Saeed Abdalla A, Mohamed Badreldin A
Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2002 Oct;23(10):1237-42.
The aim of this study is to assess factors which the patients think can encourage, discourage or have no effect on utilization of Primary Health Care Centers (PHCCs) in Riyadh, Kingdom of Saudi Arabia.
Patients (n=540) attending the selected PHCCs in Riyadh were asked regarding their views on 21 (factors) items and whether they can encourage, discourage or has no effect on utilization of PHCCs services. Eight PHCCs were randomly selected according to the geographical location, 2 from each geographical zone. Seventy-five subjects were selected systematically, every 10th Saudi aged 15 years and above who visited the selected PHCCs during a one-month period (September 1998). The data was collected via a self administered pilot tested, internally consistent questionnaire which included patients' sociodemographic characteristics and their response to the 21 items rated as highly encouraging, encouraging, has no effect or discouraging utilization of offered health services.
More than 60% of the patients were males, aged 15-39 years, 47% finished secondary school, 5.2% were illiterate, 58% of all patients were married, more than 60% were employees and approximately 60% have a monthly income of less than 4500 Saudi Riyals. Manpower factors particularly the physician, Arabic speaking health team and free service were the most encouraging factors, while overcrowding and geographical location of the PHCCs, particularly location near public services, were the least encouraging factors. Patients' gender, education and occupation were the most important and age was the least important patients' characteristics associated with utilization factors.
An experienced physician, Moslem physicians and an Arabic speaking health team offering free service in PHCCs located near patients' homes can augment utilization of services.
本研究旨在评估沙特阿拉伯王国利雅得患者认为会对初级卫生保健中心（PHCCs）利用产生促进、阻碍或无影响的因素。
询问了利雅得选定PHCCs的患者（n = 540）对21项因素的看法，以及这些因素对PHCCs服务利用是会促进、阻碍还是无影响。根据地理位置随机选择了8个PHCCs，每个地理区域选2个。系统选取了75名受试者，即1998年9月这一个月期间到选定PHCCs就诊的每第10名15岁及以上的沙特人。数据通过一份经预测试且内部一致的自填问卷收集，问卷包括患者的社会人口学特征以及他们对21项因素的回答，这些因素被评为对所提供医疗服务的利用有高度促进、促进、无影响或阻碍作用。
超过60%的患者为男性，年龄在15 - 39岁之间，47%完成了中学教育，5.2%为文盲，所有患者中58%已婚，超过60%为雇员，约60%的月收入低于4500沙特里亚尔。人力因素尤其是医生、会说阿拉伯语的医疗团队和免费服务是最具促进作用的因素，而PHCCs的过度拥挤和地理位置，特别是靠近公共服务设施的位置，是最不具促进作用的因素。患者的性别、教育程度和职业是与利用因素相关的最重要的患者特征，年龄则是最不重要的特征。
在患者家附近的PHCCs中有经验的医生、穆斯林医生和提供免费服务的会说阿拉伯语的医疗团队可提高服务利用率。
