Healthcare resources, organisational support and practice in asthma in six public health clinics in Malaysia
Asthma, a common chronic respiratory illness is mostly managed in primary care. We aimed to determine healthcare resources, organisational support, and doctors’ practice in managing asthma in a Malaysian primary care setting. A total of six public health clinics participated. We found four clinics h...
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| Format: | Article |
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Nature Publishing Group
2023
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| _version_ | 1811137831956905984 |
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| author | Hussein, Norita Ramli, Rizawati Su, May Liew Hanafi, Nik Sherina Ping, Yein Lee Ai, Theng Cheong Shariff-Ghazali, Sazlina Mohd Ahad, Azainorsuzila Patel, Jaiyogesh Schwarze, Jürgen Ee, Ming Khoo |
| author_facet | Hussein, Norita Ramli, Rizawati Su, May Liew Hanafi, Nik Sherina Ping, Yein Lee Ai, Theng Cheong Shariff-Ghazali, Sazlina Mohd Ahad, Azainorsuzila Patel, Jaiyogesh Schwarze, Jürgen Ee, Ming Khoo |
| author_sort | Hussein, Norita |
| collection | UPM |
| description | Asthma, a common chronic respiratory illness is mostly managed in primary care. We aimed to determine healthcare resources, organisational support, and doctors’ practice in managing asthma in a Malaysian primary care setting. A total of six public health clinics participated. We found four clinics had dedicated asthma services. There was only one clinic which had a tracing defaulter system. Long-term controller medications were available in all clinics, but not adequately provided. Resources, educational materials, and equipment for asthma management were present, though restricted in number and not placed in main locations of the clinic. To diagnose asthma, most doctors used clinical judgement and peak flow metre measurements with reversibility test. Although spirometry is recommended to diagnose asthma, it was less practiced, being inaccessible and unskilled in using as the main reasons. Most doctors reported providing asthma self-management; asthma action plan, but for only half of the patients that they encountered. In conclusion, there is still room for improvement in the provision of clinic resources and support for asthma care. Utilising peak flow metre measurement and reversibility test suggest practical alternative in low resource for spirometry. Reinforcing education on asthma action plan is vital to ensure optimal asthma care. |
| first_indexed | 2024-09-25T03:40:33Z |
| format | Article |
| id | upm.eprints-108151 |
| institution | Universiti Putra Malaysia |
| last_indexed | 2024-09-25T03:40:33Z |
| publishDate | 2023 |
| publisher | Nature Publishing Group |
| record_format | dspace |
| spelling | upm.eprints-1081512024-09-23T03:30:44Z http://psasir.upm.edu.my/id/eprint/108151/ Healthcare resources, organisational support and practice in asthma in six public health clinics in Malaysia Hussein, Norita Ramli, Rizawati Su, May Liew Hanafi, Nik Sherina Ping, Yein Lee Ai, Theng Cheong Shariff-Ghazali, Sazlina Mohd Ahad, Azainorsuzila Patel, Jaiyogesh Schwarze, Jürgen Ee, Ming Khoo Asthma, a common chronic respiratory illness is mostly managed in primary care. We aimed to determine healthcare resources, organisational support, and doctors’ practice in managing asthma in a Malaysian primary care setting. A total of six public health clinics participated. We found four clinics had dedicated asthma services. There was only one clinic which had a tracing defaulter system. Long-term controller medications were available in all clinics, but not adequately provided. Resources, educational materials, and equipment for asthma management were present, though restricted in number and not placed in main locations of the clinic. To diagnose asthma, most doctors used clinical judgement and peak flow metre measurements with reversibility test. Although spirometry is recommended to diagnose asthma, it was less practiced, being inaccessible and unskilled in using as the main reasons. Most doctors reported providing asthma self-management; asthma action plan, but for only half of the patients that they encountered. In conclusion, there is still room for improvement in the provision of clinic resources and support for asthma care. Utilising peak flow metre measurement and reversibility test suggest practical alternative in low resource for spirometry. Reinforcing education on asthma action plan is vital to ensure optimal asthma care. Nature Publishing Group 2023 Article PeerReviewed Hussein, Norita and Ramli, Rizawati and Su, May Liew and Hanafi, Nik Sherina and Ping, Yein Lee and Ai, Theng Cheong and Shariff-Ghazali, Sazlina and Mohd Ahad, Azainorsuzila and Patel, Jaiyogesh and Schwarze, Jürgen and Ee, Ming Khoo (2023) Healthcare resources, organisational support and practice in asthma in six public health clinics in Malaysia. npj Primary Care Respiratory Medicine, 33. art. no. 13. pp. 1-7. ISSN 2055-1010 https://www.nature.com/articles/s41533-023-00337-8?error=cookies_not_supported&code=fcf9bcb7-f982-479c-80ac-e6ac8f46afb2 10.1038/s41533-023-00337-8 |
| spellingShingle | Hussein, Norita Ramli, Rizawati Su, May Liew Hanafi, Nik Sherina Ping, Yein Lee Ai, Theng Cheong Shariff-Ghazali, Sazlina Mohd Ahad, Azainorsuzila Patel, Jaiyogesh Schwarze, Jürgen Ee, Ming Khoo Healthcare resources, organisational support and practice in asthma in six public health clinics in Malaysia |
| title | Healthcare resources, organisational support and practice in
asthma in six public health clinics in Malaysia |
| title_full | Healthcare resources, organisational support and practice in
asthma in six public health clinics in Malaysia |
| title_fullStr | Healthcare resources, organisational support and practice in
asthma in six public health clinics in Malaysia |
| title_full_unstemmed | Healthcare resources, organisational support and practice in
asthma in six public health clinics in Malaysia |
| title_short | Healthcare resources, organisational support and practice in
asthma in six public health clinics in Malaysia |
| title_sort | healthcare resources organisational support and practice in asthma in six public health clinics in malaysia |
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