Top Ethical Issues Concerning Healthcare Providers Working in Saudi Arabia.


Journal

Journal of epidemiology and global health
ISSN: 2210-6014
Titre abrégé: J Epidemiol Glob Health
Pays: Switzerland
ID NLM: 101592084

Informations de publication

Date de publication:
06 2020
Historique:
received: 30 05 2019
accepted: 20 10 2019
entrez: 16 6 2020
pubmed: 17 6 2020
medline: 21 8 2021
Statut: ppublish

Résumé

Healthcare providers working in Saudi Arabia come from various nationalities, cultures, and training backgrounds. This study aimed to assess the perceptions of healthcare providers working in Riyadh hospitals about ethical dilemmas and solutions. This is a cross-sectional study among physicians working in Riyadh's private and governmental hospitals between June and December 2017. The study collected information on demographics, knowledge about medical ethics, the sources of such knowledge, and common ethical issues in general and the top ethical issues and dilemmas encountered in their daily practice. A total of 455 physicians from government and private hospitals were enrolled in the study. The mean age of the participants was 34.29 ± 10.5 years, females were 29.7% and mean years of practice was 13.0 ± 11.5. The top ethical issues identified by the participants were "disagreement with the patients' relatives about treatment" (91%), patient disagreement with decisions made by professionals (84%), treating the incompetent patient (79%), conflict with administration policy and procedures (77%), scarcity of resources (72%), and making decision about do-not-resuscitate or life-sustaining treatment (68%). There were significant differences in dealing with ethical issues in relation to gender, confidence about ethical knowledge, nationality, seniority, training site, and private or government hospitals academic and nonacademic. Healthcare providers in Riyadh hospitals face multiple ethical challenges. In addition to improvement in ethics knowledge through educational program among healthcare professional, there is a valid need for healthcare professionals and other sectors within society to engage in serious and continuous dialogue to address these issues and propose recommendations.

Sections du résumé

BACKGROUND
Healthcare providers working in Saudi Arabia come from various nationalities, cultures, and training backgrounds. This study aimed to assess the perceptions of healthcare providers working in Riyadh hospitals about ethical dilemmas and solutions.
METHODS
This is a cross-sectional study among physicians working in Riyadh's private and governmental hospitals between June and December 2017. The study collected information on demographics, knowledge about medical ethics, the sources of such knowledge, and common ethical issues in general and the top ethical issues and dilemmas encountered in their daily practice.
RESULTS
A total of 455 physicians from government and private hospitals were enrolled in the study. The mean age of the participants was 34.29 ± 10.5 years, females were 29.7% and mean years of practice was 13.0 ± 11.5. The top ethical issues identified by the participants were "disagreement with the patients' relatives about treatment" (91%), patient disagreement with decisions made by professionals (84%), treating the incompetent patient (79%), conflict with administration policy and procedures (77%), scarcity of resources (72%), and making decision about do-not-resuscitate or life-sustaining treatment (68%). There were significant differences in dealing with ethical issues in relation to gender, confidence about ethical knowledge, nationality, seniority, training site, and private or government hospitals academic and nonacademic.
CONCLUSION
Healthcare providers in Riyadh hospitals face multiple ethical challenges. In addition to improvement in ethics knowledge through educational program among healthcare professional, there is a valid need for healthcare professionals and other sectors within society to engage in serious and continuous dialogue to address these issues and propose recommendations.

Identifiants

pubmed: 32538030
pii: j10/2/143
doi: 10.2991/jegh.k.191211.001
pmc: PMC7310778
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

143-152

Informations de copyright

© 2020 Atlantis Press International B.V.

Déclaration de conflit d'intérêts

The authors declare they have no conflicts of interest.

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Auteurs

Amar Mansour Almoallem (AM)

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh.

Mohammed Abdulaziz Almudayfir (MA)

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh.

Yassar H Al-Jahdail (YH)

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh.

Anwar E Ahmed (AE)

College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh.
College of Medicine, King Abdullah International Medical Research Center (KAIMRC), Riyadh.

Adnan Al-Shaikh (A)

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh.
Department of Pediatrics, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah.
College of Medicine, King Abdullah International Medical Research Center (KAIMRC), Riyadh.

Salim Baharoon (S)

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh.
Department of Medicine, King Abulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Riyadh.
College of Medicine, King Abdullah International Medical Research Center (KAIMRC), Riyadh.

Abdullah AlHarbi (A)

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh.
Department of Medicine, King Abulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Riyadh.
College of Medicine, King Abdullah International Medical Research Center (KAIMRC), Riyadh.

Hamdan Al-Jahdali (H)

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh.
Department of Medicine, King Abulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Riyadh.
College of Medicine, King Abdullah International Medical Research Center (KAIMRC), Riyadh.

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