Objective: To assess the perceptions of caregivers towards oral healthcare services received by elders in Malaysian nursing homes and to identify challenges and suggestions for improvement. Background: Caregivers play an important role in the oral health care of elders in nursing homes. Methods: This study employed a qualitative approach using the nominal group technique (NGT) to obtain caregivers' feedback in nursing homes in Malaysia. Data were manually transcribed, summarised into keywords/key phrases, and ranked using weighted scores. Results: In total, 36 caregivers (21 from government and 15 from private nursing homes) participated in the NGT sessions. Overall, caregivers were satisfied with the low treatment cost, the quality of treatment, and the availability of dental visits to nursing homes. Caregivers were dissatisfied with the frequency of dental visits, long waiting times at government dental clinics, and inadequate denture hygiene education for elders in nursing homes. The challenges faced by caregivers were elders' poor oral health knowledge and attitude and lack of elders' trust of caregivers to look after their oral health. Suggestions for improvement were to increase the frequency of dental visits to nursing homes, provide oral health education to elders and caregivers, and give treatment priority to elders at dental clinics. Conclusion: Despite being satisfied with the basic oral healthcare services received by elders in Malaysian nursing homes, caregivers raised some issues that required further attention. Suggestions for improvement include policy changes in nursing home dental visits and treatment priority for elders at government dental clinics.
Malaysia’s research and development landscape has grown tremendously over the last decade. The growth of scholarly output in Malaysia has also risen significantly compared to countries such as China, Singapore and Australia. Malaysia has made it a target that research output and quality will increase through an expenditure of 1.3% of the GDP allocated to Research and Development (R&D). Thus far, Malaysia has achieved phenomenal growth within the research sector, with a four-fold increase in the number of citations and has generated approximately RM1.25 billion through 11% yearly growth in the number of patents from Malaysian Universities. This case study aims to provide, firstly, an overview of research governance in Malaysia, and secondly, a discussion of research governance practices at Universiti Malaya (UM). Data is obtained from the 11th Malaysian Plan (2016-2020) and linked to the Malaysian Transformation Program. The Malaysian Education Blueprint for Higher Education (2015-2025) launched in 2015 also outlined a comprehensive transformation for research in higher education programmes. In addition, other published documents on research governance practices by agencies providing research funding were also reviewed. This case study highlights best practices in research management and governance to strengthen and further enhance the current research management and governance in support of the Malaysian government’s initiative towards achieving a high-income nation status.
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