This shows that there is a part of the population who would rather travel longer so as to satisfy their demands.
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The study showed that free services with a nearby PHC location were also an important factor.
When Saeed explored the factors influencing the patients’ choice of healthcare provider, he found that patients preferred to have an experienced physician who was Arabic-speaking and Muslim as their primary care provider. According to Al-Ghanim, the closeness of PHCs did not really matter to patients who preferred the private outpatient clinics, in comparison to those who attended public PHCs. On the other hand, private specialist clinics also play a tremendous role in providing primary care here in Saudi Arabia, as they receive a significant proportion of patients. Inappropriate utilization of the ED led to congestion and increased waiting times of almost 3 hours. They however do not seek their help because of the negative perception they have of them. Also, most patients have good knowledge about the services of PHCs.
Most patients attributed their attitude to the difficulty of setting appointments with a specialist due to overcrowding. A large proportion of patients did not attempt to visit an outpatient clinic before presenting to the ED. A very high proportion of patients visited the ED three to four times per year and not fewer than six times in a year for non-urgent cases. The study indicated a significant proportion of non-urgent cases, with the following associated factors: young, non-married, and low-income. The rush hour was mostly during the night.Ī study was conducted in Jeddah assessing emergency services utilization at three large governmental hospitals. Most of the patients in a military hospital ED presented with minor self-limiting complaints like respiratory tract infection, mild conjunctivitis, allergic rash, medication refill, minor burns, and gastrointestinal tract problems. Moreover, there were other difficulties concerning making appointments, longer waiting time, and short working hours at the PHC.Īs in other nations, here in Saudi Arabia, inappropriate utilization of the ED is a huge issue. It has been found that factors such as females with no primary diseases, patients with no regular follow-ups with a certain physician, and patients with no specific healthcare source are the ones that contribute the most to inappropriate utilization of the ED. This study revealed a prevalence that varied from 20-40%, in which age and financial status were the main associates. In 2009, a systematic review of the prevalence of inappropriate emergency services utilization by adults and accompanying factors was carried out. In 2004, a study was conducted in Pakistan documenting the perceptions of family medicine among patients visiting specialist physicians for treatment more than half of the patients indicated that PHPs are fundamental to the healthcare system, and 80% of them believed that the healthcare system would not function well without specialist physicians. More than 66% of them are convinced that family medicine is the most significant medical profession they seek. Actually, Family Physicians are more widely spread throughout USA than practitioners of any other medical specialty.Ībout 80% of Canadians have designated Family Physicians as their first healthcare providers to approach when declaring their medical problems. Today, America's Family Physicians (FPs) deliver the majority of healthcare to both rural and urban communities. Research indicates that primary care is the most cost-effective. In most countries, primary healthcare physicians (PHP) compose the infrastructure for the healthcare system by serving as gatekeepers, connecting specialties, and offering continuous care for patients and their families. Primary healthcare centers (PHC) are the cornerstone of the healthcare system, as they were first introduced internationally in 1978, when the Declaration of Alma-Ata was issued by global healthcare leaders. In February 1969, family medicine was first recognized as a primary medical specialty in America. The scope of family medicine encompasses all ages, both sexes, each organ system and every disease entity.’ It is a specialty in breadth that integrates the biological, clinical and behavioral sciences. The American Academy of Family Physicians defines family medicine as ‘the medical specialty which provides continuing, comprehensive healthcare for the individual and family. Family medicine is the medical specialty that can actually fulfill the goal of the primary healthcare system, which, according to the World Health Organization (WHO), is ‘better health for all’.
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