Article
Nursing
Andrea Carson, Emma Stirling Cameron, Martha Paynter, Wendy Norman, Sarah Munro, Ruth Martin-Misener
Summary: This study explores the experiences of nurse practitioners in implementing medication abortion in Canada and identifies ways to further support their implementation. The findings indicate that nurse practitioners engage in educational, communication, and networking activities, while facing resistance from employers, colleagues, and funders. The study highlights the importance of integrating abortion services in primary care and making them more accessible to patients.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Chemistry, Multidisciplinary
Maria del Carmen Gonzalez-Lopez, Carlos Ruiz-Gonzalez, Bruno Jose Nievas-Soriano, Sonia Garcia-Duarte, Tesifon Parron-Carreno
Summary: The study found that after hospital discharge, most patients in primary health care showed medication discrepancies in their records, with medication errors being the most common type of discrepancy, especially medication omission. Women aged 65 and older were more likely to have medication errors.
APPLIED SCIENCES-BASEL
(2021)
Article
Medicine, General & Internal
Johnny Huynh, Sahil A. Alim, David C. Chan, David M. Studdert
Summary: Comparing the rates of inappropriate prescribing between nurse practitioners and primary care physicians, it was found that they were virtually identical. Although nurse practitioners were overrepresented among clinicians with the highest and lowest rates of inappropriate prescribing, discrepancies in rates tended to be larger across states rather than between these practitioners within states.
ANNALS OF INTERNAL MEDICINE
(2023)
Article
Nursing
Grant Martsolf, Eleanor Turi, Jianfang Liu, Julius Chen, Lusine Poghosyan
Summary: Many professional nursing organizations propose that the Doctor of Nursing Practice (DNP) is the most appropriate entry-level degree for nurse practitioners (NPs). However, there is no evidence to support the claim that DNP education leads to significant improvements in patient outcomes. This study found no statistically significant differences in patient outcomes between primary care NPs with MSN and DNP education.
Article
Geriatrics & Gerontology
Lin-Na Chou, Yong-Fang Kuo, Mukaila A. Raji, James S. Goodwin
Summary: The study found that nurse practitioners (NPs) prescribed fewer initial PIMs and were less likely to refill a PIM after an outpatient visit than physicians. The odds of receiving PIMs during an NP visit varied by age, race/ethnicity, rurality, and number of comorbidities.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Education, Scientific Disciplines
Kenneth Botelho, James Myers
Summary: This manuscript explores a groundbreaking solution by introducing a clinical doctorate program tailored to PAs and NPs, aiming to equip them with the knowledge and skills to assume leadership roles in primary care, addressing the impending crisis in primary care physician shortages.
Article
Nursing
Jordan M. Harrison, Hayley D. Germack, Lusine Poghosyan, Thomas D'Aunno, Grant R. Martsolf
Summary: This paper reports the methods of the largest survey of primary care NPs to date, highlighting challenges faced with sampling frame and data collection. Suggestions are made for future research to avoid these issues and enhance large scale survey data collection from NPs.
Article
Nursing
Linnaea Schuttner, Claire Richardson, Toral Parikh, Edwin S. Wong
Summary: This study compared the overly intensive glycemic control between nurse practitioners and physicians for patients with diabetes. The results showed that patients reassigned to nurse practitioners had a lower probability of HgbA1C <7% after two years, indicating that nurse practitioners have an advantage in delivering low-value care to older adults with diabetes.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2023)
Article
Medicine, General & Internal
Ismo T. Raisanen, Hanna Lahteenmaki, Shipra Gupta, Andreas Grigoriadis, Vaibhav Sahni, Juho Suojanen, Hanna Seppanen, Taina Tervahartiala, Dimitra Sakellari, Timo Sorsa
Summary: This study proposed an efficient strategy based on biomarkers and questionnaires to help medical professionals identify undiagnosed periodontitis patients. The use of oral fluid biomarkers in conjunction with a questionnaire was found to have better diagnostic precision compared to a plain questionnaire.
