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NATIONAL HEALTHCARE ESTABLISHMENT AND WORKFORCE SURVEY (NHEWS) FORM

PRIMARY CARE

A Collaboration of: Medical Development Division, Medical Practice Division, Family Health Development Division, Medical Device Bureau, and Clinical Research Centre, National Institutes of Health.

INSTRUCTIONS TO PRIMARY CARE 1. Section 1 is best filled by the Person in-Charge in the Administration Department. 2. Section 2 to Section 6 is best filled by Heads of Department or Person in-Charge of the relevant services/ departments. 3. Any queries please contact the Healthcare Statistics Unit, Clinical Research Centre at 03-4043 9300/ 9400 or fax 03-4043 9500 or email [email protected] National Healthcare Establishment and Workforce Survey (NHEWS): Primary Care General Instructions 1. Please ensure that all sections of the NHEWS: Primary Care questionnaire have been provided. These include: •

SECTION 1: ESTABLISHMENT DETAILS



SECTION 2: FACILITIES (2010)



SECTION 3: HEALTHCARE ACTIVITIES & SERVICES (2010)



SECTION 4: HEALTH WORKFORCE (2010)



SECTION 5: DOCTORS’ DETAILS AS REPORTED ON 31/12/2010

• SECTION 6: MEDICAL DEVICES (2010) If any section has not been provided in the manual please contact us. 2. Data collected is for the year 2010. 3. Registration and data submission may be conducted in two ways: •

Option 1: NHEWS: Primary Care web (online) survey



Option 2: NHEWS: Primary Care paper survey

4. Please provide the contact information in the Information of person coordinating this survey (Primary Care Survey, Section 1). (This information will be used to contact your establishment for the purpose of data clarification or dissemination of project updates.)

5. Where check boxes are provided, you may check one or more boxes. Where radio buttons are provided, check one box only. 6. Where a particular variable is not available or not applicable at your establishment, please enter 0. Option 1 - NHEWS: Primary Care web(online) survey

Option 2 - NHEWS: Primary Care paper survey

1. Unique usernames will be provided.

1. The questionnaire has been provided in the manual and is downloadable from our website at http://www.crc.gov.my/nhsi.

(Each clinic will have a unique username and password that will enable viewing and editing of data for that respective clinic. To ensure the security of your data, please limit the number of users.)

2. Log on to our website http://www.crc.gov.my/nhsi 3. After completing each section, please click the “Save” button.

2. All completed data must be returned using the pre-paid envelopes to the address below: Kementerian Kesihatan Malaysia Clinical Research Centre Surveys and Research Projects 3rd Floor, MMA House 124, Jalan Pahang 53000 Kuala Lumpur

Section 5: Doctors’ Details as Reported on 31/12/2010 1. For establishments with only a few personnel please complete Section 5: Doctors’ Details as Reported on 31/12/2010. 2. For establishments with a large number of staff kindly email the staff listing in an EXCEL spreadsheet or other electronic document to [email protected] or login to our website http://www.crc.gov.my/nhsi and upload using your username. 3. Doctor(s) to be included are Medical Officers (excluding House Officers), Specialists and Consultants.

PRIMARY CARE

NATIONAL HEALTHCARE ESTABLISHMENT AND WORKFORCE SURVEY (NHEWS) 2010 Instruction: i) Where check boxes are provided, check (√ ) one or more boxes. Where radio buttons ii) All data is for the year 2010 unless indicated otherwise.

are provided, check (√ ) one box only.

