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The Major Medical Ethics Challenging Facing the Public and Health Care Providers in K.S.A

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The Major Medical Ethics Challenging Facing the Public and Health Care Providers in K.S.A
Available on this link: (http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2012;volume=19;issue=1;spage=1;epage=6;aulast=Alkabba)
Dr. Abdulaziz Fahad Al Kabbaa

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The Major Medical Ethics Challenging Facing the Public and Health Care Providers in K.S.A

  1. 1. The Major Medical Ethics Challenging Facing the Public and Health Care Providers in K.S.A (http://www.jfcmonline.com/article.asp?issn=22308229;year=2012;volume=19;issue=1;spage=1;epage=6;aulast=Alkabba) By Dr. Abdulaziz Fahad Al Kabbaa Faculty of Medicine King Fahad Medical City KSAU-HS
  2. 2. Table of Contents
  3. 3. Medical Services are one of the priorities and highly needed in developed country like K.S.A. However, common problems occurred in our kingdom are ethical issues. Good medical ethics provide good medical services.
  4. 4. Major ethical issues in KSA In this research, ranking the top ethical challenges can be an effective and valuable way bringing them to the public
  5. 5. This research focuses on major ethical issues By the end of it, we should be aware of the most important major ethical issues facing the health care providers and public in K.S.A.
  6. 6. Review Literature Medical ethical challenges have been discussed widely in the literature as isolated ethical issues in health care. A modified Delphi Study was conducted with twelve clinical bio-ethicist members of the Clinical Ethics Group of the University of Toronto Joint Centre for Bioethics..
  7. 7. One question was asked what do you think are the top ten ethical challenges that Canadians may face in health care? The panel was asked to rank the top ten ethical challenges throughout the Delphi process & consensus was reached after three rounds
  8. 8. Cont… The research also seek perceptions and ethical problems generated within medical staff on medical industries. Many of the challenges listed by the panel have received significant public attention. In this research, different results may be achieved according to the difference in both culture and system.
  9. 9. Aims of this Study It aim of this study is to: Explore the Major Medical Ethical Issues that challenges and facing the public and health care providers in K.S.A.
  10. 10. Specific Objectives The specific objectives of this study are to : 1. 2. To explore the major medical ethical challenges and facing Saudi public & health care providers in K.S.A To know and rank the major ethical issues in K.S.A.
  11. 11. Methodology Study Design This is a cross-section study. (Qualitative Study) Study Area This study is conducted on three majors cities of K.S.A that considered abundant numbers of medical and academic : institutions, namely Riyadh, Jeddah and Dammam ( Tiaf,Tabuk, )
  12. 12. Cont… Study Population The study population consists of members of Ethics committee in the majors’ health institutions (hospitals) and/ or having experience in medical ethics field and medical administration (CEO) in KSA.
  13. 13. Sampling Technique: Random Sample of four (4) hospitals in Riyadh, two (2) in Jeddah & two (2) in Dammam. Besides, one in Taif and another one in Tabuk
  14. 14. Cont… The hospitals are: A. Riyadh 1.King Fahad Medical City (KFMC) 2.National Guard Hospital (KFNGH) 3.Military Hospital (RKH) 4.King Khalid University Hospital (KKUH) B. Jeddah 5.King Faisal Specialized Hospital 6.King Abdul-Aziz University Hospital (KAUH)
  15. 15. Cont… C. Dammam 7.Dammam Central Hospital 8.King Faisal Specialized Hospital D. Others 9. Taif – Military Hospital • Tabuk – Military Hospital
  16. 16. Data Collection Tool & Analysis Data Collection Tool & Analysis Method Method In this study Delphi Method which is validated & used in similar international study in Canada has been applied in this study. It has three steps: Step 1the participants were asked to list the top 10 medical ethics challenging health care provider in our culture (Saudi Arabia). They were requested to email their responses back to the investigators.
  17. 17. Step 2: These forms were collected and entered to SPSS file (Version 17)and frequencies of the ranks were obtained. These frequencies were ranked from the highest values to the lowest.
  18. 18. Ethical Issues in Saudi Arabia as described by Health Care Professionals Items Frequency Rank Patients Identification and Rights 55 1 Confidentiality 41 2 Medical Negligence (Medical Error( 31 3 Consent FORM (as a patient or as a research person) 30 4 Islamic Medicine & Ethics of Muslim Doctors 29 5 Research Ethics 27 6 Equity of Resource Distribution 27 7 Dealing with Health Care Team 25 8 Patients Require Resuscitation (DNR) 22 9 Examining Opposite Sex 17 10 Physicians Rights and Duties 12 11 The Effect Health System on Decision Making 12 12 Conflict of Interest 10 13 Legitimate Necessity 9 14
  19. 19. Cont… The results of this ranks were resent again to the respondents and they were asked to re-rank them, If they don’t agree about the item s’ importance. They were requested to email the new list back again to the researchers . 
  20. 20.  These forms were collected and entered to SPSS file and frequencies of them were obtained.  It were re-ranked again from the highest frequencies to the lowest.
  21. 21. Do you agree? Items Rank Patients Identification and Rights 1 Confidentiality 2 Medical Negligence (Medical Error) 3 Consent FORM (as a patient or as a research subject 4 Islamic Medicine & Ethics of Muslim Doctors 5 Research Ethics 6 Equity of Resource Distribution 7 Dealing with Health Care Team 8 Patients Require Resuscitation (DNR) 9 Examining Opposite Sex 10 Physicians Rights and Duties 11 The Effect Health System on Decision Making 12 Conflict of Interest 13 Legitimate Necessity 14 Abortion (Legal) 15 Yes No Your New Rank
  22. 22. Step 3: A panel consists of you -as highly professional expertise in the field- are invited to this meeting to decide the top 10 major ethical issues facing the Saudi community in this meeting. The final list top 10 will be compared with the international result (Canadian Study) .
  23. 23. MEDICAL ETHICAL ISSUES CHALLENGING FACING THE PUBLIC AND HEALTH CARE Providers in K. S. A. The 10 medical ethics- which have been agreed upon by the expertise- are as follow: 1- Patients Rights 2- Equity of resources 3- Confidentiality of the patients 4- Patient Safety 5- Conflict of Interest 6- Ethics of privatization 7- Informed Consent 8- Dealing with opposite sex 9- Beginning and end of life 10-Health Care Team Ethics
  24. 24. THANK YOU

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