MyMedR

Sexual Health Problems: Attitudes and Practices of Malaysian General Practitioners

Low WY, Khoo EM, Tan HM

ISBN: 0-86471-096-8

Citation: Low WY, Khoo EM, Tan HM. Sexual Health Problems: Attitudes and Practices of Malaysian General Practitioners. Auckland: Adis International Ltd, 2002

Matched MeSH terms: Physicians, Family

The role of family practitioners in palliative care

Lim KH

Family Physician, 2001;11:35-36.

Despite time, mobility, knowledge and other constraints, it is still possible for General Practitioners to play an active role in Palliative Care. This article offers various roles where GP can play. Differences between hospice, palliative medicine, palliative care are discussed. Suggestions are made on where to seek formal or informal education on palliative care. Key Words: role, hospice, palliative medicine, palliative care, illness, sickness

Matched MeSH terms: Physicians, Family

Fulltext General practice consultations

Leong KC, Teng CL

Aust Fam Physician, 2007 Sep;36(9):679; author reply 680.

PMID: 17918303

Comment on: Cannon B, Usherwood TP. General practice consultations - how well do doctors
predict patient satisfaction? Aust Fam Physician. 2007 Mar;36(3):185-6, 192. PubMed PMID: 17339988. https://www.racgp.org.au/afp/200703/15394

Matched MeSH terms: Physicians, Family/psychology*

Fulltext What are the barriers faced by patients using insulin? A qualitative study of Malaysian health care professionals' views

Lee YK, Ng CJ, Lee PY, Khoo EM, Abdullah KL, Low WY, et al.

Patient Prefer Adherence, 2013;7:103-9.

PMID: 23378747 DOI: 10.2147/PPA.S36791

BACKGROUND: Patients with type 2 diabetes often require insulin as the disease progresses. However, health care professionals frequently encounter challenges when managing patients who require insulin therapy. Understanding how health care professionals perceive the barriers faced by patients on insulin will facilitate care and treatment strategies.
OBJECTIVE: This study explores the views of Malaysian health care professionals on the barriers faced by patients using insulin.
METHODS: Semi-structured qualitative interviews and focus group discussions were conducted with health care professionals involved in diabetes care using insulin. Forty-one health care professionals participated in the study, consisting of primary care doctors (n = 20), family medicine specialists (n = 10), government policymakers (n = 5), diabetes educators (n = 3), endocrinologists (n = 2), and one pharmacist. We used a topic guide to facilitate the interviews, which were audio-recorded, transcribed verbatim, and analyzed using a thematic approach.
RESULTS: FIVE THEMES WERE IDENTIFIED AS BARRIERS: side effects, patient education, negative perceptions, blood glucose monitoring, and patient adherence to treatment and follow-up. Patients perceive that insulin therapy causes numerous negative side effects. There is a lack of patient education on proper glucose monitoring and how to optimize insulin therapy. Cost of treatment and patient ignorance are highlighted when discussing patient self-monitoring of blood glucose. Finally, health care professionals identified a lack of a follow-up system, especially for patients who do not keep to regular appointments.
CONCLUSION: This study identifies five substantial barriers to optimizing insulin therapy. Health care professionals who successfully identify and address these issues will empower patients to achieve effective self-management. System barriers require government agency in establishing insulin follow-up programs, multidisciplinary diabetes care teams, and subsidies for glucometers and test strips.
KEYWORDS: diabetes; focus groups; insulin; noncommunicable disease; primary care; qualitative study

Matched MeSH terms: Physicians, Family

The general practitioner in psychiatric care

Lee BS

Family Practitioner, 1975;2(1):27-29.

Matched MeSH terms: Physicians, Family

Editorial. General practitioners' role in V. D. treatment and health education

Lau J

Family Practitioner, 1975;2(3):5-9.

Matched MeSH terms: Physicians, Family

Medical emergencies and the general practitioner

Lau J

Family Practitioner, 1977;2:4-4.

Matched MeSH terms: Physicians, Family

Recognising family medicine training

Kwa SK

Family Physician, 2003;12:1-2.

