Journal of Family Medicine and Primary Care

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 7  |  Issue : 4  |  Page : 739--751

Factors affecting primary health-care physicians' emergency-related practice; Eastern Province, KSA


Salma Hussain Abu-Grain1, Sanaa Sadiq Alsaad1, Dalia Yahia El Kheir2 
1 Qatif Primary Health Care Centers, Ministry of Health, Dammam, Eastern Province, Kingdom of Saudi Arabia
2 Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Kingdom of Saudi Arabia

Correspondence Address:
Dr. Salma Hussain Abu-Grain
Qatif Primary Health Care Centers, Ministry of Health, P.O. Box 11568, Al Qatif 31911
Kingdom of Saudi Arabia

Background: Being the first in-line care providers, primary health-care (PHC) physicians may encounter all forms of emergencies, ranging from minor complaints to life-threatening events. This wide variation of cases challenges the physicians to be competent in emergency medicine. Informative literature describing and assessing the factors affecting PHC physicians' emergency medical services (EMS)-related practice is deficient (nationally and internationally). The aim of this study is to assess PHC physicians' practice related to EMS, the factors affecting it, as well as their learning needs and preferred methods of continuous training in emergency medicine. Methods: All physicians working in the selected centers were invited to complete a self-administered questionnaire addressing their EMS-related practice. Moreover, physicians were invited to participate in face-to-face semi-structured interviews and focus group discussions. Results: The study revealed that 87.3% of physicians had a good diagnostic knowledge score while only 47.6% had a good management score. Nonetheless, 63.5% of physicians had a neutral attitude toward EMS. The most common reported emergencies encountered are bronchial asthma (86.51%), cut wounds (83.33%), and burns (76.19%). About 62% of participants reported that their greatest needs for further training were in cardiovascular and central nervous system emergency management, preferably by practical training in hospital emergency department (80%). Conclusions: Dammam PHC physicians have a good knowledge, neutral attitude, and fair practice concerning the emergency cases encountered. The majority of physicians reported their need for further hands-on training in emergency medicine. Settings and Design: A cross-sectional, mixed methods study was conducted in 13 out of 26 PHC centers of Dammam, Saudi Arabia.


How to cite this article:
Abu-Grain SH, Alsaad SS, El Kheir DY. Factors affecting primary health-care physicians' emergency-related practice; Eastern Province, KSA.J Family Med Prim Care 2018;7:739-751


How to cite this URL:
Abu-Grain SH, Alsaad SS, El Kheir DY. Factors affecting primary health-care physicians' emergency-related practice; Eastern Province, KSA. J Family Med Prim Care [serial online] 2018 [cited 2019 Sep 21 ];7:739-751
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2018;volume=7;issue=4;spage=739;epage=751;aulast=Abu-Grain;type=0