Article
Nursing
Yin Li, Cheryl B. Jones
Summary: This study examined the care patients received from nurse practitioners (NPs) and physicians in different roles. Patients reported receiving more therapeutic or preventive care from NPs and more diagnostic care and biomedical treatments from physicians. Findings can help inform policymakers on utilizing the expertise of NPs and physicians in serving patients.
Article
Urology & Nephrology
Matthew T. James, Tayler D. Scory, Ellen Novak, Braden J. Manns, Brenda R. Hemmelgarn, Aminu K. Bello, Pietro Ravani, Bhavneet Kahlon, Jennifer M. MacRae, Paul E. Ronksley
Summary: Nurse practitioner care for CKD patients is associated with better guideline-concordant care than primary care alone or nephrologist care, with clinical outcomes that are similar or better than primary care alone and similar to care by nephrologists.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2023)
Review
Nursing
Mary Kearns, Patrick Brennan, Thomas Buckley
Summary: This study aims to explore the nature and extent of peer-reviewed literature related to the use of diagnostic imaging by nurse practitioners (NPs) in order to inform future practice and research. The review found significant gaps in evidence outside of the United States, with more studies and a wider range of clinical specialties and imaging modalities in the United States compared to other countries.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Psychology, Multidisciplinary
Lidia C. C. Casas, Juan J. J. Alvarez, Lieta V. V. Vivaldi, Adela R. R. Montero, Natalia Bozo, Jorge Babul
Summary: This article summarizes a study that explored the role of primary healthcare services in the treatment of rape survivors in Chile and identified biases and shortcomings in accessing legal abortion. The study found that rape is the least used grounds for abortion and that medical practitioners have biases and stigmatize the victims. Lack of political will and the COVID-19 pandemic have hindered timely training on the new law, leading to a lack of gender-sensitive care.
FRONTIERS IN PSYCHOLOGY
(2022)
Article
Medicine, General & Internal
Anusha Naik, Solomiya Syvyk, Jason Tong, Chris Wirtalla, Frances K. Barg, Carmen E. Guerra, Shivan J. Mehta, Richard Wender, Raina M. Merchant, Rachel R. Kelz
Summary: This study compares the factors considered by primary care physicians when making prescription medication recommendations vs referral recommendations for surgery. The findings reveal that physicians rely on objective data and patient attributes for medication recommendations, while subjective factors, such as personal experience and beliefs, play a dominant role in surgeon and hospital referrals. Introducing accessible and reliable surgical data is crucial for improving the referral process and surgical outcomes.
Article
Medicine, General & Internal
John N. Mafi, Alexander Chen, Rong Guo, Kristen Choi, Peter Smulowitz, Chi-Hong Tseng, Joseph A. Ladapo, Bruce E. Landon
Summary: Nurse practitioners and physician assistants (NPs/PAs) are increasingly practicing in emergency departments (EDs). This study found that when NPs/PAs see patients alone, they use fewer medications, diagnostic tests, procedures, hospitalizations, and low-value CT/MRI studies compared to physicians alone. However, when NPs/PAs and physicians collaborate in patient care, there is an increase in the use of medications, diagnostic tests, procedures, hospitalizations, and low-value CT/MRI studies compared to physicians alone. These findings were consistent in EDs where nearly all NPs/PAs visits were collaborative with physicians.
Article
Oncology
N. B. Jalil, P. Y. Lee, M. Z. Nor Afiah, K. L. Abdullah, F. N. S. Mohd Azizi, N. N. S. Abdul Rassip, T. A. Ong, C. J. Ng, Y. K. Lee, A. T. Cheong, A. H. Razack, M. Saad, A. Alip, R. Malek, M. Sundram, S. Omar, J. R. Sathiyananthan, P. Kumar
Summary: This study aimed to evaluate the effectiveness of a PDA modified to the local context in improving patients' knowledge, decisional conflict, and preparation for decision making among men with localized prostate cancer. Although the intervention group showed significant improvement in knowledge and decisional conflict, there were no significant differences between the control and intervention groups in terms of knowledge, decisional conflict, and preparation for decision-making.
