Family medicine and primary care -- open access最新文献

{"title":"Impact of Corona Virus on the Health Care Services in Saudi Arabia","authors":"Abdulmajeed Alshowair, R. Sibbel","doi":"10.29011/2688-7460.100089","DOIUrl":"https://doi.org/10.29011/2688-7460.100089","url":null,"abstract":"Introduction: Several studies have been examining the connection between coronavirus and the healthcare services of a country. Saudi Arabia is one of the nations, which faced the severe impact of the medical condition during peak period. Specifically, there were effects on the healthcare service delivery of chronic diseases because of the shift in attention to the pandemic. This study aims at establishing the effect of coronavirus on the follow-up, control, screening, vaccination and quaternary preventions indicators of quality healthcare. Methods: The survey was planned for 300 participants but will use only 220 respondents because of various reasons. Besides, the purposive approach is the method of determining the participants of this study. On the other hand, the quantitative research will use an online questionnaire to collect data. The analysis of data will be a descriptive evaluation using Chi-square tests. Results: The majority of these respondents (56.9%, n=125) have stated that the quality of healthcare services reduced drastically during the COVID-19 pandemic. Close to 73.2% (n=171) have agreed that follow-up of chronic diseases reduced. Only 34% of the participants insisted insist that control of chronic conditions did not improve during the pandemic, 74.5% (n=164) of the participants have argued that screening reduced when they visited health facilities. Further, 85.5% (n=188) of the respondents noted that the level of vaccination reduced during the pandemic. And, that as much as 83.6% (n=184) participants have experienced a high level of worry during the COVID-19 pandemic. Conclusion: The findings of the study show that COVID-19 had impacts on all quality healthcare indicators. These impacts varied depending on the effect on patients. There will be a need for future studies to establish the implications of coronavirus on healthcare services.","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48818087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Job Satisfaction among Primary Healthcare Workers in Saudi Arabia and Associated Factors: A Systematic Review","authors":"Abdulmohsen M Alotaibi, Abdulaziz Alotaibi, Abdulaziz Alotaibi, Eid Bliheed, Alwahbi, Mohammed Saud Alkhathlan, Saud Mohammed Alnaddah, Mishal M. Alotaibi, K. Haighton","doi":"10.29011/2688-7460.100085","DOIUrl":"https://doi.org/10.29011/2688-7460.100085","url":null,"abstract":"Background: There are increasing concerns about job satisfaction in healthcare settings because it has potential roles in staff turnover and the quality of the healthcare services provided. During the COVID-19 pandemic, several healthcare systems worldwide have suffered shortages in healthcare workers attributed to turnover from job dissatisfaction, which raised the need to comprehensively assess job satisfaction among healthcare workers. Saudi Arabia is among the countries that suffered shortages of healthcare workers, especially in primary healthcare settings, during the COVID-19 pandemic. However, job satisfaction in Saudi Arabia has not been widely discussed regarding its prevalence and associations. Aim: This study aimed to systematically review studies that assessed job satisfaction among healthcare workers in primary healthcare settings in Saudi Arabia. Methods: In this systematic review, I searched multiple databases (PubMed/Medline, PsycINFO, CINAHL, The Cochrane Library, Portal of Ministry of Health in Saudi Arabia (in English), and Google Scholar) to identify studies assessing job satisfaction among healthcare workers in primary healthcare settings in Saudi Arabia. Healthcare workers included physicians, nurses, allied health professionals, pharmacists, pharmacy technicians, physical therapists, occupational therapists, psychologists, community health practitioners, and social workers. From each included study, the following information was extracted: the last name of the first author, the year of publication, occupational and sociodemographic characteristics of the included healthcare workers, study design, study setting, methods used to assess job satisfaction, and results. Only studies published in English were considered and no limits were set for the publication year. Results: A total of 8 studies were included. All studies had a cross-sectional design. The studies were published between 2001 and 2020, yet most of these studies were published during the past 3 years. Most of the studies were conducted in one center or one hospital. The sample size of included studies ranged from 143 to 508 healthcare workers. Overall, the systematic review included 741 nurses, 526 physicians, 498 dental assistants, 380 physicians, 325 pharmacists, and 161 orthodontists. Prevalence of job satisfaction varied widely across studies by job role: 92% among nurses, 80.7% among orthodontists, 76.5% among dental assistants, 73.7% among pharmacists, and only 7.3% among physicians. Most investigated