Displaying publications 61 - 80 of 929 in total

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  1. Cheah YN, Chong YH, Neoh SL
    Stud Health Technol Inform, 2006;124:575-80.
    PMID: 17108579
    The mobilisation of cohesive and effective groups of healthcare human resource is important in ensuring the success of healthcare organisations. However, forming the right team or coalition in healthcare organisations is not always straightforward due to various human factors. Traditional coalition formation approaches have been perceived as 'materialistic' or focusing too much on competency or pay-off. Therefore, to put prominence on the human aspects of working together, we present a cohesiveness-focused healthcare coalition formation methodology and framework that explores the possibilities of social networks, i.e. the relationship between various healthcare human resources, and adaptive resonance theory.
    Matched MeSH terms: Community Health Services/manpower*; Community Health Services/organization & administration
  2. Topps D, Rourke J
    Can Fam Physician, 2000 Oct;46:2065.
    PMID: 11072589
    Matched MeSH terms: Health Services Accessibility; Rural Health Services*
  3. Loganathan T, Chan ZX, Pocock NS
    PLoS One, 2020;15(12):e0243629.
    PMID: 33296436 DOI: 10.1371/journal.pone.0243629
    BACKGROUND: For Malaysia, a nation highly dependent on migrant labour, the large non-citizen workforce presents a unique health system challenge. Although documented migrant workers are covered by mandatory healthcare insurance (SPIKPA), financial constraints remain a major barrier for non-citizen healthcare access. Malaysia recently extended protection for migrant workers under the national social security scheme (SOCSO), previously exclusive to citizens. This study aims to evaluate healthcare financing and social security policies for migrant workers to identify policy gaps and opportunities for intervention.

    METHODS: A total of 37 in-depth interviews were conducted of 44 stakeholders from July 2018 to July 2019. A mixed-methods analysis combining major themes from qualitative interviews with policy document reviews was conducted. Descriptive analysis of publicly available secondary data, namely revenues collected at government healthcare facilities, was conducted to contextualise the policy review and qualitative findings.

    RESULTS: We found that migrant workers and employers were unaware of SPIKPA enrolment and entitlements. Higher fees for non-citizens result in delayed care-seeking. While the Malaysian government nearly doubled non-citizen healthcare fees revenues from RM 104 to 182 million (USD 26 to 45 million) between 2014 to 2018, outstanding revenues tripled from RM 16 to 50 million (USD 4 to 12 million) in the same period. SPIKPA coverage is likely inadequate in providing financial risk protection to migrant workers, especially with increased non-citizens fees at public hospitals. Undocumented workers and other migrant populations excluded from SPIKPA contribution to unpaid fees revenues are unknown. Problems described with the previous Foreign Workers Compensation Scheme (FWCS), could be partially addressed by SOCSO, in theory. Nevertheless, questions remain on the feasibility of implementing elements of SOCSO, such as recurring payments to workers and next-of-kin overseas.

    CONCLUSION: Malaysia is moving towards migrant inclusion with the provision of SOCSO for documented migrant workers, but more needs to be done. Here we suggest the expansion of the SPIKPA insurance scheme to include all migrant populations, while broadening its scope towards more comprehensive coverage, including essential primary care.

