Rare disease in Malaysia: Challenges and solutions.

<h4>Objective</h4>Rare diseases are often underdiagnosed, and their management is frequently complicated by a lack of access to treatment and information about the diseases. To allow for better policy planning, we sought to examine the current status of managing rare diseases in Malaysia...

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Main Authors: Asrul Akmal Shafie, Azuwana Supian, Mohamed Azmi Ahmad Hassali, Lock-Hock Ngu, Meow-Keong Thong, Hatijah Ayob, Nathorn Chaiyakunapruk
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0230850
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author Asrul Akmal Shafie
Azuwana Supian
Mohamed Azmi Ahmad Hassali
Lock-Hock Ngu
Meow-Keong Thong
Hatijah Ayob
Nathorn Chaiyakunapruk
author_facet Asrul Akmal Shafie
Azuwana Supian
Mohamed Azmi Ahmad Hassali
Lock-Hock Ngu
Meow-Keong Thong
Hatijah Ayob
Nathorn Chaiyakunapruk
author_sort Asrul Akmal Shafie
collection DOAJ
description <h4>Objective</h4>Rare diseases are often underdiagnosed, and their management is frequently complicated by a lack of access to treatment and information about the diseases. To allow for better policy planning, we sought to examine the current status of managing rare diseases in Malaysia.<h4>Methods</h4>This study was conducted in two phases. In the first phase, we triangulated information from reviews of journal publications, documents from the Malaysian government and in-depth interviews among selected key healthcare stakeholders in Malaysia. The second phase was designed as a cross-sectional survey to estimate the number of cases and treatment coverage for rare diseases in Malaysia.<h4>Results</h4>Malaysia has no official definition of rare disease yet but currently in the process of reviewing them for Malaysia. There are 13 rare disease specialists and a dozen medical doctors in genetic clinics around Malaysia, mainly in public health facilities. From the survey, 1,249 patients were diagnosed with rare diseases in public hospitals. Only 60% received their medications or supplements, and the rest continued with symptomatic treatment.<h4>Conclusion</h4>Generally, Malaysia has made significant progress in the management of rare diseases, but there are still opportunities for development in critical areas. Ultimately, if all healthcare providers, government, society, and politicians work together to manage rare diseases, we will see an improvement in patient outcomes.
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spelling doaj.art-d9f27a74728f490a888f7f16e712d2102022-12-22T03:08:38ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01154e023085010.1371/journal.pone.0230850Rare disease in Malaysia: Challenges and solutions.Asrul Akmal ShafieAzuwana SupianMohamed Azmi Ahmad HassaliLock-Hock NguMeow-Keong ThongHatijah AyobNathorn Chaiyakunapruk<h4>Objective</h4>Rare diseases are often underdiagnosed, and their management is frequently complicated by a lack of access to treatment and information about the diseases. To allow for better policy planning, we sought to examine the current status of managing rare diseases in Malaysia.<h4>Methods</h4>This study was conducted in two phases. In the first phase, we triangulated information from reviews of journal publications, documents from the Malaysian government and in-depth interviews among selected key healthcare stakeholders in Malaysia. The second phase was designed as a cross-sectional survey to estimate the number of cases and treatment coverage for rare diseases in Malaysia.<h4>Results</h4>Malaysia has no official definition of rare disease yet but currently in the process of reviewing them for Malaysia. There are 13 rare disease specialists and a dozen medical doctors in genetic clinics around Malaysia, mainly in public health facilities. From the survey, 1,249 patients were diagnosed with rare diseases in public hospitals. Only 60% received their medications or supplements, and the rest continued with symptomatic treatment.<h4>Conclusion</h4>Generally, Malaysia has made significant progress in the management of rare diseases, but there are still opportunities for development in critical areas. Ultimately, if all healthcare providers, government, society, and politicians work together to manage rare diseases, we will see an improvement in patient outcomes.https://doi.org/10.1371/journal.pone.0230850
spellingShingle Asrul Akmal Shafie
Azuwana Supian
Mohamed Azmi Ahmad Hassali
Lock-Hock Ngu
Meow-Keong Thong
Hatijah Ayob
Nathorn Chaiyakunapruk
Rare disease in Malaysia: Challenges and solutions.
PLoS ONE
title Rare disease in Malaysia: Challenges and solutions.
title_full Rare disease in Malaysia: Challenges and solutions.
title_fullStr Rare disease in Malaysia: Challenges and solutions.
title_full_unstemmed Rare disease in Malaysia: Challenges and solutions.
title_short Rare disease in Malaysia: Challenges and solutions.
title_sort rare disease in malaysia challenges and solutions
url https://doi.org/10.1371/journal.pone.0230850
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