title: Quality of Diabetes Management in Saudi Arabia: A Review of Existing Barriers.
abstract: BACKGROUND
  Diabetes mellitus is a complex disorder that requires continuous management and medical care. The purpose of this review is to identify and summarize the barriers that affect diabetes management in Saudi Arabia.
  
  
  METHODS
  Studies that have examined the quality of diabetes management in Saudi Arabia were identified through online and manual literature searches. Two researchers independently searched and assessed for inclusion/exclusion criteria. All studies were screened by a specialist for the significance of the review. Studies that were included were evaluated for relevance, methodological rigor, and credibility by giving a quality score based on Russell and Gregory's criteria.
  
  
  RESULTS
  This review presents an overview of the quality of diabetes management and issues and barriers concerning the improvement of diabetes care in Saudi Arabia. The online literature search yielded 11 studies which met the inclusion criteria. Factors affecting the quality of diabetes care can be categorized into patient factors (such as adherence, compliance, attitudes, beliefs, knowledge, financial resources and co-morbidities) and healthcare providers' factors (including beliefs, attitudes and knowledge, patient - provider interaction and communication).
  
  
  CONCLUSIONS
  The identified barriers, both from patients and healthcare providers, will help healthcare authorities to improve diabetes management in Saudi Arabia. Improvement of health awareness about disease and disease management should be tailored through continuous patient education. Continuous training and seminars will also expand providers' knowledge that will ensure quality and effective diabetes management.
authors.affiliation: Community Health Science Department, College of Applied Medical Sciences. King Saud University, Riyadh, Saudi Arabia.
authors.forename: Khalid M
authors.initials: KM
authors.lastname: Almutairi
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D019468:Disease Management; D006801:Humans; D011787:Quality of Health Care; D012529:Saudi Arabia