Familial hypercholesterolaemia in primary care: Awareness, knowledge and practices among primary care doctors in Malaysia

2016 ◽  
Vol 252 ◽  
pp. e41 ◽  
Author(s):  
A.S. Ramli ◽  
N.A. Mohd Mokhsin ◽  
S. Abdul Razak ◽  
M. Md Yasin ◽  
Z. Ismail ◽  
...  
Keyword(s):  
Primary Care ◽  
Familial Hypercholesterolaemia ◽  
Primary Care Doctors

Knowledge, awareness and practice preferences regarding familial hypercholesterolaemia among primary care doctors in Malaysia

2018 ◽  
Vol 275 ◽  
pp. e177
Author(s):  
A.B. AzraiI ◽  
A.S. Ramli ◽  
Z. Ismail ◽  
S. Abdul-razak ◽  
A. Mohd-kasim ◽  
...  
Keyword(s):  
Primary Care ◽  
Familial Hypercholesterolaemia ◽  
Primary Care Doctors

scholarly journals Geospatial analysis of emergency services use for public health assessment and intervention

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Cassourret
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Unemployment Rate ◽  
Emergency Services ◽  
Health Interventions ◽  
Healthcare Provision ◽  
Socioeconomic Determinants ◽  
Primary Care Doctors ◽  
Use Of Emergency Services ◽  
Neighborhood Level

Abstract The population is increasingly using emergency care services around the world. The underlying interrogation is whether this increase is a consequence from a dysfunction in healthcare provision, from a deterioration in the health status of the population or from socioeconomic determinants. We performed geospatial analyses with 3-year 1,081,026 Emergency Medical Services (EMS) responses in Paris and its suburbs. Incidence of calls per population and complaints were compared, at the neighborhood level, with demographic and socioeconomic determinants. Associations with characteristics of the health system such as the density of primary care doctors were also studied. Spatial autocorrelations were searched with Moran's I analyses. We found a positive correlation between the incidence of EMS calls by population for respiratory problems, and the level of poverty as well as the unemployment rate (p < 0.001). There was no significant correlation between psychiatric complaints and socioeconomic determinants. There was a strong correlation between calls for birth or imminent birth by woman of childbearing age and the unemployment rate among women, the unemployment rate overall and household median household income (p < 0.001). There was no correlation between the density of primary care providers and EMS activity by population. EMS data allowed us to powerfully identify specific socioeconomic determinants of health for a 7 million-inhabitant population at the district level. Results could be used to design and implement tailored public health interventions for maximum impact. The overuse of emergency services does not seem to stem solely from the decrease in the supply of primary care doctors. Innovatively, monitoring the actual use of emergency services could responsively inform policy makers and agencies responsible for prevention and health promotion about the specific needs of the population and the consequences of decisions on the organization of the provision of care. Key messages The use of emergency services is a valid metric to evaluate the health status of the population and identify socioeconomic determinants. It gives specific guidelines for public health interventions. Geospatial analyses can efficiently identify the specific needs of a population at the neighborhood level. It can participate to the evaluation of the organization of healthcare provision.

scholarly journals Validity and reliability of an adapted questionnaire measuring knowledge, awareness and practice regarding familial hypercholesterolaemia among primary care physicians in Malaysia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmad Baihaqi Azraii ◽  
Anis Safura Ramli ◽  
Zaliha Ismail ◽  
Suraya Abdul-Razak ◽  
Siti Fatimah Badlishah-Sham ◽  
...  
Keyword(s):  
Primary Care ◽  
Work Experience ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Familial Hypercholesterolaemia ◽  
Kappa Statistics ◽  
Content Validation ◽  
Validity And Reliability ◽  
Postgraduate Qualification ◽  
The Mean

Abstract Background Primary care physicians (PCP) play an important role in detecting Familial Hypercholesterolaemia (FH) early. However, knowledge, awareness and practice (KAP) regarding FH among Malaysian PCP are not well established, and there was no validated tool to assess their FH KAP. Thus, the aim of this study was to adapt an FH KAP questionnaire and determine its validity and reliability among Malaysian PCP. Methods This cross-sectional validation study involved Malaysian PCP with ≥ 1-year work experience in the primary care settings. In Phase 1, the original 19-item FH KAP questionnaire underwent content validation and adaptation by 7 experts. The questionnaire was then converted into an online survey instrument and was face validated by 10 PCP. In Phase 2, the adapted questionnaire was disseminated through e-mail to 1500 PCP. Data were collected on their KAP, demography, qualification and work experience. The construct validity was tested using known-groups validation method. The hypothesis was PCP holding postgraduate qualification (PCP-PG-Qual) would have better FH KAP compared with PCP without postgraduate qualification (PCP-noPG-Qual). Internal consistency reliability was calculated using Kuder Richardson formula-20 (KR-20) and test–retest reliability was tested on 26 PCP using kappa statistics. Results During content validation and adaptation, 10 items remained unchanged, 8 items were modified, 1 item was moved to demography and 7 items were added. The adapted questionnaire consisted of 25 items (11 knowledge, 5 awareness and 9 practice items). A total of 130 out of 1500 PCP (response rate: 8.7%) completed the questionnaire. The mean percentage knowledge score was found to be significantly higher in PCP-PG-Qual compared with PCP-noPG-Qual (53.5, SD ± 13.9 vs. 35.9, SD ± 11.79), t(128) = 6.90, p < 0.001. The median percentage awareness score was found to be significantly higher in PCP-PG-Qual compared with PCP-noPG-Qual (15.4, IqR ± 23.08 vs. 7.7, IqR ± 15.38), p = 0.030. The mean percentage practice score was significantly higher in PCP-PG-Qual compared with PCP-noPG-Qual (69.2, SD ± 17.62 vs. 54.4, SD ± 19.28), t(128) = 3.79, p < 0.001. KR-20 value was 0.79 (moderate reliability) and average Kappa was 0.796 (substantial agreement). Conclusion This study has proven that the 25-item adapted FH KAP questionnaire is valid and reliable. It can be used to measure and establish FH KAP among PCP in Malaysia.

How Should Primary Care Doctors Select Which Antidepressants to Administer?

2012 ◽  
Vol 14 (4) ◽  
pp. 360-369 ◽  
Author(s):  
Gerald Gartlehner ◽  
Kylie Thaler ◽  
Seth Hill ◽  
Richard A. Hansen
Keyword(s):  
Primary Care ◽  
Primary Care Doctors

Colic Is Pain

PEDIATRICS ◽  
1996 ◽  
Vol 97 (4) ◽  
pp. 601-602
Author(s):  
William B. Rogers
Keyword(s):  
Primary Care ◽  
Behavioral Management ◽  
Primary Care Doctors

In August 1993 and again in September 1994 Pediatrics featured articles on colic.1,2 Like most articles on this subject the only treatments discussed were behavioral management, distraction techniques, and reassurance.1-3 Primary care doctors are never told what to do when we get a call at 1 AM and are asked, "Doctor, my baby has been crying now for 2 hours and I can't get him to stop! What can I do?" I will not believe that colicky crying is due to some vague disturbed parent-infant relationship that needs only counseling and reassurance.1-6

Sign in / Sign up

Export Citation Format

Share Document