scholarly journals Challenges to Quality Primary Health Care in Saudi Arabia and Potential Improvements Implemented by Other Systems: Systematic Review

2020 ◽  
Vol 12 (9) ◽  
pp. 1
Author(s):  
Abdullah Ghthaith Almutairi ◽  
Hilal Salim Al Shamsi
Keyword(s):  
Professional Development ◽  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Healthcare Quality ◽  
Organisational Culture ◽  
Care Quality ◽  
Primary Health

INTRODUCTION: As primary healthcare centres play an important role in implementing Saudi Arabia’s health strategy, this paper offers a review of publications on the quality of the country’s primary health care. With the aim of deciding on solutions for improvement, it provides an overview of healthcare quality in this context and indicates barriers to quality. METHOD: Using two databases, ProQuest and Scopus, data extracted from published articles were systematically analysed for determining the care quality in Saudi primary health centres and obstacles to achieving higher quality. RESULTS: Twenty-six articles met the criteria for inclusion in this review. The components of healthcare quality were examined in terms of the access to and effectiveness of interpersonal and clinical care. Good access and effective care were identified in such areas as maternal health care and the control of epidemic diseases, whereas poor access and effectiveness of care were shown for chronic disease management programmes, referral patterns (in terms of referral letters and feedback reports), health education and interpersonal care (in terms of language barriers). Several factors were identified as barriers to high-quality care. These included problems with evidence-based practice implementation, professional development, the use of referrals to secondary care and organisational culture. Successful improvements have been implemented by other systems, such as mobile medical units, electronic referrals, online translation tools and mobile devices and their applications; these can be implemented in Saudi Arabia for improving the quality of the primary healthcare system in this country. CONCLUSION: The quality of primary health care in Saudi Arabia varies among the different services. To improve quality, management programmes and organisational culture must be promoted in primary health care. Professional development strategies are also needed for improving the skills and knowledge of healthcare professionals. Potential improvements can be implemented to improve the quality of the primary health system.

scholarly journals Primary care organizational model mix and avoidable hospitalization: an ecological study in Portugal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Pinto ◽  
J V Santos ◽  
M Lobo ◽  
J Viana ◽  
J Souza ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Pay For Performance ◽  
Care Quality ◽  
Organizational Model ◽  
Avoidable Hospitalizations ◽  
Primary Health ◽  
Age And Sex

Abstract Background In Portugal, there are different organizational models in primary health care (PHC), mainly regarding the payment scheme. USF-B is the only type with financial incentives to the professional (pay-for-performance). Our goal was to assess the relationship between groups of primary healthcare centres (ACES) with higher proportion of patients within USF-B model and the rate of avoidable hospitalizations, as proxy of primary care quality. Methods We conducted a cross-sectional study considering the 55 ACES from mainland Portugal, in 2017. We used data from public hospitalizations to calculate the prevention quality indicator (avoidable hospitalizations) adjusted for age and sex, using direct standardization. The main independent variable was the proportion of patients in one ACES registered in the USF-B model. Unemployment rate, proportion of patients with family doctor and presence of Local Health Unit (different organization model) within ACES were also considered. The association was assessed by means of a linear regression model. Results Age-sex adjusted PQI value varied between 490 and 1715 hospitalizations per 100,000 inhabitants across ACES. We observed a significant effect of the proportion of patients within USF-B in the crude PQI rate (p = 0.001). However, using the age-sex adjusted PQI, there was not a statistical significant association (p = 0.504). This last model was also adjusted for confounding variables and the association remains non-significant (p = 0.865). Conclusions Our findings suggest that, when adjusting for age and sex, there is no evidence that ACES with more patients enrolled in a pay-for-performance model is associated with higher quality of PHC (using avoidable hospitalizations as proxy). Further studies addressing individual data should be performed. This work was financed by FEDER funds through the COMPETE 2020 - POCI, and by Portuguese funds through FCT in the framework of the project POCI-01-0145-FEDER-030766 “1st.IndiQare”. Key messages Adjusting PQI to sex and age seems to influence its value more than the type of organizational model of primary health care. Groups of primary healthcare centres with more units under the pay-for-performance scheme was not associated with different rate of avoidable hospitalizations.

scholarly journals Difficulties and Barriers of Primary Health Care Physicians in Rural Areas of Aseer Region, Saudi Arabia

