الفهرس 
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Abstract
SUMMARY
This study was undertaken to assess geriatric health program in a comparison way between Egypt and Saudi Arabia in order to improve the geriatric health care program in Egypt.
The study was conducted through two parts:
(1) An observational checklist was used to assess and compare geriatric health program in Egypt and in Saudi Arabia.
(2) A survey was used to collect data from elderly patients who attended OPD of the four selected centers in the study to assess their satisfaction about provided geriatric service.
This cross-sectional study was conducted in four geriatric health centers, two from Egypt and two from Saudi Arabia. These four centers were: Helwan center and Ganzour Center from Egypt, Al Hamra Center and Al Balad Center from Saudi Arabia.
By assessing the structure, process and outcome of geriatric health service in the studied geriatric centers, the study revealed that Saudi Arabia centers were significantly higher in patient cycle and booking process domains (p-value <0.05) than studied centers in Egypt. While in the remaining five domains (infrastructure, human resources, services, awareness of provided services and social support) as well as the general assessment score, there were no statistically significant differences between both countries. However, Helwan center from Egypt achieved the highest score for social support (73.3%) among the four studied centers while Al Hamra Center from Saudi Arabia did not meet the minimal requirements.
Patient satisfaction was assessed in terms of satisfaction of the healthcare givers, satisfaction of the availability of services, satisfaction of patients’ rights and satisfaction of the cleanliness.
There were a statistically significant difference between both countries regarding total satisfaction score (P-value <0.001) where A total of (97.3%) of patients declared a high satisfaction rate, (2.2%) had moderate satisfaction in Saudi Arabia, while in Egypt (95.5%) of patients had a high satisfaction rate, (3.8%) had moderate satisfaction and only 0.8% (97.3%) declared a low satisfaction rate for the offered services. The only satisfaction domain with no statistical difference between the two countries was patient satisfaction of the healthcare givers where elderly patients from the four centers were highly satisfied.
For both countries (Egypt and Saudi Arabia), it was projected that the proportion of older people aged 65 and over will increase to nearly 6% of the population by 2030. To offset the impact of the demographic shift and other changes on the traditional system, policymakers in the region must invest in the systems that would encourage and facilitate formal care provision, through partnership between the state and civil society for example and through investing in both old age and family support policies.