Matched MeSH terms: Physicians, Family

Fulltext Antenatal profile and obstetric outcome of adolescent pregnancy in a Malaysian semi-rural clinic

Kwa SK, Lu AIC, Zairul Azwan MA, Aman Fuad Y, Siti Aishah A

Family Physician, 2001;11(3):7-10.

Adolescent pregnancy is associated with long term medical and sociological problems. For intervention, it is important to have information on their profile and obstetric outcome. A study was conducted in 1999 on teenage mothers compared to mothers in the 20-34 year age group. Antenatal records of all these mothers registered in a Malaysian semi-rural Health Clinic in 1998 were reviewed and the relevant information was analysed using descriptive statistics and chi-square for comparison in SPSS 7.5. Only 402 (80.9%) of the 497 antenatal records could be included. There were 40 (9.95%) adolescent pregnancies and 362 (90.05%) pregnancies in mothers aged 20-34 years. Pregnant adolescents were more likely to be Malays (85% versus 66%), unmarried (65% versus 5.5%) and less educated (32.5% versus 12.1%). They have a significantly lower rate of contraceptive usage (2.5% versus 20.2%) and tend to come late for their first antenatal visit (55% versus 18.5%). Their pregnancy complications of anaemia and pregnancy induced hypertension were no worse. But they had a significantly higher preterm delivery rate (37.5% versus 21.8%) and their babies were more likely to have low birth weight (32.5% versus 9.9%). Based on this preliminary finding, further investigations should be carried out and polices should include programmes targeted for this group.

Matched MeSH terms: Physicians, Family

On managing emergency contraception

Kwa SK

Family Physician, 2000;11(1):12-3.

Matched MeSH terms: Physicians, Family

Critical appraisal skills and the family physician

Krishnan R

Family Physician, 1997;10:1-1.

Matched MeSH terms: Physicians, Family

The general practitioner and sex education

Koh EK

Family Practitioner, 1977;2:69-71.

Matched MeSH terms: Physicians, Family

Fulltext Haematinics for anaemia in the elderly

Khoo SB

Malays Fam Physician, 2011;6(1):7-14.

MyJurnal

Anaemia is the most common haematological problem in the elderly population. Using WHO criteria for anaemia (Hb of <12 g/dL in women and <13 g/dL in men), the prevalence of anaemia in the elderly has been found to range from 8-44% with the highest prevalence in men 85 years and older. Anaemia must not be considered simply as part of ageing because in 80% of cases, there is an underlying cause for Hb
levels of <12 g/dL in the elderly. Anaemia has negative impacts on the quality of life for the elderly and there is evidence of improved morbidity and
mortality after correction of anaemia. Chronic disease and thalassaemia may also cause microcytic anaemia besides iron deficiency and not all vitamin B12 and folate deficiency present with macrocytic megaloblastic anaemia. Nutritional deficiency anaemias are common, easily diagnosed, treatments are simple, inexpensive and effective. Tests for nutritional anaemia have to be given priority in the assessment before a patient is subjected to invasive tests to look for less common causes of anaemia. Serum ferritin which is the best non-invasive test for the diagnosis of iron deficiency anaemia may be increased in the elderly while serum iron and transferrin decrease with ageing. Serum methylmalonic acid (MMA) and homocysteine (HC) levels are sensitive for detecting subclinical vitamin B12 and folate deficiency. Routine iron therapy in non-anaemic elderly or in those without iron deficiency anaemia is of no use and may be detrimental to their health. Folate therapy may improve anaemia but may mask the signs and symptoms of neurological damage due to concomitant
vitamin B12 deficiency. Blood transfusion offers prompt symptom relief of anaemia in patients with terminal malignancy irrespective of the causes for the anaemia.

Matched MeSH terms: Physicians, Family

Fulltext The last hours and days of life: a biopsychosocial-spiritual model of care

Khoo SB

Asia Pac Fam Med, 2004;4(1):1-3.

Patients who are entering the last phase of their illness and for whom life expectancy is short, have health needs that require particular expertise and multidisciplinary care. A combination of a rapidly changing clinical situation and considerable psychosocial and spiritual demands pose challenges that can only be met with competence, commitment and human compassion. This article is concerned with the definition of suffering, recognition of the terminal phase and application of the biopsychosocial-spiritual model of care where family physicians play an important role in the community. Key words: biopsychosocial-spiritual care, dying, family medicine, good death, palliative care, suffering.

