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沙特阿拉伯的医疗保健转型:自《2030年愿景》发布以来的概述

Healthcare Transformation in Saudi Arabia: An Overview Since the Launch of Vision 2030.

作者信息

Alasiri Ahmed Ali, Mohammed Viqaruddin

机构信息

College of Health Sciences, Saudi Electronic University, Riyadh, Saudi Arabia.

College of Health Sciences, Old Dominion University, Norfolk, VA, USA.

出版信息

Health Serv Insights. 2022 Sep 3;15:11786329221121214. doi: 10.1177/11786329221121214. eCollection 2022.

Abstract

Saudi Arabia's Vision 2030 has taken a centre stage in the development of its healthcare sector through privatization adopting Public Private Partnerships (PPPs). The objective of this study is to provide an overview of healthcare transformation in Saudi Arabia since the launch of the ambitious Vision 2030, identifying issues those need to be addressed and steps taken towards provision of health systems transformation. Literature review was based on extensive review of published and unpublished articles, where different search engines and databases searched using the key words: 'Saudi Healthcare', 'Healthcare transformation', 'Saudi vision: 2030', 'Public-Private Partnerships' and 'Privatization', in addition to secondary data as published in government reports, policy, government strategy documents and pertinent press releases. The future of the healthcare like many other developing economies continues to weigh policies for universal coverage while containing costs and the national transformation programme driven by social and economic factors has implemented strategic steps to develop its private healthcare system that includes: establishing health clusters, National Centre for Privatization & PPP - an official enabler for privatization of all government sectors and recently approved Private Sector Participation (PSP) