Displaying publications 161 - 180 of 594 in total

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  1. The Aging of a Young Nation: Population Aging in Singapore
    Malhotra R, Bautista MAC, Müller AM, Aw S, Koh GCH, Theng YL, et al.
    Gerontologist, 2019 05 17;59(3):401-410.
    PMID: 30517628 DOI: 10.1093/geront/gny160
    The juxtaposition of a young city-state showing relative maturity as a rapidly aging society suffuses the population aging narrative in Singapore and places the "little red dot" on the spotlight of international aging. We first describe population aging in Singapore, including the characteristic events that shaped this demographic transition. We then detail the health care and socioeconomic ramifications of the rapid and significant shift to an aging society, followed by an overview of the main aging research areas in Singapore, including selected population-based data sets and the main thrust of leading aging research centers/institutes. After presenting established aging policies and programs, we also discuss current and emerging policy issues surrounding population aging in Singapore. We aim to contribute to the international aging literature by describing Singapore's position and extensive experience in managing the challenges and maximizing the potential of an aging population. We hope that similar graying populations in the region will find the material as a rich source of information and learning opportunities. Ultimately, we aspire to encourage transformative collaborations-locally, regionally, and internationally-and provide valuable insights for policy and practice.
    Matched MeSH terms: Delivery of Health Care/economics; Delivery of Health Care/statistics & numerical data
  2. Islamic medical jurisprudence syllabus: A Review in Saudi Arabia
    Chamsi-Pasha H, Albar MA
    Med J Malaysia, 2017 10;72(5):278-281.
    PMID: 29197882
    INTRODUCTION: The ever-increasing technological advances of Western medicine have created new ethical issues awaiting answers and response. The use of genetic therapy, organ transplant, milk-banking, end-of-life care and euthanasia are of paramount importance to the medical students and need to be addressed.

    METHODS: A series of searches were conducted of Medline databases published in English between January 2000 and January 2017 with the following keywords: medical ethics, syllabus, Islam, jurisprudence.

    RESULTS: Islamic medical jurisprudence is gaining more attention in some medical schools. However, there is still lack of an organised syllabus in many medical colleges.

    CONCLUSION: The outlines of a syllabus in Islamic medical jurisprudence including Islamic values and moral principles related to both the practice and research of medicine are explored.

    Matched MeSH terms: Delivery of Health Care/legislation & jurisprudence*; Delivery of Health Care/ethics
  3. Fulltext Knowledge of Good Blood Culture Sampling Practice among Healthcare Staffs in An Emergency Department - Are We Getting It Right?
    Chew KS, Mohd Hashairi F, Jusoh AF, Aziz AA, Nik Hisamuddin NAR, Siti Asma H
    Med J Malaysia, 2013 Aug;68(4):323-5.
    PMID: 24145260 MyJurnal
    Although a vital test, blood culture is often plagued with the problem of contamination and false results, especially in a chaotic emergency department setting. The objectives of this pilot study is to find out the level of understanding among healthcare staffs in emergency department, Hospital Universiti Sains Malaysia (HUSM) regarding good blood culture sampling practice.
    Matched MeSH terms: Delivery of Health Care
  4. Fulltext A study of weekend and off-hour effect on mortality in a public hospital in Malaysia
    Lee KG, Indralingam V
    Med J Malaysia, 2012 Oct;67(5):478-82.
    PMID: 23770862 MyJurnal
    INTRODUCTION: Several studies have found higher in-hospital mortality for admissions during weekend or off hours, known as "weekend or off-hour effect". However, data for this on Malaysian populations is limited. This study was conducted to analyze the 3-year mortality trend in a secondary hospital and its relation to time and date of admission.

    METHODS: The clinical data of 126,627 patients admitted to Taiping Hospital from 1st January 2008 to 31st December 2010 obtained via patient registry database of hospital was analyzed. This study compared mortality during weekdays with weekends, office hours (0800-1700) with off hours (1701-0759), and subanalysis of office hours with evening (1701-2259) or night hours (2300-0759), adjusted for age and gender.

    RESULTS: Although the overall staff-to-patient ratio is improving, analyses showed a statistically significant increased risk of mortality for those patients admitted during weekends (OR = 1.22; 95% confidence interval [CI] = 1.14-1.31) or off hours in a weekday (OR = 1.67; 95% CI = 1.57-1.78). In the comparison between time of admission, there was statistically significant increased risk of mortality for admissions during evening hours (OR = 1.44; 95% CI = 1.28-1.62) and night hours (OR = 1.92; 95% CI = 1.71-2.16). Diseases of cardiovascular and respiratory system remained the top two causes of death over the three years.

    CONCLUSION: The risk of mortality is significantly higher as a result of "weekend or off-hour effect". Recognition and intervention addressing these issues will have important implications for the healthcare system setting, hospital staffing and training, quality and timeliness of medical care delivery.
    Matched MeSH terms: Delivery of Health Care
  5. Generic medicines in the Malaysian health care system: Opportunities and challenges
    Wong ZY, Alrasheedy AA, Hassali MA, Saleem F
    Res Social Adm Pharm, 2016 04 20;12(5):807-10.
    PMID: 27157864 DOI: 10.1016/j.sapharm.2016.04.002
    Matched MeSH terms: Delivery of Health Care/economics; Delivery of Health Care/legislation & jurisprudence; Delivery of Health Care/organization & administration*
  6. Healthcare financing in Malaysia
    Kananatu K
    Asia Pac J Public Health, 2002;14(1):23-8.
    PMID: 12597514
    This paper presents an overview of the Malaysian healthcare system and its method of financing. The development of the healthcare delivery system in Malaysia is commendable. However, the strength and weaknesses of the public healthcare system and the financing problems encountered are also discussed. Cost of healthcare and funding of both the public and private sectors were also revealed. One must optimise the advantages of operating a health financing scheme which is affordable and controllable which contribute towards cost-containment and quality assurance. Thus, there is a need for the establishment of a National Healthcare Financing, a mechanism to sustain the healthcare delivery network and operate it as a viable option. A model of the National Health Financing Scheme (NHFS) was proposed.
    Matched MeSH terms: Delivery of Health Care/economics*; Delivery of Health Care/organization & administration; Delivery of Health Care/standards
  7. [Will we learn from Southeast Asia? Enormous wage differences, censorship, strike prohibition, long waiting lists for health care...]
    Olsson A
    Vardfacket, 1997 May 20;21(5):22-7.
    PMID: 9516800
    Matched MeSH terms: Delivery of Health Care
  8. Report on the activity of child neurology in Malaysia
    Thambyayah M
    Brain Dev, 1996 11 1;18(6):485-6.
    PMID: 8980848
    Matched MeSH terms: Delivery of Health Care
  9. Fulltext The impact of COVID-19 pandemic on the diagnosis and management of inborn errors of metabolism: A global perspective
    Elmonem MA, Belanger-Quintana A, Bordugo A, Boruah R, Cortès-Saladelafont E, Endrakanti M, et al.
    Mol Genet Metab, 2020 11;131(3):285-288.
    PMID: 33004274 DOI: 10.1016/j.ymgme.2020.09.004
    Quantitative estimates for the global impact of COVID-19 on the diagnosis and management of patients with inborn errors of metabolism (IEM) are lacking. We collected relevant data from 16 specialized medical centers treating IEM patients in Europe, Asia and Africa. The median decline of reported IEM related services in March 1st-May 31st 2020 compared to the same period in 2019 were as high as 60-80% with a profound impact on patient management and care for this vulnerable patient group. More representative data along with outcome data and guidelines for managing IEM disorders under such extraordinary circumstances are needed.
    Matched MeSH terms: Delivery of Health Care/methods; Delivery of Health Care/trends; Delivery of Health Care/statistics & numerical data*
  10. Using tracers to link health services to training through evaluation
    Bandaranayake RC, Singh PJ
    Med Educ, 1993 Nov;27(6):509-17.
    PMID: 8208159
    The tracer concept was applied to evaluate the delivery of family health care and the training of family health workers. A retrospective evaluation permitted linking the products of care to process, input and context, by isolating and analysing potential factors contributing to a limited number of representative concerns. Contributory learning deficiencies identified in health workers, one input to health care as well as a product of training, enabled the evaluation of training programmes to be focused on related segments of the courses. The latter were evaluated through a pathway analysis which followed the same deficiency model as the evaluation of health care. Links were thus established between the traditionally compartmentalized training and service sectors in health.
    Matched MeSH terms: Delivery of Health Care
  11. Fulltext Mobile GIS applications for people with disabilities healthcare services
    Abdul Rauf Abdul Rasam, Abdul Rauf Abdul Rasam, Azri Haziq Azlin, Noraqila Aiman Abu, Ahmad Norhisyam Idris, Nurmilah Romeyu
    Jurnal Inovasi Malaysia, 2020;3(2):87-99.
    MyJurnal
    Disability is termed as both evolving concept and manifestation of interaction between persons with disabilities (PWDs) and physical and environmental barriers that holds them back from contributing actively in a society. People who fall in this category will find themselves trapped in a such vulnerable condition as they may not be able to cope with their daily problems without high surveillance from their guardian. Development of a mobile apps and web GIS-based healthcare system in Ampang is proposed in this study as this application has a bright potential to assist PWDs in terms of accessibilities to reach healthcare centres. The main objectives of this paper are i) to study the needs assessment on the proposed system, ii) to develop a mobile and web GIS-based healthcare information system and iii) to evaluate the performance of the proposed system. Selected respondents agreed on the development of the prototype system, namely the mobile apps and web system. The system was created with main menus such as doctor home visits, ambulance and medication delivery. Medical support team can also perform analyses in the system for PWD needs such as shortest path analysis, buffering and view of the main menus.
    Matched MeSH terms: Delivery of Health Care
  12. Fulltext Implementing uberization in malaysian healthcare services
    Rajesh Kumar Muniandy, Merly Grace Lansing
    Borneo Journal of Medical Sciences, 2020;14(2):53-57.
    MyJurnal
    Getting appropriate healthcare is a challenge to the citizens in Malaysia due to the limited facilities, healthcare providers, and cost of healthcare. Uberization of healthcare will help fill this gap. Uberization helps modify the market or economic model with the introduction of a cheaper and more effective alternative service by introducing a different way of buying or using it, with the use of mobile technology. With powerful artificial intelligence engines operating on cloud servers, mobile apps can provide a better healthcare experience for patients. With uberization application, the patient need not come to the hospital to see a doctor before a treatment can be planned. Once a request is made by the patient, the healthcare providers can come to see the patient at an agreed place. This article aims to explore the possible uberization of healthcare in Malaysia.
    Matched MeSH terms: Delivery of Health Care
  13. Fulltext Regulating advance decision-making: potential and challenges for Malaysia
    Chan HY
    Asian Bioeth Rev, 2019 Mar;11(1):111-122.
    PMID: 33717304 DOI: 10.1007/s41649-019-00078-2
    The right to refuse treatment is generally accepted in the legal and bioethics discourses; however, the use of advance directives remains contentious. Some jurisdictions have introduced statutory frameworks to govern the creation and implementation of advance directives, underpinned primarily by the recognition of respect for personal autonomy. Although there are no legislation and judicial decisions on advance decision-making in Malaysia, the considered view is that healthcare practitioners perceived its utility in managing patient care. This paper examines the potential and challenges of applying a statutory framework in Malaysia, drawing from relevant regulatory examples. It argues for greater public awareness within the healthcare discourse and knowledge dissemination regarding the availability, usage and clinical guidance on advance decision-making. The main conclusion drawn from this exploratory analysis is that further understanding of and education about advance decision-making within the population and healthcare practitioners should precede the implementation of a statutory regime in Malaysia.
    Matched MeSH terms: Delivery of Health Care
  14. Fulltext Nanotechnology and its use in imaging and drug delivery (Review)
    Sim S, Wong NK
    Biomed Rep, 2021 May;14(5):42.
    PMID: 33728048 DOI: 10.3892/br.2021.1418
    Nanotechnology is the exploitation of the unique properties of materials at the nanoscale. Nanotechnology has gained popularity in several industries, as it offers better built and smarter products. The application of nanotechnology in medicine and healthcare is referred to as nanomedicine, and it has been used to combat some of the most common diseases, including cardiovascular diseases and cancer. The present review provides an overview of the recent advances of nanotechnology in the aspects of imaging and drug delivery.
    Matched MeSH terms: Delivery of Health Care
  15. Fulltext Exploring challenges faced by parents of children with tuberculosis in Klang and Petaling districts of Selangor state, Malaysia: A qualitative study
    S Maria Awaluddin, Nurhuda Ismail, Siti Munira Yasin, Yuslina Zakaria, Norzila Mohamed Zainudin, Faridah Kusnin, et al.
