Artikel
The Primary Health Care (PHC) Experience with CPGs in Saudi Arabia (SA)
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Veröffentlicht: | 10. Juli 2012 |
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Gliederung
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Background: PHC was adopted by the SA ministry of health in 1981. Around 2100 PHC centers are distributed throughout the Kingdom. Only 3 nationally-endorsed CPGs are available for use.
Aim: In order to reduce the variation in care and to realize the national and international accreditation standards, a fast-track method is introduced to have 20 evidence-based (EB) CPGs up and running in 6 months.
Method: Repeated Delphi technique was used among middle level managers in all regions to identify the top priorities for CPGs in PHC. A 3-parts course was delivered to 80 Selected PHC physicians (4 from each region). In the first part (held Jan 2012), the participants were introduced to the concept of EB-CPGs, searching for, assessing and selecting potential high-quality CPGs published 2007 onwards to be considered for localization. The ADAPTE manual was the main reference used. Part two (held Feb 2012) addressed implementation methods and strategies. Part three will be held in May 2012.
Results: Most of the 20 groups grasped the concepts introduced part one and presented their CPG draft reports in part two. In May, they are expected to present their final drafts and report on their pilot implementation projects.
Conclusion: This model has the advantages of being quick, practical with a sense of ownership by PHC physicians. The long-term impact of this new experience on patient-related outcomes would have to be assessed before considering it successful.
Implications: The innovative model may be replicated in other countries to assess its validity.