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Mastor A.M. Alshahrani ◽  
Mohammed A. Alsaleem ◽  
Safar A. Alsaleem ◽  
Mohammed A. Alfaya ◽  
Muhammed A.Y. Alkhairi ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Rural Areas ◽  
Urban Areas ◽  
Social Life ◽  
Well Being ◽  
Primary Health ◽  
Primary Health Care Physicians

Aim of Study: To identify difficulties and barriers facing primary health care physicians in rural areas of Aseer Region, Saudi Arabia. Methods: This cross-sectional study was conducted at primary healthcare centers (PHCCs) belonging to the Saudi Ministry of Health, in rural areas of Aseer Region. A total of 134 physicians participated in the study. A validated study questionnaire was adapted and used for data collection. Results: Female physicians constituted 43.3% of respondents, age of 58.2% was 30-35 years, (Mean±SD: 32.8 ± 7.0 years), 54.5% were married, the salary of 76.1% was <10,000 SR, and the place of residence of 43.3% was in urban areas. Only 34.3% had opportunities for on-the-job continuing medical education, 33.6% were satisfied with medical equipment and resources, and 50% were dissatisfied with their salary. Internet service was present for 83.6% of participants. The social life of 83.6% was negatively affected, and 16.4% were exposed to violence at the workplace. Most participants had a favorable attitude toward working in rural areas, mainly in the form of professional satisfaction, pursuing postgraduate academic studies, building confidence as a clinician and provision of opportunities to upgrade knowledge and skills. Participants were less satisfied regarding several social factors, such as internet connectivity, isolation from family and relatives; received support from rural people, difficult schooling for children, but were not satisfied regarding PHCC infrastructure, their residential facilities, or earning more money. Conclusion: Serving within the rural healthcare system provides young physicians with an opportunity to build up their experience and to increase their confidence as physicians. However, important difficulties that they face are mainly social and financial. Hence, creating a health policy to safeguard the serving physicians’ career and providing facilities to promote personal and social well-being needs to be considered. Key words: Primary healthcare, rural health, difficulties, barriers, Saudi Arabia

MANAGEMENT OF HUMAN RESOURCES IN ORGANIZATIONS OF PRIMARY MEDICAL AND SANITARY ASSISTANCE

Vestnik ◽  
2021 ◽  
pp. 302-308
Author(s):  
К.М. Толегенов ◽  
Д.А. Оспанова
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Quality ◽  
Resource Planning ◽  
Care Quality ◽  
Diagnostic Process ◽  
Management Objectives ◽  
Primary Health ◽  
Care Costs

Первичная медико-санитарная помощь - важная часть общей системы здравоохранения. Эффективная первичная медико-санитарная помощь обеспечивает улучшение общественного здоровья, удовлетворенность пациентов и снижение общих затрат на здравоохранение.Стратегическое планирование человеческих ресурсов при реализации политики в области качества медицинской помощи - одна из основных задач менеджмента по повышению качества лечебно-диагностического процесса и повышению клинической эффективности и экономической эффективности каждого медицинского учреждения. Primary health care is an important part of the overall health care system. Effective primary health care provides improved public health, patient satisfaction and lower overall health care costs Strategic human resource planning in implementing health care quality policy is one of the main management objectives to improve the quality of the diagnostic process and increase clinical efficiency and the economic efficiency of each medical institution.

scholarly journals Elderly individuals in primary health care: Quality of life and associated characteristics

2019 ◽  
Vol 36 ◽  
Author(s):  
Kalina de Lima SANTOS ◽  
Maria do Carmo EULÁLIO ◽  
Edivan Gonçalves da SILVA JÚNIOR ◽  
Manuella Castelo Branco PESSOA ◽  
Rômulo Lustosa Pimenteira de MELO
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Quality ◽  
The Elderly ◽  
Care Quality ◽  
Mean Values ◽  
Elderly Individuals ◽  
Primary Health

Abstract The aim of the study is to assess the quality of life of elderly individuals with hypertension and diabetes Mellitus. A total of 371 elderly individuals with hypertension and/or diabetes who are being treated in the public primary health care network, with a mean age of 71 years, M = 71, 34 (SD = 6.848) participated in this study. It is a quantitative-qualitative study, carried out in two stages. In the first, the quantitative data were collected using the following instruments: WHOQOL-bref, Mini Mental State Exam, and a sociodemographic questionnaire, in order to screen the second stage participants (13 elderly individuals), who corresponded to the qualitative strategy, using the focal group technique. The results showed that the elderly individuals without hypertension/diabetes had higher quality of life mean values. Those affected by both diseases presented the worst ‘physical’ domain mean values. Qualitative data indicate the ‘social’ and the ‘psychological’ domains as the most important ones, also revealing the centrality of the disease in their reports.

