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沙特阿拉伯的初级医疗保健:对新兴健康趋势的评估

Primary Healthcare in Saudi Arabia: An Evaluation of Emergent Health Trends.

作者信息

Caswell Angela, Kenkre Joyce

机构信息

Department of Life Sciences and Education, University of South Wales, Pontypridd, Rhondda Cynon Taf, United Kingdom.

King Abdullah Specialized Children's Hospital, City, Saudi Arabia.

出版信息

Glob J Qual Saf Healthc. 2021 Aug 6;4(3):96-104. doi: 10.36401/JQSH-20-33. eCollection 2021 Aug.

Abstract

INTRODUCTION

The Kingdom of Saudi Arabia (KSA) is experiencing an increasing demand for healthcare due to a growing population and unhealthy changes in lifestyle, fostering the need for critical examination of the current status of primary healthcare in the KSA with analysis of health-related trends among its growing population.

METHODS

A review of the literature was therefore undertaken, followed by a survey of primary healthcare centers at three facilities in Riyadh, to assess the current activities, understand challenges, compare existing practices with international best practices, and asses the level of patient satisfaction. The level of satisfaction with primary care services was examined by using observational surveys and retrospective reviews from the previous 20 years.

RESULTS

The more rural areas with populations with lower education and income ranked factors such as cleanliness, competence of staff, and environment the highest (82-95%), whereas urban areas with populations with higher education and income rated their level of satisfaction lower (74-82%). The influence of population diversity and the country's unique cultural sensitivities on the awareness and uptake of cancer surveillance services available in the community was examined. The incidence of diabetes, asthma, obesity, along with breast and cervical cancer trends, has illustrated the importance of health education and disease prevention.

CONCLUSION

An investment in resources for primary healthcare staff and medical facilities is strongly recommended to support primary care providers in becoming the accepted and preferred community frontline for healthcare needs' assessment and care delivery. With its nursing staff comprised predominantly of expatriates, the emphasis needs to be on recruitment and training of a Saudi national workforce in line with succession planning strategy toward a sustainable Saudi workforce.

摘要

引言

由于人口增长和生活方式的不健康变化,沙特阿拉伯王国对医疗保健的需求日益增加,这促使人们对沙特阿拉伯初级医疗保健的现状进行批判性审视,并分析其不断增长的人口中的健康相关趋势。

方法

因此,我们进行了文献综述,随后对利雅得三个机构的初级医疗保健中心进行了调查,以评估当前的活动,了解挑战,将现有做法与国际最佳做法进行比较,并评估患者满意度水平。通过使用观察性调查和对过去20年的回顾性审查来检查对初级保健服务的满意度水平。

结果

教育程度和收入较低的农村地区对清洁、工作人员能力和环境等因素的评价最高(82%-95%),而教育程度和收入较高的城市地区对满意度的评价较低(74%-82%)。研究了人口多样性和该国独特的文化敏感性对社区中癌症监测服务的认识和采用的影响。糖尿病、哮喘、肥胖症的发病率以及乳腺癌和宫颈癌的趋势,都说明了健康教育和疾病预防的重要性。

结论

强烈建议对初级医疗保健人员和医疗设施的资源进行投资,以支持初级保健提供者成为社区中被认可和首选的医疗保健需求评估和护理提供的前沿力量。由于其护理人员主要由外籍人士组成,则需要根据可持续沙特劳动力的继任计划战略,重点招聘和培训沙特本国劳动力。

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