    Journal of Clinical and Health Sciences, 2020;5(2):46-56.
    MyJurnal
    Introduction: Parents play an essential role in their children’s tuberculosis (TB) treatment
    success despite many challenges from the beginning of their children’s symptoms until
    completion of the TB treatment. The challenges can be described as perceived barriers,
    according to the Health Belief Model, a theory of behaviour change. This study aims to explore
    parents’ experiences on the challenges in achieving a successful TB treatment for their child
    in two districts of Selangor state, Malaysia. Methods: The research was carried out using a
    phenomenology study design. In-depth interviews were conducted among purposively
    sampled parents of children with TB disease who have completed TB treatment or still
    undergoing treatment from MyTB version 2.1, a national TB surveillance database. The
    collected data was considered as achieving its saturation level if no new themes arise from
    the latest interviews’ session. The R-based Qualitative Data Analysis (RQDA) package
    version 0.2-8 was used for the thematic data analysis. Results: The total number of
    participants in this study was 15 mothers of children with TB disease; 12 (80%) of the children
    had completed TB treatment. There were six subthemes identified from this study focusing on
    the theme of multiple challenges, such as health symptoms challenges, TB investigation
    challenges, personal challenges, healthcare facilities challenges, administration medication
    challenges, and community challenges. Conclusions: Parents highlighted many challenges
    during the child’s illness phase, and they should be given adequate education and appropriate
    support to ensure TB treatment adherence. TB program managers should take action
    following the relevant parents’ feedback regarding the quality of TB care in a healthcare
    facility
    Matched MeSH terms: Delivery of Health Care
  16. Fulltext Interventions to reduce HIV-related stigma in the healthcare settings: a scoping systematic review
    Natalia Che Ishak, Hayati Kadir Shahar, Rosliza Abdul Manaf
    Malaysian Journal of Medicine and Health Sciences, 2020;16(1):284-290.
    MyJurnal
    HIV-related stigma will discourage the efforts in preventing new infections and engaging people to receive treatment, care and support programmes. Identifying the valuable interventions programmes to reduce HIV-related stigma in a healthcare setting is vital in order to deliver the best health services. A scoping systematic review was conducted. Articles were searched based on Pubmed and ScienceDirect search engines. The key words used were HIV stigma, intervention and healthcare. Published English articles in the past ten years involving HIV stigma intervention studies, and studies that involved healthcare workers in a healthcare setting were included. Reviewed articles, systematic review and meta-analysis articles were excluded. Primary screening of titles and abstract of 85 articles were done. Secondary screening of 19 articles resulted in 8 articles, included in this manuscript. Most of the reviewed articles showed, application of the Integrated Theoretical Model in the intervention programme as a guide and utilising combined intervention components are effective tools in delivering the intervention programme. The stigma reduc- tion-intervention programme should focus on the intervention components as a whole including training of HCW, role plays, group discussions, games, sharing of information and contacts with PLHIV as well presentations and lec- tures. An integrative model of behavioural prophecy is perceived and it is particularly essential for interventions that focus on creating and fortifying the aim in conducting the chosen behaviour.
    Matched MeSH terms: Delivery of Health Care
  17. Fulltext Online Learning Approach for Predictive Real-Time Energy Trading in Cloud-RANs
    Wan Ariffin WNSF, Zhang X, Nakhai MR, Rahim HA, Ahmad RB
    Sensors (Basel), 2021 Mar 25;21(7).
    PMID: 33806215 DOI: 10.3390/s21072308
    Constantly changing electricity demand has made variability and uncertainty inherent characteristics of both electric generation and cellular communication systems. This paper develops an online learning algorithm as a prescheduling mechanism to manage the variability and uncertainty to maintain cost-aware and reliable operation in cloud radio access networks (Cloud-RANs). The proposed algorithm employs a combinatorial multi-armed bandit model and minimizes the long-term energy cost at remote radio heads. The algorithm preschedules a set of cost-efficient energy packages to be purchased from an ancillary energy market for the future time slots by learning both from cooperative energy trading at previous time slots and by exploring new energy scheduling strategies at the current time slot. The simulation results confirm a significant performance gain of the proposed scheme in controlling the available power budgets and minimizing the overall energy cost compared with recently proposed approaches for real-time energy resources and energy trading in Cloud-RANs.
