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沙特阿拉伯的普通儿科学实践:现状、挑战和机遇。

Practice of general pediatrics in Saudi Arabia: current status, challenges, and opportunities.

机构信息

Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.

Children's Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.

出版信息

BMC Pediatr. 2022 Oct 29;22(1):621. doi: 10.1186/s12887-022-03648-w.

DOI:10.1186/s12887-022-03648-w
PMID:36309658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9617042/
Abstract

BACKGROUND

In Saudi Arabia, general pediatrics serves children until they are 14 years old. It has contributed to improving the health of Saudi children.

METHOD

This study adopted a qualitative method and recruited pediatric physicians to investigate status, successes, challenges, and opportunities. Later, data were analyzed using thematic analysis and hermeneutic phenomenology.

RESULTS

This study attracted 13 pediatric physicians for interviews. All participants appreciated the role of general pediatricians, but the trainees had a negative attitude regarding the general pediatrics specialty. They all agreed on providing primary care for all children and recommended that their first visit should occur earlier. Shortage of pediatricians, lack of community pediatricians, busy clinics, limited Arabic resources, and poor communication skills are significant barriers to children receiving adequate care. The majority of pediatricians favor extending the pediatric age to 18 years old. One pediatrician stated, "Youths between ages 14-18 years are lost, adults and we refuse to care for them…" Additionally, pediatricians have concerns about managing developmental delays and behavioral issues. They believe the current pediatric residency provides many opportunities for a brighter future.

CONCLUSION

General pediatrics is well established in Saudi Arabia. To continue thriving, we need to address some challenges that pediatricians face and attract more residency graduates. The current pediatric residency programs can provide opportunities to address deficit areas.

摘要

背景

在沙特阿拉伯,一般儿科服务涵盖儿童至 14 岁。它有助于改善沙特儿童的健康。

方法

本研究采用定性方法,招募儿科医生来调查现状、成功、挑战和机遇。随后,使用主题分析和解释现象学对数据进行分析。

结果

本研究吸引了 13 名儿科医生进行访谈。所有参与者都赞赏一般儿科医生的角色,但实习生对一般儿科专业持否定态度。他们都同意为所有儿童提供初级保健,并建议他们的首次就诊应更早进行。儿科医生短缺、社区儿科医生缺乏、诊所繁忙、阿拉伯语资源有限以及沟通技巧不佳是儿童获得充分护理的重大障碍。大多数儿科医生赞成将儿科年龄延长至 18 岁。一位儿科医生说:“14-18 岁的青少年被忽视,成年人和我们都拒绝照顾他们……”此外,儿科医生对管理发育迟缓与行为问题感到担忧。他们认为当前的儿科住院医师培训计划为更光明的未来提供了许多机会。

结论

一般儿科在沙特阿拉伯已经建立良好。为了继续蓬勃发展,我们需要解决儿科医生面临的一些挑战,并吸引更多的住院医师培训计划毕业生。当前的儿科住院医师培训计划可以提供机会来解决不足之处。

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BMC Emerg Med. 2021 Jun 21;21(1):72. doi: 10.1186/s12873-021-00467-7.
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Communication skills between physicians' insights and parents' perceptions in a teaching hospital in KSA.沙特阿拉伯一家教学医院中医生见解与家长认知之间的沟通技巧
J Taibah Univ Med Sci. 2016 Oct 10;12(1):34-40. doi: 10.1016/j.jtumed.2016.09.002. eCollection 2017 Feb.
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Why Children's Hospitals Are Unique and So Essential.儿童医院为何独具特色且至关重要。
Front Pediatr. 2019 Jul 23;7:305. doi: 10.3389/fped.2019.00305. eCollection 2019.
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Age Limit of Pediatrics.儿科学的年龄限制。
Pediatrics. 2017 Sep;140(3). doi: 10.1542/peds.2017-2151. Epub 2017 Aug 21.
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Communication skills in pediatric training program: National-based survey of residents' perspectives in Saudi Arabia.儿科培训项目中的沟通技巧:沙特阿拉伯居民观点的全国性调查。
J Family Community Med. 2016 Jan-Apr;23(1):43-7. doi: 10.4103/2230-8229.172233.
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