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沙特阿拉伯王国医疗体系改革的驱动因素是什么?一项分析。

What drove the health system reforms in the Kingdom of Saudi Arabia? An analysis.

作者信息

Rahman Redwanur, Alsharqi Omar Z

机构信息

Department of Health Services and Hospital Administration, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Int J Health Plann Manage. 2019 Jan;34(1):100-110. doi: 10.1002/hpm.2584. Epub 2018 Aug 26.

Abstract

PURPOSE

The primary objective of this article is to present the key directions taken by the Saudi health care system, following the announcement of the Saudi Vision 2030. The changing international scenario, together with reduced oil revenues, high population growth, emerging lifestyle diseases, and demands for better quality of care, has impacted the development of the Saudi health system. The government is now ardently pursuing private sector development and has initiated privatization and marketization as a core strategy of reforms in its health system. This article posits that the current economic conditions of the KSA and local and global market dynamics are the primary drivers for these reforms.

METHODS

This study is based on a scoping literature review.

FINDINGS

The intended reforms will have very limited contribution to improving the population's health, and the study remains inconclusive.

CONCLUSION

The Kingdom took a protective approach in reforming its health sector. The social values that undergird the government actions, especially, how much priority it gives to maintain status quo in the social and economic fabric vis-à-vis economic growth and development, have exerted a significant influence on whether the KSA chooses a pro-government or a pro-market approach; however, this could lead to a hybrid model of health care system.

摘要

目的

本文的主要目的是介绍沙特阿拉伯宣布《2030年愿景》后,沙特医疗保健系统所采取的关键方向。不断变化的国际形势,加上石油收入减少、人口高增长、新兴的生活方式疾病以及对更高医疗质量的需求,已经影响了沙特医疗系统的发展。政府目前正在积极推动私营部门发展,并已启动私有化和市场化,将其作为医疗系统改革的核心战略。本文认为,沙特阿拉伯王国目前的经济状况以及当地和全球市场动态是这些改革的主要驱动力。

方法

本研究基于范围界定文献综述。

结果

预期的改革对改善民众健康的贡献将非常有限,该研究尚无定论。

结论

沙特王国在改革其医疗部门时采取了一种保护性方法。支撑政府行动的社会价值观,特别是在经济增长和发展方面,政府在维持社会和经济结构现状上给予多大的优先考虑,对沙特阿拉伯王国选择亲政府还是亲市场的方法产生了重大影响;然而,这可能导致一种混合医疗保健系统模式。

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