Saudi Cultural Missions Theses & Dissertations
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Item Restricted Measuring patient experience of primary care and capturing patients’ perceptions of the primary care reforms in Saudi Arabia(University of Exeter, 2024) Mubarky, Abdullah; Pitchforth, Emma; Hulme, Claire; Valderas, Jose MBackground: Primary care (PC) is the backbone of most health systems around the world. In Saudi Arabia, the health system is reforming as part of the country Vision 2030 and Health Transformation Strategy. One of the principal objectives of this reform is to build a new, strong PC system to attract patients and enhance preventive care. PC will play a significant role within this transformation strategy, which calls for PC improvement in terms of facilities, services, and technology. The patient is a primary recipient and profoundly impacted by these reforms. Therefore, patient experience is essential for guiding and improving the health reform plans in Saudi primary care. Aim: This study aims to assess patient experience with PC and capture patients’ perceptions of the PC reforms in Saudi Arabia. Methods: Three pieces of work were conducted sequentially and integrated to answer the research question and achieve the study's objectives. The first was a scoping review conducted in January 2021 and updated in September 2023 that reviewed the existing instruments designed to measure patient experience in primary care globally for identifying the main domains of patients’ experiences with PC, and factors affecting those experiences. Eighty five papers were extracted and synthesised. The second piece of work was a series of eleven focus groups conducted in January/February 2022 with 44 PC patients to develop an in-depth understanding of the key issues related to PC reform in Saudi Arabia. The final piece of work was the development and implementation of a patient survey to measure patient experience with primary care and capture patients’ perceptions of the primary care reform in Saudi Arabia. The survey then distributed to PC patients. Five hundred and ninety nine individuals responded between December 2022 and February 2023. 2 Findings: Overall, there was a positive experience of accessibility to Primary Care Centres (PCCs) in Saudi Arabia. The majority of respondents expressed positive continuity of care, as they were able to receive care from their preferred primary care clinician, albeit with less continuity in their relationship with the same physician. Regarding coordination, the general quality of referrals to other healthcare providers seems to be commendable. Nevertheless, there is room for improvement in the feedback provided by other healthcare providers to PCC's physicians. Moreover, patients perceive the comprehensiveness of services provided to them in a positive manner, whereas the availability of services received a comparatively less positive rating from the respondents. The digital appointment system, known as Mawid, and the Wasfaty platform appear to be functioning effectively, resulting in a positive outcome. Two areas that warrant further attention are dental services and digital literacy, specifically in regards to Mawid. Conclusion: The study indicates that overall patient have positive experiences of primary care centres in Saudi Arabia but key areas for improvement remain. The methods developed and findings can inform future monitoring of patient experience as part of ongoing healthcare reforms.26 0Item Restricted Measuring The Factors Associated with Patients’ Overall Experience with Their GP Practice in England(King's College London, 2024-08) Alqasemi, Lujain Abdullah; Ashworth, MarkBackground: General practice in England has evolved to offer comprehensive health care to people in need, and to reduce health inequalities, there is a focus on people in lower socioeconomic groups. General practice has a strong emphasis on providing ongoing, community-focused healthcare outside hospital care. High-quality healthcare depends on a positive patient experience that includes patient participation and individualised care. Better experiences lead to higher adherence rates, better clinical results, and lower healthcare utilisation. Due to a staff shortage, an increase in workload, and financial challenges as well as COVID-19 and lockdowns in England, general practitioner (GP) practices in England are in crisis. The study highlights the experiences of patients in 2020–2021, the years when the COVID pandemic affected healthcare most strongly. Aim: To find and analyse variables that have the strongest association with patients’ overall experience with GP practices in England. Methodology: Using a cross-sectional approach, data was analysed from 6,316 GP practices in England during 2020–2021 in this study. The primary outcome variable was the overall patient experience. Results: It has been found that the strongest association with patients’ overall experience with GP practice is related to the following variables: trust and confidence in healthcare personnel, appointment scheduling experience, and frequent visits or conversations with preferred