Page 61 - JOURNAL OF HEALTH MANAGEMENT SUPPLEMENT: SEPTEMBER 2021

SEPTEMBER 2021, SUPPLEMENT, JOURNAL OF HEALTH MANAGEMEN
SEPTEMBER 2021, SUPPLEMENT, JOURNAL OF HEALTH MANAGEMENT T
e-­‐poster
BM108 e-­‐Poster
PH005
Abstract Category: Biomedical Science
Abstract Category: Public Health
Islamic Fasting Approach on Weight Loss Intervention – Experience Through the Lens of Participants
2
2
2
2
1
Johari, M. Z. , Sulaiman, N. S. , Abdullah, S. R. , Khalil, M. K. N. , Wan Mohd Zin, R. M. , Mohd Yunus, S.
Full Paying Patients: How Long Do I Have to Wait for Urolithiasis Surgery?
1
1
2
1
N. N. , Kamaruddin, H. , Norshamsul, N. I. , Azizul, N. H.
1
1
1
1
2
1
1
Md. Sharif, S. , Fun, W.H. , Tan, E.H. , Sararaks, S. , Ab Rahim, I. , Jawahir, S. , Yusof Sibert, R.M. ,
1 Centre for Health Communications and Informatics Research, Institute for Health Behaviour Research, National
1
3
Mohd Fadzil, M. , Mahmud, S.H.
Institutes of Health
2 Nutrition, Metabolism & Cardiovascular Research Centre, Institute for Medical Research, National Institutes of
1
Institute for Health Systems Research
Health
2
Hospital Pakar Sultanah Fatimah
3
Medical Development Division, Ministry of Health Malaysia
Introduction
Weight loss is a natural process of weight management in life but the process and effectiveness varies
Introduction
from individual to individual. This study attempts to assess the effectiveness of an Islamic approach of
The Full Paying Patient (FPP) service is a fee-­‐for-­‐service option which allows patients to select the
the sunnah fasting (Mondays and Thursday) combined with healthy plating as part of a weight loss
healthcare provider of their choice, with service typically delivered after official hours, utilising
intervention through the views of the participants.
public hospital resources. This study assessed the waiting time and rescheduling of urolithiasis
surgery between FPP and public patients in the same hospital.
Method
This qualitative study takes on exploratory approach in obtaining feedback from selected participants
Methods
of the intervention. Four groups of participants (two successful and two unsuccessful) were invited in
We extracted data from electronic medical records of patients who underwent elective urolithiasis
separate Focus Group Discussions (FGD) to give their experiential feedback after completing the
surgery from January – May 2017 in a hospital providing FPP services. We excluded those with
intervention. FGDs were recorded verbatim and transcribed. Data was blind and axial coded before
unrecorded surgery dates or without rescheduling reasons. We measured waiting times using three
thematically analyzed.
methods, clock-­‐continuous (time from scheduling to surgery), clock-­‐pause (discounting time due to
personal/medical reasons) and clock-­‐restart (discounting rescheduling time). We analysed waiting
Result
In total 21 participants were interviewed. Four themes emerged -­‐ efficacy towards intervention,
time and rescheduled surgery frequency, using SPSS version 23.
barriers and facilitators to success, support and sustainability. Participants who were success attributed
Results
having a strong support system at home or at work and the sense of competitiveness as the main key
Included were 94 patients, 36 and 58 under FPP and public service respectively. Clock-­‐continuous
to who were successful. Similarly, the same attributes are also the reason to those who did not
waiting time for patients under public service was 95.5 days, compared with 4 days for FPP. Waiting
succeed in losing the prescribed weight. Most suffered difficulty of at least one month to adapt to the
time of clock-­‐restart was twice longer for patients under public service than those under FPP, while
intervention. Sporadically in both groups stated the intervention is sustainable for a long period.
clock-­‐pause method found 85-­‐ and 4-­‐days waiting time for public and FPP patients respectively.
Individual motivation plays a strong role in the success or failure in weight loss.
Patients in the public queue were rescheduled 11 times more compared with FPP patients, with the
Discussion
majority (63%) rescheduled once.
Islamic fasting is perceived to be a viable intervention to weight loss and its success is driven both by
individual motivation and a strong support system to be sustainable.
Discussion
FPP patients had shorter waits for surgery and less rescheduling episodes compared with public
Keywords: weight loss, Islamic fasting, qualitative, effectiveness, sustainability
patients. FPP provides an alternative queue for those willing to opt to pay for unsubsidised public
services. It provides faster access and utilising resources after hours. However, concerns regarding
the fairness of the system were raised as both FPP and public services utilise the same public facility
and manpower. A separate study is recommended to further explore the matter.

Keywords: Full Paying Patients, urolithiasis surgery, wait time

140 | Page

60 | Page
60 | Page