Important: 1. If you prefer to complete the survey online, please go to www.crc.gov.my/nhsi Sekiranya anda ingin mengisi borang secara online, sila layari www.crc.gov.my/nhsi 2. If you are submitting a hard copy form,please return the form via fax to 03-4043 9500 or post using the prepaid envelope provided to the address below:Sekiranya anda mengisi borang kertas, sila kembalikan melalui faks 03-4043 9500 atau melalui pos berdaftar ke alamat berikut: KEMENTERIAN KESIHATAN MALAYSIA, Clinical Research Centre Surveys and Research Projects, 3rd Floor, MMA House, 124, Jalan Pahang, 53000 Kuala Lumpur. 3. For any enquiries, kindly contact the Healthcare Statistics Unit at 03-4043 9300, or fax 03-4043 9500, or email [email protected] Jika terdapat sebarang pertanyaan, sila hubungi Unit Statistik Perkhidmatan Kesihatan di talian: 03-4043 9300, atau faks 03-4043 9500, atau emel [email protected]

SECTION 1 : ESTABLISHMENT DETAILS / MAKLUMAT PREMIS YANG DITUBUHKAN 1. Name of establishment * Nama pertubuhan

2. Owner of the establishment Pemilik pertubuhan 3. District Health Office Kesihatan Daerah / * Pejabat bahagian / kawasan (For public clinics only/ Klinik kerajaan sahaja)

4. Address Alamat

*

Postcode Poskod

City / Town Bandar/Pekan

District Daerah State Negeri

Perlis Kedah Pulau Pinang Perak

Office phone *Telefon pejabat

5. Contact information Talian

Selangor Negeri Sembilan Melaka Johor

Pahang Terengganu Kelantan Sabah

Sarawak Wilayah Persekutuan Kuala Lumpur Wilayah Persekutuan Putrajaya Wilayah Persekutuan Labuan

Fax Faks

-

-

6. Entrepreneurship * Keusahawanan

Sole proprietor / Tuan punya tunggal

Partnership / Perkongsian

Corporate body / Pertubuhan perbadanan

Society / Persatuan

7. Sector Sektor

Ministry Of Health / Kementerian Kesihatan University / Universiti Private / Swasta

Armed forces / Angkatan tentera Non-government organization / Organisasi bukan kerajaan

* (For private clinics only

Individual / Perseorangan

Group / Berkumpulan

10. Type of establishment Jenis pertubuhan

General practice clinic / Klinik perubatan am Specialist clinic / Klinik pakar

(For private clinics only Klinik swasta sahaja)

*

8. Year commenced operations Tahun mula beroperasi

*

9. Type of practice Jenis amalan

Klinik swasta sahaja)

*

(For private clinics only Klinik swasta sahaja)

11. Type of clinic Jenis klinik

12. Services provided Perkhidmatan yang disediakan

*

(For public clinics only Klinik kerajaan sahaja)

13. Information of person coordinating this survey Maklumat pihak bertanggungjawab bagi kaji selidik ini

Finalised Version 2.5

Type 1 / Jenis 1

Klinik kesihatan

(For public clinics only Klinik kerajaan sahaja)

04/03/2011

Please specify / Sila nyatakan

Type 2 / Jenis 2

Type 3 / Jenis 3

Type 4 / Jenis 4

Type 5 / Jenis 5

Type 6 / Jenis 6

Others, specify / Lain-lain, sila nyatakan Maternal Child Health (MCH) / Kesihatan ibu dan anak Outpatient / Perkhidmatan pesakit luar

Dental / Pergigian Accident & Emergency services / Perkhidmatan kecemasan dan trauma (kemalangan)

* Name

Nama Designation * Jawatan Office phone * Telefon pejabat

-

Handphone Telefon bimbit Fax Faks

-

* Mandatory

-

Ext:

Email E-mel Page 1 of 4

NATIONAL HEALTHCARE ESTABLISHMENT AND WORKFORCE SURVEY (NHEWS) 2010 Instruction: i) Where check boxes

are provided, check (√ ) one or more boxes. Where radio buttons

PRIMARY CARE

are provided, check (√ ) one box only.

