Implementing asthma management guidelines in public primary care clinics in Malaysia

Cheong, Ai Theng and Lee, Ping Yein and Shariff-Ghazali, Sazlina and Salim, Hani and Hussein, Norita and Ramli, Rizawati and Pinnock, Hilary and Liew, Su May and Hanafi, Nik Sherina Haidi and Abu Bakar, Ahmad Ihsan and Ahad, Azainorsuzila Mohd and Pang, Yong Kek and Chinna, Karuthan and Khoo, Ee Ming (2021) Implementing asthma management guidelines in public primary care clinics in Malaysia. NPJ Primary Care Respiratory Medicine, 31 (1). ISSN 2055-1010, DOI

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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.

Item Type: Article
Uncontrolled Keywords: Metered-dose inhaler; Health-care; Follow-up; Adults; Australia; Severity; Barriers; Doctors
Subjects: Q Science > QM Human anatomy
Q Science > QP Physiology
Divisions: Faculty of Medicine
Faculty of Medicine > Medicine Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 09 Jun 2022 07:40
Last Modified: 09 Jun 2022 07:40

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