Quality of care in primary health care settings in the Eastern Mediterranean region: a systematic review of the literature

Saleh, Shadi; Alameddine, Mohamad; Mourad, Yara; Natafgi, Nabil

doi:10.1093/intqhc/mzu103

Cited by 31 publications

(30 citation statements)

References 117 publications

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“…There is a wide range of available resources and health care expenditure for individuals with diabetes in the region (7). Moreover, quality of care is a major concern in some countries of the region (40). In general, however, there is an underinvestment in diabetes care, even in the high-income countries of the EMR compared with high-income Western countries (4,7).…”

Section: Discussionmentioning

confidence: 99%

High Fasting Plasma Glucose, Diabetes, and Its Risk Factors in the Eastern Mediterranean Region, 1990–2013: Findings From the Global Burden of Disease Study 2013

et al. 2016

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OBJECTIVEThe prevalence of diabetes in the Eastern Mediterranean Region (EMR) is among the highest in the world. We used findings from the Global Burden of Disease 2013 study to calculate the burden of diabetes in the EMR. RESEARCH DESIGN AND METHODSThe burden of diabetes and burden attributable to high fasting plasma glucose (HFPG) were calculated for each of the 22 countries in the EMR between 1990 and 2013. A systematic analysis was performed on mortality and morbidity data to estimate prevalence, deaths, and disability-adjusted life years (DALYs). RESULTSThe diabetes death rate increased by 60.7%, from 12.1 per 100,000 population (95% uncertainty interval [UI]: 11.2-13.2) in 1990 to 19.5 per 100,000 population (95% UI: 17.4-21.5) in 2013. The diabetes DALY rate increased from 589.9 per 100,000 (95% UI: 498.0-698.0) in 1990 to 883.5 per 100,000 population (95% UI: 732.2-1,051.5) in 2013. In 2013, HFPG accounted for 4.9% (95% UI: 4.4-5.3) of DALYs from all causes. Total DALYs from diabetes increased by 148.6% during 1990-2013; population growth accounted for a 62.9% increase, and aging and increase in age-specific DALY rates accounted for 31.8% and 53.9%, respectively. CONCLUSIONSOur findings show that diabetes causes a major burden in the EMR, which is increasing. Aging and population growth do not fully explain this increase in the diabetes burden. Programs and policies are urgently needed to reduce risk factors for diabetes, increase awareness of the disease, and improve diagnosis and control of diabetes to reduce its burden.

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Section: Discussionmentioning

confidence: 99%

High Fasting Plasma Glucose, Diabetes, and Its Risk Factors in the Eastern Mediterranean Region, 1990–2013: Findings From the Global Burden of Disease Study 2013

et al. 2016

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“…Alternatively, findings of a study conducted in 2015 showed that there were gaps in the evidence on quality in primary care in the EMR region [ 7 ]. Another primary care - focused research revealed no major difference in compliance with accreditation standards between health services that went for accreditation and their counterparts.…”

Section: Introductionmentioning

confidence: 99%

Examining the impact of accreditation on a primary healthcare organization in Qatar

2018

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BackgroundAlthough a modest body of literature exists on accreditation, little research was conducted on the impact of accreditation on primary healthcare organizations in the Middle East. This study assessed the changes resulting from the integration of Accreditation Canada International’s accreditation program in a primary healthcare organization in the State of Qatar.MethodsThe study investigated how accreditation helped introduce organizational changes through promoting organizational learning as well as quality improvement initiatives. Applying a quantitative design, a structured questionnaire was used to collect data from 500 staff. The study used Spearman’s correlation coefficient to analyze the collected survey data.ResultsOverall employees agreed on the positive impact of accreditation. The results showed a significantly positive correlation between staff perception of accreditation and of quality of care. The two dominant cultures at Primary Health Care Corporation were “group” (with a score of 28.61) and “hierarchical” (with a score of 26.59). The results showed a positive correlation between staff perception of accreditation and their perception of culture type whenever the culture was identified as “group”.ConclusionsThis study provided much-needed insight on the possible changes that organizations might go through in relation to quality improvement and organizational learning.

