A5054198655- Asthma and respiratory diseases
- Health Promotion and Cardiovascular Prevention
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Policy Implementation Science
- Health Literacy and Information Accessibility
- Health Systems, Economic Evaluations, Quality of Life
- Public Health and Nutrition
- Health Sciences Research and Education
- School Health and Nursing Education
- Primary Care and Health Outcomes
- Mobile Health and mHealth Applications
- Social Media in Health Education
- Mental Health and Patient Involvement
- Blood Pressure and Hypertension Studies
- Cardiac Health and Mental Health
- Lipoproteins and Cardiovascular Health
- Tuberculosis Research and Epidemiology
- Diabetes Management and Education
- Health and Wellbeing Research
- Religion, Spirituality, and Psychology
- Malaria Research and Control
- Meta-analysis and systematic reviews
- Clinical practice guidelines implementation
- Pharmaceutical Practices and Patient Outcomes
- Delphi Technique in Research
University of Malaya
2015-2024
University Malaya Medical Centre
2022
Hospital Pulau Pinang
2022
University of Edinburgh
2020
University of Kuala Lumpur
2019
University of Oxford
2009-2018
Primary Health Care
2009-2018
City, University of London
2018
National University of Malaysia
2016
Universiti Putra Malaysia
2015
Abstract Background Patient and public involvement (PPI) in research envisages a relationship built throughout the lifespan of project between academics, clinicians PPI colleagues order to inform, plan, execute and, due course, disseminate translate research. To be meaningful, all stakeholders need actively engage this exchange expertise. However, despite some funders requiring plans included grant applications, there remains gap what is expected delivered. Main body As an exemplar, we...
Non-attendance results in administrative problems and disruption patient care. Several interventions have been used to reduce non-attendance, with varying degree of success. A relatively new intervention, text messaging, has shown be as effective telephone reminders reducing non-attendance. However, no study looked specifically at using messaging non-attendance chronic disease
Objective To explore the factors, including barriers and facilitators, influencing practice of evidence-based medicine (EBM) across various primary care settings in Malaysia based on doctors’ views experiences. Research design The qualitative study was used to answer research question. 37 physicians participated six focus group discussions individual in-depth interviews. A semistructured topic guide facilitate both interviews groups, which were audio recorded, transcribed verbatim, checked...
To determine treatment outcomes and associated predictors of all patients registered in 2012 with the Malaysian National Tuberculosis (TB) Surveillance Registry.Sociodemographic clinical data were analysed. Unfavourable included failure, transferred out lost to follow-up, defaulters, those not evaluated all-cause mortality.In total, 21 582 registered. The mean age was 42.36 ± 17.77 years, 14.2% non-Malaysians. majority new cases (93.6%). One fifth (21.5%) had unfavourable outcomes; these,...
This is a brief report of 4 paediatric cases COVID-19 infection in Malaysia BACKGROUND: COVID-19, coronavirus, first detected Wuhan, China has now spread rapidly to over 60 countries and territories around the world, infecting more than 85000 individuals. As case count amongst children low, there need better understand virus disease.
The monitoring of tuberculosis (TB) treatment outcomes and examination the factors affecting these are important for evaluation feedback national TB control program. This study aims to assess among patients registered in surveillance database Malaysia from 2014 until 2017 identify associated with unsuccessful all-cause mortality.Using registry-based secondary data, a retrospective cohort was conducted. patients' sociodemographic characteristics, clinical disease data at one-year were...
Patient safety is vital in patient care. There a lack of studies on medical errors primary care settings. The aim the study to determine extent diagnostic inaccuracies and management public funded clinics.This was cross-sectional conducted twelve clinics Malaysia. A total 1753 records were randomly selected 12 2007 reviewed by trained family physicians for diagnostic, documentation errors, potential causing serious harm likelihood preventability such errors.The majority encounters (81%) with...
Prevalence of non-communicable diseases (NCDs) is increasing globally, with the greatest projected increases in low-income and middle-income countries. We sought to quantify proportion Cochrane evidence relating NCDs derived from such countries.We searched database systematic reviews for highlighted WHO NCD action plan (cardiovascular, cancers, diabetes chronic respiratory diseases). excluded at protocol stage those that were repeated or had been withdrawn. For each review, two independent...
