Population health data in KSA: Status, challenges, and opportunities

Alessy, Saleh A.; Al-Attas, Maha; Mahmoud, Mahmoud A.; Alqarni, Ali; Alghnam, Suliman

doi:10.1016/j.jtumed.2022.06.011

Cited by 6 publications

(4 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study showed that most participants who identified the notifiable diseases worked for the government. This may be attributed to a large number of patients, mostly with socio-economic constraints, who consult public health facilities that work with their insurance scheme (universal coverage) [ 14 , 15 ]. This group of people is highly prone to notifiable infectious diseases; most are managed at the primary healthcare centers, which are public in the majority [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Compliance of Healthcare Providers With the Notifiable Diseases Surveillance System in Riyadh, Saudi Arabia

Alshamari,

Aldawwas,

Al Shammari

et al. 2023

Cureus

View full text Add to dashboard Cite

Introduction Though reporting notifiable diseases is obligatory in Saudi Arabia, and the Saudi Ministry of Health establishes guidelines, there are concerns about healthcare providers’ compliance, and studies evaluating the notifiable diseases surveillance system (NDSS) are lacking, underlying the urgent need to assess the compliance of healthcare providers with the NDSS in Saudi Arabia. Methods This cross-sectional study involved doctors, nurses, and epidemiologists working in healthcare facilities in Riyadh, Saudi Arabia. The data collection was done using a self-administered questionnaire. SPSS version 27 software (IBM Corp., Armonk, NY) was used for statistical analyses. Results We included 420 participants enrolled in our study, and 63.1% were female. Of 51.4% of participants who worked in private healthcare facilities, 75.7% of them were nurses, while the majority of those working in governmental facilities were doctors (69.1%). The age range was 20-62 years, and the dominant age group was 31-40 years (63.8%). Most participants had no training in epidemiology (79.7%) and of those trained, 64% had a certificate training level. Most notifiable diseases worked were detected in governmental health facilities (35.6% vs. 18.8%). Of those who identified notifiable diseases, 84.3% notified them. COVID-19, measles, and hepatitis A, B, and C were the most notified diseases. The lack of knowledge of the notification system was the most common barrier to the notification among 81 nurses, 39 doctors, and one epidemiologist. There was a significant relationship between being a doctor in the governmental institution and notification timeline (p = 0.024). Conclusion This study showed that identifying notifiable diseases was poor despite good compliance among those who identified them. This study showed the lack of proper training of participants, explaining poor knowledge. The findings highlight the differences in notification practices between private and governmental facilities and the need for educational interventions to tackle the knowledge barrier reported.

show abstract

Section: Discussionmentioning

confidence: 99%

Compliance of Healthcare Providers With the Notifiable Diseases Surveillance System in Riyadh, Saudi Arabia

Alshamari,

Aldawwas,

Al Shammari

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…There remains, however, a dire need for data in order to estimate and improve quality of care. 22 Because local data are lacking in this regard, assessment of local outcomes is imperative in understanding general and population-specific factors that are associated with postoperative complications and death. Our study aimed to assess factors associated with 30-day mortality and morbidity in patients undergoing ECRS at a single tertiary care center in Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with 30-day mortality and morbidity in patients undergoing emergency colorectal surgery

Alselaim,

Alsemari,

Alyabsi

et al. 2023

Ann Saudi Med

View full text Add to dashboard Cite

BACKGROUND: The 30-day period following emergency colorectal surgery (ECRS) is associated with high mortality and morbidity. There is a lack of data assessing factors associated with outcomes of ECRS in the Saudi population. OBJECTIVES: Assess factors associated with 30-day postoperative mortality and complications following ECRS DESIGN: Retrospective cohort study SETTING: Single tertiary care center, Riyadh, Saudi Arabia PATIENTS AND METHODS: Demographic characteristics (age, sex, diagnosis, American Society of Anesthesiologists classification, pre-operative septic state, smoking, and comorbidities), operative characteristics (urgency, diverting ostomy, and procedure performed), and postoperative characteristics (length of stay, 30-day mortality, intensive care unit [ICU] admission, ICU length of stay, surgical site infection [SSI], readmission, reoperation, and complications) were collected from electronic medical records. Univariate logistic regression was used to evaluate association with the outcome measures (30-day mortality and postoperative complications). Multivariate logistic regression was applied to evaluate independent variables. MAIN OUTCOME MEASURE: Thirty-day postoperative mortality and morbidity SAMPLE SIZE: 241 patients RESULTS: Among 241 patients, 145 (60.2%) were men, and 80 (33.2%) patients were between 50–64 years of age. The most common indication for surgery was malignancy 138 (57%). The overall complication rate was 26.6% and the 30-day mortality rate was 11.2%. Left hemicolectomy was the most commonly performed procedure, performed in 69 (28.6%) patients. Patients between the age of 65–74 had an increased odds of death within 30 days (OR 5.25 [95% CI 1.03–26.5]) on univariate analysis. Preoperative sepsis was associated with a fourfold increase in the likelihood of 30-day mortality (OR 4.44, 95% CI 1.21–16.24, P =.024) on multivariate analysis. The likelihood of hospital re-admission increased by fivefold in patients who developed a postoperative complication (OR 5.33, 95% CI 1.30–21.78, P =.02). CONCLUSION: Preoperative sepsis was independently associated with 30-day mortality in patients undergoing ECRS, while the likelihood of hospital readmission increased in patients with postoperative complications. Expeditious control of sepsis in the emergency surgical setting by both surgical and medical interventions may reduce the likelihood of postoperative mortality. Establishing discharge protocols for postoperative ECRS patients is advocated. LIMITATIONS: Retrospective design, small sample size, and single setting

