Displaying publications 101 - 120 of 929 in total

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  1. Allotey P, Yasin S, Tang S, Chong SL, Cheah JC, Reidpath DD
    BMC Public Health, 2012;12 Suppl 1:S1.
    PMID: 22992275
    Matched MeSH terms: Health Services Accessibility
  2. SEA-ORCHID Study Group, Laopaiboon M, Lumbiganon P, McDonald SJ, Henderson-Smart DJ, Green S, et al.
    PLoS One, 2008 Jul 09;3(7):e2646.
    PMID: 18612381 DOI: 10.1371/journal.pone.0002646
    BACKGROUND: The burden of mortality and morbidity related to pregnancy and childbirth remains concentrated in developing countries. SEA-ORCHID (South East Asia Optimising Reproductive and Child Health In Developing countries) is evaluating whether a multifaceted intervention to strengthen capacity for research synthesis, evidence-based care and knowledge implementation improves adoption of best clinical practice recommendations leading to better health for mothers and babies. In this study we assessed current practices in perinatal health care in four South East Asian countries and determined whether they were aligned with best practice recommendations.

    METHODOLOGY/PRINCIPAL FINDINGS: We completed an audit of 9550 medical records of women and their 9665 infants at nine hospitals; two in each of Indonesia, Malaysia and The Philippines, and three in Thailand between January-December 2005. We compared actual clinical practices with best practice recommendations selected from the Cochrane Library and the World Health Organization Reproductive Health Library. Evidence-based components of the active management of the third stage of labour and appropriately treating eclampsia with magnesium sulphate were universally practiced in all hospitals. Appropriate antibiotic prophylaxis for caesarean section, a beneficial form of care, was practiced in less than 5% of cases in most hospitals. Use of the unnecessary practices of enema in labour ranged from 1% to 61% and rates of episiotomy for vaginal birth ranged from 31% to 95%. Other appropriate practices were commonly performed to varying degrees between countries and also between hospitals within the same country.

    CONCLUSIONS/SIGNIFICANCE: Whilst some perinatal health care practices audited were consistent with best available evidence, several were not. We conclude that recording of clinical practices should be an essential step to improve quality of care. Based on these findings, the SEA-ORCHID project team has been developing and implementing interventions aimed at increasing compliance with evidence-based clinical practice recommendations to improve perinatal practice in South East Asia.

    Matched MeSH terms: Child Health Services/standards*; Maternal Health Services/standards*
  3. Noh NA, Wahab HA, Bakar Ah SH, Islam MR
    Soc Work Public Health, 2016 Aug-Sep;31(5):419-30.
    PMID: 27177326 DOI: 10.1080/19371918.2015.1125321
    The objective of this study was to know the status of the foreign workers' access to public health services in Malaysia based on their utilization pattern. The utilization pattern covered a number of areas, such as frequency of using health services, status of using health services, choice and types of health institutions, and cost of health treatment. The study was conducted on six government hospitals in the Klang Valley area in Kuala Lumpur, Malaysia. Data were collected from 600 foreign patients working in the country, using an interview method with a structured questionnaire. The results showed that the foreign workers' access to public health services was very low. The findings would be an important guideline to formulate an effective health service policy for the foreign workers in Malaysia.
    Matched MeSH terms: Health Services/utilization*; Health Services Accessibility*
  4. Tseng WS, Ebata K, Kim KI, Krahl W, Kua EH, Lu Q, et al.
    Int J Soc Psychiatry, 2001;47(1):8-23.
    PMID: 11322408
    Remarkable improvements in economic conditions and a considerable upgrade in the quality of life have been observed in many parts of Asia during the past several decades. At the same time, many mental health challenges face the people of Asia. Various social mental health indexes are reviewed here, with available data from China, Japan, Korea, Singapore, Malaysia, and other Asian societies. The data are compared with data from the United States, Australia in the Pacific Rim, and some other Western countries to examine patterns of similarity or difference between East and West in the process of modernization. Common trends in mental health issues associated with rapid sociocultural change observed in different Asian societies are discussed, as well as the relative shortage of mental health personnel available in many Asian societies. It is emphasized that, in addition to expanding psychiatric services, there is an even more urgent need to promote mental health knowledge and concern through education in the general population. Mental health needs to be cultivated and maintained by social forces and cultural strengths. It is stressed that there is a challenge for Asian people to advance mental health beyond economic development in the 21st century.