sociodemographic characteristics were not associated with job satisfaction, yet some workplace characteristics related to salary, the flexibility of working hours, and having the chance to select the specialty were associated with job satisfaction. Conclusion: Job satisfaction among healthcare workers in primary healthcare centers in Saudi Arabia was scarcely investigated. The included studies showed heterogeneous results that make concluding a single job satisf","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48687058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern of Changes in Papanicolaou Smears for Patients Visiting Alwazart PHC, Riyadh, Saudi Arabia","authors":"Alanoud Aldrees, Aljoharah Alosaimy, Mostafa Kofi","doi":"10.29011/2688-7460.100084","DOIUrl":"https://doi.org/10.29011/2688-7460.100084","url":null,"abstract":"Tests such as the Papanicolaou smear are considered the gold standard for cervical cancer screening, which is available in almost every public health center and very effective in early detection of malignant or even premalignant lesion. Aim: Promote early detection of changes in pap smears and improve services in well women health clinics. Methods: This descriptive cross-section study was conducted in Alwazart primary healthcare center, Riyadh, Saudi Arabia for all women whose age above 21, and pap smear test done in July 2015-July 2020 were included. Results: In our study, pathological cervical cell changes begin at an earlier age, with atypical squamous cells of undetermined significance starting at a median age of 28. Nonetheless, low grade squamous interepithelial lesions were common in 35-year-olds. Atypical glandular cells and low grade squamous intraepithelial lesions were found in 1.4% of Pap smears. The median age of the study group was 44.88. Conclusion: Pap smears in our community show abnormal cellular changes at an earlier age. The most effective preventive methods for cervical cancer are routine screening and vaccination against HPV.","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44730837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Consequences of COVID-19 Pandemic on Occupational Therapy Practice: A Systematic Review","authors":"Špela Mihevc, Zorana Sicherl, Katarina Galof","doi":"10.29011/2688-7460.100082","DOIUrl":"https://doi.org/10.29011/2688-7460.100082","url":null,"abstract":"Introduction: COVID-19 circumstances and related restrictions affected health care service delivery. Health care service delivery, including occupational therapy, transitioned from usual face-to-face therapy to telehealth. Purpose of the systematic review was to examine the experiences using telehealth in occupational therapy. Methods: PubMed, Science Direct, CINAHL, Cochrane, OT seeker, Web of Science, and the Sage journal databases was searched. The PRISMA protocol was followed and applied to the review. Articles not including occupational therapy, letters to editor and editorials were excluded from the review. Evidence levels for the articles were determined based on the ranking system by OCEBM Levels. Results: Articles describing the use of telehealth in occupational therapy services were included. Eleven studies rated levels V, IV, and II reached the review criteria and five themes were identified. The emerged themes were: (a) development of new skills, (b) therapist attitudes toward telehealth, (c) user satisfaction with telehealth services, (d) need for interprofessional collaboration, (e) positive and negative factors in service delivery. Conclusions: There is limited evidence on occupational therapists’ perceptions in using telehealth during the COVID-19 pandemic. Not only occupational therapists but also other health professionals should be more encouraged and supported by teams, management, and policies to be part of telehealth services in times of pandemics. Innovative strategies should be developed in occupational therapy to provide continuous service delivery aimed in maintaining occupational therapy goal, engagement, and participation for occupational therapy users. Providing telehealth services, not just in occupational therapy, should be administered and supported through legislation.","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43660389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern of Growth Disorders among Children Attending Well Baby Clinics-PHCs, Riyadh, Saudi Arabia","authors":"Mazen Alotaibi, A. AlAmro, Fawzyia Altassan, Nouf","doi":"10.29011/2688-7460.100083","DOIUrl":"https://doi.org/10.29011/2688-7460.100083","url":null,"abstract":"Introduction: Normal pediatric growth is an important indicator of well-being, while abnormal growth is associated with adverse physical and psychosocial outcomes. This study evaluates the pattern of growth disorders in children younger than two years. Methodology: A cross-sectional study was conducted at the primary healthcare centers affiliated with Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia, from September 2021 to October 2021. The physician obtained anthropometric measures for each child and administered a questionnaire to the parents to gather information about patient demographics, antenatal