SECTION 2 : FACILITIES / KEMUDAHAN (2010) Note: Please tick the facilities that are available at your establishment. / Sila tandakan kemudahan yang sedia ada di pertubuhan anda. 1. Does your establishment have Adakah pertubuhan anda memiliki

A triage system for assessing patients Sistem triaj untuk saringan pesakit

Ambulance services managed by your establishment Perkhidmatan ambulans yang diurus sendiri Number of functional ambulances available Bilangan ambulans yang berfungsi

Pharmacy space Ruang farmasi Laboratory space Ruang makmal

Autoclaving facilities for sterilisation of medical equipment Kemudahan autoklaf bagi pensterilan peralatan perubatan

Diagnostic/Imaging room Bilik diagnostik / imbasan

None Tiada

SECTION 3 : HEALTHCARE ACTIVITIES & SERVICES / AKTIVITI & PERKHIDMATAN KESIHATAN (2010) 1. Operating hours Waktu beroperasi

a. Public clinics Klinik kerajaan

Office hours / Waktu pejabat

Extended hours / Lebih masa

After hours on call services / Perkhidmatan atas panggilan

10am – 10pm daily / 10 pagi - 10 malam setiap hari

b. Private clinics Klinik swasta

Less than 24 hours / Kurang daripada 24 jam

24 hours / 24 jam

2. Does your establishment have these services Adakah pertubuhan anda menyediakan perkhidmatan

Management of acute illnesses / Rawatan penyakit akut Management of chronic diseases / Rawatan penyakit kronik Antenatal & postnatal care / Penjagaan antenatal & postnatal Low risk deliveries / Kelahiran berisiko rendah

Total number / Jumlah

Family planning / Perancangan keluarga Pap smear (cervical screening) / Pap smear Clinical breast examinations / Pemeriksaan klinikal payudara Medical check-ups / examinations / Pemeriksaan kesihatan Occupational health / Kesihatan cara kerja Smoking cessation programmes / Program berhenti merokok Minor surgeries / Pembedahan minor Laboratory services / Perkhidmatan makmal

In-house / Dalaman Out-sourced / Khidmat luar

Dispensing / Pendispensan ubat None / Tiada 3. Total number of attendances

* (With or without doctors' consultation)

Jumlah kehadiran pesakit (dengan atau tanpa rundingan doktor) 3.1 Face to face consults Perundingan secara bersemuka 3.2 Home visits Lawatan ke rumah 3.3 Total number of antenatal attendances Jumlah kehadiran pesakit antenatal 3.4 Total number of children attendances Jumlah kehadiran pesakit kanak kanak

SECTION 4 : HEALTH WORKFORCE / TENAGA KERJA BAGI PERKHIDMATAN KESIHATAN (2010) 1. Total number of medical doctors * Jumlah pegawai perubatan 2. Total number of nursing staff Jumlah anggota kejururawatan 2.1. Staff nurses Jururawat 2.2. Community nurses Jururawat masyarakat 2.3. Nursing aides Pembantu klinik 3. Total number of pharmacists Jumlah pegawai farmasi 4. Total number of assistant medical officers Jumlah penolong pegawai perubatan Finalised Version 2.5

04/03/2011

* Mandatory

Page 2 of 4

NATIONAL HEALTHCARE ESTABLISHMENT AND WORKFORCE SURVEY (NHEWS) 2010 Instruction: i) Where check boxes

are provided, check (√ ) one or more boxes. Where radio buttons

PRIMARY CARE

are provided, check (√ ) one box only.

SECTION 5 : DOCTORS' DETAILS AS REPORTED ON 31/12/2010 / MAKLUMAT TENAGA KERJA PERUBATAN PADA 31/12/2010 For establishments with a large number of staff, kindly email the staff listing in an Excel spreadsheet using the format provided, to [email protected] Bagi Institusi dengan bilangan kakitangan yang besar, sila hantar senarai kakitangan dalam excel dengan mengikuti format yang disediakan kepada [email protected] For public clinics, please provide details of permanent / resident doctors only Bagi Klinik kerajaan , sila senaraikan maklumat doktor tetap sahaja

* Name of doctor(s)

Title Gelaran

(Name as per MyKad) (Medical officers, specialists and consultants only)

Identification (Please fill in one or more of the information below)

