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Displaying publications 81 - 100 of 167 in total

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Anxiety neurosis in an urban general practice

Lee BS

Family Practitioner, 1975;2:18-24.

Matched MeSH terms: Family Practice
A simple X-ray room design for general practices

Lam ES

Family Practitioner, 1978;3:30-31.

Matched MeSH terms: Family Practice
Fulltext Training for primary health care in general / family practice

Phua KH, Jeyaratnam J

Family Practitioner, 1986;9(1):31-34.

Ultimately, the majority of our medical graduates ends up in primary health care either in private practice or in the government service. It would be appropriate that their education and training should meet not only the requirements of their eventual vocation, but just as importantly, the expectations of a more discerning community at large. Rising pressures on the profession to provide more cost-effective and affordable health services of good quality would put an increasing emphasis on the development and promotionof primary health care to higher standards. Primary health care workers would be hard-pressed to provide more health information and to actively participate in disease prevention and control as part of their professional duties. As medical specialisation and technology contibute towards more fragmented, complex and dehumanising forms of practice, the greater will be the need for the integrative skills of the primary physician providing personal and continuing care. The future nature of medical care will have to respond to this community demand.

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 Unplanned pregnancies in a semi-urban practice

Chua WT

Family Practitioner, 1985;8(2):57-62.

One hundred and twenty-four women from a semi-urban area who came for consultation for unplanned pregnancy during an eight month period are analysed. It is found that women with a high risk of unplanned pregnancy are mostly housewives, aged between 20 and 34, who have given birth to one or three children, the last of whom is usually below one or two years old. They belong to the lower socio-economic class and are lowly-educated. Most of them have not completed their families. Although most of them have either used or heard of contraceptives begore, the majority were not using any contraceptive at the time of consultation or were using an ineffective method. Their reasons for non-use or default are identified, many of which are related to the pill. Proper motivation of would-be contraceptive receptors and regular follow-up of acceptors by general practitioners or Family Planning Clinic Staff who are knwoledgable in all available methods of contraception are offered as a solutionto the problem of high rate of defaulting and consequent high rate of unplanned pregnancies.
Study site: private general practice clinic, Perak, Malaysia

Matched MeSH terms: Family Practice
Management of chronic renal failure in general practice

Chung SF

Family Practitioner, 1983;6:51-56.

Matched MeSH terms: Family Practice
Common skin conditions seen in general practice

Chua WT

Family Practitioner, 1982;5(1):65-76.

Matched MeSH terms: Family Practice
Management of genital ulcers in general practice

Low BT

Family Practitioner, 1975;2:2-4.

Matched MeSH terms: Family Practice
Fulltext Prevalence of diabetes mellitus in a general practice

Balasundaram R

Family Practitioner, 1982;5(2):15-18.

312 diabetics were seen in a multiracial urban general practice in Peninsular Malaysia during a five-year period. Of these, 210 (67%) were Indians, confirming the higher prevalence of diabetes among Indians reported in other studies. 67 were newly found diabetics. The sex, age, family history, of the diabetics, duration and complications of diabetes, are reviewed and compared with similar studies. The larger number of diabetics may partly be attributed to the presence in the community of a large number of Indians born in India. Stress also may contribute to the high prevalence of the disease in Indians, who are prone to diabetes by virtue of heredity.
Study site: General practice clinic, Kelang, Selangor, Malaysia

Matched MeSH terms: Family Practice
Fulltext The status of family medicine training programs in the Asia Pacific

Ng CJ, Teng CL, Abdullah A, Wong CH, Hanafi NS, Phoa SSY, et al.

Fam Med, 2016 Mar;48(3):194-202.
PMID: 26950908

BACKGROUND AND OBJECTIVES: The family medicine training programs in the Asia Pacific (AP) are evolving. To date, there is a lack of comprehensive and systematic documentation on the status of family medicine training in the AP. This study aims to determine the status of family medicine training at both the undergraduate and postgraduate levels in medical schools (universities or colleges) in the AP.
METHODS: In 2014, the authors conducted a cross-sectional online survey to assess the undergraduate and postgraduate family medicine programs in academic family medicine departments from AP countries. A 37-item online survey questionnaire was sent to key informants from academic institutions with established family medicine departments/units. Only one response from each family medicine department/unit was included in the analysis.
RESULTS: The medical school and country response rates were 31.31% and 64.1%, respectively. The majority of the medical schools (94.7%, n=71/75) reported having a department/unit for family medicine. Family medicine is recognized as a specialist degree by the governments of 20/25 countries studied. Family medicine is included in the undergraduate program of 92% (n=69/75) of all the participating medical schools. Only slightly more than half (53.3%) (n=40/75) reported conducting a postgraduate clinical program. Less than one third (26.7%) (n=20/75) of the medical schools conducted postgraduate research programs.
CONCLUSIONS: Undergraduate training remains the focus of most family medicine departments/units in the AP. Nevertheless, the number of postgraduate programs is increasing. A more rigorous and long-term documentation of family medicine training in the AP is warranted.

