Feasibility of Implementing Chronic Care Model in the Malaysian Public Primary Care Setting
- Author:
Farnaza Ariffin
;
Anis Safura Ramli
;
Maryam Hannah Daud
;
Jamaiyah Haniff
;
Suraya Abdul-Razak
;
Sharmini Selvarajah
;
Verna KM Lee
;
Seng Fah Tong
;
Mohamad Adam Bujang
- Publication Type:Journal Article
- Keywords:
Chronic care model;
chronic disease;
non-communicable disease;
feasibility;
multifaceted intervention;
Primary Healthcare clinic;
Malaysia
- From:
The Medical Journal of Malaysia
2017;72(2):106-112
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Non-communicable diseases (NCD) is a global
health threat. the Chronic Care Model (CCM) was proven
effective in improving NCD management and outcomes in
developed countries. Evidence from developing countries
including Malaysia is limited and feasibility of CCM
implementation has not been assessed. this study intends
to assess the feasibility of public primary health care clinics
(PHC) in providing care according to the CCM.
Methodology: A cross-sectional survey was conducted to
assess the public PHC ability to implement the components
of CCM. All public PHC with Family Medicine Specialist in
Selangor and Kuala Lumpur were invited to participate. A
site feasibility questionnaire was distributed to collect site
investigator and clinic information as well as delivery of care
for diabetes and hypertension.
results: there were a total of 34 public PHC invited to
participate with a response rate of 100%. there were 20
urban and 14 suburban clinics. the average number of
patients seen per day ranged between 250-1000 patients.
the clinic has a good mix of multidisciplinary team
members. All clinics had a diabetic registry and 73.5% had a
hypertensive registry. 23.5% had a dedicated diabetes and
26.5% had a dedicated hypertension clinic with most clinic
implementing integrated care of acute and NCD cases.
Discussion: the implementation of the essential
components of CCM is feasible in public PHCs, despite
various constraints. Although variations in delivery of care
exists, majority of the clinics have adequate staff that were
willing to be trained and are committed to improving patient
care.
- Full text:P020170509424434622534.pdf
