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Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study

1.1 Background The general problem is lack of inter-professional collaboration and the way private primary care responds to manage chronic diseases in Malaysia. Absence of prescription review, inadequate patient education, the highest percentage of prescribing errors and half of the chronic disea...

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Main Authors: Mubarak, Naeem, Md Hatah, Ernieda, Md Aris, Mohd Aznan, Shafie, Asrul Akmal, Zin, Che Suraya
Format: Article
Language:English
English
English
Published: PLOS ONE 2019
Subjects:
RM Therapeutics. Pharmacology
RM147 Administration of Drugs and Other Therapeutic Agents
Online Access:http://irep.iium.edu.my/72015/1/journal.pone.0216563.pdf
http://irep.iium.edu.my/72015/2/Scopus%20-%20Consensus%20among%20healthcare%20stakeholders%20on%20a%20collaborative%20medication%20therapy%20management%20model%20for%20chronic%20diseases%20in%20Malaysia%3B%20a%20Delphi%20study.pdf
http://irep.iium.edu.my/72015/13/72015_Consensus%20among%20healthcare%20stakeholders%20on%20a%20collaborative%20medication%20therapy%20management%20model%20for%20chronic%20diseases%20in%20Malaysia%3B%20A%20Delphi%20study_wos.pdf
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spelling my.iium.irep.720152022-07-07T07:04:29Z http://irep.iium.edu.my/72015/ Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study Mubarak, Naeem Md Hatah, Ernieda Md Aris, Mohd Aznan Shafie, Asrul Akmal Zin, Che Suraya RM Therapeutics. Pharmacology RM147 Administration of Drugs and Other Therapeutic Agents 1.1 Background The general problem is lack of inter-professional collaboration and the way private primary care responds to manage chronic diseases in Malaysia. Absence of prescription review, inadequate patient education, the highest percentage of prescribing errors and half of the chronic disease patients are nonadherent. Medicines are the most common and life long used interventions in chronic diseases. Hence, the need to manage medicine in chronic diseases becomes obligatory. As both general practitioner and community pharmacist can dispense medications, this has resulted in a business rivalry. There is a need to build consensus among various healthcare stakeholders for a collaborative medication therapy management model (CMTM) where community pharmacist has an active role in chronic care. 1.2 Method This study utilized modified e-Delphi method to build consensus. A validated e-Delphi survey was administered to a purposive sample of 29 experts. Consensus was pre-defined to be the point where >85% of the experts fall in either agree or strongly agree category for each statement. The inter-expert agreement was computed in both rounds using Intra-class correlation coefficient and Kendall's W. Delphi operates in an iterative fashion till there comes stability in responses. At the end of each round, experts were provided aggregate response, their own response and choice to change their response in the light of aggregate response. 1.3 Results Response rate was 70.73% and 100% in 1st and 2nd round, respectively. Consensus was achieved on 119/132 statements which mainly referred to the need, structural and regulatory aspects of CMTM model in Malaysia. However, there were some flashpoints on dispensing separation and means to finance this model. Stability in response of experts was achieved after 2nd round; hence, no next round was executed. 1.4 Conclusion Overall, the study findings witnessed the expert panel’s support for the CMTM model. Study helped to sketch CMTM model and facilitated development of some recommendations to the authorities which may help to formulate a policy to bring CPs under a working relationship with GPs. Hence, this study should be taken as a call for redefining of the roles of CPs and GPs in Malaysia PLOS ONE 2019-05 Article NonPeerReviewed application/pdf en http://irep.iium.edu.my/72015/1/journal.pone.0216563.pdf application/pdf en http://irep.iium.edu.my/72015/2/Scopus%20-%20Consensus%20among%20healthcare%20stakeholders%20on%20a%20collaborative%20medication%20therapy%20management%20model%20for%20chronic%20diseases%20in%20Malaysia%3B%20a%20Delphi%20study.pdf application/pdf en http://irep.iium.edu.my/72015/13/72015_Consensus%20among%20healthcare%20stakeholders%20on%20a%20collaborative%20medication%20therapy%20management%20model%20for%20chronic%20diseases%20in%20Malaysia%3B%20A%20Delphi%20study_wos.pdf Mubarak, Naeem and Md Hatah, Ernieda and Md Aris, Mohd Aznan and Shafie, Asrul Akmal and Zin, Che Suraya (2019) Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study. PLoS ONE, 14 (5). pp. 1-28. https://journals.plos.org/plosone/
