scholarly journals Protocol for a cross-sectional study measuring person-centredness among healthcare providers in Malaysian primary care clinics: the adaptation and validation of the Person-Centred Practice Inventory-Staff (PCPI-S) Questionnaire

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e034128 ◽  
Author(s):  
Nur Zahirah Balqis-Ali ◽  
Pui San Saw ◽  
Anis Syakira Jailani ◽  
Tze Wei Yeoh ◽  
Weng Hong Fun ◽  
...  
Keyword(s):  
Primary Care ◽  
Cultural Context ◽  
Healthcare Providers ◽  
Internal Validity ◽  
Cross Sectional Study ◽  
Ethics Committee ◽  
Expert Committee ◽  
Cross Sectional ◽  
Primary Care Clinics ◽  
Human Research Ethics

IntroductionPerson-centred care (PCC) has become a global movement in healthcare. Despite this, the level of PCC is not routinely assessed in clinical practice. This protocol describes the adaptation and validation of the Person-Centred Practice Inventory-Staff (PCPI-S) tool that will be used to assess person-centred practices of primary healthcare providers in Malaysia.Methods and analysisTo ensure conceptual and item equivalence, the original version of the PCPI-S will be reviewed and adapted for cultural context by an expert committee. The instrument will subsequently be translated into Malay language using the forward-backward translation method by two independent bilingual speaking individuals. This will be pretested in four primary care clinics and refined accordingly. The instrument will be assessed for its psychometric properties, such as test-retest reliability, construct and internal validity, using exploratory and confirmatory factor analysis.Ethics and disseminationStudy findings will be disseminated to healthcare professionals and academicians in the field through publication in peer-reviewed journals and conference presentations, as well as at managerial clinic sites for practice improvement. The study was approved by the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia (KKM/NIHSEC/ P18-766 (14) and Monash University Human Research Ethics Committee (2018-14363-19627).

scholarly journals Knowledge and perception of treatment among tuberculosis patients attending primary care clinics in Malaysia

2021 ◽  
Vol 15 (08) ◽  
pp. 1205-1211
Author(s):  
Nesamalar Balakrishnan ◽  
Ezura Madiana Md Monoto ◽  
Noorlaili Mohd Tohit ◽  
Asrul Abdul Wahab
Keyword(s):  
Primary Care ◽  
Health Education ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Cross Sectional ◽  
Negative Perception ◽  
Tuberculosis Patients ◽  
Primary Care Clinics ◽  
Recommended Treatment ◽  
The Mean

Introduction: Tuberculosis is a disease of public health concern. It can be treated effectively with good knowledge about the disease and complete adherence to the recommended treatment regime. This study is intended to assess the level of knowledge and perception of treatment among tuberculosis patients attending primary care clinics. Methodology: We conducted a cross-sectional study using a validated self-administered questionnaire among tuberculosis patients attending primary care clinics in Johor Bahru district. A total of 208 tuberculosis patients were enrolled in this study through convenience sampling. We assessed the general knowledge, transmission, causes, and prevention of tuberculosis, where higher scores indicated better knowledge. For the perception of treatment, a higher mean score indicated a more negative perception. Results: The mean score for knowledge on tuberculosis was 54.33 ± 12.78, ranging from 25 to 88.9%. The mean score for perception was 2.75±0.52, ranging from 2.15-3.39. We found that although 88.9% of respondents knew a person could be infected with TB through inhalation of tuberculosis bacilli, a majority believed that smoking (68.2%), sharing food (69.2%), and eating from the same plate (66.8%) are causes of tuberculosis. Moreover, there was still a negative perception regarding the treatment of tuberculosis with the highest mean score for the statement ‘I am afraid if I am told I am tuberculosis positive’. Conclusions: We found that there were gaps in knowledge among tuberculosis patients. Intermittent counseling during the treatment re-enforces the knowledge of tuberculosis. An updated standardized counseling sheet of tuberculosis Health Education should be included along with staff training to update their knowledge as part of their important role in health education in tuberculosis prevention.

scholarly journals Medical errors in primary care clinics – a cross sectional study

