A comparison of morbidity patterns in public and private primary care clinics in Malaysia

O. Mimi, Tong Seng Fah, S. Nordin, C. L. Teng, E. M. Khoo, A. R A Kareem, A. H. Zailinawati, V. K M Lee, W. S. Chen, W. M. Shihabudin, M. S. Noridah, Z. E. Fauziah

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Objectives: To compare the morbidity patterns in public and private primary care clinics; determine patients' reasons for encounter (RFE) and diagnoses using the ICPC-2, and compare ten commonest diagnoses and RFEs. Methods: A cross-sectional study on randomly selected clinics was conducted nationwide. Doctors completed the Patient Encounter Record (PER) for systematically selected encounters for a week. Results: Response rate was 82.0% (public clinic) and 33% (private clinic) with 4262 encounters and 7280 RFE. Overall, the three commonest disease categories encountered were respiratory (37.2%), general and unspecified (29.5%), and cardiovascular diseases (22.2%). Public and private clinics handled 27% versus 50% acute cases and 20.0% versus 3.1% chronic cases i.e. 33.7 and 5.6 chronic diseases/100 RFE respectively. Conclusion: Doctors in public clinics saw more chronic and complex diseases as well as pregnancy related complaints and follow-up cases while in private clinics more acute and minor illnesses were seen. Health services should be integrated and support given to co-manage chronic diseases in both sectors.

Original languageEnglish
Pages (from-to)5
Number of pages1
JournalMalaysian Family Physician
Volume6
Issue number1
Publication statusPublished - 2011

Fingerprint

Malaysia
Primary Health Care
Chronic Disease
Morbidity
Health Services
Cardiovascular Diseases
Cross-Sectional Studies
Pregnancy

Keywords

  • Delivery of health care
  • Malaysia
  • Morbidity pattern
  • Primary practice
  • Reasons for encounter

ASJC Scopus subject areas

  • Family Practice
  • Community and Home Care

Cite this

Mimi, O., Seng Fah, T., Nordin, S., Teng, C. L., Khoo, E. M., Kareem, A. R. A., ... Fauziah, Z. E. (2011). A comparison of morbidity patterns in public and private primary care clinics in Malaysia. Malaysian Family Physician, 6(1), 5.

A comparison of morbidity patterns in public and private primary care clinics in Malaysia. / Mimi, O.; Seng Fah, Tong; Nordin, S.; Teng, C. L.; Khoo, E. M.; Kareem, A. R A; Zailinawati, A. H.; Lee, V. K M; Chen, W. S.; Shihabudin, W. M.; Noridah, M. S.; Fauziah, Z. E.

In: Malaysian Family Physician, Vol. 6, No. 1, 2011, p. 5.

Research output: Contribution to journalArticle

Mimi, O, Seng Fah, T, Nordin, S, Teng, CL, Khoo, EM, Kareem, ARA, Zailinawati, AH, Lee, VKM, Chen, WS, Shihabudin, WM, Noridah, MS & Fauziah, ZE 2011, 'A comparison of morbidity patterns in public and private primary care clinics in Malaysia', Malaysian Family Physician, vol. 6, no. 1, pp. 5.
Mimi, O. ; Seng Fah, Tong ; Nordin, S. ; Teng, C. L. ; Khoo, E. M. ; Kareem, A. R A ; Zailinawati, A. H. ; Lee, V. K M ; Chen, W. S. ; Shihabudin, W. M. ; Noridah, M. S. ; Fauziah, Z. E. / A comparison of morbidity patterns in public and private primary care clinics in Malaysia. In: Malaysian Family Physician. 2011 ; Vol. 6, No. 1. pp. 5.
@article{cd937aaeb2a346cf9329f0b71f0debf4,
title = "A comparison of morbidity patterns in public and private primary care clinics in Malaysia",
abstract = "Objectives: To compare the morbidity patterns in public and private primary care clinics; determine patients' reasons for encounter (RFE) and diagnoses using the ICPC-2, and compare ten commonest diagnoses and RFEs. Methods: A cross-sectional study on randomly selected clinics was conducted nationwide. Doctors completed the Patient Encounter Record (PER) for systematically selected encounters for a week. Results: Response rate was 82.0{\%} (public clinic) and 33{\%} (private clinic) with 4262 encounters and 7280 RFE. Overall, the three commonest disease categories encountered were respiratory (37.2{\%}), general and unspecified (29.5{\%}), and cardiovascular diseases (22.2{\%}). Public and private clinics handled 27{\%} versus 50{\%} acute cases and 20.0{\%} versus 3.1{\%} chronic cases i.e. 33.7 and 5.6 chronic diseases/100 RFE respectively. Conclusion: Doctors in public clinics saw more chronic and complex diseases as well as pregnancy related complaints and follow-up cases while in private clinics more acute and minor illnesses were seen. Health services should be integrated and support given to co-manage chronic diseases in both sectors.",
keywords = "Delivery of health care, Malaysia, Morbidity pattern, Primary practice, Reasons for encounter",
author = "O. Mimi and {Seng Fah}, Tong and S. Nordin and Teng, {C. L.} and Khoo, {E. M.} and Kareem, {A. R A} and Zailinawati, {A. H.} and Lee, {V. K M} and Chen, {W. S.} and Shihabudin, {W. M.} and Noridah, {M. S.} and Fauziah, {Z. E.}",
year = "2011",
language = "English",
volume = "6",
pages = "5",
journal = "Malaysian Family Physician",
issn = "1985-207X",
publisher = "Academy of Family Physicians of Malaysia",
number = "1",

