The changing face of primary care: a cross sectional study in Malaysia

There has been an epidemiological transition in morbidity and mortality patterns in developing countries. This study aimed to determine whether there was an accompanying change in disease presentation in primary care. This was a cross-sectional study conducted at 12 public primary care clinics in Ma...

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Main Authors:	Ee, Ming Khoo, Ai, Theng Cheong, Su, May Liew, Wai, Khee Lee, Azah Abdul Samad, Ainul NadzihaMohd Hanafiah, Sondi Sararaks
Format:	Article
Language:	English
Published:	Universiti Kebangsaan Malaysia 2015
Online Access:	http://journalarticle.ukm.my/8950/ http://journalarticle.ukm.my/8950/ http://journalarticle.ukm.my/8950/1/14_EE_Ming_Khoo.pdf

id	ukm-8950
recordtype	eprints
spelling	ukm-89502016-12-14T06:48:31Z http://journalarticle.ukm.my/8950/ The changing face of primary care: a cross sectional study in Malaysia Ee, Ming Khoo Ai, Theng Cheong Su, May Liew Wai, Khee Lee Azah Abdul Samad, Ainul NadzihaMohd Hanafiah, Sondi Sararaks, There has been an epidemiological transition in morbidity and mortality patterns in developing countries. This study aimed to determine whether there was an accompanying change in disease presentation in primary care. This was a cross-sectional study conducted at 12 public primary care clinics in Malaysia. Outpatient medical records were randomly selected and reviewed to identify patients’ reasons for encounter. The overall retrieval of records was 99.1% (n=1,753; range 95.7-100.0%). The mean age was 33.1 (SD 22.2) years. For all ages, the most common reasons for patient encounter (RFE) were cough (21.1%; 95% CI 16.5, 25.8), follow-up care for chronic diseases (19.6%; 95% CI 12.7, 26.6) and fever (18.4%; 95% CI 14.2, 22.5). The top RFE in West Malaysia was follow-up care for chronic diseases while in East Malaysia, the most common RFE was cough (25.2%; 95% CI 16.8, 33.6) and fever (21.7%; 95% CI 14.3, 29.0). In conclusion, there is a change in the presentation of diseases, with chronic disease emerging as one of the top RFE in primary care. In adults, for all age groups over 40 years old, care for chronic diseases has overtaken acute disease care. However, acute respiratory problems remain the overall top RFE at public primary care clinics in Malaysia. There are major differences in morbidity patterns and reasons for encounter for different age groups and geographical areas and this could be utilized for better health care planning. Universiti Kebangsaan Malaysia 2015-05 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/8950/1/14_EE_Ming_Khoo.pdf Ee, Ming Khoo and Ai, Theng Cheong and Su, May Liew and Wai, Khee Lee and Azah Abdul Samad, and Ainul NadzihaMohd Hanafiah, and Sondi Sararaks, (2015) The changing face of primary care: a cross sectional study in Malaysia. Sains Malaysiana, 44 (5). pp. 741-746. ISSN 0126-6039 http://www.ukm.my/jsm/malay_journals/jilid44bil5_2015/KandunganJilid44Bil5_2015.html
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	There has been an epidemiological transition in morbidity and mortality patterns in developing countries. This study aimed to determine whether there was an accompanying change in disease presentation in primary care. This was a cross-sectional study conducted at 12 public primary care clinics in Malaysia. Outpatient medical records were randomly selected and reviewed to identify patients’ reasons for encounter. The overall retrieval of records was 99.1% (n=1,753; range 95.7-100.0%). The mean age was 33.1 (SD 22.2) years. For all ages, the most common reasons for patient encounter (RFE) were cough (21.1%; 95% CI 16.5, 25.8), follow-up care for chronic diseases (19.6%; 95% CI 12.7, 26.6) and fever (18.4%; 95% CI 14.2, 22.5). The top RFE in West Malaysia was follow-up care for chronic diseases while in East Malaysia, the most common RFE was cough (25.2%; 95% CI 16.8, 33.6) and fever (21.7%; 95% CI 14.3, 29.0). In conclusion, there is a change in the presentation of diseases, with chronic disease emerging as one of the top RFE in primary care. In adults, for all age groups over 40 years old, care for chronic diseases has overtaken acute disease care. However, acute respiratory problems remain the overall top RFE at public primary care clinics in Malaysia. There are major differences in morbidity patterns and reasons for encounter for different age groups and geographical areas and this could be utilized for better health care planning.
format	Article
author	Ee, Ming Khoo Ai, Theng Cheong Su, May Liew Wai, Khee Lee Azah Abdul Samad, Ainul NadzihaMohd Hanafiah, Sondi Sararaks,
spellingShingle	Ee, Ming Khoo Ai, Theng Cheong Su, May Liew Wai, Khee Lee Azah Abdul Samad, Ainul NadzihaMohd Hanafiah, Sondi Sararaks, The changing face of primary care: a cross sectional study in Malaysia
author_facet	Ee, Ming Khoo Ai, Theng Cheong Su, May Liew Wai, Khee Lee Azah Abdul Samad, Ainul NadzihaMohd Hanafiah, Sondi Sararaks,
author_sort	Ee, Ming Khoo
title	The changing face of primary care: a cross sectional study in Malaysia
title_short	The changing face of primary care: a cross sectional study in Malaysia
title_full	The changing face of primary care: a cross sectional study in Malaysia
title_fullStr	The changing face of primary care: a cross sectional study in Malaysia
title_full_unstemmed	The changing face of primary care: a cross sectional study in Malaysia
title_sort	changing face of primary care: a cross sectional study in malaysia
publisher	Universiti Kebangsaan Malaysia
publishDate	2015
url	http://journalarticle.ukm.my/8950/ http://journalarticle.ukm.my/8950/ http://journalarticle.ukm.my/8950/1/14_EE_Ming_Khoo.pdf
first_indexed	2023-09-18T19:53:34Z
last_indexed	2023-09-18T19:53:34Z
_version_	1777406380135677952

The changing face of primary care: a cross sectional study in Malaysia

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