Implementing asthma management guidelines in public primary care clinics in Malaysia

Abstract Implementing asthma guideline recommendations is challenging in low- and middle-income countries. We aimed to explore healthcare provider (HCP) perspectives on the provision of recommended care. Twenty-six HCPs from six public primary care clinics in a semi-urban district of Malaysia were p...

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Autores principales:	Ai Theng Cheong, Ping Yein Lee, Sazlina Shariff-Ghazali, Hani Salim, Norita Hussein, Rizawati Ramli, Hilary Pinnock, Su May Liew, Nik Sherina Hanafi, Ahmad Ihsan Abu Bakar, Azainorsuzila Mohd Ahad, Yong Kek Pang, Karuthan Chinna, Ee Ming Khoo
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/f81e25fa51f74c92b2848ac37845b362
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spelling	oai:doaj.org-article:f81e25fa51f74c92b2848ac37845b3622021-12-05T12:06:15ZImplementing asthma management guidelines in public primary care clinics in Malaysia10.1038/s41533-021-00257-52055-1010https://doaj.org/article/f81e25fa51f74c92b2848ac37845b3622021-11-01T00:00:00Zhttps://doi.org/10.1038/s41533-021-00257-5https://doaj.org/toc/2055-1010Abstract Implementing asthma guideline recommendations is challenging in low- and middle-income countries. We aimed to explore healthcare provider (HCP) perspectives on the provision of recommended care. Twenty-six HCPs from six public primary care clinics in a semi-urban district of Malaysia were purposively sampled based on roles and experience. Focus group discussions were guided by a semi-structured interview guide and analysed thematically. HCPs had access to guidelines and training but highlighted multiple infrastructure-related challenges to implementing recommended care. Diagnosis and review of asthma control were hampered by limited access to spirometry and limited asthma control test (ACT) use, respectively. Treatment decisions were limited by poor availability of inhaled combination therapy (ICS/LABA) and free spacer devices. Imposed Ministry of Health programmes involving other non-communicable diseases were prioritised over asthma. Ministerial policies need practical resources and organisational support if quality improvement programmes are to facilitate better management of asthma in public primary care clinics.Ai Theng CheongPing Yein LeeSazlina Shariff-GhazaliHani SalimNorita HusseinRizawati RamliHilary PinnockSu May LiewNik Sherina HanafiAhmad Ihsan Abu BakarAzainorsuzila Mohd AhadYong Kek PangKaruthan ChinnaEe Ming KhooNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Ai Theng Cheong Ping Yein Lee Sazlina Shariff-Ghazali Hani Salim Norita Hussein Rizawati Ramli Hilary Pinnock Su May Liew Nik Sherina Hanafi Ahmad Ihsan Abu Bakar Azainorsuzila Mohd Ahad Yong Kek Pang Karuthan Chinna Ee Ming Khoo Implementing asthma management guidelines in public primary care clinics in Malaysia
description	Abstract Implementing asthma guideline recommendations is challenging in low- and middle-income countries. We aimed to explore healthcare provider (HCP) perspectives on the provision of recommended care. Twenty-six HCPs from six public primary care clinics in a semi-urban district of Malaysia were purposively sampled based on roles and experience. Focus group discussions were guided by a semi-structured interview guide and analysed thematically. HCPs had access to guidelines and training but highlighted multiple infrastructure-related challenges to implementing recommended care. Diagnosis and review of asthma control were hampered by limited access to spirometry and limited asthma control test (ACT) use, respectively. Treatment decisions were limited by poor availability of inhaled combination therapy (ICS/LABA) and free spacer devices. Imposed Ministry of Health programmes involving other non-communicable diseases were prioritised over asthma. Ministerial policies need practical resources and organisational support if quality improvement programmes are to facilitate better management of asthma in public primary care clinics.
format	article
author	Ai Theng Cheong Ping Yein Lee Sazlina Shariff-Ghazali Hani Salim Norita Hussein Rizawati Ramli Hilary Pinnock Su May Liew Nik Sherina Hanafi Ahmad Ihsan Abu Bakar Azainorsuzila Mohd Ahad Yong Kek Pang Karuthan Chinna Ee Ming Khoo
author_facet	Ai Theng Cheong Ping Yein Lee Sazlina Shariff-Ghazali Hani Salim Norita Hussein Rizawati Ramli Hilary Pinnock Su May Liew Nik Sherina Hanafi Ahmad Ihsan Abu Bakar Azainorsuzila Mohd Ahad Yong Kek Pang Karuthan Chinna Ee Ming Khoo
author_sort	Ai Theng Cheong
title	Implementing asthma management guidelines in public primary care clinics in Malaysia
title_short	Implementing asthma management guidelines in public primary care clinics in Malaysia
title_full	Implementing asthma management guidelines in public primary care clinics in Malaysia
title_fullStr	Implementing asthma management guidelines in public primary care clinics in Malaysia
title_full_unstemmed	Implementing asthma management guidelines in public primary care clinics in Malaysia
title_sort	implementing asthma management guidelines in public primary care clinics in malaysia
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/f81e25fa51f74c92b2848ac37845b362
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Implementing asthma management guidelines in public primary care clinics in Malaysia

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