Quality Control in Primary Healthcare in Saudi Arabia: A Systematic Review

Authors

  • Yusuf Ahmed Ali Al-Ishaq Author
  • Saleh Fares Muhammad Al-Qarad Author
  • Hadi Mohammed Hadi Alsharyah Author
  • Ahmed Salem Marai Al-German Author
  • Raed Mohammed Abdullah Alyami Author
  • Ali Mana Nasser Alhutaylah Author
  • Hussain Mana Nasser Alhutaylah Author
  • Abdulrhman Ahmad Khalid Author

DOI:

https://doi.org/10.59992/IJSR.2023.v2n11p11

Keywords:

Quality Control, Primary Healthcare, Saudi Arabia, Electronic Health Records, Patient Satisfaction

Abstract

Introduction: The quality of primary healthcare is crucial for ensuring efficient and effective patient care, particularly in rapidly evolving healthcare systems like that of Saudi Arabia. With ongoing reforms aimed at improving healthcare delivery, there is a pressing need to assess the state of quality control within primary healthcare settings. This systematic review aimed to evaluate the effectiveness of various quality control interventions implemented in primary healthcare centers in Saudi Arabia, focusing on their impact on patient care and system efficiency.

Methods: The review strictly included interventional studies and clinical trials published in the last years up to 2022, employing a comprehensive search across multiple databases including PubMed, Scopus, Web of Science, and the Cochrane Library. Inclusion criteria were set to consider only studies that directly addressed quality control measures within primary healthcare settings in Saudi Arabia, with clear intervention and outcome measures. The analysis synthesized data on the types of interventions, sample sizes, and effectiveness, including risk ratios and percentage improvements with their confidence intervals.

Results: Seven studies were included, revealing a range of interventions from EHR implementations to provider training programs and patient feedback systems. Key findings include a 55% reduction in medication errors following EHR system implementation, a 35% increase in compliance with national quality standards post-provider training, a 20% increase in patient satisfaction with the introduction of patient feedback systems, and a 30% improvement in patient outcomes from clinical guideline updates for chronic disease management. 

Conclusions: The review demonstrates that targeted interventions can significantly enhance quality control in primary healthcare settings in Saudi Arabia, with notable improvements in medication accuracy, compliance with quality standards, patient satisfaction, and clinical outcomes. These findings highlight the potential of comprehensive, integrated quality control measures to advance patient care and healthcare system efficiency.

Author Biographies

  • Yusuf Ahmed Ali Al-Ishaq

    Specialist Sociology-Revenue Development, Najran

  • Saleh Fares Muhammad Al-Qarad

    Specialization-Health Nursing Assistant, Najran

  • Hadi Mohammed Hadi Alsharyah

    Emergency Medicine Specialist, Khobash Hospital, Najran

  • Ahmed Salem Marai Al-German

    Optometrist, Khobash General Hospital, Najran

  • Raed Mohammed Abdullah Alyami

    Technician Anesthesia, Khobash General Hospital, Najran

  • Ali Mana Nasser Alhutaylah

    Emergency Medicine Al-Hudan Health Centre, Najran

  • Hussain Mana Nasser Alhutaylah

    Operation, Khobash General Hospital, Najran

  • Abdulrhman Ahmad Khalid

    Operating Room Technician, Khobash General Hospital, Najran

References

1. Ministry of Health. Health Statistical Yearbook. Saudi Arabia: MOH, 2002.

2. Schuster M, McGlynn E, Brook R. How good is the quality of healthcare in the United States? Millbank Q 1998; 76: 517–563.

3. Kirk SA, Campbell SM, Kennell-Webb S et al. Assessing the quality of care of multiple conditions in general practice: practical and methodological problems. Qual Saf Health Care 2003; 12: 421–427.

4. Margolis M, Carter T, Dunn E, Reed L. Primary health care for the aged in the United Arab Emirates. Asia Pac J Public Health 2003; 2: 77–82.

5. Donabedian A. Explorations in Quality Assessment and Monitoring. Volume 1: Definition of Quality and Approaches to its Assessment. Ann Arbor, MI: Health Administration Press, 1980.

6. Maxwell RJ. Quality assessment in health. BMJ 1984; 288: 1470–1472.

7. Lohr KN. Medicare: A Strategy for Quality Assurance, Vol. 1. Washington b DC: National Academy Press, 1990.

8. Campbell SM, Roland MO, Buetow SA, Defining quality of care. Soc Sci Med 2000; 51: 1611– 1626.

9. Scientific Committee for Quality Assurance. Guidelines for Quality Assurance in Primary Healthcare. Saudi Arabia: Ministry of Health, 1993.

10. Khoja T. Quality assurance in primary health care: Saudi Arabia’s experience. In Al-Assaf A., ed., Health Care Quality: An international Perspective. New Delhi: WHO Regional Publications, SEARO, No. 35.

11. El-Gilany A, Aref Y. Failure to register for antenatal care at local primary healthcare centres. Ann Saudi Med 2000; 20: 229–232.

12. Al-Teheawy MM, Foda AM. Vaccination coverage before and after primary healthcare implementation and trend of target diseases in Al-Hassa. J Egypt Public Health Assoc 1992; 67: 75–86.

13. Jarallah JS, al-Shammari SA, Khoja TA, alSheikh M. Role of primary health care in the control of schistosomiasis. The experience in Riyadh, Saudi Arabia. Trop Geogr Med 1993; 45: 297–300.

14. Al-Khaldi Y, Al-Sharif A. Availability of resources of diabetic care in primary healthcare settings in Aseer region, Saudi Arabia. SMJ 2002; 23: 1409–1513.

15. Al-Mustafa B, Abularhi H. The role of primary healthcare centres in managing hypertension: how far are they involved? SMJ 2003; 24: 460–465.

16. Al-Khaldi Y, Khan M. Audit of a diabetic health education program at a large primary healthcare centre in aseer region. SMJ 2000; 21: 838–842.

17. Siddiqui S, Ogbeide D, Karim A, Al-Khalifa I. Hypertension control in a community centre at Riyadh, Saudi Arabia. SMJ 2001; 22: 49–52.

18. Al-Khaldi YM, Al-Ghorabi BM, Al-Asiri YA, Khan NB. Audit of referral of diabetic patients. SMJ 2002; 23: 77–81.

19. Qatari G, Haran D. Determinants of users’ satisfaction with primary healthcare settings and services in Saudi Arabia. Int J Qual Health Care 1999; 11: 523–531.

20. Ali M., Mahmoud M. A study of patient satisfaction with primary health care services in Saudi Arabia. J Community Med 1993; 18: 49–54.

21. Al-Faris E, Khoja T, Falouda M et al. Patients’ satisfaction with accessibility and services offered in Riyadh health centres. SMJ 1996; 17: 11–17.

22. Baldo MH. Coverage and quality of natal and postnatal care: women’s perceptions, Saudi Arabia. J Trop Paediatr 1995; 41 (suppl. 1): 30–37.

23. Al-Faris EA, Al-Taweel A. Audit of prescribing patterns in Saudi primary healthcare. Ann Saudi Med 1999; 19: 317–321.

24. Dashash N, Mukhtar S. Prescribing for asthmatic children in primary healthcare: are we following the guidelines? SMJ 2003; 24: 507–511.

25. El-Gilany AH. Acute respiratory infections in primary health care centers in northern Saudi Arabia. SMJ 2000; 6: 955–960.

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Published

2023-11-15

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How to Cite

Quality Control in Primary Healthcare in Saudi Arabia: A Systematic Review. (2023). The International Journal for Scientific Research, 2(11). https://doi.org/10.59992/IJSR.2023.v2n11p11