Paper

For the research, Riyadh province will be the target site for the study. Based on the population density of both urban and rural area Of Riyadh will be identified, and the five regions with the highest and lowest “population density” will be picked. The two areas will be picked as they will meet the sample size. We will also perform a scoping review through the five-stage methodology framework. We searched sites such as Scopus, CINAHL, PubMed database using the search strategies redesigned by the expert or specialist, more so, out f of 4564 potential abstracts, we will pick about 112 journals or articles founded on the defined criteria and also presented in the content analysis. The method of data collection would be through survey and the use of public health surveillance information. The independent variables would be factors like age, region, income, and gender (Alfaqeeh et al. 2017). On the other hand, independent variables would be income variables.

The number of PHCCs facilities increased by 2013; however, there is still a shortage of services and resources such as the number of beds (Alghanim, & Alomar, 2015). This has made Riyadh province unable to cater for its people health-wise, resulting to frequenting and crowding of PHCCs facilities and hospitals. The government is expected to increase a total of 155 PHCCs through the country. Therefore the number of beds will increase, and the frequent users will not cause commotion in the hospitals (Alfaqeeh et al. 2017). Riyadh has one of the lowest number of doctors compared to other provinces in Saudi Arabia. This is due to the increase in the population in the province. This may be a weak argument because provinces with the highest population and rural areas like Baha, Qasim, and Najran have a higher PHCCS as well as doctors (Yaya et al. 2017). This information holds that in the provinces with secondary cities and less socio-economically developed Are not typically associated with shortages of shortages nor PHCCs (Alghanim, & Alomar, 2015). Additionally, a large proportion of workers in Saudis are non-Saudis, and this results in the highest number of turnovers of the staff. Most of Saudis also “tend to migrate to western countries to further their studies." After completion of studies, they are retained in those countries. AS a result, the Saudis healthcare workforce continues to be small.

The distance to the PCCs facilities is seen as the greatest barrier to accessing of the services. Distance is seen as the barrier despite of the other factors such as income, gender, and age for the case of majority of the rural residents (Alghanim, & Alomar, 2015). More so, the study will also explain how it is less of a barrier for someone to live in an urban center. Utilization of primary care services depends on the distance. Service provision is another factors that influences access to primary care services.

The low rate of patient satisfaction is experienced in Saudi Arabia public hospitals. Factors such as poor patient care and physical examination are bound to occur. The study will also ascertain if there is the existence of primary healthcare services all the time based on the participant’s response (Abuhammad, & Dalky, 2019). We will also inquire if the patient had gotten the test result on time or if the physician explained to them in a way they can understand their medical status. More so, we will find out if the patient worked into the PHCCs with an appointment or not. In most cases, the patient dislikes the system that lacks m booking of the appointment. Frequent users, in this case, can cause commotions and overcrowding, which leads to poor services in PHCCs. Other factors we will look at opening time. Opening time of the hospital can act as a barrier for access to primary care services. Some of the recommendation that would be made out of this study the need for recruiting more PHCCs physicians. The policymaker will understand the holistic picture of health care status and deliver a more efficient services, and then they will have to build more PHCCs facilities.

References

Abuhammad, S., & Dalky, H. (2019). Ethical Implications of Mental Health Stigma: Primary Health Care Providers’ Perspectives. Global Journal of Health Science, 11(12).

Alfaqeeh, G., Cook, E. J., Randhawa, G., & Ali, N. (2017). Access and utilization of primary health care services comparing urban and rural areas of Riyadh Providence, Kingdom of Saudi Arabia. BMC health services research, 17(1), 106.

Alghanim, S. A., & Alomar, B. A. (2015). Frequent use of emergency departments in Saudi public hospitals: implications for primary health care services. Asia Pacific Journal of Public Health, 27(2), NP2521-NP2530.

Yaya, S., Bishwajit, G., Ekholuenetale, M., Shah, V., Kadio, B., & Udenigwe, O. (2017). The urban-rural difference in satisfaction with primary healthcare services in Ghana. BMC health services research, 17(1), 776.