Workforce Readiness For Saudi Moc Chronic Pathways: Evidence From Hafar Al-Batin Health Cluster
VOLUME 22, 2025
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Fahad ali AL-sahli , Ali falah alharbi, Omar Saleh Al_Muhaimeed, Ahmed Yousef , Hoda Ali Ahmed Shiba, kholoud mohsen al-enazi , Aljazi Khalid Almutairi , Ibtihal Salaheldin Abdelrahim Hoda Ali Ahmed Shiba, kholoud mohsen al-enazi , Aljazi Khalid Almutairi , Ibtihal Salaheldin Abdelrahim
Sultan obied alenazi , Hala Mahmoud Abd Elghany Ezz, amad saleh abdullah alharbi, Fahad Dakel N. Alharbi, Abdullah dhoimi alanazi, Amal Hussain Abdullah Al Ali, Hebatalla Abdelmaksoud Abdelmonsef Ahmed
Abstract
Background: Saudi Arabia’s Vision 2030 and Health Sector Transformation Program introduced the New Model of Care (MoC) to strengthen value based, integrated, and preventive healthcare delivery. The Chronic Care System is a core component of this transformation due to the rising burden of non-communicable diseases. Successful implementation of chronic care pathways depends on workforce readiness, yet evidence from health clusters remains limited.
Objective: To assess healthcare workers’ knowledge, attitudes, perceived challenges, and opportunities related to Saudi MoC chronic care pathway implementation in the Hafar Al-Batin Health Cluster (HBHC), In addition to identifying factors associated with workforce readiness.
Methods: An analytical cross-sectional study was conducted between June and July 2025 among healthcare workers in primary, secondary, and tertiary facilities within HBHC. A validated bilingual self-administered questionnaire assessed sociodemographic characteristics, MoC-related knowledge, attitudes, implementation challenges, and enabling opportunities. Data were analyzed using descriptive statistics, non-parametric tests, Spearman correlation, and stepwise linear regression in R software, with significance set at p < 0.05.
Results: A total of 400 healthcare workers participated (mean age 38.1 ± 7.7 years; 72% female). Regarding knowledge, higher scores were observed among primary healthcare staff (80%), consultants/specialists, and those directly involved in chronic care pathways (62.5%). For attitudes, perceptions that are more positive were associated with MoC training attendance (46%) and higher digital health experience (64%). Concerning challenges, the most frequently reported barriers were inadequate training or awareness (50%), low patient health literacy (51.5%), workforce shortages (36%), and digital system limitations. In terms of opportunities, participants prioritized enhanced staff training, continuous professional education, improved multidisciplinary collaboration, and strengthened digital infrastructure. Regression analysis showed that knowledge level and digital health experience were the strongest independent predictors of positive attitudes, explaining approximately 24% of variance.
Conclusion: Strengthening workforce training, digital competencies, and organizational support is essential to enhance readiness for effective MoC chronic care pathway implementation in rural health cluster settings.
Keywords :
Saudi Model of Care; Chronic Care; Workforce Readiness; Vision 2030; Digital Health.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty