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政策论述:在沙特阿拉伯王国,将医疗保健负担从国家转移到市场。

Policy Discourses: Shifting the Burden of Healthcare from the State to the Market in the Kingdom of Saudi Arabia.

机构信息

Daffodil International University, Dhaka, Bangladesh.

Athar Institute of Health and Management Studies (AIHMS), New Delhi, India.

出版信息

Inquiry. 2021 Jan-Dec;58:469580211017655. doi: 10.1177/00469580211017655.

Abstract

Saudi Arabia has modified from a predominantly free, public, and comprehensive system under a welfare model to more of a mixed-economy model of healthcare. The welfare state slowly moved to a liberal model, emphasizing market forces to dominate in the provision of healthcare and the private sector was trusted to provide a better provision of healthcare. The country has to confront enormous problems in the health sector due to population growth, lifestyle changes, the shift of disease patterns, elevated expectations, escalated healthcare costs, limited infrastructure and resources, and poor management practice in the provision of healthcare. Moreover, the government has been emphasizing the need to bring in private sector investment to improve quality and efficiency, development of manpower, and standardization of services. As the current pattern of healthcare is unsustainable, the country is planning to restructure the present healthcare system toward institutionalizing it to meet future challenges. The governments must make an appropriate amount of effort to build their healthcare systems by transforming and modifying the challenges faced by society and its political-economic systems. The government should encourage equity, and fairness in the provision of healthcare.

摘要

沙特阿拉伯已将其医疗保健模式从以福利为基础的、主要以公有制为基础的、全面的体系转变为更多的混合经济模式。福利国家逐渐向自由模式转变,强调市场力量在医疗保健提供中的主导地位,并且信任私营部门能够更好地提供医疗保健服务。由于人口增长、生活方式的改变、疾病模式的转变、期望的提高、医疗保健成本的上升、基础设施和资源的有限以及医疗保健提供方面管理不善等问题,该国在卫生部门面临着巨大的问题。此外,政府一直强调需要引入私营部门投资,以提高质量和效率、开发人力和规范服务。由于目前的医疗保健模式是不可持续的,该国正计划对现有的医疗保健系统进行重组,使其制度化,以应对未来的挑战。政府必须做出适当的努力,通过改变和调整社会及其政治经济体系面临的挑战来建设自己的医疗保健系统。政府应鼓励在医疗保健提供方面的公平和平等。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e69e/8142522/aff8232e88c9/10.1177_00469580211017655-fig1.jpg

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