GP. Conclusion: Patient experience in GP practices in England is strongly predicted by confidence and trust in healthcare providers, receptionists’ helpfulness in making appointments, and continuity of care. The use of the cross-sectional design and self-reported data poses several limitations, such as the inability to prove causality and response bias.22 0Item Restricted Evaluating the trends and determinants of patient experience in primary health care in Saudi Arabia(Tsinghua University, 2024-06-25) Alqarni, Waleed; Richardson, SolThe Saudi Arabian healthcare system, with its emphasis on primary health care (PHC) as the cornerstone of health service delivery, is undergoing significant transformations to enhance healthcare quality and accessibility. This study investigates patient satisfaction within PHCs across Saudi Arabia, recognizing its critical role in evaluating healthcare quality and informing policy and practice improvements. This thesis aims to explore the determinants of patient satisfaction in Saudi Arabian PHCs from January 2022 to December 2022. It seeks to identify overall satisfaction levels, analyse trends across various patient demographics and regions, and assess the impact of the COVID-19 pandemic on patient satisfaction. The study employed a descriptive analysis approach, utilizing patient satisfaction surveys and multivariable regression analysis. Data were collected on patient satisfaction scores, demographics (age, gender, nationality), and different regions within PHCs. The study also examined the relationship between patient satisfaction and healthcare delivery aspects, such as provider communication, waiting times, empathy, and cleanliness of facilities. The findings indicate that patient satisfaction within Saudi PHCs varies significantly across different demographics and regions. Key factors influencing patient satisfaction include provider communication, waiting times, and facility cleanliness. The COVID-19 pandemic has also notably impacted patient satisfaction, reflecting the challenges, and we hypothesize that adjustments in healthcare delivery are the cause of change in satisfaction during this period. Understanding the key determinants of patient satisfaction in PHCs is essential for improving healthcare delivery in Saudi Arabia. The study highlights the need for targeted interventions to address the identified factors influencing patient satisfaction. Enhancing the patient experience in PHCs can contribute to the overall improvement of the healthcare system in Saudi Arabia, aligning with the goals of Vision 2030 for health sector transformation.23 0Item Restricted An exploration of the perceptions and experiences of adult heart failure patients utilizing telehealth monitoring in their homes: A Qualitative Systematic Review(Saudi Digital library, 2023-12-13) Alhazmi, Raneem Mohammed Ahmed; Whittingham, Katharine; Brindley, Allison; Gee, GarethAbstract Background Heart failure (HF) is a significant health issue since affected individuals endure a substantial load of symptoms and restrictions in their physical functioning, with implications on their mental and behavioural welfare. The implementation of a telemonitoring system promises to enhance the treatment of the disease by facilitating prompt medication adjustments, early identification of signs and symptoms indicating illness progression, and fostering the adoption of self-care practices. This qualitative systematic review examines the overall experiences of adult heart failure patients who used telemonitoring equipment inside their homes as a component of follow-up treatment and self-management. Objective To identify and explore the experiences and perceptions of adult HF using TM in their homes. Methods A qualitative systematic review was performed using the JBI framework, studies released between 2010 and 2022 and the search was implemented from three central databases that have been carefully searched (CINHAL full text, MEDLINE and PUBMED). Results Seven qualitative investigations, for a total of more than one hundred patients diagnosed with heart failure using telemonitoring tools. A total of forty-nine results were identified and eight categories derive. Four synthesised results were obtained: awareness and knowledge about their condition promote reassurance and self-empowerment, continuity in care facilitates adherence to habits and self-management, patients value in-person interactions with healthcare practitioners and perceive telemonitoring systems as lacking personalized touch, patients find value in the time efficiency and user-friendliness of telemonitoring systems, but technical and economic barriers often outweigh these benefits. Conclusion TM can enhance patients' disease awareness, knowledge, and self-care competence. Patients generally reported feeling reassured and empowered through daily self-monitoring, which helped establish their healthy routines. However, the qualitative evidence indicates that patients still highly value human connection and in-person support from healthcare professionals, seeing TM as an adjunct instead of serving as a substitute for in-person interactions46 0