    Matched MeSH terms: Delivery of Health Care
  18. Fulltext COVID-19 outbreak and sectoral performance of the Australian stock market: An event study analysis
    Alam MM, Wei H, Wahid ANM
    Aust Econ Pap, 2020 Nov 27.
    PMID: 33349733 DOI: 10.1111/1467-8454.12215
    The outbreak of COVID-19 has weakened the economy of Australia and its capital market since early 2020. The overall stock market has declined. However, some sectors become highly vulnerable while others continue to perform well even in the crisis period. Given this new reality, we seek to investigate the initial volatility and the sectoral return. In this study, we analyse data for eight sectors such as, transportation, pharmaceuticals, healthcare, energy, food, real estate, telecommunications and technology of the Australian stock market. In doing so, we obtain data from Australian Securities Exchange (ASX) and analysed them based on 'Event Study' method. Here, we use the 10-days window for the event of official announcement of the COVID-19 outbreak in Australia on 27 February 2020. The findings of the study show that on the day of announcement, the indices for food, pharmaceuticals and healthcare exhibit impressive positive returns. Following the announcement, the telecommunications, pharmaceuticals and healthcare sectors exhibit good performance, while poor performance is demonstrated by the transportation industry. The findings are vital for investors, market participants, companies, private and public policymakers and governments to develop recovery action plans for vulnerable sectors and enable investors to regain their confidence to make better investment decisions.
    Matched MeSH terms: Delivery of Health Care
  19. Health care development: integrating transaction cost theory with social support theory
    Hajli MN, Shanmugam M, Hajli A, Khani AH, Wang Y
    Inform Health Soc Care, 2015 Dec;40(4):334-344.
    PMID: 25068990 DOI: 10.3109/17538157.2014.924950
    The emergence of Web 2.0 technologies has already been influential in many industries, and Web 2.0 applications are now beginning to have an impact on health care. These new technologies offer a promising approach for shaping the future of modern health care, with the potential for opening up new opportunities for the health care industry as it struggles to deal with challenges including the need to cut costs, the increasing demand for health services and the increasing cost of medical technology. Social media such as social networking sites are attracting more individuals to online health communities, contributing to an increase in the productivity of modern health care and reducing transaction costs. This study therefore examines the potential effect of social technologies, particularly social media, on health care development by adopting a social support/transaction cost perspective. Viewed through the lens of Information Systems, social support and transaction cost theories indicate that social media, particularly online health communities, positively support health care development. The results show that individuals join online health communities to share and receive social support, and these social interactions provide both informational and emotional support.
    Matched MeSH terms: Delivery of Health Care
  20. Fulltext AI inspired EEG-based spatial feature selection method using multivariate empirical mode decomposition for emotion classification
    Asghar MA, Khan MJ, Rizwan M, Shorfuzzaman M, Mehmood RM
    Multimed Syst, 2021 Apr 21.
    PMID: 33897112 DOI: 10.1007/s00530-021-00782-w
    Classification of human emotions based on electroencephalography (EEG) is a very popular topic nowadays in the provision of human health care and well-being. Fast and effective emotion recognition can play an important role in understanding a patient's emotions and in monitoring stress levels in real-time. Due to the noisy and non-linear nature of the EEG signal, it is still difficult to understand emotions and can generate large feature vectors. In this article, we have proposed an efficient spatial feature extraction and feature selection method with a short processing time. The raw EEG signal is first divided into a smaller set of eigenmode functions called (IMF) using the empirical model-based decomposition proposed in our work, known as intensive multivariate empirical mode decomposition (iMEMD). The Spatio-temporal analysis is performed with Complex Continuous Wavelet Transform (CCWT) to collect all the information in the time and frequency domains. The multiple model extraction method uses three deep neural networks (DNNs) to extract features and dissect them together to have a combined feature vector. To overcome the computational curse, we propose a method of differential entropy and mutual information, which further reduces feature size by selecting high-quality features and pooling the k-means results to produce less dimensional qualitative feature vectors. The system seems complex, but once the network is trained with this model, real-time application testing and validation with good classification performance is fast. The proposed method for selecting attributes for benchmarking is validated with two publicly available data sets, SEED, and DEAP. This method is less expensive to calculate than more modern sentiment recognition methods, provides real-time sentiment analysis, and offers good classification accuracy.
    Matched MeSH terms: Delivery of Health Care
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