Omanis Traveling Abroad for Healthcare: A Time for Reflection

Al‐Hashar, Amna; Al‐Zakwani, Ibrahim

doi:10.5001/omj.2018.52

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…18 The reasons for medical travel by Omani patients suggested has attributed to long delays in public healthcare facilities, fewer competitive private facilities, the high cost of private medical services, and leisure facilities offered alongside healthcare treatments by some private facilities in some countries. 19 This finding has not seen in other studies where reasons like personal and family reasons or dissatisfaction with the hospital surgeries were the main reasons behind signing LAMA. 10,20 All patients who signed LAMA in our hospital have given follow up appointments.…”

Section: Discussionmentioning

confidence: 74%

Leaving Against Medical Advice Among Patients With Brain Tumours in the Middle East: Khoula Hospital Experience

Al‐Saadi

Alsharqi

ALSharqi

et al. 2020

Int Clin Neurosci J

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Background: Leaving against medical advice (LAMA) can be defined broadly as a patient's insistence upon leaving the hospital against the treating team has expressed advice, which is both a challenge and concern for physicians, as these patients lost to follow-up, and their outcomes remain unknown. There is no previous study conducted to find the prevalence and causes of LAMA in brain tumors patients in the Middle East to the best of our knowledge. Methods: Patients studied in this research are those who were diagnosed with any type of brain tumors and were admitted to the Neurosurgical Department in Khoula Hospital (KH) but signed LAMA in the two years between January 2017 to December 2018 by going through the electronic medical records. Data obtained from the health information system includes socioeconomic characteristics, health status-related data, diagnosis-related data, and the reasons for LAMA. Results: A total number of 302 patients with brain tumors included in this study. Twenty-eight patients (9.2%) signed LAMA with a majority of those who signed LAMA were in the young adult's group (3-39 years) and represented 18 (64%). Eight patients (28.57%) among the LAMA group and 43 patients (15.69%) in the non-LAMA group have tumors in the frontal lobe, which has found to be the most familiar location (29%). There was a significant relationship between the reason for LAMA and gender (P = 0.020). Conclusion: Younger patients, male, Omani, newly diagnosed tumors, and tumors in the frontal lobe were all risk factors for LAMA. Education and awareness about LAMA recommended in order to avoid readmission and loss of follow up.

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Section: Discussionmentioning

confidence: 74%

Leaving Against Medical Advice Among Patients With Brain Tumours in the Middle East: Khoula Hospital Experience

Al‐Saadi

Alsharqi

ALSharqi

et al. 2020

Int Clin Neurosci J

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“…This might be explained by the stage of the disease; for example, patients in the early stage of disease might seek a second opinion and additional advice somewhere else, or even abroad before they start any type of treatment 34 . A study conducted in 2018 reported that around 7000 Omani patients visited Thailand alone seeking medical service 35 . On the other hand, patients at end stage of disease might not be interested in continuing treatment or going through distress 36 .…”

Section: Discussionmentioning

confidence: 99%

Investigating the reasons for missing an outpatient appointment in Royal Hospital, Sultanate of Oman: Perspectives of patients and medical staff in a survey

Alawadhi

Palin

Staa

2022

Health Science Reports

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Introduction Missed appointments are a major health issue in the healthcare systems globally. They directly impact on the use of hospital resources, patient's health, and can lead to patient's dissatisfaction. This study was conducted to assess the reasons for missing a hospital appointment. Methods A survey was conducted with a randomly selected sample of patients who missed their outpatient appointment in Royal hospital, Sultanate of Oman, from March to April 2021 in six clinics. Patients were interviewed via telephone to answer a structured survey. In addition, a self‐administered survey was distributed to medical staff to explore their perspectives. Results Two hundred eighty patients and 52 medical staff participated in the study. Frequent patient‐reported reasons for missed appointment were transportation difficulties (11.4%), no longer needing (7.5%), or forgetting the appointment (6.8%); staff‐reported reasons were transportation (23.8%), no SMS received (16.9%), and forgetting the appointment (15.4%). Frequencies of reasons varied substantially between clinics. Family obligations were the main theme in obstetrics (odds ratio [OR] 9.48; 95% confidence interval [CI] 2.66‐33.78) and in diabetes clinic (OR 10.55; 95% CI 2.68‐38.58), where transportation issue was the main theme in Oncology clinic (OR 4.83; 95% CI 1.11‐21.02). The recommendations for improvement were mainly around improving the reminder system, the use of telephone reminders, and developing a flexible appointment scheduling system. Conclusion Knowing the reasons for missed appointment from patients and health professionals can help to develop effective interventions. The heterogeneity between clinics in reasons for missed appointment indicates for interventions tailored to clinic and frequent reasons.

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“…In Oman, limited access to qualified and sufficiently prepared healthcare providers threatens the provision of quality and safe healthcare (Schober, 2016). Therefore, many Omani patients travel abroad to avoid care delays and get higher‐quality healthcare services (Al‐Hashar & Al‐Zakwani, 2018). For instance, in recent years, more than 7,000 Omanis traveled to Thailand for medical treatment and outpatient consultations (Noree et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

“…For instance, in recent years, more than 7,000 Omanis traveled to Thailand for medical treatment and outpatient consultations (Noree et al., 2016). Approximately 93% of Omani patients travel to seek treatment for noncomplicated health issues, with an average cost of 2,000 Omani Rials (5,000 U.S. dollars) per patient and companion (Al‐Hashar & Al‐Zakwani, 2018).…”

Section: Introductionmentioning

confidence: 99%

Implementing the nurse practitioner role in Oman: Implications for policymaking

Al Ismaili,

Schober,

Gary

et al. 2023

International Nursing Review

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BackgroundIn Oman, limited access to adequately prepared healthcare providers in primary healthcare threatens the provision of quality care to patients and families and access to healthcare services. Nurse practitioners (NP) are in an excellent position to address safety issues and ensure quality healthcare with their advanced nursing skills, knowledge, and acumen for acceptable cultural and religious practices.AimsTo explain Oman's national strategic plans, processes, challenges, opportunities, and both regional and global implications for the facilitation of NP role implementation and policies.Sources of evidenceThe Nursing and Midwifery Human Resources framework guided the NP implementation project. Guided by the framework, the World Health Organization and the Omani Ministry of Health conducted multiple situational analyses (2004–2016). Later, the NP role was planned and implemented in Oman. During and after implementation, monitoring and evaluation of the NP role implementation were continuously conducted using multiple focus groups, individual interviews, and field visits.DiscussionThe NP role implementation revealed multiple challenges and opportunities that either hinder or support NP role implementation. Additionally, the NP implementation project revealed various lessons learned.Implications for nursing and health policyNational and global nursing leaders and health policymakers should collaborate to discuss NP issues, especially NP role sustainability, legal approval and recognition, prescriptive authority, title protection, practice acts, and professional regulation.ConclusionThis paper informs nursing leaders and policymakers in the Middle East and other countries in the global community about Oman's experience regarding NP role implementation.

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Omanis Traveling Abroad for Healthcare: A Time for Reflection

Cited by 3 publications

References 6 publications

Leaving Against Medical Advice Among Patients With Brain Tumours in the Middle East: Khoula Hospital Experience

Leaving Against Medical Advice Among Patients With Brain Tumours in the Middle East: Khoula Hospital Experience

Investigating the reasons for missing an outpatient appointment in Royal Hospital, Sultanate of Oman: Perspectives of patients and medical staff in a survey

Implementing the nurse practitioner role in Oman: Implications for policymaking

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