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Ng CJ, Teo CH, Ang KM, Kok YL, Ashraf K, Leong HL, Taher SW, Mohd SZ, Zakaria ZF, Wong PF, Hor CP, Ong TA, Hussain H, V P, Ng CW, Agamutu K, Abd Razak MA. Barriers to implementing a national health screening program for men in Malaysia: An online survey of healthcare providers. Malays Fam Physician 2020; 15:6-14. [PMID: 32284799 PMCID: PMC7136681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
INTRODUCTION This study aimed to determine the views and practices of healthcare providers and barriers they encountered when implementing the national health screening program for men in a public primary care setting in Malaysia. METHODS An online survey was conducted among healthcare providers across public health clinics in Malaysia. All family medicine specialists, medical officers, nurses and assistant medical officers involved in the screening program for adult men were invited to answer a 51-item questionnaire via email or WhatsApp. The questionnaire comprised five sections: participants' socio-demographic information, current screening practices, barriers and facilitators to using the screening tool, and views on the content and format of the screening tool. RESULTS A total of 231 healthcare providers from 129 health clinics participated in this survey. Among them, 37.44% perceived the implementation of the screening program as a "top-down decision." Although 37.44% found the screening tool for adult men "useful," some felt that it was "time consuming" to fill out (38.2%) and "lengthy" (28.3%). In addition, 'adult men refuse to answer' (24.1%) was cited as the most common patient-related barrier. CONCLUSIONS This study provided useful insights into the challenges encountered by the public healthcare providers when implementing a national screening program for men. The screening tool for adult men should be revised to make it more user-friendly. Further studies should explore the reasons why men were reluctant to participate in health screenings, thus enhancing the implementation of screening programs in primary care.
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Affiliation(s)
- C J Ng
- MBBS, MMed (Fam Med), PhD Professor Department of Primary Care Medicine Faculty of Medicine, University of Malaya, Malaysia
| | - C H Teo
- BMedImag, PhD Department of Primary Care Medicine Faculty of Medicine, University of Malaya, Malaysia
| | - K M Ang
- Medical student Department of Primary Care Medicine Faculty of Medicine, University of Malaya, Malaysia
- School of Medicine, Queen's University Belfast, Belfast United Kingdom, UK
| | - Y L Kok
- MBBS Department of Primary Care Medicine Faculty of Medicine, University of Malaya, Malaysia
| | - K Ashraf
- BSc, MAppStat Department of Primary Care Medicine Faculty of Medicine, University of Malaya, Malaysia
| | - H L Leong
- MBBS Department of Primary Care Medicine Faculty of Medicine, University of Malaya, Malaysia
| | - S W Taher
- MBBS, MMed Klinik Kesihatan Simpang Kuala Alor Setar, Kedah, Malaysia
| | - Said Z Mohd
- MBBS, MMed Family Health Development Division Ministry of Health, Putrajaya Malaysia
| | - Z F Zakaria
- MBBS, MMed Klinik Kesihatan Setapak Kuala Lumpur, Malaysia
| | - P F Wong
- MBBS, Dr Fam Med, FRACGP, MAFP Klinik Kesihatan Cheras Baru Kuala Lumpur, Malaysia
| | - C P Hor
- MB BCh BAO, MSc Department of Medicine, Kepala Batas Hospital
- Institute for Clinical Research, National Institutes of Health, Malaysia
| | - T A Ong
- MBBS, MMed Department of Surgery, Faculty of Medicine, University of Malaya Kuala Lumpur, Malaysia
| | - H Hussain
- MBBS, MMed Klinik Kesihatan Salak, Sepang Selangor, Malaysia
| | - Paranthaman V
- MBBS, MMed Jelapang Health Clinic, Klinik Kesihatan Jelapang, 30020 Ipoh Perak, Malaysia
| | - C W Ng
- MBBS, MPH, MPH (Health Services Management), PhD Professor Department of Social and Preventive Medicine, Faculty of Medicine University of Malaya, Kuala Lumpur Malaysia
- Centre for Epidemiology and Evidence-based Practice, University of Malaya, Kuala Lumpur, Malaysia
| | - K Agamutu
- MBBS, MPH Family Health Development Division Ministry of Health, Putrajaya Malaysia
| | - M A Abd Razak
- BSc Institute for Public Health, National Institute of Health, Setia Alam 40170 Selangor, Malaysia
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Kamaliah MN, Jaafar S, Ehsan FZ, Safiee I, Ismail F, Saleh NM, Rathi FZM, Bulgiba AM, Hussein RH, Zakaria ZF, Suhaili RM, Siemens KK, Abrams C, Warijo O. Facilitating equity and efficiency in Malaysian primary health care through the application of the ACG® case mix system. BMC Health Serv Res 2009. [PMCID: PMC2773582 DOI: 10.1186/1472-6963-9-s1-a7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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