JOURNAL OF CANCER EDUCATION
(2022)
Correction
Multidisciplinary Sciences
Adina Abdullah, Su May Liew, Hani Salim, Chirk Jenn Ng, Karuthan Chinna
Article
Public, Environmental & Occupational Health
Shin Shen Yong, Suganthy Robinson, Zhenli Kwan, Ee Ming Khoo, Winn Hui Han, Leng Leng Tan, Su-Ming Wong, Min Moon Tang
Summary: Patients with chronic spontaneous urticaria have an increased risk of psychological distress. Low income and severe disease are significant predictors of depression, while severe disease also affects quality of life and depression levels.
PSYCHOLOGY HEALTH & MEDICINE
(2023)
Review
Respiratory System
Md. Nazim Uzzaman, Dhiraj Agarwal, Soo Chin Chan, Julia Patrick Engkasan, G. M. Monsur Habib, Nik Sherina Hanafi, Tracy Jackson, Paul Jebaraj, Ee Ming Khoo, Fatim Tahirah Mirza, Hilary Pinnock, Ranita Hisham Shunmugam, Roberto A. Rabinovich
Summary: Home-based pulmonary rehabilitation is equally effective as centre-based rehabilitation in improving functional exercise capacity and quality of life for patients with chronic respiratory diseases compared to usual care.
EUROPEAN RESPIRATORY REVIEW
(2022)
Article
Multidisciplinary Sciences
Linghui Amanda Khor, Ulfa Nur Izzati A. Wahid, Lee Lee Ling, Sarah Michael S. Liansim, Jush'n Oon, Mahendran Naidu Balakrishnan, Wei Leik Ng, Ai Theng Cheong
Summary: This retrospective study conducted in three government health clinics in Sabah, Malaysia on newly diagnosed smear positive pulmonary tuberculosis patients from 2017 to 2019 showed that 8.8% of patients did not convert to smear negative at the end of the intensive treatment phase. Older patients (age >= 60), foreigners, and patients with higher sputum bacillary load at diagnosis were more likely to have delayed sputum smear conversion. Healthcare providers should be aware of these factors and ensure proper follow-up treatment for patients.
Article
Primary Health Care
Norita Hussein, Rizawati Ramli, Su May Liew, Nik Sherina Hanafi, Ping Yein Lee, Ai Theng Cheong, Shariff-Ghazali Sazlina, Azainorsuzila Mohd Ahad, Jaiyogesh Patel, Jurgen Schwarze, Hilary Pinnock, Ee Ming Khoo
Summary: This study investigated the management of asthma in Malaysian primary care settings. It found insufficient resources and organizational support, as well as areas for improvement in doctors' practices.
NPJ PRIMARY CARE RESPIRATORY MEDICINE
(2023)
Article
Multidisciplinary Sciences
Nur Zahirah Balqis-Ali, Anis-Syakira Jailani, Weng Hong Fun, Suhana Jawahir, Sondi Sararaks, Grace H. Y. Lee
Summary: Supplementary private health insurance provides better healthcare access, improves health outcomes, and potentially reduces health system costs. Improperly regulated private health insurance may worsen inequity of access and encourage moral hazard, altering health-seeking behavior. This study investigates the impact of private health insurance ownership on private inpatient care utilization, frequency of admission, and length of stay using Malaysian National Health Morbidity Survey data.
Review
Medicine, Research & Experimental
Marc Miravitlles, Mohit Bhutani, John R. Hurst, Frits M. E. Franssen, Job F. M. van Boven, Ee Ming Khoo, Jing Zhang, Stephen Brunton, Daiana Stolz, Tonya Winders, Kazuhisa Asai, Jane E. Scullion
Summary: Discharge bundles aim to optimize patient outcomes for those hospitalized with exacerbation of COPD. Although previous studies suggest their effectiveness, inconsistencies in content and implementation have been observed. To ensure high-quality care and reduce readmission rates, a comprehensive discharge protocol is proposed, along with strategies to address implementation barriers. By utilizing successful implementation strategies from other disease areas, discharge bundles can be delivered more effectively to improve patient outcomes and ensure continuity of care.