    Matched MeSH terms: Mental Health Services/organization & administration*; Mental Health Services/standards; Mental Health Services/trends
  5. Jaafar N, Jalalluddin RL, Razak IA, Esa R
    Community Dent Oral Epidemiol, 1992 Jun;20(3):144-7.
    PMID: 1623706
    Although delays in seeking dental care among patients are frequently observed in daily practice, this problem has never been investigated in other utilization studies. This study attempts to establish the magnitude and severity of the problem of delay in a delivery system where cost is not a major barrier to utilization. 555 users of Government dental services were interviewed. Only 37% of them came promptly within 6 days of perceiving a dental need. The majority (63%) had delayed their dental visit for more than 1 week. In fact, the highest frequency of delay was for more than 1 month. Prompt attendance was found to be associated with people who regularly came for asymptomatic check-ups. In contrast, more than 50% of those who thought they needed fillings and extractions had delayed their visit for more than a month. The main causes of delays were attributed to work commitments and the lack of perceived need for urgent care. Barriers related to transport or financial problems were ranked very low. The implications of these findings are discussed.
    Matched MeSH terms: Dental Health Services/statistics & numerical data*; Health Services Needs and Demand/statistics & numerical data
  6. Gan CY, Yusof K
    PMID: 8266233
    A survey conducted to assess the extent which the urban poor in rapidly expanding Kuala Lumpur utilize maternal and child health services available to them. The sample consisted of 1,380 households with children below 6 years and yielded 1,233 children below 6 years of age. 74% of the children had been delivered in government hospitals and 86% of the pregnancies had antenatal care in governmental establishments. 89.2% had BCG immunization before they were 1 year old but 13.3% had not received DPT by that age. Immunization was mainly done in government clinics. The overall immunization coverage for the whole of Kuala Lumpur is expected to be higher than these figures limited to the urban poor. Health planners should increase health facilities in the city to accommodate the expanding population. There is a need to continually campaign for immunization to improve coverage among the urban poor.
    Matched MeSH terms: Child Health Services/utilization*; Maternal Health Services/utilization*
  7. Pau V
    PMID: 12319372
    Matched MeSH terms: Health Services Needs and Demand*; School Health Services*
  8. Zulkifli SN, Yun-Low W, Yusof K
    Asia Pac J Public Health, 1998;10(1):10-6.
    PMID: 10050201
    This paper assessed the role of public health schools on maternal and child health programmes in the Asia Pacific region. Economic development and its associated effects, particularly in the ASEAN countries, for example, migrant labour, ageing, environmental health, turbulence and social climate, has a tremendous impact on maternal and child health. Based on these current issues, it is evident that public health schools can play a major role in maternal and child health in terms of policy formulation and programme development. Several areas were proposed as to what schools of public health can do, namely, through networking, communication, research and training.
    Matched MeSH terms: Child Health Services/organization & administration*; Maternal Health Services/organization & administration*
  9. Karim R
    World Health Forum, 1998;19(4):365-8.
    PMID: 10050161
    The author reflects on 24 years of involvement in WHO activities, and their effect on her own life and on the maternal and child health services in Malaysia.
    Matched MeSH terms: Child Health Services/trends; Maternal Health Services/trends
  10. Razak IA, Ali MM
    Gerodontics, 1988 Oct;4(5):265-7.
    PMID: 3271724
    Matched MeSH terms: Health Services Needs and Demand*; Health Services Research*
  11. Abdul-Kadir R, Yassin AT
    J Nihon Univ Sch Dent, 1989 Dec;31(4):612-8.
