Institute of Global Health, University of Geneva, Geneva, Switzerland.
Disease Control Division, Ministry of Health (Malaysia), Putrajaya, Malaysia.
Int J Public Health. 2023 May 25;68:1605861. doi: 10.3389/ijph.2023.1605861. eCollection 2023.
This study assesses the opinions of health professionals in Malaysia on the disruption of non-communicable disease (NCD) services during the COVID-19 pandemic from March 2020 to January 2022. We conducted a cross-sectional online survey with 191 non-clinical public health workers and clinical health service workers in Malaysia from November 2021 to January 2022. Participants were recruited by the Malaysian Ministry of Health using major networks including key experts and practitioners. Secondary respondents were subsequently enrolled through snowballing. The most notable issues raised by the survey participants relate to NCD service disruption, the redirection of NCD care resources, and NCD care being overburdened post-pandemic. Respondents also reported accounts of resilience and prompt reaction from the healthcare system, as well as calls for innovation. Most respondents perceived that the challenges arising from COVID-19 were mostly managed well by the healthcare system, which was able to provide the necessary services to NCD patients during this health emergency. However, the study identifies gaps in the health system response and preparedness capacity, and highlights solutions for strengthening NCD services.
本研究评估了 2020 年 3 月至 2022 年 1 月期间马来西亚卫生专业人员对非传染性疾病(NCD)服务中断的看法。我们于 2021 年 11 月至 2022 年 1 月期间对马来西亚的 191 名非临床公共卫生工作者和临床卫生服务工作者进行了一项横断面在线调查。参与者由马来西亚卫生部通过主要网络(包括主要专家和从业人员)招募。随后通过滚雪球的方式招募次要受访者。 调查参与者提出的最显著问题与 NCD 服务中断、NCD 护理资源的重新定位以及 NCD 护理在大流行后负担过重有关。受访者还报告了医疗保健系统的弹性和快速反应的情况,并呼吁创新。 大多数受访者认为,医疗保健系统很好地应对了 COVID-19 带来的挑战,该系统能够在此次卫生紧急情况下为 NCD 患者提供必要的服务。然而,该研究确定了卫生系统应对和准备能力方面的差距,并强调了加强 NCD 服务的解决方案。