Alruwaili Amjad H, Alrajeh Maha S, Al Salem Wasan, Alqudah Ola
Department of Family Medicine, King Fahad Medical City, Riyadh, Saudi Arabia.
J Family Med Prim Care. 2022 Jul;11(7):3414-3422. doi: 10.4103/jfmpc.jfmpc_1342_21. Epub 2022 Jul 22.
The scarcity of emergency cases presented to the primary health care centers (PHCCs) makes treating such cases by family physicians more difficult To identify the barriers facing family physicians in PHCCs when facing emergency cases in Riyadh, Saudi Arabia. A cross-sectional descriptive design was deployed in the study among a sample of family physicians. A reliable and valid self-reported questionnaire was used. In addition, an observational sheet was used to investigate the preparedness of PHCCs to deal with emergency situations. The study included 162 PHC physicians. Almost two-thirds of them (65.4%) aged 25-34 years, and 52.5% were females. Middle-aged (25--35 years) physicians (P = 0.030), females (P < 0.001), Saudis (P = 0.027), those attended advanced cardiovascular life support (ACLS) since more than 2 years (P = 0.029), those who had no exposure in working in emergency units (P = 0.029), and less experienced physicians (<1 year) (P = 0.010) showed lower "perceived level of competence in performing emergency skills." The commonest barrier facing physicians during the management of emergency cases in thePHC was lack of appropriate equipment (76.5%), followed by lack of exposure to emergency cases (62.3%) and lack of time (50.6%). Dealing with emergency cases is considered part of the medical practice in PHCCs. For primary care physicians, the level of training in emergency medicine courses is suboptimal particularly advanced trauma life support (ATLS) courses in Riyadh. Inregards to emergency services at the PHC level in Riyadh, most of the items were available; however, defects were reported in some. Knowing the barriers facing doctors during dealing with emergency cases helps in improving and providing integrated medical care.
初级卫生保健中心（PHCCs）接收的急诊病例稀缺，这使得家庭医生治疗此类病例更加困难。为了确定沙特阿拉伯利雅得的初级卫生保健中心的家庭医生在面对急诊病例时所面临的障碍，本研究采用横断面描述性设计，对家庭医生样本进行了研究。使用了一份可靠且有效的自填式问卷。此外，还使用了一份观察表来调查初级卫生保健中心应对紧急情况的准备情况。该研究纳入了162名初级卫生保健医生。其中近三分之二（65.4%）年龄在25 - 34岁之间，52.5%为女性。中年（25 - 35岁）医生（P = 0.030）、女性（P < 0.001）、沙特人（P = 0.027）、参加高级心血管生命支持（ACLS）超过2年的医生（P = 0.029）、没有在急诊科室工作经历的医生（P = 0.029）以及经验较少（<1年）的医生（P = 0.010），其“执行急救技能的感知能力水平”较低。在初级卫生保健中心处理急诊病例时，医生面临的最常见障碍是缺乏适当设备（76.5%），其次是缺乏急诊病例接触机会（62.3%）和时间不足（50.6%）。处理急诊病例被视为初级卫生保健中心医疗实践的一部分。对于初级保健医生来说，急诊医学课程的培训水平欠佳，尤其是利雅得的高级创伤生命支持（ATLS）课程。关于利雅得初级卫生保健层面的急诊服务，大多数项目都有，但也有一些存在缺陷。了解医生在处理急诊病例时面临的障碍有助于改善并提供综合医疗服务。
