Gosadi Ibrahim M
Department of Family and Community Medicine, Faculty of Medicine, Jazan University, P.O. Box 2349, Jazan 82621, Saudi Arabia.
Healthcare (Basel). 2025 Jan 8;13(2):107. doi: 10.3390/healthcare13020107.
: Community needs assessments can provide valuable insights concerning the health of communities. This study aims to measure health priorities according to community members in Jazan, Saudi Arabia, to assess healthcare service utilization, barriers to accessing these services, and preferences for utilizing government or private healthcare services. : Multistage sampling was utilized to reach a sample of adults in community settings. The assessment was performed via personal interviews utilizing a structured questionnaire to measure demographics, health priorities, service utilization, barriers, and preferences for healthcare settings. Chi-squared tests, Student's -tests, and multivariate regression analysis were used to assess the differences between demographics and service utilization according to the preferred healthcare settings. : A total of 3411 participants were recruited for the assessment. The mean age of the participants was 34 years, and 51% were male. The participants viewed diabetes as the most important health condition. Emergency services and primary care were viewed as the most important healthcare services, and time constraints were the main barriers to healthcare accessibility. Thirty-six percent of the participants preferred to utilize healthcare services in the private sector, where age, gender, nationality, education, income, housing type, and family size were statistically associated with the preference for seeking healthcare in either the private or government sectors ( < 0.05). : Future assessment is required to recruit healthcare providers and decision-makers to understand the process of strengthening multidisciplinary collaboration to tackle chronic diseases such as diabetes, strengthen the role of emergency and primary healthcare services, and address time constraints pertaining to healthcare accessibility.
社区需求评估能够提供有关社区健康状况的宝贵见解。本研究旨在根据沙特阿拉伯吉赞的社区成员来衡量健康优先事项,评估医疗服务利用情况、获取这些服务的障碍以及对使用政府或私人医疗服务的偏好。
采用多阶段抽样以获取社区环境中成年人的样本。通过个人访谈进行评估,使用结构化问卷来衡量人口统计学特征、健康优先事项、服务利用情况、障碍以及对医疗机构的偏好。使用卡方检验、学生t检验和多元回归分析来评估根据首选医疗机构划分的人口统计学特征与服务利用之间的差异。
总共招募了3411名参与者进行评估。参与者的平均年龄为34岁,51%为男性。参与者将糖尿病视为最重要的健康状况。急诊服务和初级保健被视为最重要的医疗服务,时间限制是获取医疗服务的主要障碍。36%的参与者更倾向于在私营部门使用医疗服务,其中年龄、性别、国籍、教育程度、收入、住房类型和家庭规模在统计学上与在私营或政府部门寻求医疗服务的偏好相关(P<0.05)。
未来需要进行评估,以招募医疗服务提供者和决策者,了解加强多学科合作以应对糖尿病等慢性病的过程,强化急诊和初级医疗服务的作用,并解决与获取医疗服务相关的时间限制问题。