Evidence map›Paper›PMID 36269717›Full record

ArticlePloS one2022

Comparative performance of public and private primary care service delivery in Malaysia: An analysis of findings from QUALICOPC.

Su Miin Ong, Ming Tsuey Lim, Seng Fah Tong, M N Kamaliah, Peter Groenewegen, Sheamini Sivasampu

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Risk-Stratified Breast Cancer Screening in Malaysia: Challenges and Opportunities.Asian Pacific journal of cancer prevention : APJCP · 2024
    Review
  5. Article
  6. Pharmacists' interventions on prescribing errors in Malaysia.Journal of pharmaceutical policy and practice · 2024
    Article
  7. Article
  8. 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 3 institutions in 2 countries.

Su Miin OngCentre for Clinical Outcomes Research, Institute for Clinical Research, Shah Alam, Selangor, Malaysia.ORCID 0000-0002-5430-5040
Ming Tsuey LimCentre for Clinical Outcomes Research, Institute for Clinical Research, Shah Alam, Selangor, Malaysia.
Seng Fah TongDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz UKM, Wilayah Persekutuan Kuala Lumpur, Malaysia.
M N KamaliahFaculty of Medicine, University of Cyberjaya, Cyberjaya, Selangor, Malaysia.
Peter GroenewegenNetherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.
Sheamini SivasampuCentre for Clinical Outcomes Research, Institute for Clinical Research, Shah Alam, Selangor, Malaysia.ORCID 0000-0003-2314-6048
University Kebangsaan Malaysia Medical Centre · MYUniversity of Cyberjaya · MYUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrimary care services are essential in achieving universal health coverage and Malaysia is looking into public-private partnership to overcome resource constraints. The study aims to compare the performance of primary care service delivery dimensions between public and private sector.

methodsThis cross-sectional study used the data from the Malaysian International Quality and Costs of Primary Care (QUALICOPC) study conducted in 2015-2016. The relative performance of each sector in four dimensions was compared using multi-level linear regression by incorporating a dummy variable indicating public sector in the model.

resultsThe public sector was shown to have higher performance in comprehensiveness and coordination, while the private sector was better in continuity. There was no significant difference in accessibility. The public primary care services were better in serving primary care sensitive conditions, better informational continuity, and with better skill-mix and inter- and intra- professional relationship. Meanwhile, the private sector was stronger in referral decision making process, specialist feedback and greater out of hours facilities access.

conclusionsThe public and private sectors differ in their strengths, which the government may tap into to strengthen primary care services. Other areas for improvement include seamless care strategies that promote good referral, feedback, and information continuity.

Indexed as

Public SectorQuality of Health CareCross-Sectional StudiesHumansMalaysiaPrimary Health Care

Identifiers

PMID36269717
PMCPMC9586414
OpenAlexW4307009044

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.