    PMID: 2621482
    A survey of 303 six- to fifteen-year-old Proto-Malay children was carried out in Selangor, West Malaysia. The examinations were carried out using a chair-table and natural daylight. Periodontal status was assessed using the Community Periodontal Index of Treatment Needs (CPITN). The findings revealed a generally low prevalence of periodontal disease affecting only 25.08% of the sample examined. Of these, 15.72% were found to have a score of 1 (bleeding of the gingiva), while 9.36% had calculus on the tooth surface. In terms of treatment needs, 24.75% required dental health education. The relationship between these findings and the possible causes are discussed.
    Matched MeSH terms: Health Services Needs and Demand*; Health Services Research*
  12. Benster R, Stanton J
    Br J Hosp Med, 1989 Dec;42(6):488-90.
    PMID: 2611474
    Rosalind Benster and Judith Stanton went to Sarawak to study child health care. Their aim was to highlight areas of most need so that the tiny health budget could be channelled in the relevant directions. They found cultural and environmental differences to account for significant differences in the nutritional status of children from different tribes. They suggest remedies to this situation.
    Matched MeSH terms: Child Health Services/standards*; Health Services Research*
  13. Razak IA, Jaafar N
    Community Dent Oral Epidemiol, 1987 Aug;15(4):188-91.
    PMID: 3476240
    The dental needs, demands and patterns of service utilization were assessed in a randomly selected sample of 750 subjects attending the Dental Faculty, University of Malaya, Kuala Lumpur. Toothache accounted for the most frequent overall dental complaint. However, the most common motives for seeking dental care varied among children (2-12 yr), adolescents (13-18 yr) and adults (19 + yr). The attendance behavior of women is more preventively orientated and more inclined towards rehabilitation compared to that of men. The proportion of normative needs of the patients varies from 7.5% for dentures to 66% for dental caries. About 50% of service utilization for the first visit consisted primarily of extractions in the oral surgery department.
    Matched MeSH terms: Health Services Needs and Demand*; Health Services Research*
  14. Sreenevasan GA
    Med J Malaysia, 1985 Mar;40(1):1-2.
    PMID: 3831726
    Matched MeSH terms: Health Services Needs and Demand
  15. Heller PS
    Soc Sci Med, 1982;16(3):267-84.
    PMID: 7100978 DOI: 10.1016/0277-9536(82)90337-9
    This paper provides an empirical analysis of the determinants of the demand for medical services in Peninsular Malaysia. After elaborating a theoretical model of household demand for medical care in Section II an econometric model is specified and estimated in Sections III, IV, and V. The results indicate that total medical demand, as measured by the absolute volume of outpatient and inpatient consumption, is highly inelastic to the cash price and to the cost in time of utilization. Total medical demand is also inelastic with respect to income. Yet consumers are clearly responsive to the relative prices of alternative sources of medical care. Consumers are also sensitive to the way in which the time of utilization is spent, with high travel and treatment time causing reduced demand for services.
    Matched MeSH terms: Health Services Needs and Demand/economics*; Health Services Research/economics*
  16. Razak IA, Ali MM
    Ann Acad Med Singap, 1989 Sep;18(5):516-8.
    PMID: 2619242
    The present study analysed the records of 342 elderly subjects aged 55 years and above of different ethnic groups to ascertain the types and level of their unperceived dental needs. The overall percentage of unperceived needs was highest among the Malays (96.1% or 74/77 subjects) and among the men (88.5% or 139/157 subjects). The unperceived need for prosthetic treatment was highest among the Malays and Chinese as well as among women, whereas the unperceived need for treatment for periodontal disease was highest among the Indians. The data for unperceived needs for prosthetic treatment as well as for treatment for caries and periodontal disease were somewhat similar among men. Within each ethnic group, variations among sex in the unperceived needs for the various dental symptoms were also noticeable. Further research is indicated to ascertain the role of traditional and cultural concepts and dogmas in determining the importance attached to the various dental health symptoms within each ethnic group.
    Matched MeSH terms: Health Services Needs and Demand*; Health Services Research*
  17. Soc Mark Forum, 1984;1(4):1,5.
    PMID: 12266328
    Matched MeSH terms: Health Services Accessibility*; Marketing of Health Services*
  18. Chen PCY
    Int J Soc Psychiatry, 1979;25(3):167-75.
