Alshamari Waleed K, Aldawwas Khalid, Al Shammari Mefawez K, Alshammari Yazeed K, Alsuwailem Sulaiman I, Alkhaldi Eid H, Almutairi Khalid S, Alotaby Salma
Preventive Medicine, Ministry of Health, Riyadh, SAU.
Family Medicine, King Fahad Medical City, Riyadh, SAU.
Cureus. 2023 Jul 7;15(7):e41530. doi: 10.7759/cureus.41530. eCollection 2023 Jul.
Introduction Though reporting notifiable diseases is obligatory in Saudi Arabia, and the Saudi Ministry of Health establishes guidelines, there are concerns about healthcare providers' compliance, and studies evaluating the notifiable diseases surveillance system (NDSS) are lacking, underlying the urgent need to assess the compliance of healthcare providers with the NDSS in Saudi Arabia. Methods This cross-sectional study involved doctors, nurses, and epidemiologists working in healthcare facilities in Riyadh, Saudi Arabia. The data collection was done using a self-administered questionnaire. SPSS version 27 software (IBM Corp., Armonk, NY) was used for statistical analyses. Results We included 420 participants enrolled in our study, and 63.1% were female. Of 51.4% of participants who worked in private healthcare facilities, 75.7% of them were nurses, while the majority of those working in governmental facilities were doctors (69.1%). The age range was 20-62 years, and the dominant age group was 31-40 years (63.8%). Most participants had no training in epidemiology (79.7%) and of those trained, 64% had a certificate training level. Most notifiable diseases worked were detected in governmental health facilities (35.6% vs. 18.8%). Of those who identified notifiable diseases, 84.3% notified them. COVID-19, measles, and hepatitis A, B, and C were the most notified diseases. The lack of knowledge of the notification system was the most common barrier to the notification among 81 nurses, 39 doctors, and one epidemiologist. There was a significant relationship between being a doctor in the governmental institution and notification timeline (p = 0.024). Conclusion This study showed that identifying notifiable diseases was poor despite good compliance among those who identified them. This study showed the lack of proper training of participants, explaining poor knowledge. The findings highlight the differences in notification practices between private and governmental facilities and the need for educational interventions to tackle the knowledge barrier reported.
引言
尽管在沙特阿拉伯报告应通报疾病是强制性的，且沙特卫生部制定了指导方针，但人们担心医疗保健提供者的合规情况，并且缺乏评估应通报疾病监测系统（NDSS）的研究，这突出表明迫切需要评估沙特阿拉伯医疗保健提供者对NDSS的合规情况。
方法
这项横断面研究涉及在沙特阿拉伯利雅得的医疗机构工作的医生、护士和流行病学家。数据收集通过自行填写问卷进行。使用SPSS 27版软件（IBM公司，纽约州阿蒙克）进行统计分析。
结果
我们的研究纳入了420名参与者，其中63.1%为女性。在私营医疗机构工作的参与者中，51.4%为护士，其中75.7%是护士，而在政府机构工作的大多数是医生（69.1%）。年龄范围为20 - 62岁，主要年龄组是31 - 40岁（63.8%）。大多数参与者没有接受过流行病学培训（79.7%），在接受过培训的人中，64%具有证书培训水平。大多数应通报疾病是在政府卫生机构中发现的（35.6%对18.8%）。在识别出应通报疾病的人中，84.3%进行了通报。新冠病毒病、麻疹以及甲型、乙型和丙型肝炎是通报最多的疾病。在81名护士、39名医生和1名流行病学家中，对通报系统缺乏了解是通报的最常见障碍。在政府机构工作的医生与通报时间线之间存在显著关系（p = 0.024）。
结论
本研究表明，尽管识别出应通报疾病的人合规情况良好，但应通报疾病的识别情况较差。本研究表明参与者缺乏适当培训，这解释了知识水平较低的原因。研究结果突出了私营和政府机构在通报做法上的差异，以及需要进行教育干预以解决所报告的知识障碍。