}

TY - JOUR

T1 - A comparison of morbidity patterns in public and private primary care clinics in Malaysia

AU - Mimi, O.

AU - Seng Fah, Tong

AU - Nordin, S.

AU - Teng, C. L.

AU - Khoo, E. M.

AU - Kareem, A. R A

AU - Zailinawati, A. H.

AU - Lee, V. K M

AU - Chen, W. S.

AU - Shihabudin, W. M.

AU - Noridah, M. S.

AU - Fauziah, Z. E.

PY - 2011

Y1 - 2011

N2 - Objectives: To compare the morbidity patterns in public and private primary care clinics; determine patients' reasons for encounter (RFE) and diagnoses using the ICPC-2, and compare ten commonest diagnoses and RFEs. Methods: A cross-sectional study on randomly selected clinics was conducted nationwide. Doctors completed the Patient Encounter Record (PER) for systematically selected encounters for a week. Results: Response rate was 82.0% (public clinic) and 33% (private clinic) with 4262 encounters and 7280 RFE. Overall, the three commonest disease categories encountered were respiratory (37.2%), general and unspecified (29.5%), and cardiovascular diseases (22.2%). Public and private clinics handled 27% versus 50% acute cases and 20.0% versus 3.1% chronic cases i.e. 33.7 and 5.6 chronic diseases/100 RFE respectively. Conclusion: Doctors in public clinics saw more chronic and complex diseases as well as pregnancy related complaints and follow-up cases while in private clinics more acute and minor illnesses were seen. Health services should be integrated and support given to co-manage chronic diseases in both sectors.

AB - Objectives: To compare the morbidity patterns in public and private primary care clinics; determine patients' reasons for encounter (RFE) and diagnoses using the ICPC-2, and compare ten commonest diagnoses and RFEs. Methods: A cross-sectional study on randomly selected clinics was conducted nationwide. Doctors completed the Patient Encounter Record (PER) for systematically selected encounters for a week. Results: Response rate was 82.0% (public clinic) and 33% (private clinic) with 4262 encounters and 7280 RFE. Overall, the three commonest disease categories encountered were respiratory (37.2%), general and unspecified (29.5%), and cardiovascular diseases (22.2%). Public and private clinics handled 27% versus 50% acute cases and 20.0% versus 3.1% chronic cases i.e. 33.7 and 5.6 chronic diseases/100 RFE respectively. Conclusion: Doctors in public clinics saw more chronic and complex diseases as well as pregnancy related complaints and follow-up cases while in private clinics more acute and minor illnesses were seen. Health services should be integrated and support given to co-manage chronic diseases in both sectors.

KW - Delivery of health care

KW - Malaysia

KW - Morbidity pattern

KW - Primary practice

KW - Reasons for encounter

UR - http://www.scopus.com/inward/record.url?scp=80053141818&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80053141818&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:80053141818

VL - 6

SP - 5

JO - Malaysian Family Physician

JF - Malaysian Family Physician

SN - 1985-207X

IS - 1

ER -