Journal of Epidemiology and Global Health

Volume 6, Issue 1, March 2016, Pages 19 - 27

Evaluation of home respiratory therapy delivered to patients in the Ministry of Health’s Home Medical Program (HMP) and administered through the Madinah HMP Center, Kingdom of Saudi Arabia, 2013

Authors
Rana A. Alhelalia, *, dr.rana-@hotmail.com, Scott J.N. McNabbb, Ziad A. Memisha, b, c
aMinistry of Health, Madinah, Saudi Arabia
bHubert Department of Global Health, Emory University, Rollins School of Public Health, Atlanta, GA, USA
cCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia
*Corresponding author at: Home Medical Care Center, General Directorate of Health Affairs in Madinah, Ministry of Health, P.O. Box 2615, 41461 Madinah, Saudi Arabia.
Corresponding Author
Rana A. Alhelalidr.rana-@hotmail.com
Received 30 December 2014, Revised 23 June 2015, Accepted 25 July 2015, Available Online 21 August 2015.
DOI
10.1016/j.jegh.2015.07.006How to use a DOI?
Keywords
Effectiveness; Evaluation; Home healthcare; Respiratory therapy; Saudi Arabia
Abstract

This was an evaluation of home respiratory therapy (HRT) services administered through the Madinah Home Medical Program (MHMP) Center of the Ministry of Health (MoH), Kingdom of Saudi Arabia (KSA). Using a retrospective design and descriptive analyses, we analyzed 83 patient records for the clinical care received, outcomes, and patient satisfaction. We also assessed a subset from an economic perspective. Demographically, 72% were >60 years of age, 80% were female, and 90% were Saudi. Asthma accounted for 34% of the diagnosed respiratory diseases, followed by chronic obstructive pulmonary disease (11%). Most patients (71%) required two or three respiratory modalities: 94% used oxygen therapy and 14% were on mechanical ventilation. A full 90% of HMP patients expressed a high level of satisfaction with the HMP overall care, and 43% saw an improvement in their condition. The MHMP lowered healthcare costs for HRT-receiving patients by decreasing the frequency of emergency room (ER) and outpatient visits by 50.8% from 59 to 30 visits. HRT administered through the MHMP Center improved clinical outcomes and increased patient satisfaction while reducing hospital utilization and associated costs. A prospective study is recommended to assess HMP services in comparison with hospitalization.

Copyright
© 2015 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
6 - 1
Pages
19 - 27
Publication Date
2015/08/21
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2015.07.006How to use a DOI?
Copyright
© 2015 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Cite this article

TY  - JOUR
AU  - Rana A. Alhelali
AU  - Scott J.N. McNabb
AU  - Ziad A. Memish
PY  - 2015
DA  - 2015/08/21
TI  - Evaluation of home respiratory therapy delivered to patients in the Ministry of Health’s Home Medical Program (HMP) and administered through the Madinah HMP Center, Kingdom of Saudi Arabia, 2013
JO  - Journal of Epidemiology and Global Health
SP  - 19
EP  - 27
VL  - 6
IS  - 1
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2015.07.006
DO  - 10.1016/j.jegh.2015.07.006
ID  - Alhelali2015
ER  -