Health Administration Department, College of Business Administration, King Saud University, Riyadh, Saudi Arabia.
Department of Administrative and Human Sciences, College of Applied Studies and Community Service, King Saud University, Riyadh, Saudi Arabia.
Front Public Health. 2022 Mar 14;9:801273. doi: 10.3389/fpubh.2021.801273. eCollection 2021.
Healthcare systems are increasingly required to utilize effective approaches, apply evidence-based practice, and consequently sustain successful strategic management. Document analysis provides insights into the effective management tools applied by agencies to respond to crises. This article provides a practical exploration of how the Saudi health authority applied effective measures to eventually reduce the administrative and clinical consequences while managing the COVID-19 pandemic. The conceptual descriptive framework was based on health policy triangle of Walt and Gilson. Official reports and supporting documents issued by the Saudi government toward COVID-19 were operationally analyzed. Moreover, five healthcare professional experts were invited in a semistructured interview to assess the strategic steps that have been utilized to minimize the health risk by conducting a healthcare risk analysis. Various documents showed that two major entities were responsible for managing regulations and medications of COVID-19 in addition to six other entities that were partially involved. Although each entity was approved to work independently, their efforts were cohesively associated with each other. Most documents were well-applied on personal, social, organizational, and national strata. However, it is unclear how lessons identified became affirmative, while the collaboration remains vague, especially under the emergence of a new entity such as the Public Health Authority. Healthcare professional experts also positively supported the effectiveness of such policies to confront COVID-19 through the following three domains: health guidelines, utilizing simulation (telehealth/telecommunication) services, and ensuring continuity of services.
医疗保健系统越来越需要利用有效的方法，应用循证实践，并因此维持成功的战略管理。文档分析提供了机构应用有效管理工具应对危机的见解。本文对沙特卫生当局如何应用有效措施，最终减少管理 COVID-19 大流行的行政和临床后果进行了实际探索。概念描述性框架基于 Walt 和 Gilson 的卫生政策三角。对沙特政府发布的与 COVID-19 相关的官方报告和支持性文件进行了操作分析。此外，还邀请了五名医疗保健专业人员专家进行半结构化访谈，以评估通过进行医疗保健风险分析来最小化健康风险所采用的战略步骤。各种文件表明，除了另外六个部分参与的实体外，还有两个主要实体负责管理 COVID-19 的法规和药物。尽管每个实体都被批准独立工作，但它们的努力是相互协作的。大多数文件都在个人、社会、组织和国家层面上得到了很好的应用。然而，尚不清楚确定的经验教训如何成为肯定的，而合作仍然模糊不清，尤其是在出现新实体（如公共卫生当局）的情况下。医疗保健专业专家还通过以下三个领域积极支持这些政策在应对 COVID-19 方面的有效性：卫生指南、利用模拟（远程医疗/远程通信）服务以及确保服务的连续性。
