Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study
1.1 Background The general problem is lack of inter-professional collaboration and the way private primary care responds to manage chronic diseases in Malaysia. Absence of prescription review, inadequate patient education, the highest percentage of prescribing errors and half of the chronic disea...
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iium-720152019-08-01T04:06:56Z http://irep.iium.edu.my/72015/ Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study Mubarak, Naeem Md Hatah, Ernieda Md. Aris, Mohd. Aznan Shafie, Asrul Akmal Zin, Che Suraya RM Therapeutics. Pharmacology RM147 Administration of Drugs and Other Therapeutic Agents 1.1 Background The general problem is lack of inter-professional collaboration and the way private primary care responds to manage chronic diseases in Malaysia. Absence of prescription review, inadequate patient education, the highest percentage of prescribing errors and half of the chronic disease patients are nonadherent. Medicines are the most common and life long used interventions in chronic diseases. Hence, the need to manage medicine in chronic diseases becomes obligatory. As both general practitioner and community pharmacist can dispense medications, this has resulted in a business rivalry. There is a need to build consensus among various healthcare stakeholders for a collaborative medication therapy management model (CMTM) where community pharmacist has an active role in chronic care. 1.2 Method This study utilized modified e-Delphi method to build consensus. A validated e-Delphi survey was administered to a purposive sample of 29 experts. Consensus was pre-defined to be the point where >85% of the experts fall in either agree or strongly agree category for each statement. The inter-expert agreement was computed in both rounds using Intra-class correlation coefficient and Kendall's W. Delphi operates in an iterative fashion till there comes stability in responses. At the end of each round, experts were provided aggregate response, their own response and choice to change their response in the light of aggregate response. 1.3 Results Response rate was 70.73% and 100% in 1st and 2nd round, respectively. Consensus was achieved on 119/132 statements which mainly referred to the need, structural and regulatory aspects of CMTM model in Malaysia. However, there were some flashpoints on dispensing separation and means to finance this model. Stability in response of experts was achieved after 2nd round; hence, no next round was executed. 1.4 Conclusion Overall, the study findings witnessed the expert panel’s support for the CMTM model. Study helped to sketch CMTM model and facilitated development of some recommendations to the authorities which may help to formulate a policy to bring CPs under a working relationship with GPs. Hence, this study should be taken as a call for redefining of the roles of CPs and GPs in Malaysia PLOS ONE 2019-05 Article NonPeerReviewed application/pdf en http://irep.iium.edu.my/72015/1/journal.pone.0216563.pdf application/pdf en http://irep.iium.edu.my/72015/2/Scopus%20-%20Consensus%20among%20healthcare%20stakeholders%20on%20a%20collaborative%20medication%20therapy%20management%20model%20for%20chronic%20diseases%20in%20Malaysia%3B%20a%20Delphi%20study.pdf application/pdf en http://irep.iium.edu.my/72015/13/72015_Consensus%20among%20healthcare%20stakeholders%20on%20a%20collaborative%20medication%20therapy%20management%20model%20for%20chronic%20diseases%20in%20Malaysia%3B%20A%20Delphi%20study_wos.pdf Mubarak, Naeem and Md Hatah, Ernieda and Md. Aris, Mohd. Aznan and Shafie, Asrul Akmal and Zin, Che Suraya (2019) Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study. PLoS ONE, 14 (5). pp. 1-28. https://journals.plos.org/plosone/ |
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Digital Repository |
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Local University |
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International Islamic University Malaysia |
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IIUM Repository |
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Online Access |
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English English English |
| topic |
RM Therapeutics. Pharmacology RM147 Administration of Drugs and Other Therapeutic Agents |
| spellingShingle |
RM Therapeutics. Pharmacology RM147 Administration of Drugs and Other Therapeutic Agents Mubarak, Naeem Md Hatah, Ernieda Md. Aris, Mohd. Aznan Shafie, Asrul Akmal Zin, Che Suraya Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study |
| description |
1.1 Background
The general problem is lack of inter-professional collaboration and the way private primary care responds to manage chronic diseases in Malaysia. Absence of prescription review, inadequate patient education, the highest percentage of prescribing errors and half of the chronic disease patients are nonadherent. Medicines are the most common and life long used interventions in chronic diseases. Hence, the need to manage medicine in chronic diseases becomes obligatory. As both general practitioner and community pharmacist can dispense medications, this has resulted in a business rivalry. There is a need to build consensus among various healthcare stakeholders for a collaborative medication therapy management model (CMTM) where community pharmacist has an active role in chronic care.
1.2 Method
This study utilized modified e-Delphi method to build consensus. A validated e-Delphi survey was administered to a purposive sample of 29 experts. Consensus was pre-defined to be the point where >85% of the experts fall in either agree or strongly agree category for each statement. The inter-expert agreement was computed in both rounds using Intra-class correlation coefficient and Kendall's W. Delphi operates in an iterative fashion till there comes stability in responses. At the end of each round, experts were provided aggregate response, their own response and choice to change their response in the light of aggregate response.
1.3 Results
Response rate was 70.73% and 100% in 1st and 2nd round, respectively. Consensus was achieved on 119/132 statements which mainly referred to the need, structural and regulatory aspects of CMTM model in Malaysia. However, there were some flashpoints on dispensing separation and means to finance this model. Stability in response of experts was achieved after 2nd round; hence, no next round was executed.
1.4 Conclusion
Overall, the study findings witnessed the expert panel’s support for the CMTM model. Study helped to sketch CMTM model and facilitated development of some recommendations to the authorities which may help to formulate a policy to bring CPs under a working relationship with GPs. Hence, this study should be taken as a call for redefining of the roles of CPs and GPs in Malaysia |
| format |
Article |
| author |
Mubarak, Naeem Md Hatah, Ernieda Md. Aris, Mohd. Aznan Shafie, Asrul Akmal Zin, Che Suraya |
| author_facet |
Mubarak, Naeem Md Hatah, Ernieda Md. Aris, Mohd. Aznan Shafie, Asrul Akmal Zin, Che Suraya |
| author_sort |
Mubarak, Naeem |
| title |
Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study |
| title_short |
Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study |
| title_full |
Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study |
| title_fullStr |
Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study |
| title_full_unstemmed |
Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study |
| title_sort |
consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in malaysia; a delphi study |
| publisher |
PLOS ONE |
| publishDate |
2019 |
| url |
http://irep.iium.edu.my/72015/ http://irep.iium.edu.my/72015/ http://irep.iium.edu.my/72015/1/journal.pone.0216563.pdf http://irep.iium.edu.my/72015/2/Scopus%20-%20Consensus%20among%20healthcare%20stakeholders%20on%20a%20collaborative%20medication%20therapy%20management%20model%20for%20chronic%20diseases%20in%20Malaysia%3B%20a%20Delphi%20study.pdf http://irep.iium.edu.my/72015/13/72015_Consensus%20among%20healthcare%20stakeholders%20on%20a%20collaborative%20medication%20therapy%20management%20model%20for%20chronic%20diseases%20in%20Malaysia%3B%20A%20Delphi%20study_wos.pdf |
| first_indexed |
2023-09-18T21:42:07Z |
| last_indexed |
2023-09-18T21:42:07Z |
| _version_ |
1777413209553108992 |