Patient pathways for cardiovascular diseases in Malaysia and the Philippines: a systematic review
| Autor: | Steven Eric Krauss, Hayrol Azril Mohamed Shaffril, Jeffrey Lawrence D’Silva, NH Hanani Mohd Kadri, Lia M. Palileo-Villanueva, Khairuddin Idris, Martin McKee, Benjamin Palafox, A. A. A. Razak, Maureen Seguin, Alicia Renedo, Fadhlina Abd Majid, Dina Balabanova, Mohd. Fauzi B Fadzil, Gideon Lasco, Antonio L. Dans, Jhaki Mendoza, Khalid Yusoff, Eunice Mallari, Mat-Nasir Nafiza |
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| Rok vydání: | 2021 |
| Předmět: |
Secondary prevention
medicine.medical_specialty business.industry viruses 030503 health policy & services Public health virus diseases Medicine (miscellaneous) Context (language use) Grey literature biochemical phenomena metabolism and nutrition digestive system diseases General Biochemistry Genetics and Molecular Biology Patient pathway 03 medical and health sciences 0302 clinical medicine Environmental health Health care medicine 030212 general & internal medicine South east asia 0305 other medical science business South east asian |
| Zdroj: | Wellcome Open Research. 6:43 |
| ISSN: | 2398-502X |
| Popis: | Background: Cardiovascular diseases (CVDs) are the leading cause of premature mortality in the world and are a growing public health concern in low- and middle-income countries (LMICs), including those in South East Asia. Their management requires coordinated responses by a range of healthcare providers, which should preferably be based on knowledge of the national context. We systematically review evidence on the pathways followed by patients with CVD in Malaysia and the Philippines to understand patient journeys, along with the barriers at each stage. Methods: We searched seven bibliographic databases and grey literature sources to identify material focused on the pathways followed by patients with CVD in Malaysia and the Philippines, and performed a narrative synthesis. Results: The search yielded 25 articles, 3 focused on the Philippines and 22 on Malaysia. Most articles were quantitative analyses that focused on hypertensive patients. Three examined secondary prevention post myocardial infarction, and one each examined acute myocardial infarction, heart failure, and atrial fibrillation. Reported barriers reflected capability (knowledge of behaviours to achieve control or the capacity to conduct these behaviours), intention (attitudes or motivations toward the behaviours to achieve control), and aspects of the health care system (availability, accessibility, affordability and acceptability of services). Conclusions: There are large gaps in our understanding of patient pathways in Malaysia and the Philippines that limit the development of evidence-based strategies to effectively address the CVD burden in South East Asian countries and in LMICs more broadly. Addressing these evidence gaps will require longitudinal mixed-methods studies following patients from initial diagnosis to long-term management. |
| Databáze: | OpenAIRE |
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