The major medical ethical challenges facing the public and healthcare providers in Saudi Arabia

Background: Despite the relatively high expenditure on healthcare in Saudi Arabia, its health system remains highly centralized in the main cities with its primary focus on secondary and tertiary care rather than primary care. This has led to numerous ethical challenges for the healthcare providers....

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Main Authors: Abdulaziz F Alkabba, Ghaiath M. A. Hussein, Adnan A Albar, Ahmad A Bahnassy, Mahdi Qadi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Journal of Family and Community Medicine
Subjects:
Online Access:http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2012;volume=19;issue=1;spage=1;epage=6;aulast=Alkabba
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author Abdulaziz F Alkabba
Ghaiath M. A. Hussein
Adnan A Albar
Ahmad A Bahnassy
Mahdi Qadi
author_facet Abdulaziz F Alkabba
Ghaiath M. A. Hussein
Adnan A Albar
Ahmad A Bahnassy
Mahdi Qadi
author_sort Abdulaziz F Alkabba
collection DOAJ
description Background: Despite the relatively high expenditure on healthcare in Saudi Arabia, its health system remains highly centralized in the main cities with its primary focus on secondary and tertiary care rather than primary care. This has led to numerous ethical challenges for the healthcare providers. This article reports the results of a study conducted with a panel of practitioners, and non-clinicians, in Saudi Arabia, in order to identify the top ten ethical challenges for healthcare providers, patients, and their families. Materials and Methods: The study design was a cross-sectional, descriptive, and qualitative one. The participants were asked the question: "What top ten ethical challenges are Saudis likely to face in health care?" The participants were asked to rank the top ten ethical challenges throughout a modified Delphi process, using a ranking Scale. A consensus was reached after three rounds of questions and an experts′ meeting. Results: The major 10 ethical issues, as perceived by the participants in order of their importance, were: (1) Patients′ Rights, (2) Equity of resources, (3) Confidentiality of the patients, (4) Patient Safety, (5) Conflict of Interests, (6) Ethics of privatization, (7) Informed Consent, (8) Dealing with the opposite sex, (9) Beginning and end of life, and (10) Healthcare team ethics. Conclusion: Although many of the challenges listed by the participants have received significant public and specialized attention worldwide, scant attention has been paid to these top challenges in Saudi Arabia. We propose several possible steps to help address these key challenges.
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spelling doaj.art-abf24eeb5df645d39f614e94dc7c2bad2022-12-22T00:12:51ZengWolters Kluwer Medknow PublicationsJournal of Family and Community Medicine2230-82292229-340X2012-01-011911610.4103/2230-8229.94003The major medical ethical challenges facing the public and healthcare providers in Saudi ArabiaAbdulaziz F AlkabbaGhaiath M. A. HusseinAdnan A AlbarAhmad A BahnassyMahdi QadiBackground: Despite the relatively high expenditure on healthcare in Saudi Arabia, its health system remains highly centralized in the main cities with its primary focus on secondary and tertiary care rather than primary care. This has led to numerous ethical challenges for the healthcare providers. This article reports the results of a study conducted with a panel of practitioners, and non-clinicians, in Saudi Arabia, in order to identify the top ten ethical challenges for healthcare providers, patients, and their families. Materials and Methods: The study design was a cross-sectional, descriptive, and qualitative one. The participants were asked the question: "What top ten ethical challenges are Saudis likely to face in health care?" The participants were asked to rank the top ten ethical challenges throughout a modified Delphi process, using a ranking Scale. A consensus was reached after three rounds of questions and an experts′ meeting. Results: The major 10 ethical issues, as perceived by the participants in order of their importance, were: (1) Patients′ Rights, (2) Equity of resources, (3) Confidentiality of the patients, (4) Patient Safety, (5) Conflict of Interests, (6) Ethics of privatization, (7) Informed Consent, (8) Dealing with the opposite sex, (9) Beginning and end of life, and (10) Healthcare team ethics. Conclusion: Although many of the challenges listed by the participants have received significant public and specialized attention worldwide, scant attention has been paid to these top challenges in Saudi Arabia. We propose several possible steps to help address these key challenges.http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2012;volume=19;issue=1;spage=1;epage=6;aulast=AlkabbaBioethicsethical issuesethics prioritiesmedical ethics
spellingShingle Abdulaziz F Alkabba
Ghaiath M. A. Hussein
Adnan A Albar
Ahmad A Bahnassy
Mahdi Qadi
The major medical ethical challenges facing the public and healthcare providers in Saudi Arabia
Journal of Family and Community Medicine
Bioethics
ethical issues
ethics priorities
medical ethics
title The major medical ethical challenges facing the public and healthcare providers in Saudi Arabia
title_full The major medical ethical challenges facing the public and healthcare providers in Saudi Arabia
title_fullStr The major medical ethical challenges facing the public and healthcare providers in Saudi Arabia
title_full_unstemmed The major medical ethical challenges facing the public and healthcare providers in Saudi Arabia
title_short The major medical ethical challenges facing the public and healthcare providers in Saudi Arabia
title_sort major medical ethical challenges facing the public and healthcare providers in saudi arabia
topic Bioethics
ethical issues
ethics priorities
medical ethics
url http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2012;volume=19;issue=1;spage=1;epage=6;aulast=Alkabba
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