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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

The accessibility and utilization of primary health care services in Riyadh, Kingdom of Saudi Arabia

Al-Shahrani, Homoud January 2004 (has links)
No description available.
2

The geography of health services : case study of Medina, Saudi Arabia

Al-Ahmadi, Abdullah Hamud Saad January 2005 (has links)
This study examines health services in Medina in relation to the delivery system, the spatial distribution of health services, accessibility and effectiveness of utilization, including satisfaction with the services. A total of 500 patient questionnaires and 31 face-to-face interviews with key decision makers were used in addressing the research questions. Despite many positive aspects to the health services in Medina, such as the ratios of physicians and beds/population compared to the whole Kingdom's average, there are some problems that need to be overcome. The provision of primary health care centres (PHCCs) is very far from the health ministry target, which is one PHCC to serve 5,000 to 10,000 people and they are unevenly distributed. The capacity of state hospitals is almost full, and needs to be expanded by building another general hospital in the east part of Medina to help remedy the current balance in spatial distribution. The lack of a clear spatial distribution policy for Medina's health services is evident in the concentration of general hospitals on one side of the city. Most private hospitals and clinics (doctors) and groups of clinics are concentrated south and south west of the city centre, in a circle of about two kilometres in diameter. Demographic and socio-economic factors appear to be influential in explaining differences in utilization, access, and preference between types of health services (private/state/traditional healers). Accessibility issues had little effect in making health care users switch to private hospitals. It seems that perceptions of accessibility were influenced by the widespread ownership and use of cars. It appears that consumers' satisfaction with accessibility and quality was higher for private health services than state ones in the study area. However public and private provisions are intercalated in complex ways. Overall, the study shows that, given Saudi's expanding population and growing wealth, there is growing demand for new health facilities and access is stile a major planning issue, although it needs to be reconceptualization in the light of car ownership. New agendas are set for service planning, and for medical geography in the Saudi Arabia.
3

An assessment of the role of organisational culture in health care provision in Saudi Arabia

Al-Otaibi, Abdullah Saleh January 2010 (has links)
The health care system in Saudi Arabia has faced a variety of problems affecting its services, especially in the management area, for example in coordination, duplication of services, authority and leadership. These problems have resulted in patients having difficulty accessing services, in long waiting lists, in medical malpractice and in dissatisfaction among patients and employees. At fault appears to be the organisational culture in the Saudi public sector. To understand this culture and to be able to change it in a positive way, this study applies the Competing Values Framework (CVF) to health care providers in Saudi Arabia. Since this application goes beyond the original Western context of the CVF, it is important to analyse the national culture of Saudi Arabia. Using a critical application of Hofstede’s framework, it was characterised by high power distance, collectivism, femininity and risk aversion. The organisational culture of the health service and its hospitals reflects these societal characteristics. Application of the CVF revealed a balance between the four types of organisational culture in the Saudi health care provision, in both the current and preferred situations. The findings also revealed that a hierarchy culture had slight prevalence when compared to other types in the current situation, while clan culture was slightly more prevalent in the preferred situation. To improve Saudi health care provision, a balance and a uniform strengthening of the four types of cultures (clan, adhocracy, market and hierarchy) is required. The findings of the research will be of use across Arab countries in a variety of public service settings. In addition, this research makes a considerable addition to a rather sparse stock of empirical studies in the management of culture in the Arab Gulf states.
4

Access and utilisation of primary health care services in Riyadh Province, Kingdom of Saudi Arabia

Alfaqeeh, Ghadah Ahmad January 2015 (has links)
The Kingdom of Saudi Arabia (KSA) faces an increasing chronic disease burden. Despite the increase in numbers of primary health care centres (PHCCs) current evidence from the KSA, which is limited overall, suggests that access and utilisation of PHCCs, which are key to providing early intervention services, remain unequal with its rural populations having the poorest access and utilisation of PHCCs and health outcomes. There is a dearth (lack) of information from the KSA on the barriers and facilitators affecting access and utilisation of primary health care services (PHCS) and therefore this study aimed to examine the factors influencing the access and utilisation of primary health care centre (PHCC) in urban and rural areas of Riyadh province of the KSA. The behavioural model of health services use (Andersen’s model) provided the contextual and individual characteristics and predisposing, enabling and need factors which assist with an understanding of the barriers and facilitators to access and utilisation of PHCCs in Riyadh province. A mixed methods approach was used to answer the research questions and meet the objectives of the study. The converged qualitative and quantitative findings show that there are a number of predisposing (socio-demographic characteristics; language and communication and cultural competency) enabling barriers such as; distance from PHCCs to the rural residence, lack of services, new services, staff shortages, lack of training, PHC infrastructure, and poor equipment. Facilitators: service provider behaviour/communication, free PHCS, service provision and improvements, primary health care (PHC) infrastructure, manpower, opening hours, waiting time, and segregated spaces and need (increasing prevalence of chronic diseases, PHC developments in the KSA) factors influencing access and utilisation of PHCS. This study highlights important new knowledge on the barriers and facilitators to access and utilisation of PHCS in Riyadh province in the KSA. The findings have some important policy and planning implications for the MOH in the KSA. Specifically, the findings suggest: the need for clear documentation/guidance on minimum standards against which the PHCS can be measured; an audit of service availability at the PHCCs, regular patient satisfaction evaluations of PHCS, that the MOH take a parallel approach and continue to resource and improve buildings and equipment in existing PHCCs, the recruiting of more GPs, nurses, pharmacists, nutritionists and physiotherapists to meet patient demand and more Saudi health care staff, more targeted health education and interventions for the prevention of chronic diseases in the KSA and the need for an appointment system for attending the PHCCs. There is a need for further research into the barriers and enablers to accessing and utilising health care in Riyadh and the KSA overall. This research would be made easier with a clearer definition of rural and urban in the KSA context which would allow a greater comparability between urban and rural PHCS for future research, audit and evaluation as well as comparison with PHCS in other parts of the world. The Andersen model provided a useful conceptual model to frame this research and provided a structure for contrasting and comparing the findings with other studies that have used the Andersen model to understand the barriers and enablers to accessing and utilising health care services.

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