Evidence map›Paper›PMID 38021594›Full record

ArticleCureus2023

Barriers to Accessing Neurosurgical Services: A Cross-Sectional Study of Public and Patient Perspectives in Saudi Arabia.

Abdulsalam Aleid, Areej A Aljohani, Khalid M Alanazi, Renad Hamzi, Zainab A Alqassab, Arwa A Alrrzqi, Asmaa A Altarqi, Abbas Al Mutair, Awn A Alessa, Abdulmonem A Alhussain and 1 more

Abstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Abdulsalam AleidNeurosurgery, King Faisal University, Al Hofuf, SAU.
Areej A AljohaniMedicine, University of Tabuk, Tabuk, SAU.
Khalid M AlanaziMedicine and Surgery, Jouf University, Sakaka, SAU.
Renad HamziMedicine and Surgery, Jazan University, Abu Arish, SAU.
Zainab A AlqassabMedicine and Surgery, Almaarefa University, Riyadh, SAU.
Arwa A AlrrzqiMedicine and Surgery, King Abdulaziz University, Jeddah, SAU.
Asmaa A AltarqiMedicine and Surgery, Ibn Sina National College, Jeddah, SAU.
Abbas Al MutairResearch Center, Almoosa Specialist Hospital, Al Mubarraz, SAU.
Awn A AlessaNeurosurgery, King Fahad Hospital Al Hofuf, Al Hofuf, SAU.
Abdulmonem A AlhussainNeurological Surgery, King Fahad Hospital Al Hofuf, Al Hofuf, SAU.
Sami F AlmalkiSurgery, King Faisal University, Al Hofuf, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeurosurgical care is paramount for addressing various neurological conditions. However, several factors may hinder individuals from accessing these services. This study aimed to identify the factors that deter Saudi citizens from receiving neurosurgical care, emphasizing perceived barriers and sociodemographic influences.

methodsUtilizing a cross-sectional research design, this study surveyed 1,795 participants from five distinct regions in Saudi Arabia, capturing a wide demographic range including age, gender, education, occupation, and residence. Stratified random sampling was adopted to ensure representation across different socioeconomic backgrounds. Data was collected using structured online questionnaires in both Arabic and English, which assessed demographic characteristics, patient experiences, perceived barriers, and satisfaction related to neurosurgical services.

resultsThe majority of the participants (79.6%) reported never accessing neurosurgical services, and 28.8% indicated difficulties in accessing them. Most participants expressed neutral feelings (38.1%) or satisfaction (23.4%) with neurosurgical service accessibility, though a significant minority expressed dissatisfaction (9.0%) or strong dissatisfaction (4.3%). Concerning factors for selecting neurological services, the expertise and reputation of healthcare professionals were paramount, while cost and proximity were lesser concerns. Significant perceived barriers included financial constraints and prolonged appointment waiting times. Results also revealed a relationship between sociodemographic characteristics and perceived barriers: females, certain age groups (25 to 34 and above 65), those with higher education levels, retired individuals, and residents of the Northern Province and urban areas reported higher perceived barriers. Regression analysis identified gender, education level, employment status, and residency as significant predictors of perceived barriers.

conclusionThis study underscores the prominent barriers faced by Saudi citizens in accessing neurosurgical care, with financial constraints and waiting times being paramount. Additionally, sociodemographic factors play a crucial role in the perception of these barriers. As healthcare disparities persist, targeted interventions, policy reforms, and educational campaigns are essential to bridge the gap and ensure equitable neurosurgical care access across all demographic segments in Saudi Arabia.

Indexed as

barriers to accesscross-sectional studyhealthcare servicesneurosurgical caresaudi arabia

Identifiers

PMID38021594
PMCPMC10640699

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.