Abu-Grain Salma Hussain, Alsaad Sanaa Sadiq, El Kheir Dalia Yahia
Qatif Primary Health Care Centers, Ministry of Health, Dammam, Eastern Province, Kingdom of Saudi Arabia.
Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Kingdom of Saudi Arabia.
J Family Med Prim Care. 2018 Jul-Aug;7(4):739-751. doi: 10.4103/jfmpc.jfmpc_284_17.
Being the first in-line care providers, primary health-care (PHC) physicians may encounter all forms of emergencies, ranging from minor complaints to life-threatening events. This wide variation of cases challenges the physicians to be competent in emergency medicine. Informative literature describing and assessing the factors affecting PHC physicians' emergency medical services (EMS)-related practice is deficient (nationally and internationally). The aim of this study is to assess PHC physicians' practice related to EMS, the factors affecting it, as well as their learning needs and preferred methods of continuous training in emergency medicine.
All physicians working in the selected centers were invited to complete a self-administered questionnaire addressing their EMS-related practice. Moreover, physicians were invited to participate in face-to-face semi-structured interviews and focus group discussions.
The study revealed that 87.3% of physicians had a good diagnostic knowledge score while only 47.6% had a good management score. Nonetheless, 63.5% of physicians had a neutral attitude toward EMS. The most common reported emergencies encountered are bronchial asthma (86.51%), cut wounds (83.33%), and burns (76.19%). About 62% of participants reported that their greatest needs for further training were in cardiovascular and central nervous system emergency management, preferably by practical training in hospital emergency department (80%).
Dammam PHC physicians have a good knowledge, neutral attitude, and fair practice concerning the emergency cases encountered. The majority of physicians reported their need for further hands-on training in emergency medicine.
A cross-sectional, mixed methods study was conducted in 13 out of 26 PHC centers of Dammam, Saudi Arabia.
作为一线医疗服务提供者，初级保健（PHC）医生可能会遇到各种形式的紧急情况，从小病到危及生命的事件。病例的这种广泛差异对医生在急诊医学方面的能力提出了挑战。描述和评估影响初级保健医生急诊医疗服务（EMS）相关实践的因素的信息性文献（在国内和国际上）都很缺乏。本研究的目的是评估初级保健医生与急诊医疗服务相关的实践、影响其的因素，以及他们在急诊医学方面的学习需求和首选的持续培训方法。
邀请在选定中心工作的所有医生填写一份关于其急诊医疗服务相关实践的自填式问卷。此外，还邀请医生参加面对面的半结构化访谈和焦点小组讨论。
研究表明，87.3%的医生诊断知识得分良好，而只有47.6%的医生管理得分良好。尽管如此，63.5%的医生对急诊医疗服务持中立态度。报告中最常见的紧急情况是支气管哮喘（86.51%）、割伤（83.33%）和烧伤（76.19%）。约62%的参与者报告说，他们进一步培训的最大需求是心血管和中枢神经系统急诊管理，最好是通过医院急诊科的实践培训（80%）。
达曼的初级保健医生在遇到的急诊病例方面有良好的知识、中立的态度和合理的实践。大多数医生报告他们需要在急诊医学方面进行进一步的实践培训。
在沙特阿拉伯达曼26个初级保健中心中的13个中心进行了一项横断面混合方法研究。
