Family Medicine & Primary Care Review
eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
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3/2025
vol. 27
 
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Original paper

Patient perspectives on choosing hospitals over primary healthcare clinics: barriers and preferences in health service utilization

Sumaya Thamer Abdullah Alkubaisi
1
,
Yousif Abdulraheem Abdulghafor
2

  1. Al-Kindy College of Medicine, University of Baghdad/Iraqi Board for Medical Specialisations, Baghdad, Iraq
  2. Chairman of the Scientific Council of Family and Community Medicine Specialities, Iraqi Board for Medical Specialisations, Baghdad, Iraq
Family Medicine & Primary Care Review 2025; 27(3): 275-279
Online publish date: 2025/09/29
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1. Al-Hanawi MK, Khan SA, Al-Borie HM. Healthcare human resource development in Saudi Arabia: Emerging challenges and opportunities – a critical review. PHR 2020; 41(1): 1–16, doi: 10.1186/s40985-019-0112-4.
2. World Health Organization. Primary health care: closing the gap between public health and primary care through integration (2021). Available from URL: https://www.who.int/publications/i/item/primary-health-care-closing-the-gap-between-public-health-and-primary-care-through-integration.
3. Alkhazrajy LA. Quality of Primary Care Center Referral Letters and Feedback Reports among Sample of PHCCs in Baghdad/Al-Rusafa Health Directorate During 2015. KCMJ 2017; 13(1): 1–7, doi: 10.47723/kcmj.v13i1.114.
4. Aziz C. Struggling to rebuild Iraq’s health-care system. Lancet 2003; 362(9392): 1288–1289, doi: 10.1016/S0140-6736(03)14618-1.
5. Alrasheedy AA, Hassali MA, Stewart K, et al. Patient satisfaction with primary health care services in Saudi Arabia: a systematic review. JPHSR 2020; 11(1): 1–10.
6. Almalki M, FitzGerald G, Clark M. Health care system in Saudi Arabia: An overview. EMHJ 2017; 23(10): 719–721, doi: 10.26719/2011.17.10.784.
7. Cetorelli V, Shabila NP. Expansion of health facilities in Iraq a decade after the US-led invasion, 2003–2012. Confl Health 2014; 8: 16, doi: 10.1186/1752-1505-8-16.
8. Webster PC. Iraq’s health system yet to heal from ravages of war. Lancet 2011; 378(9794): 863–866, doi: 10.1016/S0140-6736(11)61399-8.
9. Alhiti HA. Reviewing the top health systems with comparison to Iraqi health system: Commercial health systems review. J Fac Med Baghdad 2021; 63: 43–49, doi: 10.32007/jfacmedbagdad.6311831.
10. Yassin BA. The impact of implementing the self-finance system on hospital utilization indicators in Baghdad City. J Fac Med Baghdad 2009; 51: 155–158.
11. Al-Khalisi N. The Iraqi healthcare system: a narrative review. Int J Health Plann Manage 2013; 28(3): e1–e9.
12. El-Saharty S. Improving health service delivery in developing countries: from evidence to action. Washington (DC): World Bank; 2009. Available from URL: http://documents.worldbank.org/curated/en/909501468340762844/Improving-health-service-delivery-in-developing-countries-from-evidence-to-action.
13. Prinja S, Bahuguna P, Gupta R, et al. Cost of delivering health care services in public sector primary and community health centres in North India. PLOS ONE 2017; 12(8): e0182516, doi: 10.1371/journal.pone.0160986.
14. Uzochukwu BSC, Onwujekwe OE, Akpala CO, et al. Community satisfaction with the quality of maternal and child health services in Southeast Nigeria. Afr J Reprod Health 2015; 19(2): 123–132, doi: 10.4314/eamj.v81i6.9178.
15. Levine DM, Linder JA, Landon BE. The quality of outpatient care delivered to adults in the United States, 2002 to 2013. JAMA 2020; 180(1): 1–10, doi: 10.1001/jamainternmed.2016.6217.
16. Omer W, Al-Hadithi T. Developing a socioeconomic index for health research in Iraq. East Mediterr Health J 2017; 23(10): 670–677, doi: 10.26719/2017.23.10.670.
17. Shabila NP, Al-Tawil NG, Al-Hadithi T, et al. Assessment of the Iraqi primary care referral system: reporting a high self-requested referral rate. Middle East J Fam Med 2012; 10(3): 4–10.
18. Alghamdi K, Aljohani A, Taha J, et al. Public awareness and utilization of the primary health care services in Al-Madinah, Saudi Arabia. Middle East J Family Med 2020; 18(2): 33–41, doi: 10.5742MEWFM.2020.93757.
19. Al-Shatari SAH, Hasan LA, Shwaish ZTM, et al. Practice and Opinion of Doctors in Primary Health Care Centers Toward Referral System: Samples from Nine Governorates in Iraq. KCMJ 2021; 17(2): 100–106.
20. Mahmood KA, Saleh AM. Barriers and facilitators influencing access to and utilization of primary healthcare services in Kurdistan-region, Iraq: a cross-sectional study. Ann Med Surg 2023; 85(7): 3409–3417, doi: 10.1097/MS9.0000000000000957.
Copyright: © 2025 Family Medicine & Primary Care Review. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
 
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