Journal of family & community medicine最新文献

{"title":"Vision 2030 healthcare efficiency: Radiology no-shows at King Fahd Hospital of the University - Financial and operational burden.","authors":"Abdulaziz A Alotaibi, Afnan F Almuhanna, Abdulaziz M AlSharydah, Mohammed N Alhayaf, Tajammal Mustafa, Abdulrahman M AlQahtani, Abdullah M Abosamh, Ali A AlTurki, Osama H Alghamdi, Abdullah Othman","doi":"10.4103/jfcm.jfcm_211_26","DOIUrl":"10.4103/jfcm.jfcm_211_26","url":null,"abstract":"<p><strong>Background: </strong>No-shows present a global challenge in managing the resources of healthcare systems, particularly in radiology departments, where missed appointments result in machine idle time, staff underutilization, and significant loss of revenue. The objective of the study was to quantify the financial and operational burden of outpatient radiology no-shows at an academic tertiary care hospital.</p><p><strong>Materials and methods: </strong>In this cross-sectional study, data were retrospectively reviewed for all outpatient appointments at the Radiology Department of King Fahd Hospital of the University (KFHU) from January 1, 2024, to October 31, 2025. Data were extracted from the Hospital Information System. Financial loss was estimated by using the hospital's private services price list in Saudi Riyals (SAR), and operational burden was assessed using machine idle hours and staff underutilization hours.</p><p><strong>Results: </strong>During the study period, out of 76,926 overall outpatient radiological appointments, 17.9% (<i>n</i> = 13,743) appointments were \"no-show.\" The \"no-shows\" resulted in substantial financial losses, with magnetic resonance imaging (MRI) contributing to the highest cumulative burden. Operational impact included 3.5-4 h of idle machine time and staff underutilization per missed case.</p><p><strong>Conclusion: </strong>Radiology no-shows in the study represent a measurable association between missed appointments and estimated operational and financial loss at KFHU; longer appointment lead time was an important associated factor, suggesting that a reduction of booking intervals and prioritization of targeted scheduling strategies may help improve efficiency in radiology, resource utilization, and patient access.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"33 3","pages":"195-201"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of case-based lectures in enhancing critical thinking and improving performance in nursing students' physiology education.","authors":"Kholoud S Al Ghamdi, Nazish Rafique","doi":"10.4103/jfcm.jfcm_163_26","DOIUrl":"10.4103/jfcm.jfcm_163_26","url":null,"abstract":"<p><strong>Background: </strong>Case-based lectures (CBLs) have emerged as a dynamic strategy in nursing education, marrying theoretical physiology concepts with real-world clinical scenarios to foster a deeper understanding. This study aimed to design, implement, and assess the effectiveness of CBLs in promoting both deep understanding and long-term memorization of concepts in comparison with the traditional didactic lectures (TDLs).</p><p><strong>Materials and methods: </strong>This quantitative study, through retrospective analysis of the data, evaluated the academic project \"CBL method for teaching respiratory physiology course to female nursing students\" at Imam Abdulrahman Bin Faisal University (IAU), Dammam, Saudi Arabia. The project was launched during the second semester of the academic year (February- March 2024) among 100 nursing students divided into two groups: G1 and G2. G1 underwent TDLs, and the same learning topics were delivered to G2 as CBLs. The specific respiratory physiology course details for nurses, including learning objectives, case scenarios, CBLs, and assessment tools were designed and reviewed by four expert respiratory team members. Two different written exams for the two groups (CBLs and TDLs) were conducted; one \"immediately after the completion of the course\" and other \"4 weeks later.\" Student feedback questionnaire was also introduced at the end of the respiratory module.</p><p><strong>Results: </strong>The average exam scores of CBLs group were significantly higher than the TDLs group in both the exams (22.48 vs. 20.23, <i>P</i> < 0.05), (8.32 vs. 6.85, <i>P</i> < 0.05). In addition, 97% of the students preferred CBLs over TDLs and 86% of the students favored the continuation of this teaching methodology.