3 results on '"Cafarella, Paul A."'
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2. Barriers for setting up a pulmonary rehabilitation program in the Eastern Province of Saudi Arabia.
- Author
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Alsubaiei, Mohammed E., Cafarella, Paul A., Frith, Peter A., McEvoy, R. Doug, and Efing, Tanja W.
- Subjects
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ALGORITHMS , *CHI-squared test , *HEALTH services accessibility , *HOSPITALS , *LUNG diseases , *OBSTRUCTIVE lung diseases , *MEDICAL rehabilitation , *QUESTIONNAIRES , *HUMAN services programs , *CROSS-sectional method - Abstract
BACKGROUND: Pulmonary rehabilitation (PR) programs proven to be one of the most effective treatment options for respiratory diseases; yet, they are not well-established in hospitals in Saudi Arabia. AIM: To determine the main barriers for setting up PR programs in Saudi Arabia. METHODS: A cross-sectional study was conducted in the Eastern Province of Saudi Arabia. Health care providers involved in treatment of chronic obstructive pulmonary disease (COPD) patients were recruited from 22 general government hospitals. Data were collected using questionnaires: Full version if they had heard about PR before the study, and a short version if they had not heard about PR before. RESULTS: A total of 123 health care providers were recruited (physicians [n = 44], nurses [n = 49], and respiratory therapists/technicians [n = 30]). Only 3.2% of the recruited health care providers had heard about PR programs before. According to the health care providers, the main barriers for setting up PR programs were a lack of (1) hospital capacity (75.6%), (2) trained health care providers (72.4%), and (3) funds (48.0%). There were significant differences in barriers reported by the health care providers. Compared to physicians, nurses were more likely to nominate the PR costs as a barrier (18.0% vs. 38.8%; P < 0.05). CONCLUSION: There is a worrisome lack of knowledge regarding content and benefits of PR programs among Saudi health care providers treating COPD patients. These findings imply that improving awareness and increasing education of the health care providers regarding PR will be required before PR can be more widely implemented as an integral treatment modality for patients with COPD in Saudi Arabia. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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3. Current care services provided for patients with COPD in the Eastern province in Saudi Arabia: a descriptive study.
- Author
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Alsubaiei ME, Cafarella PA, Frith PA, McEvoy RD, and Effing TW
- Subjects
- Cross-Sectional Studies, Delivery of Health Care standards, Female, Guideline Adherence, Health Care Surveys, Health Services Research, Hospitals, Public standards, Humans, Intensive Care Units statistics & numerical data, Male, Physical Therapy Modalities statistics & numerical data, Practice Guidelines as Topic, Process Assessment, Health Care standards, Pulmonary Disease, Chronic Obstructive diagnosis, Pulmonary Disease, Chronic Obstructive epidemiology, Pulmonary Disease, Chronic Obstructive physiopathology, Quality Improvement, Respiratory Care Units statistics & numerical data, Respiratory Therapy standards, Saudi Arabia epidemiology, Spirometry statistics & numerical data, Surveys and Questionnaires, Treatment Outcome, Delivery of Health Care statistics & numerical data, Hospitals, Public statistics & numerical data, Process Assessment, Health Care statistics & numerical data, Pulmonary Disease, Chronic Obstructive therapy, Respiratory Therapy statistics & numerical data
- Abstract
Background: COPD is a leading cause of morbidity and mortality worldwide. The prevalence rate of COPD in the general Saudi population is estimated to be 2.4% and 14.2% among smokers. Not much is known about current health care services for patients with COPD in Saudi Arabia. The objective of this study was to determine the current care services for patients with COPD provided by government hospitals in the Eastern province of Saudi Arabia., Methods: A cross-sectional study was conducted in the Eastern province of Saudi Arabia. Directors of the Department of Internal Medicine from all 22 general government hospitals that are under the responsibility of the Ministry of Health or the Ministry of Higher Education in this region were asked to participate. Data were collected using a questionnaire., Results: The study results indicated that there are limited hospital facilities for patients with COPD: no respiratory departments in any of the included hospitals, no spirometry in 77.3% of the hospitals, no intensive care units in 63.7% of the hospitals, and no pulmonary rehabilitation program in any of the hospitals. Among the included 22 hospitals, 24 respiratory physicians, 29 respiratory therapists, and three physiotherapists were involved in COPD care., Conclusion: In conclusion, current care services provided by government hospitals in the Eastern province of Saudi Arabia for patients with COPD do not meet international recommendations for COPD management. Increased awareness, knowledge, and implementation of COPD guidelines by health care providers will most probably improve COPD management in Saudi Arabia. In addition, the government could improve dissemination of information about COPD management through national programs and by offering specific education regarding respiratory diseases.
- Published
- 2015
- Full Text
- View/download PDF
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