Hazazi Ahmed, Wilson Andrew
Menzies Centre for Health Policy and Economics, Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia.
Department of Public Health, Faculty of Health Sciences, Saudi Electronic University, Riyadh, Saudi Arabia.
Health Serv Insights. 2022 Mar 23;15:11786329221088694. doi: 10.1177/11786329221088694. eCollection 2022.
Evaluation of patient perceptions of quality and adequacy of care is a critical component of continuous improvement in chronic disease care. The purpose of this study was to ascertain how patients with non-communicable diseases (NCDs) assess their routine care in primary care centres in Saudi Arabia and to identify areas for improvement. This cross-sectional study used the PACIC questionnaire to assess the quality of care received by these patients in primary care centres in Saudi Arabia. Data collection took place between May 2019 and July 2019. The questionnaire was self-completed anonymously by 315 patients with NCD attending primary health care centres in Riyadh, Saudi Arabia. The results showed that the average overall PACIC score was 2.97 (SD = 0.65), the mean scores for the subscales ranged from 2.76 (SD = 0.78) for the subscale of goal settings/tailoring to 3.17 (SD = 0.78) for delivery system design/decision support. PACIC scores varied significantly with age, occupation, monthly income, type and duration of chronic illness and educational attainment. In conclusion, patients with NCDs prioritised improvements in organised care that; is comprehensive, focussed on their needs, helps them identify clear goals for their treatments and become more involved in their condition(s) management.
评估患者对医疗质量和充分性的看法是慢性病护理持续改进的关键组成部分。本研究的目的是确定非传染性疾病(NCD)患者如何评估他们在沙特阿拉伯初级保健中心接受的常规护理,并确定需要改进的领域。这项横断面研究使用PACIC问卷来评估这些患者在沙特阿拉伯初级保健中心接受的护理质量。数据收集于2019年5月至2019年7月期间进行。该问卷由沙特阿拉伯利雅得315名患有非传染性疾病的初级卫生保健中心患者匿名自行填写。结果显示,PACIC总体平均得分为2.97(标准差=0.65),各子量表的平均得分范围从目标设定/个性化子量表的2.76(标准差=0.78)到提供系统设计/决策支持子量表的3.17(标准差=0.78)。PACIC得分因年龄、职业、月收入、慢性病类型和病程以及教育程度而有显著差异。总之,患有非传染性疾病的患者优先考虑改进有组织的护理,这种护理应全面、关注他们的需求、帮助他们确定明确的治疗目标并更多地参与自身疾病的管理。