ADVANCES IN THERAPY
(2023)
Article
Infectious Diseases
Chee Kuan Wong, Kee Seong Ng, Sarah Qian Rou Choo, Choon Jiat Lee, Yik Pheng Teo, Su May Liew, Karuthan Chinna, Ee Ming Khoo, Wei Leik Ng, Peter Seah Keng Tok, Yan Shen Kee, De Min Chiang
Summary: On average, one in seven patients diagnosed with TB died within a year in a Malaysian tertiary hospital equipped with an electronic medical record system. Identification of this vulnerable group using the associated factors found in this study may help to reduce the risk of mortality through early intervention strategies.
JOURNAL OF INFECTION IN DEVELOPING COUNTRIES
(2023)
Meeting Abstract
Respiratory System
D. Agarwal, N. S. Hanafi, E. M. Khoo, R. A. Parker, D. Ghorpade, S. Salvi, A. I. A. Bakar, K. Chinna, D. Das, M. Habib, N. Hussein, R. Isaac, M. S. Islam, M. S. Khan, S. M. Liew, Y. K. Pang, B. Paul, S. K. Saha, L. P. Wong, O. M. Yusuf, S. O. Yusuf, S. Juvekar, H. Pinnock, B. Paul
EUROPEAN RESPIRATORY JOURNAL
(2022)
Meeting Abstract
Respiratory System
S. N. Ramdzan, E. M. Khoo, S. M. Liew, S. Cunningham, H. Pinnock, E. M. Khoo
EUROPEAN RESPIRATORY JOURNAL
(2022)
Article
Tropical Medicine
Chang Chee Tao, Xin-Jie Lim, Awatef Amer Nordin, Chern Choong Thum, Sondi Sararaks, Kalaiarasu Periasamy, Philip Rajan
Summary: The World Health Organization has declared monkeypox as a Public Health Emergency of International Concern. Malaysia has developed a five-point strategy to prepare for the disease, and various strategies for developing resilience in the face of global infectious disease spread were discussed. Malaysia's disease preparedness and response framework has established a proactive and responsive health system.
TROPICAL MEDICINE AND HEALTH
(2022)
Article
Primary Health Care
Ee Ming Khoo, Adina Abdullah, Su May Liew, Norita Hussein, Nik Sherina Hanafi, Ping Yein Lee, Khatijah Lim Abdullah, Lelamekala Vengidasan, Ahmad Ihsan Bin Abu Bakar, Hilary Pinnock, Tracy Jackson
Summary: This study examined the impact of the COVID-19 pandemic on the psychological health and wellbeing of primary healthcare workers in Malaysia. Findings showed that frontline healthcare workers initially experienced fear and stigma, but as time passed, they felt safer and focused on keeping others safe. Support from family, colleagues, and employers, as well as personal coping strategies, were important for maintaining their psychological health and wellbeing.
Article
Health Care Sciences & Services
Weng Hong Fun, Ee Hong Tan, Ruzelan Khalid, Sondi Sararaks, Kar Foong Tang, Iqbal Ab Rahim, Shakirah Md. Sharif, Suhana Jawahir, Raoul Muhammad Yusof Sibert, Mohd Kamal Mohd Nawawi
Summary: This study aims to evaluate the effects of changing consultation start time and patient arrival on wait times and crowding in an outpatient clinic with a dual practice system. The analysis based on a discrete event simulation model shows that early consultation start time that matches patient arrival time and staggered arrival could significantly reduce the overall clinic turnaround time and the number of patients waiting during peak hours. This finding is important for narrowing the wait time gap between public and private patients.