Type Jenis

Qualification Kelayakan

Pengenalan (Sila isi satu atau lebih daripada yang berikut)

Nama pengamal perubatan

Post-graduate Duration spent qualification in primary care Kelayakan Tempoh bertugas pascaijazah dalam bidang kesihatan primer

(Nama seperti yang tercetak pada MyKad) (Pegawai perubatan, pakar perubatan dan pakar perunding sahaja)

* MMC Number /

Nombor MMC

Permanent / resident Tetap

MyKad

-

-

Other ID document No /

Visiting Pelawat

Specialist Medical officer

Masters in Family Medicine UM / UKM / USM

Pegawai perubatan

FRACGP holder

Pakar

Nombor pengenalan yang lain

Masters in Public Health

Specify document type (if others) /

Others, specify:

Sila nyatakan jenis dokumen

Passport / Pasport

Nombor MMC

-

ADD

Permanent / resident Tetap

MyKad

-

Other ID document No /

Visiting Pelawat

Specialist Medical officer

Masters in Family Medicine UM / UKM / USM

Pegawai perubatan

FRACGP holder

Pakar

Nombor pengenalan yang lain

Masters in Public Health

Specify document type (if others) /

Others, specify:

Sila nyatakan jenis dokumen

Passport / Pasport

Others / Lain- lain

Nombor MMC

-

-

Other ID document No /

* Mandatory

Medical officer

Masters in Family Medicine UM / UKM / USM

Pegawai perubatan

FRACGP holder

Pakar

Masters in Public Health

Specify document type (if others) /

Others, specify:

Years Tahun Months Bulan

Others / Lain- lain

Armed Force ID / Nombor Tentera atau Polis

04/03/2011

Visiting Pelawat

Specialist

Nombor pengenalan yang lain

Sila nyatakan jenis dokumen

Finalised Version 2.5

ADD

Permanent / resident Tetap

MyKad

Passport / Pasport

Years Tahun Months Bulan

Armed Force ID / Nombor Tentera atau Polis

* MMC Number /

Months Bulan

Others / Lain- lain

Armed Force ID / Nombor Tentera atau Polis

* MMC Number /

Years Tahun

ADD

Page 3. |___| of

4

NATIONAL HEALTHCARE ESTABLISHMENT AND WORKFORCE SURVEY (NHEWS) 2010 Instruction: i) Where check boxes

are provided, check (√ ) one or more boxes. Where radio buttons

PRIMARY CARE

are provided, check (√ ) one box only.

SECTION 6 : MEDICAL DEVICES / PERALATAN PERUBATAN (2010) Medical devices Peralatan perubatan

Number of equipment available in 2010 Kuantiti peralatan pada 2010 Functioning Berfungsi

Non functioning Tidak berfungsi

1. Peak flow meter 2. Nebuliser 3. Glucometer 4. Doppler Fetal Monitor 5. Nursing bag & set 6. Electrocardiogram machine (ECG) 7. Resuscitation (emergency) trolley equipped with resuscitating equipment and drugs 8. Defibrillator 9. Full blood count machine 10. Bilirubinometer (Total bilirubin) 11. Chemistry analyser 12. HbA1C analyser 13. Utrasound machine 14. General radiology unit (X-ray machine)

Finalised Version 2.5

04/03/2011

* Mandatory

Page 4 of 4

PRIMARY CARE

DATA DICTIONARY SECTION 4: HEALTH WORKFORCE (2010) NO

1 2 3 4 5

DATA ELEMENT

Medical doctors Staff nurses Community nurses Nursing aides Assistant medical officers

DEFINITION

Any medical practitioner registered with the Malaysian Medical Council Any registered nurse with a degree or diploma in nursing Any registered nurse with a certificate in nursing Clinic assistants with little or no formal training An assistant medical officer registered with the Medical Assistant Board

SECTION 5: DOCTORS’ DETAILS AS REPORTED ON 31/12/2010 NO

DATA ELEMENT

1

Resident

2

Visiting

3

Specialist

DEFINITION

An in-house medical practitioner who is available to diagnose and treat patients at your centre; and is a permanent staff in your establishment. A medical practitioner who is available to diagnose and treat patients at your centre but he/she is not a permanent staff at that centre. The medical practitioner may make regular visits (eg monthly/ biweekly/ weekly etc) to see patients or is accessible on an ad-hoc or emergency basis only. A registered medical practitioner with a post-graduate qualification recognized by both the Ministry of Health and the Public Service Department of Malaysia.