    PMID: 500287 DOI: 10.1177/002076407902500302
    The permainan puteri (usually abbreviated to main puteri) is an indigenous Kelantanese healing ceremony in which the bomoh (traditional medicine-man), the sick individual and other participants become spirit-medium through whom puteri (spirits) are able to enact a permainan ('play'). It has been successfully used as a psychotherapy for depression. The bomoh assisted by his minduk (master of spirits) and a troupe of musicians, is able to provide a conceptual framework around which the sick individual can organize his vague, mysterious and chaotic symptoms so that they become comprehensible and orderly. At the same time the bomoh is able to draw the sick individual out of his state of morbid self-absorption and heighten his feelings of self-worth. The involvement of his family, relatives and friends tends to enhance group solidarity and reintegrate the sick individual into his immediate social group.
    Matched MeSH terms: Health Services*; Health Services, Indigenous*
  19. Mohd Nazir Mohd Nazori, Rohani Ismail, Nur Syahmina Rasudin
    MyJurnal
    Introduction: Vaccine hesitancy is “to delay in acceptance or refusal of vaccination despite availability of vacci-nation services. Vaccine hesitancy is complex and context specific, varying across time, place and vaccines...”. National vaccination data showed presence of hesitancy and the potential for others to develop hesitancy. An over-view of vaccine hesitancy is needed to organise our understanding and to focus our efforts in health promotion. The objectives of this review were to (1) describe the scope of vaccine hesitancy involving target population, theoretical developments and practical implications and (2) to identify potential research avenues for health promotion in Ma-laysia. Methods: Scoping review methodology was used. Search strategy utilised keywords for publications from the year 2000 onwards with a focus on local parental vaccine hesitancy. Literature review focused on global theoretical development and analysis were done on local empirical findings. Results: Theoretical developments have led to the Vaccine Hesitancy Determinant Matrix (VHDM) describing factors within three themes: “vaccine/vaccination-specif-ic issues”, “individual or group influence” and “contextual influence”. Parents can be classified into ‘unquestioning acceptor’, ‘cautious acceptor’, ‘hesitant’, ‘late or selective vaccinator’ and the ‘refuser’ of all vaccines. Globally, various mode of interventions has been explored. However, there was a disproportionate focus on knowledge, at-titude and practice research among local parents. There were only two local interventional studies that have been published. Conclusion: There is a dearth of interventional studies locally. Each of the parental groups outlined needs a tailored approach to combat vaccine hesitancy. Global interventional research showed a multitude of approaches towards educational intervention that local researchers should capitalise on developing strategies, techniques and modules for the local population.
    Matched MeSH terms: Health Services Needs and Demand
  20. Khairur Rijal Jamaludin, Nolia Harudin, Faizir Ramlie, Mohd Nabil Muhtazaruddin, Che Munira Che Razali, Wan Zuki Azman Wan Muhamad
    MATEMATIKA, 2020;36(1):69-84.
    MyJurnal
    Prediction analysis has drawn significant interest in numerous field. Taguchi’s T-Method is a prediction tool that developed practically but not limited to small sample analysis. It was developed explicitly for multidimensional system prediction by relying on historical data as the baseline model and adapting the signal to noise ratio (SNR) as well as zero proportional concepts in strengthening its robustness. Orthogonal array (OA) in T-Method is a variable selection optimization technique in improving the prediction accuracy as well as help in eliminating variables that may deteriorate the overall performance. However, the limitation of OA in dealing with higher multidimensionality restraint the optimization accuracy. Binary particle swarm optimization used in this study helps to cater to the limitation of OA as well as optimizing the variable selection process to better prediction accuracy. The results show that if the historical data consist of samples with higher correlation of determination (R2) value for the model creation, the optimization process in reducing the number of variables would be much reliable and accurate. Comparing between T-Method+OA and T-Method+BPSO in four different case study, it shows that T-Method+BPSO performing better with greater R2 and means relative error (MRE) value compared to T-Method+OA.
    Matched MeSH terms: Health Services
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