Top Ethical Issues Concerning Healthcare Providers Working in Saudi Arabia
Top Ethical Issues Concerning Healthcare Providers Working in Saudi Arabia
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DOI：
10.2991/jegh.k.191211.001
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发表时间：
2020-06-01
影响因子：
7.3
通讯作者：
Al-Jahdali, Hamdan
中科院分区：
文献类型：
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作者：
Almoallem, Amar Mansour;Almudayfir, Mohammed Abdulaziz;Al-Jahdali, Hamdan
背景：在沙特阿拉伯工作的医疗保健提供者来自不同的国籍，文化和培训背景。本研究旨在评估医疗服务提供者在利雅得医院工作的道德困境和solutions.Methods的看法：这是一个横断面研究之间的医生工作在利雅得的私人和政府医院6月至2017年12月。该研究收集了有关人口统计学，医学伦理知识，这些知识的来源，以及一般常见的伦理问题和顶级的伦理问题和困境，在他们的日常practice.Results：共455名医生从政府和私人医院参加了这项研究。参与者的平均年龄为34.29 +/- 10.5岁，女性为29.7%，平均执业年限为13.0 +/- 11.5年。参与者确定的最重要的伦理问题是“与患者亲属对治疗的意见不一致”（91%），患者不同意专业人员的决定（84%），治疗不称职的患者（79%），与管理政策和程序的冲突（77%），资源稀缺（72%），决定不抢救或维持生命治疗（68%）。有显着差异，在处理有关性别，道德知识，国籍，资历，培训地点，私人或政府医院的学术和nonacademic.Conclusion：医疗服务提供者在利雅得医院面临多重伦理挑战的道德问题。除了通过医疗保健专业人员的教育计划提高伦理知识外，医疗保健专业人员和社会其他部门也有必要进行认真和持续的对话，以解决这些问题并提出建议。(c)2020 Atlantis Press International B. V.这是一篇在CC BY-NC 4.0许可证下分发的开放获取文章（http：//creativecommons.org/licenses/by-nc/4.0/）。
Background: Healthcare providers working in Saudi Arabia come from various nationalities, cultures, and training backgrounds. This study aimed to assess the perceptions of healthcare providers working in Riyadh hospitals about ethical dilemmas and solutions.Methods: This is a cross-sectional study among physicians working in Riyadh's private and governmental hospitals between June and December 2017. The study collected information on demographics, knowledge about medical ethics, the sources of such knowledge, and common ethical issues in general and the top ethical issues and dilemmas encountered in their daily practice.Results: A total of 455 physicians from government and private hospitals were enrolled in the study. The mean age of the participants was 34.29 +/- 10.5 years, females were 29.7% and mean years of practice was 13.0 +/- 11.5. The top ethical issues identified by the participants were "disagreement with the patients' relatives about treatment" (91%), patient disagreement with decisions made by professionals (84%), treating the incompetent patient (79%), conflict with administration policy and procedures (77%), scarcity of resources (72%), and making decision about do-not-resuscitate or life-sustaining treatment (68%). There were significant differences in dealing with ethical issues in relation to gender, confidence about ethical knowledge, nationality, seniority, training site, and private or government hospitals academic and nonacademic.Conclusion: Healthcare providers in Riyadh hospitals face multiple ethical challenges. In addition to improvement in ethics knowledge through educational program among healthcare professional, there is a valid need for healthcare professionals and other sectors within society to engage in serious and continuous dialogue to address these issues and propose recommendations. (c) 2020 Atlantis Press International B.V. This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).