Khosravi Mohsen, Mojtabaeian Seyyed Morteza, Aghamaleki Sarvestani Mina
Department of Healthcare Management, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
SAGE Open Med. 2024 Aug 31;12:20503121241276678. doi: 10.1177/20503121241276678. eCollection 2024.
The 2030 Sustainable Development Agenda stresses a feminist approach for healthcare services. Cultural and religious influences impact utilization of healthcare services by Muslim women within the Middle East, posing unique challenges. This paper aimed to investigate the factors influencing Middle Eastern women's utilization of healthcare services within the region.
In the year 2024, a systematic review was conducted. PubMed, Scopus, ProQuest, and the Cochrane Database of Systematic Reviews were searched for this purpose. The quality of the included articles was assessed using the Accuracy, Coverage, Objectivity, Date, Significance (ACODS) checklist. Subsequently, the Joffe method of thematic analysis was employed to analyze the data obtained from the review.
A final selection comprising 59 studies was made for inclusion in the research. The studies demonstrated a high level of quality, and the risk of bias within them was deemed acceptable. The thematic analysis revealed seven principal themes, which encompassed Demographic Factors, Level of Education and Awareness, Sources of Information, Risk Factors, Personal Factors, Level of Service Access and Quality, and Organizational Factors.
This study highlighted key factors influencing women's utilization of healthcare in the Middle East and potentially the healthcare systems with a large number of Middle Eastern female immigrants around the globe: educational factors such as awareness campaigns and patient education, and personal barriers like fear and cultural norms. Moreover, Telehealth, particularly mHealth, was suggested to enhance women's participation and utilization of healthcare services. Further research is needed to explore this assertion with greater precision.
《2030年可持续发展议程》强调医疗服务的女性主义方法。文化和宗教影响对中东地区穆斯林女性医疗服务的利用，带来了独特挑战。本文旨在调查影响中东地区女性利用该地区医疗服务的因素。
在2024年进行了一项系统评价。为此检索了PubMed、Scopus、ProQuest和Cochrane系统评价数据库。使用准确性、覆盖范围、客观性、日期、重要性（ACODS）清单评估纳入文章的质量。随后，采用约菲主题分析法分析从评价中获得的数据。
最终选取了59项研究纳入本研究。这些研究显示出较高的质量水平，其中的偏倚风险被认为是可接受的。主题分析揭示了七个主要主题，包括人口因素、教育和意识水平、信息来源、风险因素、个人因素、服务可及性和质量水平以及组织因素。
本研究突出了影响中东地区女性医疗服务利用的关键因素，以及全球大量中东女性移民所在医疗系统中的相关因素：诸如宣传活动和患者教育等教育因素，以及恐惧和文化规范等个人障碍。此外，建议采用远程医疗，尤其是移动医疗，以提高女性对医疗服务的参与度和利用率。需要进一步研究以更精确地探究这一观点。
