American Journal of Medical Sciences and Medicine
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American Journal of Medical Sciences and Medicine. 2018, 6(2), 57-65
DOI: 10.12691/ajmsm-6-2-8
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The Effect of Quality of Health Care in Saudi Arabian Perception to Patient Satisfaction in Makkah in 2018

Abid Ahmed Masi Almalki1, Mohammed Yahya Almalki2, Mohmmed Lafy Aljapri3, Meshari Mohmmed Ali Alotaibi4, Abdullah Ahmed Masi Almalki5, Ghassan Ghazi Marghalani3, Faiza Ramadan Housawi6, , Abdullah. D. A. Alotaibi7 and Mohana Abdulaziz Marzog Alsolimy3

1Pharmacy technician, ministry of Health, Saudi Arabia

2Laboratory specialist, ministry of Health, Saudi Arabia

3Nursing Technician, ministry of Health, Saudi Arabia

4Health management specialist, ministry of Health, Saudi Arabia

5Medicine College, Taif University, Saudi Arabia

6Consultant Family medicine, ministry of Health, Saudi Arabia

7Health Inspector, Ministry of Health, Saudi Arabia

Pub. Date: December 15, 2018

Cite this paper:
Abid Ahmed Masi Almalki, Mohammed Yahya Almalki, Mohmmed Lafy Aljapri, Meshari Mohmmed Ali Alotaibi, Abdullah Ahmed Masi Almalki, Ghassan Ghazi Marghalani, Faiza Ramadan Housawi, Abdullah. D. A. Alotaibi and Mohana Abdulaziz Marzog Alsolimy. The Effect of Quality of Health Care in Saudi Arabian Perception to Patient Satisfaction in Makkah in 2018. American Journal of Medical Sciences and Medicine. 2018; 6(2):57-65. doi: 10.12691/ajmsm-6-2-8


Background: Access to healthcare in the Kingdom of Saudi Arabia (KSA) has improved dramatically over the past three decades. This improvement in access has brought challenges for healthcare organizations, their staff and other stakeholders, highlighting a need to improve the quality of healthcare. These challenges include: increasing demand for healthcare services coupled with a rise in costs, changing patterns of disease, shortage of healthcare professionals, a significant annual pilgrim population, a rise in medical errors and long waiting times. A key policy being implemented as a part of the development plan in KSA of the Saudi Vision (2030), with regard to health services, is the need to adopt methods to improve quality of care, and to apply these methods across all health sectors to ensure that appropriate levels of efficiency and quality are achieved. Indeed, measurement of patient satisfaction is central to identifying areas for improvement and thus achieving optimal delivery of healthcare services. In addition to patient satisfaction, it is important to consider access to healthcare as a fundamental quality of care indicator. Aim of the study: This study aims to assess the effect of service quality of health care in Saudi Arabian on patient satisfaction with respect to primary health care services in Makkah in 2018. Method: cross-sectional study to determine the relationship between quality of health care system on the quality of services providing in primary healthcare center and the satisfaction of Saudi patient .The study was conducted at primary healthcare centers in the Saudi and more specifically in Makkah. Total of 200 eligible patients participated in this study. Results: factors entered the regression model of total attitude were: Socio demographic variables (Age, gender, occupation, education, marital status, family income) and total satisfaction level And 6 out of 7 factors had predicted total attitude of the: (Age, gender, occupation, education, marital status, family income).The 6 factors together explained 12.5% of the variation of the total attitude score of the studied patients towards primary health care services. Female, single, being older, low educational level and students, low family Income had higher total attitude score. Conclusion. This review exemplifies the need for further improvement in the quality of healthcare in primary health care in KSA and patient satisfaction was influenced by health service quality. Many of the problems identified in this review could be addressed by establishing an independent body in KSA, which could monitor healthcare services and push for improvements in efficiency and quality of care.