</p><p><strong>Conclusion: </strong>The study concludes that CBLs help to link theory to practice, promote logical thinking, and enhance \"short-term\" as well as \"long-term\" memorization, thereby improving the students' performance in exams to eventually produce competent graduate nurses.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"33 3","pages":"202-208"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From disruption to preparedness: Insights on public healthcare-seeking behavior in Saudi Arabia amid Coronavirus Disease 2019.","authors":"S Johnson, Helan Rajan","doi":"10.4103/jfcm.jfcm_148_26","DOIUrl":"10.4103/jfcm.jfcm_148_26","url":null,"abstract":"","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"33 3","pages":"227-228"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning preferences of undergraduate medical students in a tertiary care teaching institution: A cross-sectional study.","authors":"Veena G Dev, Amit K Mishra, Abhishek Mukherjee","doi":"10.4103/jfcm.jfcm_142_26","DOIUrl":"10.4103/jfcm.jfcm_142_26","url":null,"abstract":"<p><strong>Background: </strong>Learning preferences influence how students acquire and engage with knowledge. Understanding these preferences is important for aligning instructional strategies with learner needs in medical education. This study assessed the learning preferences of undergraduate medical students and evaluated their perceptions of existing teaching modalities.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted on 395 undergraduate medical students from June 2025 to February 2026 (9 months) at a tertiary teaching institution. Learning preferences were assessed using the validated version 9.2 of visual, auditory, read/write, and kinesthetic (VARK) questionnaire, which categorizes learners as unimodal (single learning modality), bimodal (two modalities), trimodal (three modalities), or quadmodal (all four modalities) based on their VARK scores. Perceptions on lectures, practical, and clinical teaching modalities were also assessed. Data analysis included descriptive statistics; test for statistical significance performed using Chi-square or Fisher's exact tests, as appropriate, at 5% significance level.</p><p><strong>Results: </strong>Unimodal learning preferences were observed in 50.1% of students, with kinesthetic learning being the most common (37.2%). For 49.9%, multimodal preferences were identified, with auditory-kinesthetic as the predominant combination (16.7%). Clinical teaching received the highest mean satisfaction score (6.99 ± 1.90), followed by practical sessions (6.77 ± 1.71), while lecture-based teaching received the lowest score (6.14 ± 1.75). No statistically significant association was observed between learning preferences and gender (<i>P</i> = 0.970), age (<i>P</i> = 0.426), or year of study (<i>P</i> = 0.068).</p><p><strong>Conclusion: </strong>The predominance of kinesthetic and multimodal learning highlights the need for active, experiential, and blended teaching strategies in undergraduate medical education.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"33 3","pages":"218-223"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From access to quality: Strengthening antenatal care for adolescent mothers in low-resource settings.","authors":"Aishwarya Ohri, Prerna Verma, Soveli Khuntia","doi":"10.4103/jfcm.jfcm_159_26","DOIUrl":"10.4103/jfcm.jfcm_159_26","url":null,"abstract":"","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"33 3","pages":"224"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National expert consensus recommendations on influenza vaccination in Saudi Arabia (2025).","authors":"Ashraf Al Amir, Abdullah Alshehri, Ali Al Barrak, Fayssal Farahat, Hala Joharjy, Hassan Omran, Khalid Elawad, Mahdi Alnamnakani, Majed Alshamrani, Majid S Al-Thaqafy, Nisreen AlSherbeeni, Omar Alzomor, Reem Alameer, Najim Z Alshahrani","doi":"10.4103/jfcm.jfcm_25_26","DOIUrl":"10.4103/jfcm.jfcm_25_26","url":null,"abstract":"<p><p>In Saudi Arabia, influenza is considered a primary public health concern. Preventative measures include vaccination, which is reported as suboptimal in terms of uptake by both children and adults. To address this, two multidisciplinary expert workshops brought together, 15 specialists from family medicine, infectious diseases, pediatrics, pulmonology, epidemiology, and public health to Riyadh on 26^th October 2024 and 28^th June 2025 with the aim of developing recommendations on influenza vaccination tailored to the Saudi context. During the two meetings, the experts shared