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沙特阿拉伯医疗保健系统的私有化

The Privatization of Health Care System in Saudi Arabia.

作者信息

Rahman Redwanur

机构信息

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

出版信息

Health Serv Insights. 2020 Jun 23;13:1178632920934497. doi: 10.1177/1178632920934497. eCollection 2020.

Abstract

Saudi Arabia's Vision 2030 highlights the development of the health care sector through privatization. This study examines the factors that prompted the privatization of the health care sector in Saudi Arabia. This is a scoping review based on an extensive review of both published and unpublished documents. We have accessed different search engines and databases to collect various research publications, journal articles, government reports, policy and planning documents, and relevant press reports/articles. While privatization of the health care sector in Saudi Arabia has experienced an upward trend, the public health care sector remains vital to bring in overall improvements in the health of all sections of Saudi Arabia's population. Keeping this in view, the government must strengthen its public health care sector to ensure affordable, accessible, and high-quality health care for all. This manuscript focuses on the policy aspect of the privatization of health care and is based on secondary research material. Increased privatization leads to rising expenses in health care, while adversely affecting equity and accountability in the provision of its services. Although this study is an independent analysis of Saudi Arabia's health care system, lessons learned from this context could be used widely for policy-making in other countries with similar socioeconomic settings.

摘要

沙特阿拉伯的《2030年愿景》强调通过私有化来发展医疗保健部门。本研究考察了促使沙特阿拉伯医疗保健部门私有化的因素。这是一项基于对已发表和未发表文献进行广泛综述的范围界定审查。我们利用了不同的搜索引擎和数据库来收集各类研究出版物、期刊文章、政府报告、政策与规划文件以及相关新闻报道/文章。虽然沙特阿拉伯医疗保健部门的私有化呈上升趋势,但公共医疗保健部门对于全面改善沙特各阶层民众的健康状况依然至关重要。有鉴于此,政府必须加强其公共医疗保健部门,以确保为所有人提供可负担、可及且高质量的医疗保健服务。本手稿聚焦于医疗保健私有化的政策层面,且基于二手研究资料。私有化程度的提高导致医疗保健费用上涨,同时对其服务提供中的公平性和问责制产生不利影响。尽管本研究是对沙特阿拉伯医疗保健系统的独立分析,但从这一背景中吸取的经验教训可广泛应用于其他具有类似社会经济背景国家的政策制定。

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