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April 2022 -
Volume 20, Issue 4


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From the Editor

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Prevalence of Anxiety and Depression among postgraduate trainees in Qassim, Saudi Arabia
[Abstract]
[pdf]
Jamal Alrasheedi, Unaib Rabbani
DOI: 10.5742/MEWFM.2022.9525020

Knowledge of Amblyopia among Primary Health Care Physicians and Family Medicine Residents: A Cross-Sectional Study in the Qassim Region of Saudi Arabia
[Abstract]
[pdf]
Noha Dekhail Aldekhail, Amel Abdalrahim Sulaiman
OI: 10.5742/MEWFM.2022.9525022

Acute chest syndrome and pulmonary hypertension in sickle cell diseases
Mehmet Rami Helvaci, Engin Altintas, Atilla Yalcin, Orhan Ekrem Muftuoglu,
Abdulrazak Abyad, Lesley Pocock
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525023

Barriers Facing Primary Health Care Physicians in Jazan when Dealing with Emergency Cases
[Abstract]
[pdf]
Sameer Ahmed Ali Holal, Hassan Ali Elsayed Abdelwahid
DOI: 10.5742/MEWFM.2022.9525028

Predictors of Waterpipe Smoking among Male Students of Jazan University, Jazan, Saudi Arabia
[Abstract]
[pdf]
Mohammed Ahmed Khormi, Abdullah Ibrahim Sabai, Ali Yahya Maashi, Mohammed Abduallh Khormi,
Abdulrahman Ahmed hadadi, Abdullatif Mohammed Maashi, Mohammed Ebrahim Mojiri,
Ali Ahmed Zalah, Mohammed Abkar Shok, Ali Mohammed Shawsh
DOI: 10.5742/MEWFM.2022.9525037

Children's vision health during the COVID-19 pandemic
[Abstract]
[pdf]
Moustafa Abdalhade Timorkhan, Mouazzar yusuf Thani Ibraheem
DOI: 10.5742/MEWFM.2022.9525024

Multiple myeloma presenting as a pathological rib fracture in a primary health care center and its diagnostic challenges during the COVID 19 pandemic
[Abstract]
[pdf]
Koshy Mathew, Fathima Shezoon Mohideen, Prince Christopher Rajkumar Honest
DOI: 10.5742/MEWFM.2022.9525025

The association between sleep disturbance and coronaphobia among physicians in primary health care centers of Ministry of Health, Jazan Province
[Abstract]
[pdf]
Mohammed Atiah Ahmed Bakri, Maged El-Setouhy
DOI: 10.5742/MEWFM.2022.9525026

Population and Community Studies

What it costs to access skilled birth attendance in Pakistan
[Abstract]
[pdf]
Nida Khan, Muhammad Amir Khan, Shaheer Ellahi Khan, Muhammad Ahmar Khan, Azza Warraitch
DOI: 10.5742/MEWFM.2022.9525027

Complementary and alternative medicine practice and perceptions of Saudi subjects in Western region of Saudi Arabia
[Abstract]
[pdf]
Fathi El-Gamal, Abdulaziz Bajubair, Aljawhara Hejji, Aseel Jarwan, Jamil Numan Salah
DOI: 10.5742/MEWFM.2022.9525029

Prevalence of physical and verbal violence against physicians and nurses in primary health care centres, Buraidah, Qassim province
[Abstract]
[pdf]
Moodhi. R. Almutairi, Saulat. Jahan
DOI: 10.5742/MEWFM.2022.9525038

Assessment of Food Safety Knowledge & practice and Factors that May affect them among General Population at Family Medicine Outpatient clinic
[Abstract]
[pdf]
Heba Galal Elnahas, Ghada M. Khafagy, Eman M. Abd el-Sattar, Radwa M. Elsayed
DOI: 10.5742/MEWFM.2022.9525039

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

 

 

   
April 2022 - Volume 20, Issue 4

Barriers Facing Primary Health Care Physicians in Jazan when Dealing with Emergency Cases

(1) Family Medicine Resident, Joint Program of Family Medicine, Jazan, Saudi Arabia
(2) Professor of Family Medicine, Suez Canal University, Egypt
(3) Consultant Family Medicine, Jazan Armed Forces Hospital

Corresponding Author:
Sameer Ahmed Ali Holal
Email: S-m50@hotmail.com

Received: February 2022 Accepted: March 2022; Published: April 1, 2022. Citation: Sameer Ahmed Ali Holal, Hassan Ali Elsayed Abdelwahid. Barriers Facing Primary Health Care Physicians in Jazan when Dealing with Emergency Cases. World Family Medicine. 2022; 20(4): 32-43. DOI: 10.5742/MEWFM.2022.9525028

Abstract


Background: Primary healthcare centres (PHCCs) provide curative and preventative healthcare services. Little is known about perceived competence in handling potential emergencies by family physicians at PHCCs.

Aim of Study: To identify primary healthcare (PHC) physicians’ emergency management competence and the barriers they experience when dealing with emergency cases.

Method: A descriptive questionnaire-based cross-sectional study of family physicians in Jazan Governorate, in south west of Saudi Arabia. We used Poisson regression modelling to evaluate the effect of background factors on perceived competence in handling emergency cases among family physicians.

Results: The study included 450 PHC physicians; 342 (77.8%) were males, and 364 (82.7%) were Saudi. When compared to Arab Board of Family Medicine (ABFM) certification, physicians did better if they had Family Medicine (FM) Diploma (OR = 1.1486, p = 0.03704) or MBBS (OR = 1.1529, p = 0.00371). Compared to physicians who attended Basic Life Support (BLS) courses within the last 12 months, competence in clinical emergencies was far worse for those who did not do BLS (OR = 0.6710, p <0.001), or did it over two years ago (OR = 0.8796, p<0.001). Notably, there was no difference between those who did BLS last year or within two years’ time frame. Attending the Advanced Trauma Life Support (ATLS) course was associated with better emergency knowledge and competence if completed withinone year than within two years (OR = 0.9071, p = 0.002), over two years (OR = 0.8694, p<0.001), or not done at all (OR = 0.9527, p = 0.01452). Advanced Cardiovascular Life Support (ACLS) course attendance was not associated with significant gains in terms of competence. Experience in Emergency Departments (ED) was associated with worse self-rating of competence in emergency cases (OR = 0.9527, p = 0.01452).

Conclusions: BLS and ATLS courses improve perceived competence among PHC physicians. There is a potential gap in defibrillation training among PHC-based family physicians in the southwestern area of Saudi Arabia. Therefore, BLS training should be an integral part of family physician core competence in handling emergency cases. More educational training should be devoted to defibrillation skills in clinical practice.

Key words: Primary Healthcare, Family physician, Emergency care, competence, barriers, Saudi Arabia.







 


 

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