Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study

Introduction: With the rising number of COVID-19 cases in Malaysia and the overwhelming strain on the tertiary healthcare system, home isolation has been introduced by the Ministry of Health Malaysia to reduce the admission of patients with mild COVID-19 to tertiary and low-risk quarantine centres....

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Main Authors: Anusha Manoharan, Nik Mazlina Mohammad, Azah Abdul Samad, Dalyana Hamid, Zil Azwan Abdullah
Format: Article
Language:English
Published: Academy of Family Physicians of Malaysia 2023-06-01
Series:Malaysian Family Physician
Subjects:
Online Access:https://e-mfp.org/wp-content/uploads/18.33.pdf
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author Anusha Manoharan
Nik Mazlina Mohammad
Azah Abdul Samad
Dalyana Hamid
Zil Azwan Abdullah
author_facet Anusha Manoharan
Nik Mazlina Mohammad
Azah Abdul Samad
Dalyana Hamid
Zil Azwan Abdullah
author_sort Anusha Manoharan
collection DOAJ
description Introduction: With the rising number of COVID-19 cases in Malaysia and the overwhelming strain on the tertiary healthcare system, home isolation has been introduced by the Ministry of Health Malaysia to reduce the admission of patients with mild COVID-19 to tertiary and low-risk quarantine centres. COVID-19 assessment centres (CACs) have been set up to provide initial assessment, triaging and monitoring of patients with COVID-19 prior to and during their home isolation. In this study, we aimed to share our experience in setting up CACs in Selangor, Malaysia. Methods: We described the steps taken in developing assessment tools and guidelines for assisting healthcare providers in safely monitoring patients with COVID-19 undergoing home isolation. Results: A total of 26,826 patients were clinically assessed from 1 to 28 February 2021 in various CACs in the state. The majority of the cases seen in the CACs were under category (CAT) 1 and 2.Only 0.2% (n=53) of the cases were categorised as severe COVID-19 (CAT 3 and above). Conclusion: CACs coordinated by primary care providers play an important role in triaging,assessing and monitoring patients with COVID-19 undergoing home isolation in the community.There needs to be a better partnership between various stakeholders and the private healthcare sector to improve the services. The usage of a pulse oximeter in home monitoring of all patients withCOVID-19 in Selangor needs to be seriously considered.
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spelling doaj.art-8fd670bd89b74b1b9cef26112daa094e2023-07-01T06:46:10ZengAcademy of Family Physicians of MalaysiaMalaysian Family Physician1985-207X1985-22742023-06-01183310.51866/oa.156Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive studyAnusha ManoharanNik Mazlina MohammadAzah Abdul SamadDalyana HamidZil Azwan AbdullahIntroduction: With the rising number of COVID-19 cases in Malaysia and the overwhelming strain on the tertiary healthcare system, home isolation has been introduced by the Ministry of Health Malaysia to reduce the admission of patients with mild COVID-19 to tertiary and low-risk quarantine centres. COVID-19 assessment centres (CACs) have been set up to provide initial assessment, triaging and monitoring of patients with COVID-19 prior to and during their home isolation. In this study, we aimed to share our experience in setting up CACs in Selangor, Malaysia. Methods: We described the steps taken in developing assessment tools and guidelines for assisting healthcare providers in safely monitoring patients with COVID-19 undergoing home isolation. Results: A total of 26,826 patients were clinically assessed from 1 to 28 February 2021 in various CACs in the state. The majority of the cases seen in the CACs were under category (CAT) 1 and 2.Only 0.2% (n=53) of the cases were categorised as severe COVID-19 (CAT 3 and above). Conclusion: CACs coordinated by primary care providers play an important role in triaging,assessing and monitoring patients with COVID-19 undergoing home isolation in the community.There needs to be a better partnership between various stakeholders and the private healthcare sector to improve the services. The usage of a pulse oximeter in home monitoring of all patients withCOVID-19 in Selangor needs to be seriously considered.https://e-mfp.org/wp-content/uploads/18.33.pdfcovid-19community assessmentprimary carehome monitoring
spellingShingle Anusha Manoharan
Nik Mazlina Mohammad
Azah Abdul Samad
Dalyana Hamid
Zil Azwan Abdullah
Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study
Malaysian Family Physician
covid-19
community assessment
primary care
home monitoring
title Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study
title_full Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study
title_fullStr Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study
title_full_unstemmed Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study
title_short Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study
title_sort development and implementation of a community based covid 19 assessment centre in selangor a descriptive study
topic covid-19
community assessment
primary care
home monitoring
url https://e-mfp.org/wp-content/uploads/18.33.pdf
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