Evaluation of awareness &amp; utilisation of clinical practise guideline for management of adult Dengue infection among Malaysia doctors

Ariff, Mohammed; Yahya, Abqariyah; Zaki, Rafdzah Ahmad; Sarimin, Roza; Ghazali, Izzuna Mudla Mohamed; Gill, Balvinder Singh; Suli, Zailiza; Yusof, Mohd Aminuddin Mohd; Lutfi, Nafisah Ahmad; Thye, Sin Lian; Ismail, Fatanah; Mahmud, Maimunah; Bakri, Rugayah

doi:10.1371/journal.pone.0178137

Cited by 5 publications

(8 citation statements)

References 14 publications

(18 reference statements)

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“…Amongst health practitioners, it was shown that the level of awareness on Clinical Practice Guidelines (CPG) was higher amongst public health practitioners (99%) as compared to private practitioners (84%) [ 53 ]. Not surprisingly, the percentage of Medical Officer in private facilities utilising CPG was lower than those from public facilities (84% versus 98%, respectively).…”

Section: Resultsmentioning

confidence: 99%

“…Out of 57 articles reviewed, 22 articles have piloted or pretested the questionnaire [ 24 , 29 , 34 , 36 , 38 , 41 , 48 , 50 , 53 , 57 , 63 , 65 , 66 , 67 , 68 , 71 , 72 , 73 , 75 , 77 , 78 , 79 ] before surveying. A total of 14 articles [ 26 , 30 , 31 , 33 , 35 , 37 , 42 , 43 , 47 , 51 , 54 , 62 , 74 , 80 ] were considered as having a high risk of bias on the questionnaire due to lack of evidence on validity and reliability (data not shown), among which two articles were adapted directly from the similar previous study, and 10 articles were a newly developed questionnaire.…”

Section: Resultsmentioning

confidence: 99%

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Different Domains of Dengue Research in Malaysia: A Systematic Review and Meta-Analysis of Questionnaire-Based Studies

Guad

Aung

et al. 2021

IJERPH

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This review provided a systematic overview of the questionnaire-related dengue studies conducted in Malaysia and evaluated their reliability and validity used in the questionnaires. An extensive literature search was conducted using various electronic databases, including PubMed, EMBASE, Medline, and ScienceDirect. Systematic reviews and meta-analysis (PRISMA) were selected as the preferred item reporting method. Out of 88 identified dengue-related, 57 published from 2000 to April 2020 met the inclusion criteria and were included. Based on the meta-analysis, a poor mean score was obtained for knowledge (49%), attitude (44%), and preventive practice (55%). The study showed that the level of knowledge on cardinal signs and modes of transmission for dengue virus were highest among health care workers, followed by students (international and local) and lastly community residents. In treatment-seeking behaviours, only half of the respondents (50.8%) would send their child to the nearest health clinics or hospitals when a child became restless or lethargic. The acceptance rate for dengue vaccine, bacteria (Wolbachia), as a vector for dengue control and self-test diagnostic kit for dengue showed considerably high (88.4%, 70%, and 44.8%, respectively). Health belief model (HBM) constructs, such as perceived barriers, perceived severity, perceived susceptibility, self-efficacy, and perceived benefit influence prevention practices. Lastly, only 23 articles (40.3%) had piloted or pretested the questionnaire before surveying, in which three reported Cronbach’s alpha coefficient (0.70–0.90). A need for active participation of communities and healthcare personnel, promotion of awareness, and safe complementary medicines, as well as assessment of psychometric properties of questionnaire use in dengue surveys in Malaysia, in order for assessing dengue reliably and valid.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Different Domains of Dengue Research in Malaysia: A Systematic Review and Meta-Analysis of Questionnaire-Based Studies

Guad

Aung

et al. 2021

IJERPH

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“…They may be problematic, however, if patients requiring more tailored fluid regimes are not identified. Given previous survey evidence of good awareness and utilization of CPGs [13], this is concerning, as many participants reported having been unaware of how to calculate accurate fluid management. The reported high awareness of, and utilization of, ‘guidelines’ in surveys [13] may well refer to these fixed regime algorithms for fluid management.…”