Abstract Background Chronic Obstructive Pulmonary Disease (COPD) is a chronic disease with repeated exacerbations resulting in gradual debilitation. The quality of life has been shown to be poor patients COPD despite efforts improve self-management. However, the evidence on benefit self-management conflicting. Whether this could due other unmet needs have not investigated. Therefore, we aimed explore from both and doctors managing COPD. Methods We conducted qualitative study Malaysia. used...
Physicians are often encouraged to locate answers for their clinical queries via an evidence-based literature search approach. The methods used not clearly specified. Inappropriate strategies, time constraint and contradictory information complicate evidence retrieval.Our study aimed develop a strategy answer among physicians in primary care setting.Six questions of different medical conditions seen were formulated. A series experimental searches each question was conducted on 3 commonly...
Background The increasing incidence and geographical distribution of dengue has had significant impact on global healthcare services resources. This study aimed to determine the factors associated with dengue-related mortality in a cohort Malaysian patients. Methods was retrospective patients National Dengue Registry 2013. outcome measure mortality. Associations between sociodemographic clinical variables were analysed using multivariate analysis. Results There 43 347 cases which 13081...
The US Federal and Drug Administration (FDA) recently revised statin drug labels to include the information that increases in fasting serum glucose glycated haemoglobin levels have been reported with use of statins. Yet a survey, 87% doctors stated they had never or infrequently observed HbA1c patients on statin. In this study we would like determine association between statins glycaemic control retrospective cohort hypertension.A review 1060 medical records hypertension at primary care...
Telemonitoring of home blood pressure (BP) is found to have a positive effect on BP control. Delivering telemonitoring service in primary care offers physicians an innovative approach toward management their patients with hypertension. However, little known about patients' acceptance such routine clinical care.This study aimed explore delivered based the technology model (TAM).A qualitative design was used. Primary uncontrolled office who fulfilled inclusion criteria were enrolled into...
Background Evidence-based medicine is the integration of individual clinical expertise, best external evidence and patient values which was introduced more than two decades ago. Yet, primary care physicians in Malaysia face unique barriers accessing scientific literature applying it to their practice. Aim This study aimed explore views experiences rural doctors' about evidence-based daily practice a setting. Methods Qualitative methodology used. The interviews were conducted June 2013 health...
METHODSThis cross-sectional study was conducted at a public urban primary care clinic in the state of Selangor, Malaysia, from October to December 2013.Convenience sampling used.All attendees during period were approached participate study.Inclusion criteria caregivers aged ≥ 21 years who provided 4 hours unpaid support per week (including organising support) an older person 65 living community.Exclusion those unable understand English or Malay (i.e.
Introduction Most studies have reported barriers to guideline usage mainly from doctors' perspective; few the perspective of other stakeholders. This study aimed determine views and adherence a national clinical practice (CPG) on management hypertension perspectives policymakers, doctors allied healthcare professionals. Methods used qualitative approach with purposive sampling. Seven in depth interviews six focus group discussions were conducted 35 professionals (policy makers, doctors,...
The National Institute for Health and Care Excellence guidelines the Quality Outcomes Framework require practitioners to use cardiovascular risk scores in assessments primary prevention of disease.To explore GPs understanding scores.Qualitative study with purposive maximum variation sampling 20 working Oxfordshire, UK. Method Thematic analysis transcriptions face-to-face interviews participants undertaken by two individuals (one clinical, one non-clinical).GPs primarily guide treatment...
Abstract Complementary and alternative medicine (CAM) is widely used especially in Asia including for childhood asthma. The use of CAM could influence adherence to evidence-based (E-B) medicine. We explored the views carers Malaysian children with asthma regarding asthma, its relationship self-reported E-B a screening questionnaire identify diagnosed from seven suburban primary schools Malaysia. Informed consent was obtained prior interviews. conducted interviews using semi-structured topic...