Matched MeSH terms: Family Practice*
Health for all through family practice

Rajakumar MK

Fam Pract, 1985 Mar;2(1):55-6.
PMID: 3988018 DOI: 10.1093/fampra/2.1.55-a

In developing countries, the family persists as a key institution, the centre of the emotional, spiritual and economic life of the individual and the context of the individual's interactions with the community. The majority of the population still live in rural areas where the family-community interaction is close, indeed intense. This remains true too of peasants migrating to urban slums to exist in a new culture of poverty. The family in developing countries represents a more closely shared, psychological, sociological and economic destiny than is perhaps represented by the family in the wealthy nations of the West.

'Health for all by the year 2000' is the promise of the Declaration of Alma-Ata to which all our governments have put their signatures. It is a noble ambition which is impossible to achieve unless the issues of poverty and maldistribution of wealth are seriously addressed. Nevertheless, much progress can be made during a campaign to achieve 'Health 2000' because an opportunity presents to discuss the prerequisites to achieving 'Health for all' and there is pressure to make some progress towards this.

An important opportunity now presents itself to put into effect the new concepts of family practice on a global scale. Hitherto the World Health Organization, (of which WONCA has just become a non-governmental organization affiliate) has not found it necessary to turn to family physicians for advice or expertise whilst organizations of family physicians for their part have shown little interest in the primary health care movement. Family physicians have practised under constraints that have favoured chargeable procedures as against the preventive approach, episodic care as against continuing care, caring for the fee-paying individual as against caring for the family and large panels as against small populations. This practice falls short of our ideals. In developing countries, there is a need for a community-oriented, family-based practice in which the physician and the health care team accept responsibility to work with their community to achieve health for all. We must now give attention to develop this atrophied wing of family practice.

This is truly a historic opportunity that we must seize to make available the concepts and skills of family practice and to universalize the relevance of our way of delivering primary health care. All of us in a great co-operative endeavour can do much for the health of the people of this small globe that we share.
'There is a tide in the affairs of men,
Which, taken at the flood, leads on to fortune;
Omitted, all the voyages of their life
Is found in shallows and miseries.
On such a full sea are we now afloat,
And we must take the current when it serves,
Or lose our venture.'
[Notes added by TCL: Full text of article. The quoted phrase was uttered by Brutus in William Shakespear's Julius Caesar Act 4, scene 3]

Matched MeSH terms: Family Practice*
Fulltext The adaptation and validation of the satisfaction with stroke care questionnaire (Homesat) (SASC10-My™) for use in public primary healthcare facilities caring for long- term stroke survivors residing at home in the community

Abdul Aziz AF, Tan CE, Ali MF, Aljunid SM

Health Qual Life Outcomes, 2020 Jun 20;18(1):193.
PMID: 32563246 DOI: 10.1186/s12955-020-01450-9

BACKGROUND: Satisfaction with post stroke services would assist stakeholders in addressing gaps in service delivery. Tools used to evaluate satisfaction with stroke care services need to be validated to match healthcare services provided in each country. Studies on satisfaction with post discharge stroke care delivery in low- and middle-income countries (LMIC) are scarce, despite knowledge that post stroke care delivery is fragmented and poorly coordinated. This study aims to modify and validate the HomeSat subscale of the Dutch Satisfaction with Stroke Care-19 (SASC-19) questionnaire for use in Malaysia and in countries with similar public healthcare services in the region.
METHODS: The HomeSat subscale of the Dutch SASC-19 questionnaire (11 items) underwent back-to-back translation to produce a Malay language version. Content validation was done by Family Medicine Specialists involved in community post-stroke care. Community social support services in the original questionnaire were substituted with equivalent local services to ensure contextual relevance. Internal consistency reliability was determined using Cronbach alpha. Exploratory factor analysis was done to validate the factor structure of the Malay version of the questionnaire (SASC10-My™). The SASC10-My™ was then tested on 175 post-stroke patients who were recruited at ten public primary care healthcentres across Peninsular Malaysia, in a trial-within a trial study.
RESULTS: One item from the original Dutch SASC19 (HomeSat) was dropped. Internal consistency for remaining 10 items was high (Cronbach alpha 0.830). Exploratory factor analysis showed the SASC10-My™ had 2 factors: discharge transition and social support services after discharge. The mean total score for SASC10-My™ was 10.74 (SD 7.33). Overall, only 18.2% were satisfied with outpatient stroke care services (SASC10-My™ score ≥ 20). Detailed analysis revealed only 10.9% of respondents were satisfied with discharge transition services, while only 40.9% were satisfied with support services after discharge.
CONCLUSIONS: The SASC10-My™ questionnaire is a reliable and valid tool to measure caregiver or patient satisfaction with outpatient stroke care services in the Malaysian healthcare setting. Studies linking discharge protocol patterns and satisfaction with outpatient stroke care services should be conducted to improve care delivery and longer-term outcomes.
TRIAL REGISTRATION: No.: ACTRN12616001322426 (Registration Date: 21st September 2016.