history, breastfeeding history, and medical history of the infant. Logistic regression, multivariate analysis, and ANOVA tests were performed. Results: 384 children were included in the study with a mean age of 9.4 ± 6.3 months. Age below six months (OR: 0.119, CI: 0.031-0.455, p=0.002), low birth weight (OR: 3.067, CI: 1.135-8.288 p=0.027), and delivery before 37 weeks of gestation (OR=0.372, CI: 0.136-1.012, p=0.053) were strongly associated with stunting. Low birth weight (OR=3.712, CI: 1.111-12.396, p=0.033) and history of cardiovascular disease (OR=3.758, CI: 0.950-14.857, p=0.059) were strongly associated with underweight. Conclusion: Age, mother’s occupation, low birth weight, delivery before 37 weeks of gestation, and history of cardiovascular disease are important factors associated with children’s early growth. Careful evaluation and screening of growth disorders in children visiting healthcare facilities are fundamental to prompt early diagnosis and optimal management.","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46822038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients’ Experience of the Newly Implemented Virtual Clinic during the COVID-19 Pandemic in PHCs, Riyadh, Saudi Arabia","authors":"A. Alahmari, A. Alenazi, A. Alrabiah, Saad Albattal","doi":"10.29011/2688-7460.100081","DOIUrl":"https://doi.org/10.29011/2688-7460.100081","url":null,"abstract":"Background: The COVID-19 pandemic mandated changes in the healthcare system to ensure uninterrupted patients care. We aimed to evaluate patients’ satisfaction with the virtual clinic service during the COVID-19 pandemic and identify factors affecting satisfaction. Methods: The study included 507 patients who had at least one virtual clinic visit in a single primary healthcare center from May 2020 to 2021. The data collected in this cross-sectional study included the demographics and questions related to patients’ experiences and satisfaction. The study outcome was the overall satisfaction with the virtual clinic service. Results: The study included 245 (48.32%) males, and the age ranged from 18 to 29 years in 34.32% of participants. Referral to the virtual clinic was according to the patients’ request in most cases (n=314, 61.93%). The patients knew about the virtual clinic through a phone call from the hospital (n=247) and previous experience with the virtual clinic (n=171). Eighty-six percent of the patients agreed/ strongly agreed that they were completely satisfied with the virtual clinic services. Satisfaction was significantly lower in patients above 70 years (OR: 0.03 (95% CI: 0.002- 0.40); p=0.01) and those not referred to the virtual clinic upon their request (OR: 0.16 (0.08- 0.31); p˂0.001). No other factors affected patients’ satisfaction. Conclusions: The patients were generally satisfied with the virtual clinic service and logistics. Factors affecting satisfaction should be considered when planning future virtual clinic services.","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45703396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the Gap between Evidence and Practice: An Experience of Guideline Contextualization, by the Family Medicine Department, North West Armed Forces Hospital, Saudi Arabia","authors":"A. Alamri","doi":"10.29011/2688-7460.100080","DOIUrl":"https://doi.org/10.29011/2688-7460.100080","url":null,"abstract":"Objective: This article aims to explore the reasons for the gap between guidelines and clinical practice, providing a real-world example of rapid adapting valid guidelines to a local context. Design/ Methodology: The rapid guideline contextualization methodology was adopted. Participants/ Intervention: 43 physicians from diverse medical background, and different seniority level shared in developing 8 concise guidelines’ summaries for the most encounter clinical problems that family physicians face. They followed the adopted pathways and hold many meetings under supervision of a strategic task force team of 6 members from different clinical& administrative disciplines. Results/outcomes: Summary of recommendations, algorithms, patient leaflets, and audit criteria for each guideline were extracted and presented to enhance their applicability. Conclusions: Using the example of a Primary Health Care (PHC) in a big governmental hospital in Saudi Arabia, the effectiveness of the rapid adaptation and the system of contextualization of guidelines was proven.","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44063810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of Information Seeking Behavior among Saudi Board Residents during Clinical Practice, Saudi Arabia","authors":"Ayman Afify, Saad Albattal, Ghada Alarfaj, H. Alshammari, Mostafa Kofi","doi":"10.29011/2688-7460.100079","DOIUrl":"https://doi.org/10.29011/2688-7460.100079","url":null,"abstract":"Background/Purpose: Saudi Commission for Health Specialties provides multiple residency programs designed to train resident physicians to apply the best available evidence in their clinical decisions. However, while caring for patients during rounds and clinics, many residents encounter clinical questions that they need to answer. In addition, there are motivating