Determinants of community pharmacy utilisation among the adult population in Malaysia: findings from the National Health and Morbidity Survey 2019

Hamidi, Normaizira; Tan, Yeung R’ong; Jawahir, Suhana; Tan, Ee Hong

doi:10.1186/s12913-021-06656-1

Cited by 12 publications

(10 citation statements)

References 43 publications

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“…However, it is noted that working-age individuals often serve as caregivers for children or other family members with SFIs and thus may seek pharmacy services on behalf of these individuals. The demographic profile of the surveyed consumers also appears similar to that reported for typical users of community pharmacy services in other countries within the Association of Southeast Asian Nations (ASEAN) region [15,21,38]. Although the consumer and pharmacist surveys covered two different countries (Philippines and Thailand), the patterns of SFI etiology reported by consumers were similar and relatable to that described for other ASEAN countries [4].…”

Section: Limitationssupporting

confidence: 59%

“…Although medication dispensing and provision of limited medication advice currently remain the core role of community pharmacists across Asia, their role has been expanding to include additional healthcare services, such as the management of minor ailments, health screening, and health promotion advice [16,[21][22][23]. This reflects a move towards improving pharmacy practice standards internationally, in line with the Good Pharmacy Practice standards endorsed by the International Pharmaceutical Federation and the World Health Organization [24].…”

Section: Introductionmentioning

confidence: 99%

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Towards Better CARE for Superficial Fungal Infections: A Consultation Guide for the Community Pharmacy

et al. 2022

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Superficial fungal infections (SFIs) are among the most common skin diseases worldwide and are common in many parts of Asia. Community pharmacists are well-placed to help identify and manage SFIs. However, effective management may be hindered by a suboptimal consultation process, attributed to the misalignment between consumers’ and pharmacists’ viewpoints. The Fungal CARE (Care, Assess, Recommend, Empower) guide, a patient-centered collaborative framework, was developed to improve pharmacist-led SFI consultations in community pharmacy. A survey on real-world consumer experiences with SFIs provided insights for aligning the Fungal CARE guide with consumer perspectives. To further optimize the guide, community pharmacists were surveyed on their current practice and challenges of managing SFIs, as well as views on the usefulness of the Fungal CARE guide. The pharmacists’ survey indicated that respondents engaged with some but not all of consumers’ top concerns with SFIs, such as emotional and social aspects. Pharmacists identified their greatest challenges as poor compliance with SFI treatment and limited confidence in identifying and/or managing SFIs. Encouragingly, when presented with the Fungal CARE guide, nearly all pharmacists agreed it would be helpful and would use it in practice. Implementing the Fungal CARE guide may help improve pharmacist-led consultations for SFIs and encourage better treatment outcomes.

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Section: Limitationssupporting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Towards Better CARE for Superficial Fungal Infections: A Consultation Guide for the Community Pharmacy

et al. 2022

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“…The MIP program had a positive equity impact by offering better financial protection to the poorest [ 48 ]. In the United Kingdom, the Stay Well Pharmacy campaign was launched in 2018 to promote the use of community pharmacists for the care of minor ailments in order to lessen outpatient visits [ 49 ]. Should Malaysia implement similar public health efforts to support the management of minor ailments by private primary service providers, such as community pharmacies and private general practitioners, this could ease congestion at public health clinics for the benefit of sicker patients.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting the Use of Private Outpatient Services among the Adult Population in Malaysia

