Cultura

Collaborative Excellence In Patient-Centered Care: Exploring The Synergistic Roles Of Physicians, Nurses, Radiology Technicians, And Healthcare Administrators In Integrated Healthcare Delivery Systems Of Saudi Arabia

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Mazen Salem Bazarah, Ali Abdullah Al-Qarni, Majed Muhammad Radi Al-Sarihi, Ghandourah Saud Alotaibi, Tahani Al-Abdali, Amal Khalaf Eiss Al- Anazi, Maryam Awad Alanazi, Hamad Abdulaziz Hamad Albidah
Jamla fayez Mohammad alshahrani, Hayat abdulrazaq Rasheed alenezi, Alhanouf Matlaq Ibrahim Alotibi, Anwar manzil ayed alanizi, Afnan Sami Salem Alharbi, Randah khader Alqurashi, Rahmah Khalafallah Alkhalidi

Abstract

The healthcare landscape in Saudi Arabia is undergoing a profound transformation as part of Vision 2030, with a strategic emphasis on integrated care delivery systems that prioritize patient-centered approaches. This study examines the synergistic roles of key healthcare professionals—physicians, nurses, radiology technicians, and healthcare administrators—within Saudi Arabia's evolving healthcare ecosystem. Through a comprehensive analysis of recent literature and empirical studies, this paper explores the collaborative dynamics, challenges, and opportunities that characterize interprofessional practice in Saudi healthcare institutions. Particular attention is given to how these professional groups interact to deliver coordinated care, the systemic barriers they face, and emerging models that promote effective collaboration. The findings suggest that while significant progress has been made in fostering interprofessional collaboration, persistent structural, educational, and cultural challenges require targeted interventions. The article concludes with evidence-based recommendations for strengthening collaborative practice frameworks, enhancing interprofessional education, and developing leadership approaches that support integrated care delivery in the unique sociocultural context of Saudi Arabia.

Keywords : .
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