Section: Discussionmentioning

confidence: 99%

“…CPGs also need to be routinely embedded in clinical practice, such that care can be co-ordinated across primary, secondary and tertiary levels and across departments within health care facilities. Quantitative survey evidence suggests a high degree of awareness and utilization of dengue management CPGs among Malaysian doctors, in both the public and private sectors (98 and 86% respectively) [13]. However, as in other settings, these self-reports of high utilization may not reflect actual practice.…”

Section: Introductionmentioning

confidence: 99%

Using clinical practice guidelines to manage dengue: a qualitative study in a Malaysian hospital

et al. 2019

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BackgroundMalaysia has rising dengue incidence. World Health Organization clinical practice guidelines for managing dengue have been adapted by the Ministry of Health in Malaysia, with evidence of good awareness by clinicians. However, dengue mortality has not reduced. This study aimed to explore the challenges of dengue management for Medical Officers, with a particular focus on use of clinical practice guidelines.MethodsQualitative study using six focus groups and 14 semi-structured interviews with doctors responsible for dengue management at a large tertiary hospital in Malaysia.ResultsDengue was recognised as difficult to diagnose and manage. Wide awareness and use of both WHO and Ministry of Health guidelines was reported, but several limitations noted in their coverage of particular patient groups. However, the phrase ‘guidelines’ also referred to local algorithms for fluid management, which were less clinically evidence-based. Where Medical Officers were well trained in the appropriate use of evidence-based guidelines, barriers to use included: the potential for ‘following the algorithm’ to undermine junior clinicians’ claims to clinical expertise; inability to recognise the pattern of clinical progress; and lack of clinical experience. Other reported barriers to improved case management were resource constraints, poor referral practices, and insufficient awareness of the need for timely help seeking.ConclusionsAwareness of clinical practice guidelines is a necessary, but not sufficient, condition for optimal dengue management. In high prevalence settings, all clinical staff would benefit from regular dengue management training which should include diagnosis, practice in monitoring disease progression and the use of clinical practice guidelines in a range of clinical contexts.Electronic supplementary materialThe online version of this article (10.1186/s12879-019-3680-5) contains supplementary material, which is available to authorized users.

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“…Usage of Quick Reference is monitored by using feedback forms. Evaluation on users' awareness and adherence to selected CPGs such as the Dengue CPG (revised second edition) has also been conducted (12).…”

Section: Clinical Practice Guidelinesmentioning

confidence: 99%

Health Technology Assessment in Malaysia: Past, Present, and Future

Sarimin

Sabirin

Izzuna

et al. 2019

Int J Technol Assess Health Care

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ObjectivesThe aim of this study was to provide a comprehensive overview of the evolution of health technology assessment (HTA) in Malaysia over the past decade.MethodsWe described the evolution of HTA program in Malaysia based on review of administrative data, publicly available information and quantitative description of impact evaluation.ResultsHealth Technology Assessment HTA was formalized in Malaysia in 1995 as a central structure within the Ministry of Health, Malaysia in 1995. Expansion of activities demonstrated over the years including Horizon Scanning of health technologies and implementation of evidence-based Clinical Practice Guidelines. Improvement on the processes in terms of types of report, quality, monitoring, and impact evaluation as well as accessibility was also carried out. Examples of impact/influence of the reports have also been demonstrated.ConclusionsHTA program in Malaysia has evolved over the past decades. Its role in policy formulation and decision making of health technologies has become more significant over the years and is foreseen to be bigger in the future. As a trusted source of evidence, HTA in Malaysia will continue to strengthen the health system by advocating informed decision making and value-based medicine. As other countries in this region is trying to establish their own HTA processes and procedures, this review on the evolution of the HTA program in Malaysia might give some insights on developing a sustainable HTA program.

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Evaluation of awareness & utilisation of clinical practise guideline for management of adult Dengue infection among Malaysia doctors

Cited by 5 publications

References 14 publications

Different Domains of Dengue Research in Malaysia: A Systematic Review and Meta-Analysis of Questionnaire-Based Studies

Different Domains of Dengue Research in Malaysia: A Systematic Review and Meta-Analysis of Questionnaire-Based Studies

Using clinical practice guidelines to manage dengue: a qualitative study in a Malaysian hospital

Health Technology Assessment in Malaysia: Past, Present, and Future

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