SECTION 6 : MEDICAL DEVICES 2010 NO

DATA ELEMENT

DEFINITION

1

Peak flow meter

A device used to measure air flow out of the lungs called the peak expiratory flow rate (PEFR), as a person forcefully blows into the device

2

Nebuliser

A device used to reduce a liquid medication to extremely fine cloudlike particles; useful in delivering medication to deeper parts of the respiratory tract

3

Glucometer

A battery-operated point-of-care device for determining the approximate blood glucose concentration

4

Electrocardiogram machine (ECG)

An electrical device intended for studying the activity of the heart based on changes in the voltage between pairs of electrodes placed at certain points on the skin

5

Resuscitation (emergency) trolley equipped with resuscitating equipment and drugs

A portable trolley containing the necessary equipment and drugs required in cardiopulmonary resuscitation and emergency care of patients

6

Defibrillator

A medical electrical device intended to defibrillate the heart by electrical pulses via electrodes when the heart’s own conduction slows dangerously or stops. It may or may not have transcutaneous pacing capabilities of electrically stimulating the heart externally.

7

Full blood count machine

A machine that analyses the number and types of cells in the blood to generate the commonly used test known as the full blood count (FBC)/ complete blood count (CBC)

8

Bilirubinometer (Total bilirubin)

A device to measure the amount of bilirubin in the blood. The bilirubinometer is designed primarily to determine serum bilirubin levels in infants

9

Chemistry analyser

Laboratory analyzers that determine analyte concentrations in samples of plasma, serum, or less frequently in whole blood; they include analyzers used for blood gas and pH determinations.

10

HbA1C analyser

Medical equipment used to measure levels of HbA1c found in red blood cells (RBCs)

11

Doppler Fetal Monitor

Hand-held ultrasound transducer used to detect the heart beat of a foetus.

12

Nursing bag & set

A bag containing necessary articles usually carried by nurses during home visits to allow them to carry out nursing procedures with ease

13

Ultrasound machine

Imaging equipment, which uses high-frequency sound waves to create images of internal structures.

14

General radiology unit (X-ray machine)

A device used to acquire an x-ray image to visualise structures within the body

PRIMARY CARE

DATA DICTIONARY SECTION 1: ESTABLISHMENT DETAILS NO

DATA ELEMENT

DEFINITION

1

Name of establishment

Name of establishment as per approved or licensed by the Ministry of Health Malaysia (Medical Practice Division-CKAPS)

2

Owner of the establishment

Name of individual/ organisation/ society that the establishment belongs to.

3

Address

Location where the establishment operates as per approved or licensed by the Ministry of Health Malaysia (Medical Practice Division- CKAPS)

4

Sole proprietor

A business entity owned by one person. The owner may operate on his or her own or may employ others. The owner of the business has total and unlimited personal liability of the debts incurred by the business.

5

Corporate body

A body incorporated under the Companies Act 1965 [Act 125].

6

Partnership

A business entity in which two or more people operate for the common goal of making profit. Each partner has total and unlimited personal liability of the debts incurred by the partnership

7

Society

An association, club or body that is registered under the Societies Act 1966 with a membership consisting of seven (7) or more members in addition to having specific purposes

8

Year commenced operations

The year during which the establishment began operating.

9

Individual Practice

Clinic practice run by one permanent doctor

10

Group Practice

Clinic practice run by more than one permanent doctor

11

General Practice Clinic

A clinic providing primary care services to the community. This service can be provided by a medical officer and/or a specialist in the field of family medicine

12

Specialist Clinic

A clinic with at least one resident specialist in a field besides family medicine that is accepted by the National Specialist Register of Malaysia.

