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沙特阿拉伯公共卫生与预防医学医生对国家医疗保健转型计划的认知与了解

Awareness and Knowledge of the National Healthcare Transformation Program Among Public Health and Preventive Medicine Physicians in Saudi Arabia.

作者信息

Aldawsari Mubarak, Alrowaily Mohammed, Mustafa Sara H, Albali Nawaf H

机构信息

Preventive Medicine Residency Program, Riyadh Second Health Cluster, Riyadh, SAU.

Policy and Compliance, Council of Health Insurance, Riyadh, SAU.

出版信息

Cureus. 2024 Aug 13;16(8):e66782. doi: 10.7759/cureus.66782. eCollection 2024 Aug.

Abstract

BACKGROUND

The Health Sector Transformation Program (HSTP) has been established as part of Saudi Vision 2030. Despite the significant progress achieved in previous years, the HSTP addresses multiple challenges. One of these challenges is that the current healthcare model prioritizes treatment over prevention. Therefore, prioritizing preventive healthcare measures is crucial.

OBJECTIVES

This study aims to assess the levels of awareness and knowledge among the public health and preventive medicine physicians in Saudi Arabia towards the national healthcare transformation program.

METHOD

In this cross-sectional study, we surveyed public health and preventive medicine physicians in Saudi Arabia. We collected data through a newly developed and validated self-administered questionnaire, which was distributed online. The survey questionnaire consisted of three sections: participants' background characteristics; measurement of public health and preventive medicine physicians' awareness of the HSTP and their confidence in their awareness; and measurement of the physicians' knowledge of the HSTP through six multiple-choice questions.

RESULTS

In this study, 307 public health and preventive medicine physicians in Saudi Arabia participated. The mean age ± SD was 33.1 ± 5.1 years, with 54.7% being public health and preventive medicine residents, 33.2% specialists, and 12.1% consultants. Most participants showed high awareness of the HSTP and its strategic objectives. Over two-thirds correctly defined HSTP, value-based healthcare, and the new Model of Care (MOC), while about 50% demonstrated inadequate knowledge regarding Accountable Care Organizations (ACOs) and the "Keep Well" system. Older physicians, consultants, and those with more years of work experience had higher knowledge scores. Regression analysis revealed that job rank significantly influenced public health and preventive medicine physicians' knowledge of the HSTP.

CONCLUSION

This study shows that while public health and preventive medicine physicians are generally aware of HSTP's objectives, they have inadequate confidence in their knowledge, highlighting the need for better information dissemination. Awareness of the MOC is high, but gaps persist in understanding specific components like the "Keep Well" initiatives. The study also found that job rank and experience influence knowledge levels, suggesting the need for broader dissemination of the HSTP concepts.

摘要

背景

卫生部门转型计划(HSTP)已作为沙特阿拉伯2030年愿景的一部分而设立。尽管在过去几年取得了重大进展,但HSTP仍面临多重挑战。其中一个挑战是当前的医疗模式将治疗置于预防之上。因此,优先考虑预防性医疗措施至关重要。

目的

本研究旨在评估沙特阿拉伯公共卫生与预防医学医生对国家医疗转型计划的认知水平和知识掌握情况。

方法

在这项横断面研究中,我们对沙特阿拉伯的公共卫生与预防医学医生进行了调查。我们通过一个新开发并经过验证的自填式问卷收集数据,该问卷通过在线方式分发。调查问卷由三个部分组成:参与者的背景特征;公共卫生与预防医学医生对HSTP的认知程度及其对自身认知的信心的测量;以及通过六个多项选择题对医生对HSTP的知识掌握情况的测量。

结果

在本研究中,沙特阿拉伯的307名公共卫生与预防医学医生参与了调查。平均年龄±标准差为33.1±5.1岁,其中54.7%为公共卫生与预防医学住院医师,33.2%为专科医生,12.1%为顾问医生。大多数参与者对HSTP及其战略目标表现出较高的认知度。超过三分之二的人正确定义了HSTP、基于价值的医疗以及新的护理模式(MOC),而约50%的人对 accountable care organizations(ACOs)和“保持健康”系统的知识掌握不足。年长的医生、顾问医生以及工作经验更丰富的医生知识得分更高。回归分析显示,职位级别对公共卫生与预防医学医生对HSTP的知识掌握情况有显著影响。

结论

本研究表明,虽然公共卫生与预防医学医生总体上了解HSTP的目标,但他们对自己的知识缺乏信心,这凸显了更好地传播信息的必要性。对MOC的认知度较高,但在理解诸如“保持健康”倡议等特定组成部分方面仍存在差距。研究还发现职位级别和经验会影响知识水平,这表明需要更广泛地传播HSTP概念。

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A national strategy to put accountable care into practice.实施问责制医疗的国家战略。
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