Evidence map›Paper›PMID 39020303›Full record

ArticleBMC primary care2024

Barriers faced by primary healthcare providers in addressing emergencies in the Northern region of Palestine before and during the Gaza war.

Suha Hamshari, Sondos Hamadneh, Mukaram Ghneem, Raghad Khalaf, Sara Daqqa, Rola Abu Alwafa, Mahfouz Ktaifan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

7 authors.

Suha HamshariDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine. s.hamshari@najah.edu.ORCID 0000-0003-0736-3368
Sondos HamadnehDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
Mukaram GhneemDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
Raghad KhalafDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
Sara DaqqaDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
Rola Abu AlwafaDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.ORCID 0000-0003-2311-9218
Mahfouz KtaifanDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.ORCID 0000-0002-1998-4551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPhysicians working in primary health care (PHC) centers are the first contact for patients and expected to deal with emergencies. Emergency care training in PHC settings has been neglected globally, especially in low to middle income countries. Adequate preparation becomes especially important during periods of conflict. The study objectives are to identify the barriers facing PHC physicians when dealing with emergency cases in the northern region of Palestine during the current conflict.

methodsA cross-sectional study was conducted with 179 physicians working in the 10 PHC centers distributed among 5 northern governances in Palestine. The study period was from July through December 2023. Data were collected electronically using a self-administered questionnaire, which was adapted from a comprehensive literature review. The questionnaire's internal validity was confirmed by a Cronbach's alpha coefficient of [0.85], indicating high reliability.

resultsThe ages of the physicians ranged from 25 to 60 years, with a mean ± SD of 35.3 ± 8.15 years. A significant majority (91.6%) were not boarded in any specialty. Most physicians (85.5%) had attended Basic Life Support (BLS) courses, whereas 45.2% and 72% had never attended Advanced Cardiovascular Life Support (ACLS) or Advanced Trauma Life Support (ATLS) courses, respectively. Physicians with emergency department experience (P = 0.002) and those who had attended ACLS courses (P < 0.001) reported significantly higher perceived competence in managing emergency cases.

conclusionEmergency services at PHC centers in northern Palestine are operational but require significant enhancements. There is a critical need for increased availability of essential equipment, supplies, and medications. Additionally, implementing comprehensive training programs in emergency management, particularly ACLS, is essential to improve the competence and performance of PHC physicians in emergency situations.

Indexed as

Primary Health CareAdultCross-Sectional StudiesEmergenciesEmergency Medical ServicesFemaleHumansMaleMiddle AgedMiddle EastSurveys and QuestionnairesDeveloping countriesEmergenciesPhysiciansPrimary health care

Identifiers

PMID39020303
PMCPMC11253419

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.