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
English
topic RM Therapeutics. Pharmacology
RM147 Administration of Drugs and Other Therapeutic Agents
spellingShingle RM Therapeutics. Pharmacology
RM147 Administration of Drugs and Other Therapeutic Agents
Mubarak, Naeem
Md Hatah, Ernieda
Md Aris, Mohd Aznan
Shafie, Asrul Akmal
Zin, Che Suraya
Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study
description 1.1 Background The general problem is lack of inter-professional collaboration and the way private primary care responds to manage chronic diseases in Malaysia. Absence of prescription review, inadequate patient education, the highest percentage of prescribing errors and half of the chronic disease patients are nonadherent. Medicines are the most common and life long used interventions in chronic diseases. Hence, the need to manage medicine in chronic diseases becomes obligatory. As both general practitioner and community pharmacist can dispense medications, this has resulted in a business rivalry. There is a need to build consensus among various healthcare stakeholders for a collaborative medication therapy management model (CMTM) where community pharmacist has an active role in chronic care. 1.2 Method This study utilized modified e-Delphi method to build consensus. A validated e-Delphi survey was administered to a purposive sample of 29 experts. Consensus was pre-defined to be the point where >85% of the experts fall in either agree or strongly agree category for each statement. The inter-expert agreement was computed in both rounds using Intra-class correlation coefficient and Kendall's W. Delphi operates in an iterative fashion till there comes stability in responses. At the end of each round, experts were provided aggregate response, their own response and choice to change their response in the light of aggregate response. 1.3 Results Response rate was 70.73% and 100% in 1st and 2nd round, respectively. Consensus was achieved on 119/132 statements which mainly referred to the need, structural and regulatory aspects of CMTM model in Malaysia. However, there were some flashpoints on dispensing separation and means to finance this model. Stability in response of experts was achieved after 2nd round; hence, no next round was executed. 1.4 Conclusion Overall, the study findings witnessed the expert panel’s support for the CMTM model. Study helped to sketch CMTM model and facilitated development of some recommendations to the authorities which may help to formulate a policy to bring CPs under a working relationship with GPs. Hence, this study should be taken as a call for redefining of the roles of CPs and GPs in Malaysia
format Article
author Mubarak, Naeem
Md Hatah, Ernieda
Md Aris, Mohd Aznan
Shafie, Asrul Akmal
Zin, Che Suraya
author_facet Mubarak, Naeem
Md Hatah, Ernieda
Md Aris, Mohd Aznan
Shafie, Asrul Akmal
Zin, Che Suraya
author_sort Mubarak, Naeem
title Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study
title_short Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study
title_full Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study
title_fullStr Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study
title_full_unstemmed Consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in Malaysia; a Delphi study
title_sort consensus among healthcare stakeholders on a collaborative medication therapy management model for chronic diseases in malaysia; a delphi study
publisher PLOS ONE
publishDate 2019
url http://irep.iium.edu.my/72015/1/journal.pone.0216563.pdf
http://irep.iium.edu.my/72015/2/Scopus%20-%20Consensus%20among%20healthcare%20stakeholders%20on%20a%20collaborative%20medication%20therapy%20management%20model%20for%20chronic%20diseases%20in%20Malaysia%3B%20a%20Delphi%20study.pdf
http://irep.iium.edu.my/72015/13/72015_Consensus%20among%20healthcare%20stakeholders%20on%20a%20collaborative%20medication%20therapy%20management%20model%20for%20chronic%20diseases%20in%20Malaysia%3B%20A%20Delphi%20study_wos.pdf
http://irep.iium.edu.my/72015/
https://journals.plos.org/plosone/
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score 13.211869

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