Matched MeSH terms: Physicians, Family

Fulltext Bibliography of primary care research in Malaysia

Khoo EM, Teng CL, Ng CJ, Jaafar S

ISBN: 978-983-100-450-0

Citation: Khoo EM, Teng CL, Ng CJ, Jaafar S. Bibliography of primary care research in Malaysia. Kuala Lumpur: University of Malaya; 2008

Matched MeSH terms: Physicians, Family

Cervical cancer prevention

Khoo EM

Family Physician, 1996;8:8-10.

Matched MeSH terms: Physicians, Family

Fulltext An adolescent with anorexia nervosa - a case report

Khairani O, Majmin SH, Saharuddin A, Loh SF, Noor Azimah M, Hizlinda T

Malays Fam Physician, 2011;6(2):79-81.

PMID: 25606230 MyJurnal

This case report illustrates an adolescent with clinical presentation of moderate anorexia nervosa with no significant co-morbidities. It highlights the management of anorexia nervosa in the outpatient setting by a multi-disciplinary health care team which includes a family physician, a dietician, a psychologist and a child psychiatrist.

Matched MeSH terms: Physicians, Family

Family Physicians' satisfaction with factors affecting the dynamism of the urban family physician program in the Fars and Mazandaran provinces of Iran

Kabir MJ, Hassanzadeh-Rostami Z, Ashrafian Amiri H, Nasrollapour Shirvani SD, Keshavarzi A, Hosseini S

Malays Fam Physician, 2019;14(3):28-36.

PMID: 32175038

Background and objective: A successful family physician program needs ongoing and full cooperation between people and the organizations in charge. Ensuring the satisfaction of family physicians through improvement of the underlying factors could motivate them to provide high-quality services. This study aimed to determine the family physicians' satisfaction level with the factors affecting the dynamism of the urban family physicians program in the Fars and Mazandaran provinces of Iran.

Method: This cross-sectional study was carried out in urban areas in the Fars and Mazandaran provinces in 2016. The sample consisted of 143 and 96 family physicians, respectively, in Fars and Mazandaran provinces and was selected using the stratified random sampling method. Data were collected using a questionnaire and included both sociodemographic variables and factors assessing the family physicians' satisfaction levels. Each factor was scored based on a Likert scale from 0 to 5 points, and any satisfaction level higher than 3 out of 5 was equated with being satisfied.

Results: The overall satisfaction levels among family physicians in Fars and Mazandaran provinces were 2.77±0.53 and 3.37±0.56, respectively, revealing a statistically significant difference between provinces (p<0.001). Moreover, the mean satisfaction scores for the performances of healthcare centers, insurance companies, specialists, healthcare workers, and the population covered were 2.78±0.1, 2.54±0.9, 2.52±0.8, 4.24±0.07, and 2.96±0.8, respectively. The family physicians' levels of satisfaction were significantly correlated with population size (p=0.02, r= -0.106), and willingness to stay in an urban family physician program (p<0.001, r= +0.398).

Conclusion: This study revealed that family physicians exhibited a low level of satisfaction with the urban family physician program. Given the direct association between family physicians' satisfaction levels and retention in the program, it is expected that family physicians will no longer stay in the program, and it is likely to have subsequent executive problems.

Matched MeSH terms: Physicians, Family

Bacteriology for general practitioners

Jegathesan M

Family Practitioner, 1987;10:18-20.

Matched MeSH terms: Physicians, Family

Fulltext Two Adults With Hypertriglyceridemia: How should one manage these persons?(#)

Jayasinghe S

Malays Fam Physician, 2008;3(1):34-6.

PMID: 25606110

The paper discusses the management of two individuals with asymptomatic hypertriglyceredemia, a common problem faces by Family Physicians in Malaysia. In such instances it is advisable to exclude an underlying disorder (e.g. metabolic syndrome) and take a pragmatic approach.

Matched MeSH terms: Physicians, Family

Displaying publications 41 - 60 of 93 in total