scholarly journals Socioeconomic factors affecting patients′ utilization of primary care services at a Tertiary Teaching Hospital in Riyadh, Saudi Arabia

2016 ◽  
Vol 23 (1) ◽  
pp. 6 ◽  
Author(s):  
AbdulazizM Alsubaie ◽  
KhaledA Almohaimede ◽  
AbdulrahmanF Aljadoa ◽  
OsamahJ Jarallah ◽  
YasserI Althnayan ◽  
...  
2016 ◽  
Vol 15 (3) ◽  
pp. 639 ◽  
Author(s):  
Hisham Aljadhey ◽  
Basmah Al-Babtain ◽  
Mansour Adam Mahmoud ◽  
Sinna Alaqeel ◽  
Yusuf Ahmed

Author(s):  
Ahmed S. Alhowimel ◽  
Faris A. Alodaibi ◽  
Mazyad A. Alotaibi ◽  
Dalyah M. Alamam ◽  
Julie Fritz

Background Patients with chronic low back pain can contribute to a global socioeconomic burden. Current international recommendations emphasize that low back pain management should occur at the primary-care level. However, there is a lack of essential services for low back pain management at the primary-care level in Saudi Arabia. We explored the current state of low back pain management in Saudi Arabia from the perspective of spine surgeons and physiotherapists. Methods A qualitative study with semi-structured interviews was conducted on spine surgeons and physiotherapists. A total of 17 healthcare workers, 8 spine surgeons (age range 28–49 years) and 9 physiotherapists (age range 30–49 years) participated in the study. Data were recorded and analyzed thematically. Results Three main themes were identified from the interview data that outlined current low back pain management in Saudi Arabia: clinical guideline availability and pathways of care, utilization of primary care services, and overutilization of secondary care resources. Conclusions This study suggests underutilization of primary care services and overutilization of secondary care services in Saudi Arabia. Therefore, the implementation of local clinical guidelines could improve patient care as well as reduce the cost of low back pain management.


Antibiotics ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. 1498
Author(s):  
Abdulwahab Aldrees ◽  
Leen Ghonem ◽  
Fahad Almajid ◽  
Mazin Barry ◽  
Ahmed Mayet ◽  
...  

The appropriate use of antimicrobial agents improves clinical outcomes and reduces antimicrobial resistance. Nevertheless, data on inappropriate prescription and negative outcomes are inconsistent. The objective of this study was to assess the prescription appropriateness of Caspofungin at a tertiary teaching hospital in Saudi Arabia and the impact on mortality at 30 days. A retrospective chart review was performed for patients who received Caspofungin from May 2015 to December 2019 to obtain prescription information and culture and susceptibility tests. The appropriateness of the dosage (ApD), initiation time (ApI), agent selection (ApS), and duration of therapy (ApDUR) was evaluated based on recommendations of the infectious diseases society of America. 355 eligible patients who received 3458 Caspofungin doses were identified. Their median age was 54 years (range 18–96). Overall, 270 (76.1%) patients received empirical prescriptions, of which 74.4% had the appropriate dose, and 56.3% had received it for more than five days, despite no proven Candida infection. This was not influenced by past medical history (p = 0.394). Only 39% of patients who received definitive prescriptions met all four study criteria for appropriate prescription. Therefore, antimicrobial stewardship programs can improve the appropriate utilization of antifungal therapies.


2014 ◽  
Vol 19 (3) ◽  
pp. 205-210 ◽  
Author(s):  
Safaa Allam ◽  
Maha Moharam ◽  
Gada Alarfaj

Background: Family physician advice and follow-up may be important to reduce the negative aspects of locally marketed herbal remedies and improve the patient outcome. There is a lack of studies assessing the preference of Saudi patients for the integration of herbal medicine into primary care services. Objectives: To examine the knowledge, attitudes, and practice of Saudi patients toward herbal medicine and its integration into primary care services. Methods: A cross-sectional study was conducted between February and March 2013 among adult patients attending the family medicine clinics at a primary care center in Riyadh, Saudi Arabia. A self-administered questionnaire (27 items) was developed and administered to all patients. Results: A total of 240 patients were included in the current analysis. The average age was 33.5 ± 9.9 years, and 61% of the patients were women. Approximately 60% of the patients were aware of herbal medicine use and its possible side effects. More than 85% of the patients believed that herbal containers should be labeled with safety information. Approximately 71% of the patients had a favorable attitude toward integrated services. Approximately 65% of the patients used herbal remedies for themselves, and 42% used them for their children. Preference for integrated services was significantly associated with female sex, better knowledge, positive attitudes toward safety and regulations, and higher level of practice. Conclusions: A good knowledge and a very favorable attitude toward integrating herbal medicine into primary care services were found among a group of patients attending a primary care center in Saudi Arabia.


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