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

Rana A. Alhelali; Scott J.N. McNabb; Ziad A. Memish

doi:10.1016/j.jegh.2015.07.006

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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. Alhelali^a^{, *}^,dr.rana-@hotmail.com, Scott J.N. McNabb^b, Ziad A. Memish^a^{, 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.2015.07.006 How 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.
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.2015.07.006 How to use a DOI?
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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ris enw bib

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  -

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