An Exploratory Study on the Consumers Use of Medicine in the State of Sarawak, Malaysia

Ming, Long Chiau

doi:10.5530/jyp.2016.4.26

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…46 Besides, activities to increase medicines related knowledge amongst the Malaysian public, especially the ‘Know Your Medicines’ campaign, can be intensified with closer collaboration with community pharmacies. 47 …”

Section: Discussionmentioning

confidence: 99%

Challenges in the management of community pharmacies in Malaysia

Kho¹,

Lim²,

Saleem³

2017

Pharm Pract (Granada)

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Background:The provision of professional pharmacy services by community pharmacists continues to be limited, particularly in low and middle income countries. It was postulated that multiple management challenges faced by community pharmacists contribute to this situation.Objective:The primary aim of the research was to determine the challenges faced in the management of community pharmacies in Sarawak (the largest state in Malaysia), and practical strategies to cope and overcome the challenges.Methods:Semi-structured interviews were carried out with community pharmacists practising in Sarawak. Purposive and snowball sampling were employed to ensure a diverse group of informants. The interviews were audio-recorded and transcribed verbatim, with the resultant data analysed using thematic analysis. Data collection, coding, interpretation were carried out iteratively until theoretical saturation.Results:Twenty respondents from different demographic characteristics were recruited. Six major themes were identified. Management challenges faced by community pharmacists traverse five major domains: market competition, legislative issues, customers’ knowledge and expectations, macroeconomic impacts and operational challenges. Most of these challenges require government intervention to be resolved. In the meantime, improving customer service and expanding the range of professional services were seen as the most viable strategies to cope with existing challenges. The main concern is that current legislative and economic landscape may hinder these strategies. Enactment of dispensing separation and more protective measures against market competition were suggested to alleviate the challenges faced.Conclusion:Numerous management challenges faced by community pharmacists that distract them from delivering professional pharmacy services have been highlighted. Urgent affirmative actions by the government are warranted in supporting community pharmacists to realise and maximise their potentials.

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Section: Discussionmentioning

confidence: 99%

Challenges in the management of community pharmacies in Malaysia

Kho¹,

Lim²,

Saleem³

2017

Pharm Pract (Granada)

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“…almost 50% chronic disease nonadherent patients [14] due to absence of any adherence support service in private sector [8,20].…”

Section: Introductionmentioning

confidence: 99%

Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; A Delphi study

Mubarak

Hatah²,

Aris³

et al. 2019

PLoS ONE

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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. 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. Results Response rate was 70.73% and 100% in 1 st and 2 nd 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 2 nd round; hence, no next round was executed. 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.

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“…In terms of the awareness of the campaign, fewer respondents were aware of the campaign in the current study as compared to the previous study . As both current and past studies employ a non‐probability sampling method, thus the findings had limited generalisability and were not readily comparable.…”

Section: Discussionmentioning

confidence: 69%

“…Sarawak, being the largest state in Malaysia, is geographically, ethnically and culturally unique . The only study conducted among Sarawak population was back in 2013 . However, the study did not examine their awareness on AUOM and the contemporary awareness of the campaign in the state.…”

Section: Introductionmentioning

confidence: 99%

Awareness on know your medicine campaign and the appropriate use of medicines among Sarawak consumers

Ting

Ang²,

Ahmad³

et al. 2019

J Pharm Health Serv Res

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Introduction Inappropriate use of medicine is a serious public health issue. Malaysia launched Know Your Medicine (KYM) campaign in 2007 to promote the appropriate use of medicines (AUOM). However, little studies were done to evaluate the extent of awareness level towards the campaign and AUOM among Sarawak population. Objective To explore the awareness level of consumers on the KYM campaign and on the AUOM in the state of Sarawak, Malaysia. Methods A cross‐sectional survey was conducted from June to August 2015 using a structured self‐administered questionnaire adapted from the National Survey on the Use of Medicines III. Convenient sampling was done to sample a minimum of 78 respondents from each zone with equal distribution between rural and urban areas, which inclusive of the southern zone (Kuching division), central zone (Sibu division) and northern zone (Bintulu and Miri divisions). Data analysis was conducted with IBM SPSS (v21.0). Results There were a total of 267 respondents, with 49.1 and 50.9% from urban and rural population respectively. Only 32.8 and 19.9% of respondents from urban and rural, respectively, had attended the KYM activities (P < 0.05). For awareness on the AUOM, urban respondents had a significantly higher proportion of recognising generic and brand name of medicine (73.3 versus 39.7%, P < 0.001). However, both groups reported poor awareness of proper disposal of medicines (<25%). Conclusion Approximately half of the respondents were not aware of the KYM campaign. Urban population was found more knowledgeable about appropriate use of medicines. Efforts to disseminate the information especially among rural population should be strengthened through adopting the most accessible media channels.

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An Exploratory Study on the Consumers Use of Medicine in the State of Sarawak, Malaysia

Cited by 6 publications

References 12 publications

Challenges in the management of community pharmacies in Malaysia

Challenges in the management of community pharmacies in Malaysia

Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; A Delphi study

Awareness on know your medicine campaign and the appropriate use of medicines among Sarawak consumers

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