Chronic diseases are among the most increasing prevalent health problems and the leading cause of disability. Concomitant with this upsurge; patients are failing to receive appropriate care. Special forms are being used in the MOH-PHCCs for diabetic and hypertensive patients follow up; where each region has its own different form. This study was conducted to compare satisfaction of diabetic and hypertensive patients regarding the effect of the used forms on their follow up in Riyadh and Qatif's. also, to compare satisfaction of the PHCCs staff regarding the forms used for diabetic and hypertensive patients in Riyadh and Qatif and based on finding to recommend for improvement and standardization of the used forms for diabetic and hypertensive patients in Saudi PHCCs.
Methodology
A cross sectional study was conducted among diabetic and hypertensive patients and chronic disease care physicians and nurses in the nine selected PHCCs in each Qatif and Riyadh city. A two parts self-administered questionnaire was used to collect the information. The first part was for both physicians and chronic disease care nurses where the second part was for diabetic and hypertensive patients.
Results
More patients came forfollow up in Riyadh 155 (57.8%) compared to Qatif 134 (49.6%) (P value = 0.027). Qatif patients were more satisfied with consultation duration (p value < 0.001) and adjustment of management in each consultation according to their status (P value < 0.001). Slightly more patients from Qatif than Riyadh said that consultation questions were totally relevant (P value = 0.561). Qatif's staff spent more time with each patient per consultation than Riyadh's staff (P value = 0.009). Qatif's staff were more satisfied with the used form design than Riyadh's staff, ranked excellent by 20 (74.1%) of Qatif's staff compared to 2 (4.8%) of Riyadh's staff. Qatif's staff were more satisfied with the time spent in filling the used form 23 (85.2%) than Riyadh's staff 31 (75.6%). Riyadh's staffs were more able to complete form filling during each patient consultation 34 (81.0%) than Qatif's staff 17 (63.0%). The most common reason for inability to complete form filling by two cities' staff was large number of patients. Qatif's staff were more satisfied than Riyadh's staff with existence of needed information for patients follow up in the used form (P value < 0.001), its appropriateness and easiness for patient follow up (P value < 0.001) its ability to help in patient care (P value = 0.002).
Conclusion
Although Riyadh patients were more likely to come regularly for follow up, Qatif patients were more satisfied with interview duration and adjustment of management in each consultation according to their status. Beside this Qatif staff were more satisfied with the quality of the form used.