insights and discussions, which were then consolidated into structured, consensus recommendations. To inform the consensus, a narrative literature review was performed. Fifteen comprehensive consensus statements across nine key domains were developed. The domains included disease monitoring and compliance mechanisms, strengthening surveillance and data integration, optimizing vaccination timing, enhancing vaccination coverage rates, enhancing public confidence and acceptance, improving healthcare worker engagement, improving disease severity awareness, decentralizing vaccination responsibilities, and integrating live-attenuated influenza vaccine into public health programs. Implementing these recommendations should help in improving disease prevention and public health in Saudi Arabia.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"33 3","pages":"167-179"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author's reply.","authors":"Tety Rachmawati, Stefanus Supriyanto, Dede A Musadad, Asep Kusnali, Yunita Fitrianti, Wahyu P Nugraheni, Sri Handayani, Syarifah Nuraini, Haerawati Idris, Diyan E Effendi","doi":"10.4103/jfcm.jfcm_184_26","DOIUrl":"https://doi.org/10.4103/jfcm.jfcm_184_26","url":null,"abstract":"","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"33 3","pages":"225-226"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of child-protection law on child maltreatment reporting: A comparison of pre- and postlaw data from a hospital registry.","authors":"Maha A Almuneef, Abdulrahman Aljaber, Faris Althunayan, Abdulrahman Abalkhail, Asim Alanazi, Bader Alqahtani, Sara Abed, Dalal Alharbi, Abdulaziz Ureeg, Jubran Alqanatish, Albandari Almutairi","doi":"10.4103/jfcm.jfcm_32_26","DOIUrl":"10.4103/jfcm.jfcm_32_26","url":null,"abstract":"<p><strong>Background: </strong>Child maltreatment (CM) is a global public health problem that affects countries at variable rates. Many factors can reduce this problem, but the existence of national law is an essential factor. The objective of the study was to compare reporting patterns of CM after the implementation of the Saudi Child Protection Law to the prelaw period.</p><p><strong>Materials and methods: </strong>This cross-sectional study retrospectively reviewed the cases of CM cases reported in the registry of King Abdullah Specialized Children Hospital, a governmental tertiary care hospital in Riyadh, Saudi Arabia. The registry data from 2014 to 2022 were compared with CM cases evaluated at the same institution from 2000 to 2008, prior to the implementation of the child protection law.</p><p><strong>Results: </strong>From 2014 to 2022, 1370 patients were referred to the child protection team; of these, 878 (64.1%) patients were confirmed as CM and entered into the CM registry. For 878 confirmed cases of CM, the issue was that of neglect (58.3%), followed by physical abuse (27.8%), emotional abuse (8.4%), and sexual abuse (5.5%). Most prevalent finding in physical abuse cases was bruises (26.2%) followed by fractures (16.0%). Parents were identified as the perpetrators in 77.9% cases of CM. Comparing the current data to the prelaw data, the reported CM cases increased from 6 cases per year in 2000 to over 200 cases in 2022, with a 7-fold increase in the reporting rate between the two periods. The reports of neglect increased by 89.2%, physical abuse increased by 38.9%, and sexual abuse decreased by 14.3%. Case fatality rate decreased from 8.3% to 3.2%.</p><p><strong>Conclusion: </strong>The implementation of the child protection law led to an increase in CM reporting. Data from the registry will enable decision makers to analyze types, trends, and magnitude of CM, and provide a foundation for the development of effective prevention programs.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"33 3","pages":"188-194"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital-acquired <i>Candidozyma auris</i> infections as an emerging threat in Saudi Arabia and Egypt: A narrative review on epidemiology and prevention strategies.","authors":"Olla A Amir, Esraa Ali, Raghad H Ali, Jana Elatafy, Abubakr A Amir, Khalid S AlHarkan","doi":"10.4103/jfcm.jfcm_76_26","DOIUrl":"10.4103/jfcm.jfcm_76_26","url":null,"abstract":"<p><p><i>Candidozyma auris (C. auris)</i> is an emerging multidrug-resistant pathogen increasingly associated in hospital-associated outbreaks, particularly in intensive care units (ICUs), and is classified by the World Health Organization as a critical priority