Matched MeSH terms: Family Practice
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
Primary Care Research in Malaysia

Mohd Sidik S

International Perspectives on Primary Care Research, 2016.
ISBN: 978-1-4987-6752-1

Citation: Sherina Mohd Sidik. Chapter 36: Primary Care Research in Malaysia. In: Goodyear-Smith F, Mash B (editors). International Perspectives on Primary Care Research. Boca Raton, Florida, United States of America: CRC Press (Taylor & Francis Group), World Organization of Family Doctors (WONCA); 2016, p199-201

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
The present problems and future needs of primary health care in Malaysia

Ho TM

Int J Health Serv, 1988;18(2):281-91.
PMID: 3378859 DOI: 10.2190/EJ77-C1UH-KHMQ-8HAX

This article examines the numerous problems faced by primary health care in Malaysia, care that traditionally has been a private sector activity. While general practitioners have adapted, and are continually adapting, to the needs of a multiracial society with diverse cultural patterns, it is hoped that with the emergence of a dynamic discipline of family practice, family doctors will be able to provide a sophisticated form of primary health care that will serve the needs of the people.

Matched MeSH terms: Family Practice/trends*
Fulltext Cross-border contextualisation of family medicine curriculum: an examination of the process

McEllistrem B, Owens M, Whitford DL

Int J Med Educ, 2023 Aug 31;14:117-122.
PMID: 37661729 DOI: 10.5116/ijme.64e3.740e

OBJECTIVES: This study explores a method of transferring a post graduate medical education curriculum internationally and contextualising it to the local environment. This paper also explores the experiences of those local medical educationalists involved in the process.
METHODS: Several methods were implemented. Firstly, a modified Delphi process for the contextualisation of learning outcomes was implemented with a purposefully sampled expert group of Malaysian Family Medicine Specialists. Secondly a small group review for supporting materials was undertaken. Finally, qualitative data in relation to the family medicine specialists' experiences of the processes was collected via online questionnaire and analysed via template analysis. Descriptive statistics were used.
RESULTS: Learning outcomes were reviewed over three rounds; 95.9% (1691/1763) of the learning outcomes were accepted without modification, with the remainder requiring additions, modifications, or deletions. Supporting materials were extensively altered by the expert group. Template analysis showed that Family Medicine Specialists related positively to their involvement in the process, commenting on the amount of similarity in the medical curriculum whilst recognising differences in disease profiles and cultural approaches.
CONCLUSIONS: Learning outcomes and associated material were transferable between "home" and "host" institution. Where differences were discovered this novel approach places "host" practitioners' experiences and knowledge central to the adaptation process, thereby rendering a fit for purpose curriculum. Host satisfaction with the outcome of the processes, as well as ancillary benefits were clearly identified.

Matched MeSH terms: Family Practice*
Fulltext Ethnomedicine and dominant medicine in multicultural Australia: a critical realist reflection on the case of Korean-Australian immigrants in Sydney

Han GS, Ballis H

J Ethnobiol Ethnomed, 2007;3:1.
PMID: 17201916 DOI: 10.1186/1746-4269-3-1

Viewed through the micro focus of an interpretive lens, medical anthropology remains mystified because interpretivist explanations seriously downplay the given context in which individual health seeking-behaviours occur. This paper draws upon both the interpretivist and political economy perspectives to reflect on the ethno medical practices within the Korean-Australian community in Sydney.

Matched MeSH terms: Family Practice
Fulltext Prevalence and associated factors of burnout among family medicine residents in Al Madina, Saudi Arabia

Aldubai SAR, Aljohani AM, Alghamdi AG, Alghamdi KS, Ganasegeran K, Yenbaawi AM

J Family Med Prim Care, 2019 02;8(2):657-662.
PMID: 30984690 DOI: 10.4103/jfmpc.jfmpc_268_18

Background and Aim: Burnout is a common problem for interns and residents. It has been associated with physical and mental health of health care providers as well as low job satisfaction and medical errors. Few studies have investigated this problem among residents. This study aimed to determine the prevalence of burnout and its associated factors among family residents in Al Madina city, Saudi Arabia.
Materials and Methods: This cross-sectional study was conducted among 75 residents in the family medicine residency programs in Al Madina, Saudi Arabia. A self-administered questionnaire was used that includes questions on sociodemographic characteristics and sources of stress and burnout. T test, analysis of variance (ANOVA) test, and multiple linear regression analysis were employed.
Results: Majority were female (54.7%) and aged 26 to 30 years (84.0%). The significant predictors of burnout in the final model were "tests/examinations" (P = 0.014), "large amount of content to be learnt" (P = 0.016), "unfair assessment from superiors" (P = 0.001), "work demands affect personal/home life" (P = 0.001), and "lack of support from superiors" (P = 0.006).
Conclusion: Burnout is present among family medicine residents at a relatively high percentage. This situation is strongly triggered by work-related stressors, organizational attributes, and system-related attributes, but not socio-demographics of the respondents. Systemic changes to relieve the workload of family medicine residents are recommended to promote effective management of burnout.

Matched MeSH terms: Family Practice

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