Cultura

The Importance Of The Role Of Quality Standards For The Individual And Society In The Health Sector

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

Ahmad Ali Ahmad Alharbi
Sulaiman Saleh Alharbi
Rayan Muhji Alsulami
Saud Ayed Alotaibi
Hind Hanoud Alharbi
Salma Saad Alruqi
Hitham Mohammmed Hassan Alzahrani
Wafaa Lafi Awad Alsufyani
Waoud Ahmad Yahya Aldarbi
Ahlam Azim Owied Aljuaid

Abstract

This research paper looks at the perceived significance and influence of healthcare quality standards on the outcome and societal gains of individuals within the framework of the developing health sector of Saudi Arabia. The study applied a sequential explanatory mixed-methods design, with a quantitative survey of 362 healthcare professionals and 359 healthcare consumers being incorporated into the study alongside profound qualitative interviewing. These results show that there was a significant agreement on the intrinsic value of standards, and most professionals were tightly connected with better patient safety (86.5% agreement) and greater professional confidence, and the consumer showed a high level of trust (90.3%) in a system with strict standards. Nevertheless, the research reveals severe implementation pitfalls, such as a high degree of bureaucracy (71.3% of professionals reported the lack of decoupling of documentation and real care) and a severe lack of equity between the positive efficacy of the implementation in the private and public sectors. One important discovery is the empirical paradox of the awareness-valuation, which implies that consumers most significantly value accreditation in spite of low formal consciousness, and the trust is supplied by the systemic authority and experience. The research paper finds that although quality standards are an important institution to foster trust in society and preventive care in Saudi Arabia, their potential will be fully used only when resource gaps are eliminated, bureaucracy decreases, and there is a fair distribution of them throughout the health system.

Keywords : Healthcare Quality Standards; Saudi Arabia; Accreditation; Patient Safety; Implementation Equity..
Erin Saricilar
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