2012 ◽  
Vol 13 (1) ◽  
Author(s):  
Ee Ming Khoo ◽  
Wai Khew Lee ◽  
Sondi Sararaks ◽  
Azah Abdul Samad ◽  
Su May Liew ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Errors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Care Clinics

scholarly journals Disclosure of Traditional and Complementary Medicine Use and Its Associated Factors to Medical Doctor in Primary Care Clinics in Kuching Division, Sarawak, Malaysia

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Anak Kelak Johny ◽  
Whye Lian Cheah ◽  
Safii Razitasham
Keyword(s):  
Primary Care ◽  
Complementary Medicine ◽  
Associated Factors ◽  
Primary Care Clinic ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Medical Doctor ◽  
Open Communication ◽  
Cross Sectional ◽  
Care Clinic

The decision by the patients to disclose traditional and complementary medicine (TCM) use to their doctor is an important area to be explored. This study aimed to determine the disclosure of TCM use and its associated factors to medical doctor among primary care clinic attendees in Kuching Division, Sarawak. It was a cross-sectional study using questionnaire, interviewer administered questionnaire. A total of 1130 patients were screened with 80.2% reporting using TCM. Logistic regression analysis revealed that being female (AOR = 3.219, 95% CI: 1.385, 7.481), perceived benefits that TCM can prevent complication of illness (AOR = 3.999, 95% CI: 1.850, 8.644) and that TCM is more gentle and safer (AOR = 4.537, 95% CI: 2.332, 8.828), perceived barriers of not having enough knowledge about TCM (AOR = 0.530, 95% CI: 0.309, 0.910), patient dissatisfaction towards healthcare providers being too business-like and impersonal (AOR = 0.365, 95% CI: 0.199, 0.669) and paying more for healthcare than one can afford (AOR = 0.413, 95% CI: 0.250, 0.680), and accessibility of doctors (AOR = 3.971, 95% CI: 2.245, 7.023) are the predictors of disclosure of TCM use. An open communication between patients and doctor is important to ensure safe implementation and integration of both TCM and medical treatment.

scholarly journals Prevalence of Diabetic Retinopathy and its Associated Factors among Diabetic Patients in Primary Care Clinics, Kuantan, Pahang

2020 ◽  
Vol 17 (2) ◽  
Author(s):  
Mohd Aznan MA ◽  
Khairidzan MK ◽  
Razman MR ◽  
Fa’iza A
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Uncontrolled Blood Pressure ◽  
Primary Care Clinics ◽  
High Hba1c ◽  
Retinal Examination ◽  
Disease Severity Scale

Introduction: Diabetic retinopathy (DR) is one of the commonest complications of diabetes mellitus. This study was to determine the prevalence of DR and its association with chronic kidney disease (CKD), high HbA1c and dyslipidemia among diabetic patients in government primary care clinics. Materials and Methods: A cross sectional study was carried out. The respondents were selected from diabetic registry at two government primary care clinics in Kuantan, Pahang via stratified random sampling method during the study period from May 2010 to April 2011. The respondents were interviewed and assessed clinically using a structured questionnaire. Retinal examination was performed by accredited staff using non-mydratic retinal imaging and DR was classified according to the International Clinical Diabetic Retinopathy Disease Severity Scale. Results: Out of 400 respondents, 58.8% were diagnosed with diabetes less than 5 years and 51.0% had uncontrolled blood pressure (>130/80 mmHg). The prevalence of DR and maculopathy were 33.5% and of 17.8% respectively. Most of these patients (22.3%) had mild non-proliferative DR. DR patients had higher percentages CKD (17.9% vs. 6.8%; p<0.001) and a higher mean of HbA1C (8.69 vs. 8.11; p=0.015) compared to non-DR patients. The study revealed that DR was independently associated with CKD {OR: 3.46, 95% CI (1.76, 6.80)} and high HbA1c {OR: 1.12, 95% CI (1.02, 1.23)}. Those with dyslipidemia however, has 39% less risk of DR {OR: 0.61, 95% CI (0.39, 0.94)}. Conclusion: This study showed that diabetic patients with CKD and high HbA1c have greater risks to develop DR but has protective risk with dyslipidemia.

