Al-Omar B A, Saeed K S
Master's Program in Hospital & Health Administration, College of Administrative Sciences, King Saud University, Riyadh, Saudi Arabia.
J Family Community Med. 1998 Jul;5(2):23-30.
To determine the factors that significantly discriminate between Ministry of Health (MOH) and private primary health care patients in Riyadh City, Saudi Arabia.
Through a self-administered questionnaire, data were collected from 408 randomly selected patients in five MOH primary health care centers and five private dispensaries. Data collection was conducted from February 15 to March 15, 1998. Two-group stepwise discriminant analysis was utilized in analyzing the data.
Seven of the 33 factors were found to be statistically significant in discriminating between MOH and private patients. These factors were: (1) source of payment, (2) availability of other sources of income, (3) distance between residence and Primary Health Care (PHC) provider, (4) education, (5) preference for similar-gender doctors, (6) preference for Saudi doctors, and (7) perceived quality of medical staff.
The study notes that PHC providers cannot control the sociodemographic characteristics of patients. Therefore, policy makers should focus on ensuring that PHC facilities have enough male and female doctors. Furthermore, the quality of the medical staff of these facilities should be upgraded to improve the overall quality of the services they provide. The conduct of further studies related to the utilization of health care providers is also recommended.
确定沙特阿拉伯利雅得市卫生部（MOH）和私立初级卫生保健患者之间存在显著差异的因素。
通过一份自填式问卷，从五个卫生部初级卫生保健中心和五个私立药房随机选取的408名患者中收集数据。数据收集于1998年2月15日至3月15日进行。采用两组逐步判别分析对数据进行分析。
33个因素中有7个在区分卫生部患者和私立患者方面具有统计学意义。这些因素为：（1）支付来源，（2）其他收入来源的可用性，（3）居住地与初级卫生保健（PHC）提供者之间的距离，（4）教育程度，（5）对同性医生的偏好，（6）对沙特医生的偏好，以及（7）对医务人员的感知质量。
该研究指出，初级卫生保健提供者无法控制患者的社会人口统计学特征。因此，政策制定者应专注于确保初级卫生保健机构有足够的男医生和女医生。此外，应提升这些机构医务人员的素质，以提高他们提供的服务的整体质量。还建议开展与卫生保健提供者利用情况相关的进一步研究。
