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Centre for Clinical Outcome Research (CCORE)

A. About Us
Centre for Clinical Outcome Research (CCORE)To become a leading centre in evaluating and improving clinical and health outcomes through impactful research

Our Missions :
Centre for Clinical Outcome Research or CCORE, formerly known as Healthcare Statistic Unit, provides services & management of healthcare research effectively through a well-organized system in line with Institutional Objectives.

Our Vision :
Centre for Clinical Outcome Research or CCORE, formerly known as Healthcare Statistic Unit, provides services & management of healthcare research effectively through a well-organized system in line with Institutional Objectives.

  1. To produce useful research evidence using robust and transparent methodology to inform policy and practice
  2. To nurture and to cultivate an outstanding and a high performing team to drive excellence in research

B. Research Project

1. Completed Research
  1.1 Quality and Costs of Primary Care (QUALICO-PC) – Malaysia
   
The objective of the study was to evaluate the primary care delivery system in Malaysia and aimed to answer the following questions: the extent primary care services accessible to the patients/community in terms of remoteness of services, after hours care arrangements, barriers and patient satisfaction. Secondly, comprehensiveness of services provided in primary care encompassing disease management, medical procedures, medical equipment, health promotion and education. Next the degree of relational and informational continuity of patients care and finally examine the coordination of primary care service and collaboration with secondary/tertiary care
    1.1.1 Quality and Costs of Primary Care (QUALICO-PC) – Malaysia Phase 1 Report
    1.1.2 Quality and Costs of Primary Care (QUALICO-PC) – Malaysia Phase II- Private Clinics
    1.1.3 Age, sex and primary care setting differences in patients’ perception of community healthcare seeking behaviour towards health services
    1.1.4 Job satisfaction of public and private primary care physicians in Malaysia: analysis of findings from QUALICO-PC
       
  1.2 Monitoring Stroke Burden in Malaysia: the use of linked national data sources
    This study is to estimate trends of hospitalized stroke incidence, 28-day all-cause mortality after a stroke and risk of readmissions among stroke patients from 2008 to 2016 in Malaysia
       
  1.3 Prescription Of Secondary Preventive Drugs After Ischemic Stroke And Transient Ischemic Attack In Low- And Middle-Income Countries: a systematic review and meta-analysis
    This study aim to quantify the prescription and time trends of secondary preventive drugs among ischemic stroke or transient ischemic attack (TIA) patients in low-and middle-income countries upon hospital discharge and explore factors that affect the prevalence estimates
       
  1.4 Evaluation of the Enhanced Primary Healthcare (EnPHC) interventions in public health clinics
    One of the recommendations based on Malaysia Health Systems Research (MHSR) Part I report was to strengthen primary health care service through the model entitled Enhanced Primary Health Care (EnPHC). The EnPHC is a new model of service delivery based on comprehensive and person-centred care, with a specific focus on diabetes mellitus, hypertension and dyslipidemia. This project focuses on the evaluation of the EnPHC interventions package at the primary health care clinics in two states in Malaysia (Johor and Selangor).
    1.4.1 Evaluation of the Enhanced Primary Healthcare (EnPHC) Interventions on Diabetes and Hypertension Management in Primary Health Care Clinics: A Quasi-Experimental Controlled Study Protocol
    1.4.2 Patient experience on self-management support among primary care patients with diabetes and hypertension
    1.4.3 The effects of Enhanced Primary Healthcare interventions on primary care providers job satisfaction: findings from facility evaluation
    1.4.4 The effectiveness of Enhanced Primary Healthcare (EnPHC) Interventions on Type 2 Diabetes Management in Primary Health Care Clinics: Interrupted Time Series
    1.4.5 Clinic and patient variation in intermediate clinical outcomes for type 2 diabetes: a multilevel analysis
    1.4.6 Quality of hypertensive management in public primary care clinics in Malaysia: an update
       
2 On-Going Research
  2.1 Heart Failure Metrics Using Linked Population Health Data Sources In Malaysia
    This Project will leverage on existing hospitalisation data from Health Informatics Centre, MOH to obtain important heart failure metrics in Malaysia from the admission and readmission rate, case fatality to all-cause mortality.
  2.2 Clinical Outcome of Antiplatelet Therapy for Secondary Prevention In Patient With Ischemic Stroke And Transient Ischemic Attack
    Antiplatelet therapy is one of the main strategies in secondary stroke prevention to reduce the risk of recurrence stroke and mortality. There is an increasing use of dual antiplatelet therapy (DAPT) with newer evidence suggesting that DAPT when compared to single antiplatelet therapy, may improve stroke outcomes. This study aims to characterise prescribing pattern of antiplatelet drugs for secondary prevention among patients with ischaemic stroke/TIA in Malaysia and assess effectiveness and safety of the different antiplatelet treatment regimens particularly on the risk of recurrent stroke, major cardiovascular event, bleeding, and death
       
3 Initiating Research
  3.1 Complex interventions for type 2 diabetes in primary health care at low- and middle-income countries: a systematic review and meta-analyses
    Diabetes disproportionately distributed heavily on low- and middle-income countries (LMICs). Targeting primary health care is a sustainable and relatively inexpensive approach in addressing the issues that contributes to the loses in care. Little evidence is known for complex intervention LMICs with different priorities, workforce and financial arrangement, from the developed countries. Hence, the systematic review and meta-analysis aims to synthesize evidence on primary health care interventions that are effective for T2D patients in LMICs
  3.2 Access to Hyperacute Stroke Care in Malaysia – a case study
    This study is to explore the experiences and challenges faced by the healthcare providers in the provision of hyperacute stroke care in Ministry of Health hospitals in Malaysia

C. Services

1. Provide advice/consultant service to assist MOH researchers in their clinical research.
2 Impact Evaluation Team co-ordinate between the clinicians and researchers for discussion on Investigator-Initiated Research

D. Organization Chart

ccore_chart

Contact for Inquiry

Phone : +603 – 3362 8814 (Pn. Adibah)

F. List of Staff

NAMA

ALAMAT E-MEL

Phone Number

DATIN DR. SHEAMINI SIVASAMPU sheamini@crc.gov.my +603 – 3362 8802
DR. CHAN CHEE LEE chancl@crc.moh.gov.my +603 – 3362 8821
LIM MING TSUEY limmingtsuey@crc.moh.gov.my +603 – 3362 8823
DR. ANG SWEE HUNG angsh@crc.moh.gov.my +603 – 3362 8822
DR. AMY HWONG WEN YEA amyhwong@crc.gov.my +603 – 3362 8826
ONG SU MIIN ongsm@crc.gov.my +603 – 3362 8829
LIM MEI FONG limmf@crc.gov.my +603 – 3362 8828
NORAZIDA AB RAHMAN norazida@crc.gov.my +603 – 3362 8824
TEH XIN ROU tehxinrou@moh.gov.my +603 – 3362 8820
DR. MASLIYANA HUSIN masliyana@crc.gov.my +603 – 3362 8816
DR. AZREENA CHE ABDUL azreina82@gmail.com +603 – 3362 8847
DR. AHMAD BIN ZAINAL ABIDIN ahmad@crc.moh.gov.my