scholarly journals Atopic Dermatitis - Knowledge and Attitude of Primary Health Care Providers, Majmaah, Saudi Arabia

2021 ◽  
Vol 10 (33) ◽  
pp. 2773-2777
Author(s):  
Rasheed Khalid Barradah
Keyword(s):  
Health Care ◽  
Atopic Dermatitis ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Primary Healthcare ◽  
Care Providers ◽  
Primary Health ◽  
Primary Health Care Providers ◽  
Knowledge And Attitude

BACKGROUND Atopic dermatitis (AD) is common in Saudi Arabia. Level of primary health care providers’ (PHCPs) knowledge about the disease is inadequate. We wanted to determine the knowledge and attitude of primary health care providers (PHCPs) in Majmaah, Saudi Arabia, toward atopic dermatitis (AD). METHODS This cross-sectional study was conducted in Majmaah, Saudi Arabia, from August to October 2020. The data was collected from eight primary healthcare centres in the city by a pre-tested questionnaire. The data was analysed using SPSS 26.0. Pearsonchi-square / Fisher Exact test were applied to observe associations between qualitative variables. A P-value of < 0.05 was considered as statistically significant. RESULTS The data was collected from 23 PHCPs. The qualification obtained by most of the PHCPs (78.3 %) was Bachelor of Medicine & Bachelor of Surgery (MBBS), 17.4 % were diploma holders and only one had master’s degree. The average AD score out of 8 items was 5.95 + 1.18. The minimum and maximum scores were 3 and 8. Converting the scores to percentages, the participants who had good knowledge about AD were 17 (73.91 %). Five (21.74 %) had average knowledge and only one (4.35 %) had poor knowledge. CONCLUSIONS The level of atopic dermatitis knowledge of PHCPs in Majmaah, Saudi Arabia, was found to be adequate, whereas the attitude was observed to be negative. Focus-group discussions, tailored sessions, or continuous medical education programs can be conducted to discuss the management guidelines on this condition with the PHCPs. KEY WORDS Atopic Dermatitis, Primary Healthcare Centres, Knowledge, Attitude, Saudi Arabia

scholarly journals Assessment of Health Care Workers’ Knowledge and Practice Toward Infection Standard Precautions in Primary Health Care setting, Buraidah, Saudi Arabia

2021 ◽  
Vol 19 (8) ◽  
Author(s):  
Hanein Saad ALjohani ◽  
Amel Abdalrahim Sulaiman
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Hand Hygiene ◽  
Infection Control ◽  
Primary Healthcare ◽  
Healthcare Workers ◽  
Standard Precautions ◽  
Primary Health ◽  
Study Participants

Background: This study aimed to assess knowledge of standard precautions (SPs) and infection control by healthcare workers (HCWs) at the primary healthcare level in Buraidah City, Qassim Region, Saudi Arabia. Methods: A cross sectional study enrolled HCWs (doctors, nurses, lab workers) from 20 primary healthcare (PHC) centers in Buraidah. Two-hundred participants were selected randomly to participate in this study. Data was collected by a pretested, self-administered questionnaire, containing 29 items about basic knowledge of components of SPs and infection control including hand hygiene, personal protective equipment, sharps disposal, environmental sanitation and care of healthcare providers. Data was entered and analyzed using SPSS. Results: The mean age of HCWs was 35.7 (SD±6.6) years. Females represented (51.5%) of the study participants. History of receiving formal training in standard infection control precaution in the last three years was mentioned by almost two-thirds (68.5%) of them. About 102 (51.0%) of the HCWs had adequate level of knowledge (>5 correct answers) regarding standard precautions(SPs) of infection control. The younger (p=0.020), non-Saudi healthcare workers (p<0.001), physicians (p<0.001); particularly consultants (p=0.018), were more knowledgeable than their counterparts. The barriers of improper use of PPEs reported by HCWs were uncomfortable (61.5%), some patients feel stigmatized when PPEs are used (60.5%), shortage in items at PHCC (54%) and workload due to patients’ over-crowding (49%). Conclusion: Generally the study finding revealed adequate knowledge of SPs among the study participants. However, inadequate knowledge particularly concerning the disposal of sharp instruments and hand hygiene were also detected. These findings highlighted the necessity of the provision of a comprehensive training program to ensure compliance with infection control measures by HCWs. Key words: knowledge, practice, infection standard precautions, primary health care

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