Cultura

Integrated Healthcare and Patients’ Quality of Life in Saudi Arabia: A Narrative Review of Evidence Across Primary Care, Dentistry, Nursing, and Digital Health Services

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

Sami A. I. Assiri, Shatha S. Mutadaris, Elham M. O. Ageeli, Bashaer R. Rambu, Hanan M. H. Alhawsawi, Samah M. M. AlQurashi, Muhannad A. Aldawsari, Essa S. E. Bin Jumayah, Haitham Al-Hakami, Majed M. Alomari, Majed S. Alharthi

Abstract

The importance of integrated healthcare in enhancing patient-centered outcomes and care coordination is becoming more widely acknowledged. With an emphasis on outcomes pertaining to patients' quality of life, this research synthesizes data from the Kingdom of Saudi Arabia to investigate integrated healthcare programs across primary care, dentistry, nursing, home healthcare, and digital health services. Improved continuity and coordination of care are linked to increased patient satisfaction and perceived health status, especially among people with chronic illnesses, according to data from primary healthcare settings. The most consistent reports of direct increases in health-related quality of life came from home healthcare facilities that offered integrated, multidisciplinary treatment. Access to and use of preventive oral healthcare were enhanced by the integration of dental services into primary care; nevertheless, inadequate interprofessional collaboration is still a problem. Digital health projects showed improved follow-up continuity and access to care. Overall, integrated healthcare in Saudi Arabia demonstrates potential benefits for patient-centered outcomes, underlining the need for stronger interprofessional integration and standardized quality-of-life evaluation to support ongoing healthcare transformation efforts.

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