Saudi healthcare quality perception patient satisfaction effect

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[1]  Donabedian, A. Evaluating the quality of medical care. The Milbank memorial fund quarterly 1966; 44(3), 166-206.
[2]  Ware JE. The measurement of patient satisfaction. Health and Medical Care Services Review. 1978; 1(1): 5-15.
[3]  Gajovic G, Kocic S, Radovanovic S, Ilic B, Milosavljevic M, Radevic S, Ignjatovic DR. Satisfaction of users in primary health care. HealthMED. 2012 Jan 1; 6: 4185-93.
[4]  Tong D, Chung F, Wong TD. Satisfaction in Ambulatory Surgical Patients. Anesthesiology. 1997 Oct; 87(4): 856-64.
[5]  Larrabee JH, Ferri JA, Hartig MT. Patient satisfaction with nurse practitioner care in primary care. Journal of Nursing Care Quality. 1997 Jun; 11(5): 9-14.
[6]  Miro Solves, J., J. Bui lAina and M. Rodriguez. the perceived quality of hospital care. Gac Sanit 1997; 11(4): 89-176.
[7]  Almoajel A, Fetohi E, Alshamrani A. Patient satisfaction with primary health care in Jubail City, Saudi Arabia. World Journal of medical sciences. 2014; 11(2): 255-64.
[8]  Olfson M, Kroenke K, Wang S, Blanco C. Trends in office-based mental health care provided by psychiatrists and primary care physicians. The Journal of clinical psychiatry. 2014 Mar.
[9]  Ashworth M, Millett C. Quality improvement in UK primary care: the role of financial incentives. The Journal of ambulatory care management. 2008; Jul 1; 31(3): 220-5.
[10]  Van Lerberghe W. The world health report 2008: primary health care: now more than ever. World Health Organization; 2008.
[11]  De Maeseneer J, Flinkenfl√∂gel M. Primary health care in Africa: do family physicians fit in?. Br J Gen Pract. 2010; Apr 1; 60(573): 286-92.
[12]  Kumar R. Revitalize primary health care for confronting current public health challenges. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2008; Jan; 33(1): 1.
[13]  Groene O, Kringos D, Sunol R. Seven ways to improve quality and safety in hospitals. An evidence basedguide. Duque Collaboration. 2014; 1-65.
[14]  Ministry of Health. Health statistical annual book. Riyadh, Saudi Arabia: Ministry of Health, 2013.
[15]  Che Rose R, Uli J, Abdul M, Looi Ng K. Hospital service quality: a managerial challenge. International Journal of Health Care Quality Assurance. 2004; May 1; 17(3): 146-59.
[16]  Elleuch A. Patient satisfaction in Japan. International journal of health care quality assurance. 2008; Oct 3; 21(7): 692-705.
[17]  Al Doghaither, A. H. Inpatient satisfaction with physician services at king khalid university hospital, riyadh, saudi arabia. EMHJ-Eastern Mediterranean Health Journal .2004; 10 (3), 358-364.
[18]  Alahmadi A. Study of patient satisfaction in primary healt h care centers in different regions of Saudi Arabia. The Egyptian journal of community medicine. 2004; 22(1): 49-60.
[19]  Al-Doghaither AH, Abdelrhman BM, Saeed AW, Magzoub ME. Factors influencing patient choice of hospitals in Riyadh, Saudi Arabia. The journal of the Royal Society for the Promotion of Health. 2003 Jun;123(2):105-9.
[20]  Al-Ahmadi H. Factors affecting performance of hospital nurses in Riyadh Region, Saudi Arabia. International journal of health care quality assurance. 2009 Feb 6;22(1):40-54.
[21]  Zamil AM, Areiqat AY, Tailakh W. The impact of health service quality on patients' satisfaction over private and public hospitals in Jordan: a comparative study. International Journal of Marketing Studies. 2012 Feb 1;4(1):123-137
[22]  Almalki M, Fitzgerald G, Clark M. Health care system in Saudi Arabia: an overview. East Mediterr Health J 2011; 17: 784-793.