    Matched MeSH terms: Health Services Accessibility/economics*; Health Services Accessibility/legislation & jurisprudence
  4. Pathmanathan I
    J Trop Med Hyg, 1973 Nov;76(11):294-6.
    PMID: 4758753
    The Municipal Maternal and Child Health Clinics at Kuala Lumpur were faced with a declining but continuing problem of diphtheria. The arrangements for immunization were such that a low coverage was obtained for triple vaccination, but a high one for smallpox, a disease they had not experienced for many years. By reversing the schedule, so that triple vaccine injections were administered first, and ensuring that fewer children were not immunized because of concurrent minor ailments, the diphtheria immunization coverage was greatly improved. There was some loss of smallpox cover.
    The revision commenced in 1970 and the diphtheria incidence rate, which had been falling since 1965, continued to fall but at a lower rate. The author does not discuss possible explanations for this. The article illustrates a dramatic improvement in immunization cover by a simple re-arrangement better suited to the needs of the town
    Matched MeSH terms: Child Health Services*; Preventive Health Services
  5. Rajbanshi S, Norhayati MN, Nik Hazlina NH
    Int J Environ Res Public Health, 2021 Jun 26;18(13).
    PMID: 34206868 DOI: 10.3390/ijerph18136876
    Patient complaints and dissatisfaction should be taken seriously and used as an opportunity to provide acceptable services. Mounting evidence shows that the perception of the quality of healthcare services impacts health-seeking behaviors. This study explores the perceptions of good-quality antenatal and birthing services among postpartum women. A qualitative study using phenomenological inquiry was conducted in the Morang district, Nepal. The study participants were postpartum women with at least one high-risk factor who refused the referral hospital's birth advice. A total of 14 women were purposively selected and interviewed in-depth. NVivo 12 Plus software was used for systematic coding, and thematic analysis was performed manually. Three themes emerged: (i) women's opinions and satisfactory factors of health services, (ii) expectations of the health facility and staff, and (iii) a lack of suggestions to improve the quality of care. Women did not have many expectations from the healthcare facility or the healthcare providers and could not express what good quality of care meant for them. Women from low socioeconomic status and marginalized ethnicities lack knowledge of their basic reproductive rights. These women judge the quality of care in terms of staff interpersonal behavior and personal experiences. Women will not demand quality services if they lack an understanding of their basic health rights.
    Matched MeSH terms: Health Services Accessibility; Maternal Health Services*
  6. Pavlin BI, Ali O, Poh BK
    Asia Pac J Public Health, 2014 Sep;26(5 Suppl):4S-6S.
    PMID: 25143526 DOI: 10.1177/1010539514545286
    Matched MeSH terms: School Health Services*
  7. Latiff KA
    Asian Pac J Cancer Prev, 2008;9(2):357-59.
    PMID: 18712990
    Despite the mountain of information generated by researchers, the cancer problem has not significantly declined and perhaps in certain situations it is gradually increasing, affecting those who are previously at low risk. There is a tendency to believe that positive outcomes can always be expected once intervention activities, like exercise promotion, are carried out, but practical experience gives rise to serious doubt. A greater understanding of the biological mechanisms operating in the physical activity, cancer relation, complete measurement of physical activity through a subject's life, assessment of all potential confounders and association modifiers are needed to confirm a protective role of physical activity in cancer development and allow specific exercise prescriptions for community-based prevention in particular cancer sites. Furthermore, the most important impetus of any community intervention approach should be oriented in the form of 'from people to the people'. More emphasis needs to be placed on effective management and parameters for assessment of management success.
    Matched MeSH terms: Community Health Services/organization & administration*
  8. Cernada G
    Int Q Community Health Educ, 2013;34(2):119-20.
    PMID: 24928605 DOI: 10.2190/IQ.34.2.a
    Publication year=2013-2014
    Matched MeSH terms: Community Health Services*
  9. Minas H, Izutsu T, Tsutsumi A, Kakuma R, Lopez AD
    Lancet Psychiatry, 2015 Mar;2(3):199-201.
    PMID: 26359888 DOI: 10.1016/S2215-0366(14)00124-2
    Matched MeSH terms: Mental Health Services*
  10. Binns C, Low WY
    Asia Pac J Public Health, 2015 Jul;27(5):484-5.
    PMID: 26116652 DOI: 10.1177/1010539515593015
    Matched MeSH terms: Health Services Needs and Demand*
  11. Choo V
    Lancet, 2002 Sep 28;360(9338):1004.
    PMID: 12383679
    Matched MeSH terms: Marketing of Health Services/methods*
  12. Arokiasamy JT
    Med J Malaysia, 1997 Sep;52(3):231-7.
    PMID: 10968091
    Several countries of Asia, including Malaysia, have in recent years experienced spectacular economic growth and social change. This, together with declining fertility
    rates and mortality rates, and accompanying increased
    expectation of life at birth have resulted in rapid population ageing of these countries. However, relative
    to the developed countries, where fertility and mortality declines, and improvements in social and economic conditions have evolved gradually over a period of a century, these phenomena in the developing countries of Southeast Asia are evolving in a much shorter time period aided by the availability of medical and technological advances and interventions that can prevent deaths and births and prolong the duration of disability free years of life. This poses a challenge to countries like Malaysia who have to cope with the ageing phenomenon with limited resources that are available. The elderly are a heterogeneous group who are affected by both health and non health factors. The latter are largely social factors related to health that contribute to social problems faced by the elderly. This paper addresses these before looking at the care of the elderly.
    Matched MeSH terms: Health Services for the Aged*
  13. Chen PCY
    Med J Malaysia, 1986 Mar;41(1):93-8.
    PMID: 3796358
    Matched MeSH terms: Child Health Services*
  14. Jelliffee DB
    Med J Malaysia, 1986 Mar;41(1):84-7.
    PMID: 3796356
    Various key aspects needing consideration in primary health care services for children are described. These include the need for basic curative facilities, a dyodic approach, concentration on major issues, use of appropriate technology and cultural appropriateness.
    Matched MeSH terms: Child Health Services*
  15. Chen PC
    Trop Doct, 1971 Oct;1(4):183-6.
    PMID: 5152672
    Matched MeSH terms: Community Health Services*
  16. Sodhy JS
    Med J Malaya, 1970 Mar;24(3):171-5.
    PMID: 4246795
    Matched MeSH terms: Community Health Services*
  17. Hubble D
    Lancet, 1973 Jun 09;1(7815):1323-4.
    PMID: 4126117
    Matched MeSH terms: Community Health Services*
  18. Yu CP, Whynes DK, Sach TH
    Health Policy, 2011 May;100(2-3):256-63.
    PMID: 21129808 DOI: 10.1016/j.healthpol.2010.10.018
    This paper assesses the potential equity impact of Malaysia's projected reform of its current tax financed system towards National Health Insurance (NHI).
    Matched MeSH terms: Health Services Accessibility*
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