al-Shammari S A, Felemban F M, Jarallah J S, al-Bilali S A, Hamad J M
College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Int J Health Plann Manage. 1995 Apr-Jun;10(2):129-38. doi: 10.1002/hpm.4740100206.
This article reports on a study carried out in 1993 to elicit the opinions of decision makers (medical and non-medical) as to the types of facilities, locations and culturally acceptable levels of health care appropriate for the elderly in Saudi Arabia. In addition, the study sought to find out the procedures and likely constraints in the development of future health care services for the elderly. An opinion survey was carried out on a randomly selected sample of decision makers, drawn from: hospitals of 100-bed capacity or more; and, from directorates of education, agriculture, police, municipalities, commerce, transport and media, in each of the regions of Saudi Arabia. A predesigned Arabic questionnaire was completed by the respondents during February-April, 1993. Of the 244 respondents, the most important categories of elderly to be cared for were considered to be those with handicaps, the chronically ill, and those without family support. The non-medical decision makers gave higher scores to these alternatives than did the medical decision makers (P < 0.05). Use of the family home for elderly health care was rated as the most appropriate, followed by medical rehabilitation centres, and only then by hospitals. Non-medical respondents gave more emphasis on rehabilitation centres (P < 0.02). Medical respondents thought that primary care doctors (87.2%), physiotherapists (87.2%) and general nurses (78.2%) can adequately fulfil the needs of most elderly patients. In contrast, non-medical respondents demanded the presence of specialist doctors (72.3%), specialist nurses (78.9%), laboratory and X-ray facilities to run such services (P < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
本文报道了一项于1993年开展的研究，旨在征求决策者（医学和非医学领域）对于沙特阿拉伯适合老年人的医疗设施类型、地点以及文化上可接受的医疗水平的意见。此外，该研究还试图找出未来老年人医疗服务发展的程序及可能存在的限制因素。对从沙特阿拉伯各地区100张床位及以上的医院，以及教育、农业、警察、市政、商业、交通和媒体部门随机抽取的决策者样本进行了意见调查。1993年2月至4月期间，受访者完成了一份预先设计好的阿拉伯语问卷。在244名受访者中，需要照顾的最重要的老年人类别被认为是残疾老人、慢性病患者以及没有家庭支持的老人。非医学决策者对这些选项的评分高于医学决策者（P < 0.05）。将家庭住所用于老年人医疗保健被评为最合适的方式，其次是医疗康复中心，然后才是医院。非医学受访者更强调康复中心（P < 0.02）。医学受访者认为初级保健医生（87.2%）、物理治疗师（87.2%）和普通护士（78.2%）能够充分满足大多数老年患者的需求。相比之下，非医学受访者要求配备专科医生（72.3%）、专科护士（78.9%）以及开展此类服务所需的实验室和X光设施（P < 0.05）。（摘要截选至250字）
