Introduction: The few studies that have investigated patterns of routine checkup (hereafter routine checkups) among Saudis have found overall low rates of use. Those studies focused mainly on understanding the influence of individual characteristics on use of routine checkup. Aims: The main purpose of this study was to consider a wider array of factors beyond individual characteristics, including system-based factors, beliefs, attitudes, and satisfaction, and to examine their influence on use of routine checkup among Saudi students studying in the United States. Methods: A cross-sectional survey targeting Saudi students studying in the United States aged 19 years or older was conducted to gather information about their sociodemographic characteristics, needs for healthcare, use of routine checkup and satisfaction with access to primary care services. Descriptive statistics and logistic regression analysis were conducted to determine factors influencing use of routine checkup among Saudis. Results: 381 surveys were eligible to be included in the analyses. Among the included participants, only 25.5% had a routine checkup after the age of 18 years. The likelihood of having routine checkup after the age of 18 was significantly higher among those who trusted provided primary care, believed in the importance of routine checkup, had health insurance, had chronic conditions and were physically active, and was significantly lower among married individuals. Conclusions: The use of routine checkup is low among Saudis and this study has laid the foundation for future research that can inform policy and decision-making related to improving use of routine care in Saudi Arabia.
With the dawn of autonomous organization and network and service management, the integration of existing networks with Internet of Things (IoT) based networks is becoming a reality. With minimal human interaction, the security of IoT data moving through the network becomes prone to attacks. IoT networks require a secure provenance mechanism, which is efficient and lightweight because of the scarce computing and storage resources at the IoT nodes. In this paper, we have proposed a secure mechanism to sign and authenticate provenance messages using Ciphertext-Policy Attribute Based Encryption (CP-ABE) based signatures. The proposed technique uses Bloom filters to reduce storage requirements and an outsourced ABE mechanism to use lessen the computational requirements at the IoT devices. The proposed technique helps in reducing the storage requirements and computation time in IoT devices. The performance of the proposed mechanism is evaluated and the results show that the proposed solution is best suited for resourced constrained IoT network.
Objectives: To explore the perspectives of primary care providers (PCPs) on the low use of and barriers to routine checkups among Saudi adults. Methods:A qualitative phenomenological study design was used. Interviews were carried out between (December 2020 and February 2021) with 19 PCPs working at 5 primary healthcare centers (PHCs) operated by the Ministry of Health (MOH) in Makkah, Saudi Arabia. Descriptive statistics were performed to characterize participants, and a directed content analysis was carried out to examine major themes. Original ArticleResults: Primary care providers identified a number of barriers that contributed to a low uptake of routine checkup among Saudis. These barriers to routine checkups were classified into 3 main themes: patientrelated barriers, provider-related barriers, and healthcare system-related barriers. Lack of knowledge of patients, crowdedness at PHCs, and busy staff at PHCs were the most frequently mentioned barriers that hamper the use of routine checkups. Conclusion:This study presented new insight into the low use of routine checkups by obtaining the perspective of PCPs. Although results point to potential targets for interventions to increase routine checkups, additional research is recommended with a representative sample of PCPs randomly selected from the healthcare system to inform future policy and decision making related to improving use of routine care available through the Saudi Healthcare System.
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