The feasibility of a public-private mix program on pulmonary tuberculosis screening in Penang: A pilot study.

Autor:	Tang WS; MBBS (UM), Master in Family, Medicine (UM), Jalan Perak Health Clinic., Chan MW; MBBS (UM), FRACGP, RCSI&UCD Malaysia Campus, Georgetown, Penang. email: chanmw@rcsiucd.edu.my., Kow FP; MBBS (Manipal, India) Master in Family Medicine (UM), Jalan Angsana Health Clinic., Ambigapathy R; MBBS (UM), Master in Family Medicine (UM], Sungai Dua (Timur Laut) Health Clinic., Wong JHW; M.D. (UPM), Master in Public Health (UM), North East District Health Office., Thiruvengadam V; MBBS (Manipal, India), Master in Public Health (UM), North East District Health Office., Abd Kadir U; M.D.(UKM) Master in Public Health (UM), North East District Health Office., Jain A; M.D. (India), Master in Family Medicine (UKM), Jalan Macalister Health Clinic., Pararajasingam Pillai R; M.D.(UNIMAS), Master in Family Medicine (UKM), Jalan Perak Health Clinic.
Jazyk:	angličtina
Zdroj:	Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia [Malays Fam Physician] 2021 Jan 31; Vol. 16 (1), pp. 75-83. Date of Electronic Publication: 2021 Jan 31 (Print Publication: 2021).
DOI:	10.51866/oa1096
Abstrakt:	Background: The low detection rate of tuberculosis (TB) cases in Malaysia remains a challenge in the effort to end TB by 2030. The collaboration between private and public health care facilities is essential in addressing this issue. As of now, no private-public health care collaborative program in pulmonary tuberculosis (PTB) screening exists in Malaysia. Aim: To determine the feasibility of a collaborative program between private general practitioners (GPs) and the public primary health clinics in PTB screening and to assess the yield of smear-positive PTB from this program. Methods: A prospective cohort study using convenient sampling was conducted involving GPs and public health clinics in the North-East District, Penang, from March 2018 to May 2019. In this study, GPs could direct all suspected PTB patients to perform a sputum acid fast bacilli (AFB) direct smear in any of the dedicated public primary health clinics. The satisfaction level of both the GPs and their patients were assessed using a self-administered client satisfaction questionnaire. IBM SPSS Statistical Software was used to analyze the data. Results: Out of a total of 31 patients who underwent the sputum investigation for PTB, one (3.2%) was diagnosed to have smear-positive PTB. Most of the patients (>90%) and GPs (66.7%) agreed to continue with this program in the future. Furthermore, most of the patients (>90%) were satisfied with the program structure. Conclusion: It is potentially feasible to involve GPs in combating TB. However, a more structured program addressing the identified issues is needed to make the collaborative program a success. (© Academy of Family Physicians of Malaysia.)
Databáze:	MEDLINE
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