Impact of Continuing Medical Education for Primary Healthcare Providers in Malaysia on Diabetes Knowledge, Attitudes, Skills and Clinical Practices

Lim, Shiang Cheng, Mustapha, Feisul Idzwan, Aagaard-Hansen, Jens, Calopietro, Michael, Aris, Tahir and Ulla Bjerre-Christensen, (2019). Impact of Continuing Medical Education for Primary Healthcare Providers in Malaysia on Diabetes Knowledge, Attitudes, Skills and Clinical Practices. Medical Education Online, 25 1-11

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  • Sub-type Journal article
    Author Lim, Shiang Cheng
    Mustapha, Feisul Idzwan
    Aagaard-Hansen, Jens
    Calopietro, Michael
    Aris, Tahir
    Ulla Bjerre-Christensen
    Title Impact of Continuing Medical Education for Primary Healthcare Providers in Malaysia on Diabetes Knowledge, Attitudes, Skills and Clinical Practices
    Appearing in Medical Education Online   Check publisher's open access policy
    Volume 25
    Publication Date 2019
    Place of Publication Australia
    Publisher Taylor & Francis
    Start page 1
    End page 11
    Language eng
    Abstract Background: Continuing Medical Education (CME) is a cornerstone of improving competencies and ensuring high-quality patient care by nurses and physicians. The Ministry of Health (MOH) Malaysia collaborated with Steno Diabetes Centre to improve diabetes-related competencies of general physicians and nurses working in primary care through a six-month training programme called the Steno REACH Certificate Course in Clinical Diabetes Care (SRCC). Objective: This impact evaluation aimed to assess the effect of participation of general physicians and nurses in the SRCC in selected public primary healthcare clinics in Kuala Lumpur and Selangor, Malaysia. Design: The quasi-experimental, embedded, mixed-methods study used concurrent data collection and the Solomon four-group design. Participants in an intervention group (Arm 1) and control group (Arm 3) were assessed by pre-and post-test, and participants in separate intervention (Arm 2) and control (Arm 4) groups were assessed by post-test only. Quantitative and qualitative methods were used to assess the effect of the programme. Results: Thirty-four of the 39 participants in the intervention groups (Arms 1 and 2) completed the SRCC and were included in the analysis. All 35 participants in the control groups (Arms 3 and 4) remained at the end of the study period. Significant improvements in diabetes-related knowledge, skills and clinical practise were found among general physicians and nurses in the intervention group after the six-month SRCC, after controlling the pretest effects. No clear changes could be traced regarding attitudes. Conclusion: SRCC participants had significant improvements in knowledge, skills and clinical practice that meet the current needs of general physicians and nurses working in primary care in Malaysia. Thus, SRCC is an effective CME approach to improving clinical diabetes care that can be scaled up to the rest of the country and, with some modification, beyond Malaysia.
    UNBIS Thesaurus PRIMARY HEALTH CARE
    Keyword Clinical Practice
    Continuing Medical Education
    Diabetes
    Healthcare Provider
    Malaysia
    Mixed Methods
    Primary care
    Solomon’s four-group design
    Copyright Holder The Authors
    Copyright Year 2019
    Copyright type Creative commons
    ISSN 1087-2981
    DOI 10.1080/10872981.2019.1710330
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    Created: Tue, 07 Jan 2020, 17:16:33 JST by Nor Sazlin Said on behalf of UNU IIGH