scholarly journals Factors Associated With Access, Utilization, and Level of Satisfaction With Primary Health Care Services in Hafar Al-batain City of Saudi Arabia

2019 ◽  
Vol 11 (13) ◽  
pp. 34
Author(s):  
Sabah T Alharbi ◽  
Muneeb M Alzghool

BACKGROUND: Primary Health Care (PHC) Services in Saudi Arabia has reportedly been poorly accessed and utilized. Another concern is that the kingdom has to be strategic in reducing inequalities that exist between rural and urban communities. At present, there were limited scientific studies on access, utilization, and satisfaction of PHC services in areas most central to the kingdom. AIM: The aim of this study is to explore the factors associated with access, utilization, and level of satisfaction with primary health care services in Hafar Al-batain of Saudi Arabia. METHOD: A survey was conducted on June to August 2018 and data were gathered from June to August 2018. A self-report questionnaire was used which asked for the participants’ characteristics, organization factors, financial factors, doctor-patient communication, access, utilization, satisfaction to PHC services and barriers were distributed to the different health centers. A total of 384 PHC receivers served as respondents of the study. Data analysis were processed and Chi-square was used to analyse quantitative data using Statistical Package for Social Sciences Ver. 21. Thematic analysis was used in analysing qualitative data.   RESULTS: Findings showed that 50% of the total respondents were satisfied to some extent with the PHC services. On the other hand, only 39.7% were completely satisfied. Organizational, financial and doctor-patient communication factors were found to be barriers to PHC services in terms of access and utilization. Gender, age and educational level were found to influence perceived satisfaction towards PHC services. Themes relevant to barriers to PHC services were relevant to inadequate facilities and services, inaccessible location and access of health services, lack of specialized health care workers and services, poor observance of therapies and management, and insufficient implementation of policy and protocols. CONCLUSION: Health care services in Hafar Al-batin were found satisfying to some extent but were found to have areas which needs improvement which are relevant to factors in the organizational, finance, doctor patient communication and health promotion and prevention.

2021 ◽  
Vol 2 (2) ◽  
pp. 326-333
Author(s):  
Naseem Akhtar Qureshi ◽  
Muzamil H. Abdelgadir ◽  
Aladin Hadi Al Amri ◽  
Talal Hussain Al Beyari ◽  
Philomina Jacob

2020 ◽  
Vol 7 (2) ◽  
pp. 17-25
Author(s):  
Makeen , Anwar M. ◽  
Mahfouz , Mohamed S. ◽  
Albasheer , Osama B. ◽  
Almalki , Mohammed J. ◽  
Humiran , Yahya I. ◽  
...  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Oliveira Miranda ◽  
P Santos Luis ◽  
M Sarmento

Abstract Background Primary health care services are the cornerstone of all health systems. Having clear data on allocated human resources is essential for planning. This work intended to map and compare the primary health care human resources of the five administrative regions (ARS) of the Portuguese public health system, so that better human resources management can be implemented. Methods The chosen design was a descriptive cross sectional study. Each of the five ARS were divided into primary health care clusters, which included several primary health care units. All of these units periodically sign a “commitment letter”, where they stand their service commitments to the covered population. This includes allocated health professionals (doctors, nurses), and the information is publicly accessible at www.bicsp.min-saude.pt. Data was collected for 2017, the year for which more commitment letters were available. Several ratios were calculated: patients/health professional; patients/doctor (family medicine specialists and residents); patients/nurse and patients/family medicine specialist. Mean, standard deviation, minimum and maximum values were calculated. Results National patients/health professional ratio was 702 with the mean of the 5 ARS calculated at 674+-7.15% (min 619, max 734) whilst the national patients/doctor ratio was 1247 with the mean of the 5 ARS calculated at 1217+-7.17% (min 1074, max 1290). National patients/nurse ratio was 1607 with the mean of the 5 ARS calculated at 1529+-13.08% (min 1199, max 1701). Finally, national patients/family medicine specialist ratio was 1711 with the mean of the 5 ARS calculated at 1650+-6,36% (min 1551, max 1795). Conclusions Human resources were differently spread across Portugal, with variations between the five ARS in all ratios. The largest differences occur between nursing staff, and may translate into inequities of access, with impact on health results. A more homogeneous human resources allocation should be implemented. Key messages Human resources in the Portuguese primary health care services are not homogeneously allocated. A better and more homogeneous allocation of human resources should be implemented to reduce access health inequities.


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