Advancing Adolescent Health and Health Services in Saudi Arabia: Exploring Health-care Providers' Training, Interest, and Perceptions of the Health-care Needs of Young People

Overview

Journal Adv Med Educ Pract

Publisher Dove Medical Press

Specialty Medical Education

Date 2014 Sep 13

PMID 25214805

Citations 6

Authors

Fadia S AlBuhairan

Tina M Olsson

Affiliations

Soon will be listed here.

Abstract

Background: Adolescent health is regarded as central to global health goals. Investments made in adolescent health and health services protect the improvements witnessed in child health. Though Saudi Arabia has a large adolescent population, adolescent health-care only began to emerge in recent years, yet widespread uptake has been very limited. Health-care providers are key in addressing and providing the necessary health-care services for adolescents, and so this study was conducted with the aim of identifying opportunities for the advancement of knowledge transfer for adolescent health services in Saudi Arabia.

Methods: This Web-based, cross-sectional study was carried out at four hospitals in Saudi Arabia. Physicians and nurses were invited to participate in an online survey addressing their contact with adolescent patients, and training, knowledge, and attitudes towards adolescent health-care.

Results: A total of 232 professionals participated. The majority (82.3%) reported sometimes or always coming into contact with adolescent patients. Less than half (44%), however, had received any sort of training on adolescent health during their undergraduate or postgraduate education, and only 53.9% reported having adequate knowledge about the health-care needs of adolescents. Nurses perceived themselves as having more knowledge in the health-care needs of adolescents and reported feeling more comfortable in communicating with adolescents as compared with physicians. The majority of participants were interested in gaining further skills and knowledge in adolescent health-care and agreed or strongly agreed that adolescents have specific health-care needs that are different than children or adults (82.3% and 84.0%, respectively). With respect to health services, the majority (85.8%) believed that adolescents should be hospitalized in adolescent-specific wards. Only 26.7% of health-care providers believed that patients should be transferred from child to adult health-care services at 12-13 years of age, as is currently practiced in the country.

Conclusion: A gap exists between the training, knowledge and skills of health-care providers, and the needs to address health-care issues of adolescents in Saudi Arabia. This coupled with the fact that health-care providers are interested in gaining more knowledge and skills and are supportive of changes in the health-care system provides an opportunity for building local capacity and instituting medical and nursing education and health-care reform that can better serve the needs of the country's young population.

Citing Articles

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References

Lustig J, Ozer E, Adams S, Wibbelsman C, Fuster C, Bonar R . Improving the delivery of adolescent clinical preventive services through skills-based training. Pediatrics. 2001; 107(5):1100-7. DOI: 10.1542/peds.107.5.1100. View

Jacobson L, Mellanby A, Donovan C, Taylor B, Tripp J . Teenagers' views on general practice consultations and other medical advice. The Adolescent Working Group, RCGP. Fam Pract. 2000; 17(2):156-8. DOI: 10.1093/fampra/17.2.156. View

Tylee A, Haller D, Graham T, Churchill R, Sanci L . Youth-friendly primary-care services: how are we doing and what more needs to be done?. Lancet. 2007; 369(9572):1565-1573. DOI: 10.1016/S0140-6736(07)60371-7. View

. Access to health care for adolescents and young adults. J Adolesc Health. 2004; 35(4):342-4. DOI: 10.1016/j.jadohealth.2004.03.003. View

Viner R, Coffey C, Mathers C, Bloem P, Costello A, Santelli J . 50-year mortality trends in children and young people: a study of 50 low-income, middle-income, and high-income countries. Lancet. 2011; 377(9772):1162-74. DOI: 10.1016/S0140-6736(11)60106-2. View

Gooding H, Blood E, Sharma N . An educational intervention to increase internists' confidence with and provision of preventive services to adolescents and young adults. Teach Learn Med. 2012; 24(4):321-6. DOI: 10.1080/10401334.2012.715262. View

Cheng T, Savageau J, Sattler A, DeWITT T . Confidentiality in health care. A survey of knowledge, perceptions, and attitudes among high school students. JAMA. 1993; 269(11):1404-7. DOI: 10.1001/jama.269.11.1404. View

Din-Dzietham R, Liu Y, Bielo M, Shamsa F . High blood pressure trends in children and adolescents in national surveys, 1963 to 2002. Circulation. 2007; 116(13):1488-96. DOI: 10.1161/CIRCULATIONAHA.106.683243. View

Al-Makadma A, Al-Tannir M . The perception of adolescent medicine among health care professionals in Saudi Arabia. J Adolesc Health. 2010; 47(6):608-9. DOI: 10.1016/j.jadohealth.2010.04.015. View

10.

McDonagh J, Minnaar G, Kelly K, OConnor D, Shaw K . Unmet education and training needs in adolescent health of health professionals in a UK children's hospital. Acta Paediatr. 2006; 95(6):715-9. DOI: 10.1080/08035250500449858. View

11.

English A, Park M, Shafer M, Kreipe R, DAngelo L . Health care reform and adolescents-an agenda for the lifespan: a position paper of the Society for Adolescent Medicine. J Adolesc Health. 2009; 45(3):310-5. DOI: 10.1016/j.jadohealth.2009.06.001. View

12.

Gore F, Bloem P, Patton G, Ferguson J, Joseph V, Coffey C . Global burden of disease in young people aged 10-24 years: a systematic analysis. Lancet. 2011; 377(9783):2093-102. DOI: 10.1016/S0140-6736(11)60512-6. View

13.

Beaglehole R, Bonita R, Horton R, Adams C, Alleyne G, Asaria P . Priority actions for the non-communicable disease crisis. Lancet. 2011; 377(9775):1438-47. DOI: 10.1016/S0140-6736(11)60393-0. View

14.

Michaud P, Stronski S, Fonseca H, Macfarlane A . The development and pilot-testing of a training curriculum in adolescent medicine and health. J Adolesc Health. 2004; 35(1):51-7. DOI: 10.1016/j.jadohealth.2003.08.019. View

15.

Sawyer S, Afifi R, Bearinger L, Blakemore S, Dick B, Ezeh A . Adolescence: a foundation for future health. Lancet. 2012; 379(9826):1630-40. DOI: 10.1016/S0140-6736(12)60072-5. View

16.

Rosen D, Blum R, Britto M, Sawyer S, Siegel D . Transition to adult health care for adolescents and young adults with chronic conditions: position paper of the Society for Adolescent Medicine. J Adolesc Health. 2003; 33(4):309-11. DOI: 10.1016/s1054-139x(03)00208-8. View

17.

Alwan A, Maclean D, Riley L, Tursan dEspaignet E, Mathers C, Stevens G . Monitoring and surveillance of chronic non-communicable diseases: progress and capacity in high-burden countries. Lancet. 2010; 376(9755):1861-8. DOI: 10.1016/S0140-6736(10)61853-3. View

18.

Alderman E, Rieder J, Cohen M . The history of adolescent medicine. Pediatr Res. 2003; 54(1):137-47. DOI: 10.1203/01.PDR.0000069697.17980.7C. View

19.

Kramer T, Garralda M . Psychiatric disorders in adolescents in primary care. Br J Psychiatry. 1999; 173:508-13. DOI: 10.1192/bjp.173.6.508. View

20.

Wissow L, Fothergill K, Forman J . Confidentiality for mental health concerns in adolescent primary care. Bioethics Forum. 2003; 18(3-4):43-54. View