13

Types of Klinik Kesihatan

Type 1:> 800 patient attendances per day Type 2:500 - 800 patient attendances per day Type 3:300 - 500 patient attendances per day Type 4:150 - 300 patient attendances per day Type 5:< 150 patient attendances per day Type 6:< 50 patient attendances per day

14

Person coordinating this survey

Name of staff designated to liaise with the NHEWS Secretariat members on matters pertaining to NHEWS.

SECTION 2: FACILITIES (2010) NO

DATA ELEMENT

DEFINITION

1

A triage system for assessing patients

A system that is dedicated to sorting patients into groups based on their need for or likely benefit from immediate medical treatment. It is the first clinic workstation encountered by patients upon arrival for medical review

2

Laboratory space

The work area within the clinic where laboratory support services are carried out. It usually consists of a “clean area” (for clerical, post analytical and validation work) and a dirty area (for pre analytical, analytical and sample buffering area).

3

Diagnostic/Imaging room

Designated room for x-ray device(s)

4

Ambulance services managed by your establishment

Emergency transport services that are run by staff that belong to the same management as the clinic.

5

Autoclaving facilities for sterilisation of medical equipment

Availability of the autoclave apparatus for the purpose of sterilisation of equipment used on patients. The apparatus may be in house or located away from the clinic premises

SECTION 3: HEALTHCARE ACTIVITIES & SERVICES (2010) NO

DATA ELEMENT

DEFINITION

1

Office hours

From 8am to 5pm on weekdays and non-public holidays

2

Extended hours

The clinic is open and is providing services after office hours

3

After hours on call services

The clinic is closed however staff are on standby to provide medical services if required after office hours

4

Management of acute illnesses

Management of any illness characterized by signs and symptoms of rapid onset and short duration.

5

Management of chronic diseases

Management of any condition that has a protracted (usually ≥  6 months) clinical course

6

Antenatal & postnatal care

Services rendered to patients during pregnancy and up to 42 days postpartum

7

Low risk deliveries

Delivery in a pregnancy that is anticipated to be problem free from antenatal to early intrapartum period. The assessment tool used to determine the status of the mother is the colour coding system. This tool indicates the status of the mother during that point of contact. When a mother has been continuously coded white throughout her pregnancy she is categorised as low risk and her labour can be conducted by a trained community health nurse (Jururawat Masyarakat)

8

Family planning

The conduct of educational and comprehensive medical activities which enable individuals to determine freely the number and spacing of their children and to select the means by which this may be achieved

9

Pap smear (cervical screening)

A simple smear method of examining stained exfoliative cells most commonly to detect cancers of the cervix

10

Clinical breast examinations

A physical examination of the breast performed by a health care provider to check for lumps or other changes.

11

Medical check-ups / examinations A thorough physical examination that may include a variety of tests depending on the age, sex and health of the person

12

Occupational health

Health services concerned with the physical, mental and social well-being of an individual in relation to his/her working environment and with the adjustment of individuals to their work.

13

Smoking cessation programmes

Specifically designed programmes offered to patients to aid in their efforts to stop smoking tobacco products

14

Minor surgeries

Surgical procedures that can be conducted in a clinic setting without operating theatre facilities.

15

Attendance

An encounter between a patient and a healthcare professional in a clinic and includes all of the services provided during the encounter

16

Face to face consults

Encounter between a patient and a medical officer/ specialist that occurs in the clinic

17

Home visits

Encounter between a patient and a healthcare professional that occurs where the patient lives

18

Children attendances

Patient visits by persons below the age of 12 years

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primary care - PLOS

NATIONAL HEALTHCARE ESTABLISHMENT AND WORKFORCE SURVEY (NHEWS) FORM PRIMARY CARE A Collaboration of: Medical Development Division, Medical Practice ...

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