show abstract

“…It faces unique health challenges, including mental health issues, substance abuse, Sexual health, and non-communicable diseases (Obesity, diabetes, and cardiovascular diseases, etc.). (45) Investing in adolescent health yields long-term benefits for individuals and society.…”

mentioning

confidence: 99%

Adolescents Perceptions and Behaviors Towards Periodic Health Examinations in Riyadh, Saudi Arabia

Alrukban,

Alsultan,

Alnasser

et al. 2024

Preprint

View full text Add to dashboard Cite

Objectives: To evaluate and assess the awareness, knowledge, and level of application of recommended Periodic health examinations (PHEs) for adolescents in Riyadh. Methods: Descriptive Cross-sectional study, conducted among adolescents between June 2022 and January 2023. The Sample size was 1199 adolescents of both genders, between the ages of 12-20 years, studying in intermediate and secondary schools in Riyadh. The sample of participants was collected through a stratified multistage random sampling technique. Ethical approval and Ministry of Education acceptance were considered. The data was collected using a structured, self-administered questionnaire containing close-ended questions. The level of knowledge was assessed by using three knowledge items; PHE definition, PHEs performance time, and the list of recommended PHEs known. The level of performance was assessed based on the performance of recommended (Six recommended PHEs by Saudi CDC) and none-recommended (Nine non-recommended PHEs as distractors). Results: Among the (1199) adolescents, the vast majority (70.6%) were aware of the PHEs. There is a positive attitude of adolescents toward PHEs, with (75.8%) acknowledging their importance and (87.1%) willing to undergo PHEs if given the opportunity. Despite this positive attitude, the actual knowledge and performance of PHEs remains relatively low, with (56.1%) being illiterate about it and only (36.8%) having undergone PHEs at least once, and a smaller percentage (26.1%) doing so regularly. There was a clear association (p<0.05) between the level of knowledge and application. Adolescents with adequate knowledge had a higher prevalence of application (56.8% VS 43.2%). There was an association between Adolescents' level of education and their levels of knowledge and performance (p<0.05). The more educated adolescents the higher their knowledge level and performance level. There was also an association between the availability of health insurance and application. The presence of health insurance increases the probability of applying PHEs. The most used sources of information regarding PHEs were digital sources (62.1%). Conclusion: The study concluded that there is a positive attitude of adolescents toward PHEs. The study highlights a disparity in knowledge and performance of PHEs among adolescents, influenced by socio-demographic factors such as gender, nationality, type of school, and parental education. Females and students from private or international schools, as well as those with higher levels of parental education, demonstrated better knowledge and higher performance rates of PHEs. The research underscores the role of digital sources in educating adolescents about PHEs. This study emphasizes the need for targeted educational interventions to improve adolescent knowledge and performance of PHEs, considering the identified barriers and socio-demographic influences.

show abstract

Population health data in KSA: Status, challenges, and opportunities

Cited by 6 publications

References 24 publications

Compliance of Healthcare Providers With the Notifiable Diseases Surveillance System in Riyadh, Saudi Arabia

Compliance of Healthcare Providers With the Notifiable Diseases Surveillance System in Riyadh, Saudi Arabia

Factors associated with 30-day mortality and morbidity in patients undergoing emergency colorectal surgery

Adolescents Perceptions and Behaviors Towards Periodic Health Examinations in Riyadh, Saudi Arabia

Contact Info

Product

Resources

About