pathogen. Its ability to persist in hospital environments, colonize patients asymptomatically, and exhibit multi-drug resistance to antifungal drugs poses a major challenge to infection prevention and control (IPC). This work is a synthesis of published, hospital-based evidence on nosocomial <i>C. auris</i> infections in Saudi Arabia and Egypt, with implications for antifungal stewardship, infection prevention, and control. Saudi Arabia and Egypt were selected because of their contrasting surveillance, healthcare capacities, and reporting intensities, which allow for comparative regional interpretation. This narrative review was conducted using PubMed and Google Scholar for English-language articles from 2020 to 2025, with key terms including \"<i>Candida auris,</i>\" \"<i>C. auris,</i>\" together with related concepts such as epidemiology, transmission, IPC, Saudi Arabia, Egypt, and drug resistance, with an emphasis on hospital-based studies. Available evidence indicates a marked increase in reported cases and outbreaks in Saudi Arabia, with risk factors of ICU exposure, invasive medical device use, and antibiotic use, whereas data from Egypt though limited increasingly suggest misdiagnosis and emerging local circulation in tertiary care settings. Both countries exhibit high fluconazole resistance and variable susceptibility to amphotericin B, with echinocandins as the preferred first-line therapy. These findings highlight the urgent need for enhanced surveillance, improved diagnostic capacity, and sustained, consistent IPC strategies in healthcare settings across the regions to limit further spread of <i>C. auris</i>.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"33 3","pages":"157-166"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between research exposure and medical specialization choices among medical students and trainees in Saudi Arabia: A cross sectional study.","authors":"Nasser E Alotaibi, Mariam M Albjadi, Naif S Almuhaydili, Saja A Alharbi, Shahad N Alasmary, Abdulaziz A Alhumam, Arwa M Alahmari, Shouq S Al-Awashz, Ibrahim H Tawhari","doi":"10.4103/jfcm.jfcm_197_26","DOIUrl":"10.4103/jfcm.jfcm_197_26","url":null,"abstract":"<p><strong>Background: </strong>Research exposure may shape specialty choice, but how its timing, duration, and perceived importance connect to career decisions is not well understood, particularly in Saudi Arabia. This study examined that link between medical students, interns, and junior residents in Saudi Arabia and the perceived high research impact on career decisions and identified factors affecting their prediction.</p><p><strong>Materials and methods: </strong>A cross-sectional survey conducted in Saudi Arabia in 2025, recruited 286 participants through convenience and snowball sampling. The questionnaire covered demographics, research experience, publication output, mentorship quality, and specialty preferences. The main outcome was whether research had high or low impact on career decisions. Association between the level of impact of research exposure on medical specialization choices and participants' sociodemographic and research-related characteristics was examined using the Chi-square test for categorical variables and the Mann-Whitney U test for continuous variables.</p><p><strong>Results: </strong>Of 286 participants, 55.2% were female, 47.6% were interns, and 26.2% rated research as highly influential in their choice of specialty. General surgery was the most preferred specialty (16.4%), followed by family medicine (7.7%) then pediatrics, ophthalmology, neurology, and other specialties (each 6.3%). The top influencing factors were research experience, mentor influence, and financial prospects. Male gender, longer research duration (≥6 months), and meaningful research experience correlated with greater impact in bivariate analysis (<i>P</i> < 0.05). After adjustment, only significant research experience and research involvement exceeding 6 months remained independent predictors.</p><p><strong>Conclusion: </strong>One in four trainees saw research as a genuine driver of specialty choice, with meaningful research experience and research involvement of more than 6 months as the only independent predictors. Embedding structured research and mentorship into the curriculum rather than leaving it to extracurricular chance may better support career decisions.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"33 3","pages":"209-217"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}