Evidence map›Paper›PMID 32313820›Full record

ArticleHealth services research and managerial epidemiology

Variations in the Delivery of Primary Diabetes Care in Malaysia: Lessons to Be Learnt and Potential for Improvement.

Feisul Idzwan Mustapha, Jens Aagaard-Hansen, Shiang Cheng Lim, Nazrila Hairizan Nasir, Tahir Aris, Ulla Bjerre-Christensen

Open access · goldAbstract read
In one paragraph

Article in Health services research and managerial epidemiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 3 countries.

Feisul Idzwan MustaphaMinistry of Health Malaysia Disease Control Division, Wilayah Persekutuan, Putrajaya, Malaysia.ORCID https://orcid.org/0000-0003-3497-341X
Jens Aagaard-HansenSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Shiang Cheng LimSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Nazrila Hairizan NasirDivision of Family Health Development, Putrajaya, Malaysia.
Tahir ArisInstitute for Public Health, Kuala Lumpur, Malaysia.
Ulla Bjerre-ChristensenSteno Diabetes Center Copenhagen, Gentofte, Denmark.
Steno Diabetes Centers · DKMinistry of Health · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe article describes variations in the organization of clinical services for diabetes patients in 10 public primary health clinics in Malaysia with the view to learn from current innovations and improve diabetes service provision.

methodsThis study combined the use of secondary data and a qualitative multicase study approach applying observations in 10 randomly selected Ministry of Health (MOH) health clinics in Kuala Lumpur and Selangor and semistructured interviews of the family medicine specialists from the same clinics.

resultsAlthough there are specific MOH guidelines for diabetes care, some clinics had introduced innovations for diabetes care such as the novel 'personalized care', 'one-stop-centre' and utilization of patients' waiting time for health education. Analysis showed that there was room for improvement in terms of task shifting to free precious time of staff with specialized functions, streamlining appointments for various examinations, increasing continuity of consultations with same doctors, and monitoring of performance.

conclusionWe contend that there is a potential for increased effectiveness and efficiency of primary diabetes care in Malaysia without increasing the resources - a potential that may be tapped into by systematic learning from ongoing innovation.

Indexed as

community health centersdisease managementlong-term carepractice managementprimary care

Identifiers

PMID32313820
PMCPMC7160766
OpenAlexW3017362595

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.