scholarly journals Prevalence and Associated Factors of Depressive Symptoms among Adults with Overt Hypothyroidism on Treatment in Riyadh: A Cross-Sectional Study

2019 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Associated Factors ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Overt Hypothyroidism ◽  
Sectional Study ◽  
Hospital Data ◽  
Cross Sectional ◽  
Primary Care Clinics

Background: There is strong associated between depression and hypothyroidism. People with a chronic disease and on lifelong medication are more likely to have poorer mental health than those with no illnesses. This study aimed to measure the prevalence and associated factors of depressive symptoms in adults with overt hypothyroidism on treatment in primary care clinics in Riyadh. Methods and findings: Cross-sectional study of 369 patients with overt hypothyroidism visiting primary care clinics and endocrine outpatient clinics at in Prince Mohammed bin Abdul-Aziz hospital .Data were collected using an the Arabic validated version of the Patient Health Questionnaire-9 for screening of depression among the participants . Prevalence of depression among adult patients with hypothyroidism on treatment was 56.1% . It was moderately severe and severe among 58.7% and 33.3% of depressed patients. Conclusions: Depression is a common health problem among patients with overt hypothyroidism on thyroxin treatment , majority of patients has moderately severe to severe depression. Depression was more observed among older (≥40 years), female, divorced/widowed and lower educated patients compared to their counterparts. Also, it was more reported among patients with longer duration of hypothyroidism. No association was observed with levels of TSH and thyroxin hormones.

scholarly journals Prevalence and factors associated with false hyperkalaemia in Asians in primary care: a cross-sectional study (the Unlysed Hyperkalaemia- the Unseen Burden (UHUB) study)

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e033755
Author(s):  
Alicia Ying Ying Boo ◽  
Yi Ling Eileen Koh ◽  
Pei Lin Hu ◽  
Ngiap Chuan Tan
Keyword(s):  
Primary Care ◽  
Serum Potassium ◽  
Processing Time ◽  
Cross Sectional Study ◽  
Sodium Polystyrene Sulfonate ◽  
Cross Sectional ◽  
Primary Care Clinics ◽  
Factors Associated ◽  
Beta Coefficient ◽  
Study Population

Serum potassium is part of routine laboratory tests done for patients with hypertension or diabetes mellitus in primary care. Those found to have raised potassium (K>5.5 mmol/L) are recalled for repeat potassium in emergency departments or primary care clinics. Repeat potassium are often normal (≤5.5 mmo/L), that is, false hyperkalaemia. Haemolysis is known to cause false hyperkalaemia. We postulated that unlysed false hyperkalamia was prevalent and was associated with factors such as delayed processing time.ObjectiveWe aimed to determine the prevalence of unlysed false hyperkalaemia and the factors associated with false-and-true-hyperkalaemia.SettingOutpatients in a cluster of public primary care clinics (polyclinics) in Singapore.ParticipantsAll patients of any ethnicity aged ≥21 with serum potassium test done.MethodsElectronic health records of index patients with potassium >5.5 mmol/L and its corresponding laboratory processing time in seven local polyclinics were reviewed between August 2015 and August 2017. Haemolysed specimens and patients on sodium polystyrene sulfonate (SPS) suspension were excluded. If repeat potassium level was ≤5.5 mmol/L within 8 days, the case was defined as false hyperkalaemia. The proportion of such patients was computed to determine its prevalence. Linear and logistic regressions were used to identify the associated factors.ResultsThe study population comprised of 3014 index cases, of which 1575 had repeat potassium tests without preceding SPS. 86.4% (1362/1575) of them had potassium ≤5.5 mmol/L. The average processing time among specimens with potassium ≥6.0 mmol/L was 50 min longer, compared with those with potassium <5.1 mmol/L. Risk factors significantly associated with false hyperkalaemia included estimated glomerular filtration rate (eGFR) (60–89 mL/min/1.73 m2, OR=3.25, p<0.001;>90 mL/min/1.73 m2, OR=3.77, p<0.001) and delayed laboratory processing time (beta coefficient 0.001, p<0.001).ConclusionThe prevalence of false hyperkalaemia was 86.4%. Recommendation to repeat potassium tests may target those with eGFR<60ml/min/1.73m2.

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