scholarly journals OBSTACLES ENCOUNTERED WHILE DEALING WITH EMERGENCY CASES BY PRIMARY HEALTH CARE PHYSICIANS IN CLUSTER 1 RIYADH CITY, KINGDOM OF SAUDI ARABIA

2021 ◽  
Vol 9 (5) ◽  
pp. 60-69
Author(s):  
Alhanouf M. Alazmi ◽  
Fathi Zouheir Mbarki ◽  
Abeer Ahmed Sharahili ◽  
Amal Ahmed Ghzwany ◽  
Esra Ali Alhwsawi

Background: The frontline primary healthcare centers (PHCCs) are regularly visited for different medical problems, ranging from minor situation to emergency cases. The frontline primary healthcare centers (PHCCs) are regularly visited for different medical problems, ranging from minor situation to emergency cases. Therefore, analytical cross-sectional study was conducted to assess nature of encountered acute medical emergencies, self-perception and competencies of PCH physicians dealing with them, and, sufficiency of the required PHCCs equipment in hospitals of Riyadh. Methodology: This cross-sectional study enrolled all the physicians in governmental PHCCs, Ministry of Health (cluster 1) Riyadh city during the study period. The study was conducted using modified previously validated online accessible questionnaire. Online questionnaire was distributed across the selected Primary health care centers in Riyadh by submitting it to PHC manager to distribute to all PHC physicians during study period Results: In this study, we were able to collect 206 responses for our questionnaire among primary healthcare physicians. Among these physicians 58.8 % were aged between 25-35 years old and 55.3 % were females. We found that the percentage of PHC physicians who will attempt to perform the assessed skills for all patients did not exceed 30%. The least cases seen by physicians were cardiac arrest, acute GIT bleeding, anaphylaxis and acute vaginal bleeding which never seen during the last year by 83.1 %, 72.8 %, 70.9 % and 68 % of participants respectively. Conclusion: The current study showed that emergency services at the PHC level in Riyadh, Saudi Arabia are not functioning reasonably in some terms. Therefore, the services need to be perfected, and defects revealed by the current study should be taken into consideration hand-in-hand with available resources to upgrade the quality of the emergency services provided at PHC centers in Riyadh.

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Reema M. Alhussein ◽  
Mansoor M. Albarrak ◽  
Abdulaziz A. Alrabiah ◽  
Nawfal A. Aljerian ◽  
Hashim M. Bin Salleeh ◽  
...  

Abstract Background Most sudden cardiac arrests occur at home, with low rates of bystander cardiopulmonary resuscitation being performed. We aimed to assess knowledge of cardiopulmonary resuscitation among individuals in Riyadh City, Saudi Arabia, who are not involved in health care. Methods A community-based cross-sectional study was conducted between January and February 2020 in 4 different areas in Riyadh City: North, South, East, and West. The participants were surveyed using a validated self-administered questionnaire. The Statistical Package for Social Sciences version 25.0 was used for inferential statistics and binary logistic regression analysis. Results A total of 856 participants completed the questionnaire, 51.8% were unaware of cardiopulmonary resuscitation. Only 4.4% of the participants had attended a formal cardiopulmonary resuscitation training course, 5.1% were campaign attendees, and 38.7% acquired their experience through the media. Having a higher level of education was positively associated with having knowledge of cardiopulmonary resuscitation. The main concern among attendees of cardiopulmonary resuscitation training courses and campaigns was legal issues, whereas inadequate knowledge was the major barrier for those who had learned about cardiopulmonary resuscitation through the media. Conclusion The level of knowledge of cardiopulmonary resuscitation among non-health care individuals in Riyadh City was found to be insufficient. Therefore, coordinated efforts among different authorities should be considered to implement a structured strategy aiming to increase awareness and knowledge of cardiopulmonary resuscitation among non-health care individuals.


2015 ◽  
Vol 38 (5) ◽  
pp. 343-356
Author(s):  
Ana Maseda ◽  
José Carlos Millán-Calenti ◽  
Julia Carpente ◽  
José Luis Rodríguez-Villamil ◽  
Carmen de Labra

2020 ◽  
Author(s):  
Beesan Maraqa ◽  
Zaher Nazzal ◽  
Jurouh Jabareen

Abstract Background: Health-care systems have primary responsibility for treating tobacco dependence. Despite its proven effectiveness, international studies have shown that provision of smoking cessation advice to patients in primary health care is suboptimal. This study aimed at assessing Palestinian PHC physicians' compliance and attitude towards smoking cessation counseling and their determinants.Methods: the study utilized a cross-sectional study design using a self-reported questionnaire targeted general practitioners, family medicine doctors, obstetrics & gynecologists and dentists working at PHC Centers in Palestine in the period between April to September,2019. Proportionate stratified random sampling method was used. Sociodemograpic, medical experience, if received any training in smoking cessation counseling, smoking history, practice compliance, knowledge, confidence and attitude were assessed. Results: 294 PHC physicians' participated in the study with high response rate. More than a half (53%) were between 31-45 years of age. Most of them (76.5%) were general practitioners seeing more than 30 patients per day (66%) and only 15% (n=40) get training about smoking cessation counseling. Practice compliance was low; only 39 (13.3%) reported compliance to smoking cessation practice. Attitude level among the participant physicians was good as the overall attitude score mean was 75.1 ± 9.6. Positive attitude, assigned as any score ≥65, was observed in 87.7% (n=258) of physicians. Job title, experience and knowledge are predictors of positive attitude towards smoking cessation counseling.Conclusion: Building supportive environment, improving physicians’ capabilities will reflect on their self-efficacy and their con­fidence level and will improve their practice in smoking cessation counseling.


Author(s):  
Paulo Celso Prado Telles Filho ◽  
Tatiana Longo Borges ◽  
Assis do Carmo Pereira ◽  
Kelly Graziani Giacchero Vedana ◽  
Rebecca O. Shasanmi ◽  
...  

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