Factors Influencing Patient-Centered Care and Shared Decision-Making in Primary Care Settings in Saudi Arabia: A Scoping Review.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Cureus Pub Date : 2024-12-21 eCollection Date: 2024-12-01 DOI:10.7759/cureus.76142
Monzir A Alfattani, Wed A Bakudam, Waleed I Alharbi
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Abstract

The Kingdom of Saudi Arabia has undergone many reforms in light of Vision 2030, and the health sector is no exception. Vision 2030 highlights the importance of utilization and increased quality in primary care. Patient-centered care (PCC) and shared decision-making (SDM) are two methods used to increase healthcare quality globally. However, there is limited research on the implementation of such methods in primary care within Saudi Arabia. Thus, this scoping review aims to address this gap by investigating the different factors influencing the implementation of PCC and SDM in primary care in Saudi Arabia. The scoping review completed a comprehensive search of three databases, Scopus, PubMed, and Web of Science, resulting in eight articles that met the inclusion criteria. The review found three major themes of influencing factors: patient-specific factors, physician-specific factors, and health system and external factors. The review highlights the lack of research in this area and provides context for the implementation of new reforms and policies in relation to PCC and SDM in primary care in the Kingdom of Saudi Arabia. Most notably, it emphasizes the importance of increasing health literacy, improving physician training, investigating cultural influence, and enhancing policies.

影响以患者为中心的护理和共同决策的因素在沙特阿拉伯初级保健设置:范围审查。
沙特阿拉伯王国根据《2030年愿景》进行了许多改革,卫生部门也不例外。《2030年愿景》强调了初级保健利用和提高质量的重要性。以患者为中心的护理(PCC)和共享决策(SDM)是用于提高全球医疗保健质量的两种方法。然而,关于在沙特阿拉伯的初级保健中实施这种方法的研究有限。因此,本范围审查旨在通过调查影响沙特阿拉伯初级保健中PCC和SDM实施的不同因素来解决这一差距。范围审查完成了对Scopus、PubMed和Web of Science三个数据库的全面搜索,结果有八篇文章符合纳入标准。本综述发现影响因素的三个主要主题:患者特异性因素、医生特异性因素和卫生系统及外部因素。该综述强调了这一领域缺乏研究,并为沙特阿拉伯王国在初级保健领域实施与PCC和SDM相关的新改革和政策提供了背景。最值得注意的是,它强调了提高卫生知识普及程度、改进医生培训、调查文化影响和加强政策的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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