Strasser R, Rourke J, Anwar I, Naidoo N, Rabinowitz H, McLeod J, et al.
ISBN: 0 7326 0961 5
Citation: Strasser R, Rourke J, Anwar I, Naidoo N, Rabinowitz H, McLeod J, Newbery P, Aziz T, Rosenblatt R, Lee SH, Wynn-Jones J, Rajakumar MK, Yuan G, Chater B, Doolan T, Cowley J, Simpson C. Training for rural general practice. Traralgon , Victoria, Australia: Monash University School of Rural Health; World Organization of Family Doctors (WONCA), 1995
Republished in: Teng CL, Khoo EM, Ng CJ (editors). Family Medicine, Healthcare and Society: Essays by Dr M K Rajakumar, Second Edition. Kuala Lumpur: Academy of Family Physicians of Malaysia, 2019: 27-30
BACKGROUND AND OBJECTIVES: The family medicine training programs in the Asia Pacific (AP) are evolving. To date, there is a lack of comprehensive and systematic documentation on the status of family medicine training in the AP. This study aims to determine the status of family medicine training at both the undergraduate and postgraduate levels in medical schools (universities or colleges) in the AP.
METHODS: In 2014, the authors conducted a cross-sectional online survey to assess the undergraduate and postgraduate family medicine programs in academic family medicine departments from AP countries. A 37-item online survey questionnaire was sent to key informants from academic institutions with established family medicine departments/units. Only one response from each family medicine department/unit was included in the analysis.
RESULTS: The medical school and country response rates were 31.31% and 64.1%, respectively. The majority of the medical schools (94.7%, n=71/75) reported having a department/unit for family medicine. Family medicine is recognized as a specialist degree by the governments of 20/25 countries studied. Family medicine is included in the undergraduate program of 92% (n=69/75) of all the participating medical schools. Only slightly more than half (53.3%) (n=40/75) reported conducting a postgraduate clinical program. Less than one third (26.7%) (n=20/75) of the medical schools conducted postgraduate research programs.
CONCLUSIONS: Undergraduate training remains the focus of most family medicine departments/units in the AP. Nevertheless, the number of postgraduate programs is increasing. A more rigorous and long-term documentation of family medicine training in the AP is warranted.
To encourage recycling in Malaysian households, a waste separation at source programme was implemented that made it mandatory for households to sort their waste into different categories before leaving it out for collection. Penalties designed to act as a deterrent are imposed on households that fail to sort their waste appropriately. But does this deterrence motivate compliance with the programme directives? This study employs the deterrence theory to investigate if deterrence alone is sufficient to motivate households to actively participate in recycling. A total of 866 questionnaires were administered in person in households in Putrajaya and Melaka. Data were analysed using structural equation modelling. The results of the structural model reveal that just 25% of the variance in compliance is explained by the severity of the sanction, and the perceived certainty of penalty imposed. Perceived severity of sanction (β = 0.149, p = 0.012) and perceived certainty of sanction (β = 0.383, p = 0.000) were found to contribute significantly to compliance behaviour to the programme directives. However, deterrence alone cannot motivate household participation in waste separation at source because it only explains 25% of compliance behaviour. The present study provides information that could allow policymakers to understand recycling habits better and implement more effective compliance strategies.