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“…With respect to the EMR, WHO has its own Index Medicus for the Eastern Mediterranean Region (IMEMR), which includes some 600 journals produced in the Region, some of which, but not all, are included in PubMed. Subsequent similar studies should include such important database (20,21).…”

Section: Discussionmentioning

confidence: 99%

Development of an Eastern Mediterranean Region search strategy for biomedical citations indexed in PubMed

Tadmouri

Mandil

Rashidian

2017

East Mediterr Health J

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Mise au point d'une stratégie de recherche pour la Région de la Méditerranée orientale en matière de citations biomédicales indexées dans PubMed RÉSUMÉ PubMed, une base de données bibliographiques en libre accès, couvrant les disciplines des sciences biomédicales et de la santé, est utilisée avec succès pour identifier de nombreux indicateurs qui permettent d'analyser les tendances mondiales en matière de productivité de la recherche biomédicale. La présente étude constitue une tentative originale en vue de définir et d'optimiser une stratégie de recherche pour la Région de la Méditerranée orientale dans PubMed afin d'ouvrir la voie à des analyses descriptives ultérieures. Cette stratégie optimisée comporte des syntaxes complexes qui facilitent le contrôle du processus de recherche et assurent un juste équilibre entre la sensibilité et la précision des résultats obtenus. Les données de citation spécifiques à chaque pays ont été soumises à un examen manuel afin de repérer les fausses publications positives. Les résultats que nous avons obtenus indiquent que la productivité des publications a quasiment été multipliée par cinq dans la Région de la Méditerranée orientale entre 2004 et 2013. L'étude a montré que seuls cinq pays (la République islamique d'Iran, l'Égypte, l'Arabie saoudite, le Pakistan et la Tunisie ; par ordre de nombre de publications totales) ont contribué à 80 % de toutes les publications pour la Région de la Méditerranée orientale pendant cette période. La contribution de chacun des 17 pays restants de cette Région a été inférieure à 4 %. Nous pensons qu'il est possible d'utiliser la méthodologie présentée dans cette étude en association avec d'autres mesures afin de définir des indicateurs précieux permettant de décrire les systèmes de recherche en santé au sein de la Région de la Méditerranée orientale. ABSTRACT PubMed, a 'barrier-free' bibliographic database covering biomedical and health disciplines, has been successfully used to identify a multitude of indicators that assist in analyzing global trends for biomedical research productivity. The current study represents an original attempt to develop and optimize an Eastern Mediterranean Region (EMR) search strategy in PubMed to pave the way for subsequent descriptive analyses. The refined EMR search strategy contains elaborate syntaxes which facilitate controlling the search process and maintaining a proper balance between sensitivity and precision of the obtained results. Country-specific citation data were manually scanned for false positive publications. Our results indicate that publication productivity increased nearly five-fold in the EMR from 2004 to 2013. Five countries (Islamic Republic of Iran, Egypt, Saudi Arabia, Tunisia and Pakistan; in order of total publications) contributed to 80% of all EMR publications during this period. Each of the remaining 17 EMR countries contributed less than 4%. We believe that the methodology presented in this study can be used in conjunction with other metrics to extract invaluable indicators to descr...

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Quality of care in primary health care settings in the Eastern Mediterranean region: a systematic review of the literature

Abstract: These findings highlight gaps in evidence on quality in PHC in the EMR; such evidence is key for decision-making. Researchers and policy-makers should address these gaps to generate contextualized information and knowledge that ensures relevance and targeted high-impact interventions.

Cited by 31 publications

References 117 publications

High Fasting Plasma Glucose, Diabetes, and Its Risk Factors in the Eastern Mediterranean Region, 1990–2013: Findings From the Global Burden of Disease Study 2013

High Fasting Plasma Glucose, Diabetes, and Its Risk Factors in the Eastern Mediterranean Region, 1990–2013: Findings From the Global Burden of Disease Study 2013

Examining the impact of accreditation on a primary healthcare organization in Qatar

Development of an Eastern Mediterranean Region search strategy for biomedical citations indexed in PubMed

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