factors and barriers that affect their seeking information behavior. The study aims to understand different patterns of information-seeking behavior among Saudi board residents during clinical practice. Methods: Our study is a cross-sectional study, and it was conducted between March 2020 and November 2021. A total of 334 Saudi residents from various specialties under the Saudi Commission for Health Specialties supervision were included in the study, and responses were collected by electronic survey. Results: Results showed that 97% of residents seek information during clinical practice to answer their clinical questions. Medical websites such as (Medscape, UpToDate) and directly asking supervisors were the most frequent resources used (87% and 67%, respectively). In addition, the most commonly asked questions were related to treatment (76%) and diagnosis or diagnostic test (15%). Among the various motivation factors to seek information, curiosity (66%) and fear of medical errors (62%) were the most reported motives. However, the most related obstacles were lack of time 73% and difficulty finding relevant information (34%). Conclusion: Outcomes of this study showed that most of the residents are encouraged to seek information and learn during clinical practice. However, there are multiple motivation factors and barriers that affect their information-seeking behavior. These factors should be recognized to understand residents’ uncertainties, improve their learning experience and develop educational recommendations to improve the outcomes of Saudi training programs.","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49276799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Medications Adherence among Uncontrolled Type 2 Diabetic Patients in PHCs, Riyadh, Saudi Arabia","authors":"Hosam Khalid Alsahabi, O. Almousa, B. Khalid, Alsahabi, Nourah Aljasser","doi":"10.29011/2688-7460.100078","DOIUrl":"https://doi.org/10.29011/2688-7460.100078","url":null,"abstract":"Introduction: Diabetes Mellitus is one of the most common metabolic problems in Saudi Arabia and its chronic progressive disease is characterized by numerous health complications. Diabetes is a growing medical problem and the costs to society are great and rising. The recent report formed by International Diabetes Federation Diabetes Atlas values that there are presently 387 million people alive with diabetes globally in 2014, a 105% rise from its last report in 2011 with the highest number of people living in the western pacific. A recent systematic analysis study on global load disease analyzed data from health examination surveys and epidemiological studies involving data from 2.7 million participants and 370 country-years reports that a total of 347 million adults are alive with diabetes worldwide. Aim: This study aimed to improve health services provided to Diabetic patients and identify the barriers to medication adherence in those who attend Wazarat health center, chronic illness clinics. Methods: A descriptive, observation retrospective case-control study enrolled 162 patients with type 2 diabetes aged 35 years and above at Prince Sultan Military Medical City (PSMMC), Wazarat Health Center, Riyadh, KSA within two years (Year 2020-2021). Using a probability stratified sampling method, we recruited patients who were able to provide a consent form, following up in chronic illness clinics and received treatment for at least 3 months and actively filled prescriptions for medications related to a chronic disease were subjects of this study. The sample was collected from chronic illness clinics, in which where the majority of patients were uncontrolled type 2 diabetes due to the COVID-19 pandemic. The target HbA1C is 7%. Results: The prevalence of poor glycemic control was 67.9% and the prevalence of poor glycemic control was significantly higher among females (p=0.031), those who have blood glucose devices at home (p=0.032), those who regularly monitored blood glucose levels (p=0.001) and those with a regular visit to DM clinic (p=0.001). The most common barrier to medication was fear of side effects (20.4%) and taking too many drugs (19.1%). Non-adherence to medication was significantly more common among those with uncontrolled HbA1c (p=0.022), those who did not receive education about medication side effects (p=0.010), and those who were non-adherence to diet and exercise (p=0.001). Conclusion: More than one-third of the diabetic population was non-adherence to diabetic medication. Patients with poor glycemic control who did not receive education about medication side effects and who were non-compliance with diet and exercise were more likely to be non-adherent to Diabetes mellitus medication.","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45313061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges in the Use of M-chat as Screening Tool for Early Detection of Autism in Primary Care Centers, Riyadh, Saudi Arabia","authors":"","doi":"10.29011/2688-7460.100077","DOIUrl":"https://doi.org/10.29011/2688-7460.100077","url":null,"abstract":"","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48373332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}