Anis-Syakira

Jawahir

Bakar

et al. 2022

IJERPH

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The proportion of Malaysians of all ages who use private outpatient services has dropped over time, highlighting the overstretched condition of public outpatient facilities compared to their private counterparts. This paper aims to determine the prevalence of outpatient care, characteristics of outpatient care users by sector, and the factors affecting the utilisation of private outpatient services among the adult population of Malaysia using Andersen’s behavioural model. Data from the National Health Morbidity Survey 2019 (NHMS 2019), a nationwide survey, were analysed. Logistic regression analysis was performed to explore the association of predisposing (locality, age, sex, ethnicity, education level, and marital status), enabling (working status, health care coverage, and household income), and need factors (perceived and evaluated needs) with the use of private outpatient services. Variables with a statistical significance ≤ 0.25 in the univariate regression analysis were included in the final multivariable logistic regression analysis. A total of 11,674 respondents, estimated to represent 22.4 million adults aged 18 years and above in Malaysia, were included for analysis. Overall, 8.3% of the adult population of Malaysia used outpatient care and 33.9% used the private sector. Those living in urban areas (OR = 1.80, 95% CI = 1.02, 3.18), non-Malays (OR = 1.74, 95% CI = 1.04, 2.93), those working (OR = 2.47, 95% CI = 1.48, 4.10), those with employer coverage (OR = 4.73, 95% CI = 2.79, 8.01), and those with health problems (OR = 2.26, 95% CI = 1.26, 4.05) were more likely to utilise private outpatient services. Those who self-rated their health status as fair (OR = 0.54, 95% CI = 0.33, 0.91) and who had diabetes, hypertension, or hypercholesterolemia (OR = 0.56, 95% CI = 0.31, 1.02) were less likely to utilise private outpatient services. The predisposing and enabling factors were associated with the use of private outpatient services, and the need factors were strong predictors of private outpatient care utilisation among adults. Understanding the factors associated with the utilisation of private outpatient services could aid in the development of effective initiatives designed to enhance outpatient care access among the population of Malaysia and balance the burden of outpatient care provision on the public and private sector.

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“…The general quality of the pharmaceutical counseling services offered to patients to enhance their medication use and, as a result, their wellbeing, was subpar [84]. Hamidi et al, 2019. -Malaysia Data from the 2019 National Health and Morbidity Survey, a cross-sectional household survey conducted countrywide with a two-stage stratified random sampling design, were utilized for secondary data analysis. The characteristics of the respondents were described using comprehensive sample descriptive statistics.…”

Section: Alfadl Alrasheedy and Alhassun (2018) -Saudi Arabiamentioning

confidence: 99%

Emerging Roles of Community Pharmacist in Public Health: A Review on ASIA

G¹,

U.²,

N.³

et al. 2022

IJRPR

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This study's aim was to conduct a comprehensive review of previously published research publications related to the emerging roles of community pharmacists in public health in Asia. It aims to analyze the new roles that community pharmacists are being called upon to fill in Asian regions in public health with also a focus on maximizing the full capacity of pharmacist skills and development to public health, a continuing advocate, and first-line empowerment of providing pharmacy information queries. The written works of this study utilized a systematic search of existing literature, including articles reporting on the emerging roles of community pharmacists in public health, using the following databases: Cochrane, Google Scholar, Science Direct, PubMed/Medline, and Research Gate. Hand searching relevant articles on the research topic were employed to help ensure the confinement of all necessary existing literature/articles. The intervention or services types are classified based on the following: smoking cessation services, weight management services, alcohol reduction services, chronic disease management, drug misuse prevention and management services, and immunization and vaccination services; each comprises different major processes aiming to improve an individual's health status providing ways upon validation that are crucial for the betterment of public healthcare. In accordance with the studies, community pharmacist-led public-health programs markedly strengthened the efficiency, steadfastness, and cost-effectiveness of the allocation of public health resources whilst still optimizing the health of clients and patients, specifically whenever it arrives at assessing prospective issues and individuals who seek specialized care. Notwithstanding such, community pharmacy operations still necessitate modification to satisfy the evolving demands of consumers of modern medications. Training must attempt to boost pharmacists' confidence in supplying these services if community pharmacies are to elevate the public health services they serve. A proactive approach to the delivery of public health care by confident, well-trained pharmacists should have a favorable impact on client attitudes and health.

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Determinants of community pharmacy utilisation among the adult population in Malaysia: findings from the National Health and Morbidity Survey 2019

Cited by 12 publications

References 43 publications

Towards Better CARE for Superficial Fungal Infections: A Consultation Guide for the Community Pharmacy

Towards Better CARE for Superficial Fungal Infections: A Consultation Guide for the Community Pharmacy

Factors Affecting the Use of Private Outpatient Services among the Adult Population in Malaysia

Emerging Roles of Community Pharmacist in Public Health: A Review on ASIA

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