoppers (6.48 per cent). Respiratory symptoms and fever were the commonest presentation affecting mainly the paediatric age group. No improvement in the symptoms was quoted as the most common reason for switching to another doctor. Many factors contributed to doctor hopping and these were best considered in relation to the illness, the patient and the doctor: From the point of prevention, the doctor himself has a significant role to play, particularly in improving the doctor-patient relationship and patient compliance.
Study site: Johor (Johor Bahru, Batu Pahat, Muar)

Matched MeSH terms: Family Practice*

Fulltext Prescribing patterns for childhood asthma treatment in general practice

Chan PWK, Norzila MZ

Med J Malaysia, 2003 Oct;58(4):475-81.

PMID: 15190621

The treatment preferences of 109 general practitioners (GPs) for childhood asthma were determined. Availability and adherence to clinical practice guidelines (CPG) for the treatment of childhood asthma was also assessed. Ninety eight (90%), 60 (55%) and 33 (30%) GPs considered nocturnal symptoms > 2 times/week, exercise induced wheeze and cough respectively as indications for preventer therapy. An oral preparation was preferred for relief medication [72 (66%) for 2-5 years, 60 (55%) for > 5 years]. An inhaled preparation was however preferred for preventer medication [60 (55%) for 2-5 years, 85 (78%) for > 5 years]. The oral form was more likely prescribed for asthmatic children 2-5 years (p < 0.001). Corticosteroids and ketotifen were the commonest inhaled and oral preventer treatment prescribed respectively. Only 36(33%) GPs have a CPG copy for reference. Children with asthma symptoms that require preventer therapy may not always be identified in general practice. The oral route remains important for asthma medication especially in young children. The accessibility to the CPG among GPs is disappointing.
Study site: General practitioners attending a pharmaceutical industry sponsored asthma management workshop

Matched MeSH terms: Family Practice/statistics & numerical data*

Disseminated intravascular coagulation

Ng SC

Family Practitioner, 1988;11:62-64.

Matched MeSH terms: Family Practice

Surgical emergencies in general practice

Ng CW

Family Practitioner, 1978;3:5-7.

Matched MeSH terms: Family Practice

Fulltext Accuracy of urinalysis in detection of urinary tract infection in a primary care setting

Othman S, Chia YC, Ng CJ

Asia Pac Fam Med, 2003;2(4):206-212.

Aim: To determine the accuracy of urinalysis in the detection of urinary tract infection (UTI) in symptomatic patients at primary care level. Methods: A cross sectional study was undertaken on 100 patients with symptoms of UTI presenting at the Primary Care Clinic of University Malaya Medical Center, Kuala Lumpur, Malaysia during the months of August to November 1999. Their urine samples were tested simultaneously using urine dipstick, urine microscopy and urine culture. Urine culture was used as the gold standard and UTI was diagnosed when the urine culture showed a bacteria count of >= 105 organisms per mL. The sensitivity and specificity of each test was calculated. Results: The prevalence of UTI was 25% in symptomatic patients. The urine dipstick for leukocyte esterase, nitrite and red blood cell had sensitivities of 76, 56 and 76%, respectively. Their specificities were 60, 81 and 61%, respectively. Urine microscopy for leukocytes, red blood cells and bacterial count had sensitivities of 80, 52 and 84%, while their specificities were 76, 80 and 54%, respectively. Conclusion: The prevalence of UTI in the present study was low despite reported symptoms of UTI. Urinalysis is needed to support the diagnosis of UTI. In the present study, while there is accuracy in the urinalysis (as the sensitivities and specificities of various tests are comparable with other studies); lack of precision in each test because of the wide range of 95% confidence interval make it less reliable. Caution should be made in interpreting each test.

Matched MeSH terms: Family Practice

Fulltext Avoiding common errors in key feature problems

Kwa SK, Sheikh Mohd Amin MM, Ng AC

Malays Fam Physician, 2007;2(1):18-21.

MyJurnal

Questions on Key Features Problems (KFP) are an important component of the theory paper for Part 1 of the membership examination of the Academy of Family Physicians of Malaysia (MAFP) and the Fellowship for the Royal Australian College of General Practitioners (FRACGP).This paper will attempt to provide information on the format and marking scheme of KFP. Expected answers for some KFP cases will be discussed and common errors made by candidates highlighted with suggestions on how to avoid them.

Matched MeSH terms: Family Practice

Displaying publications 41 - 60 of 167 in total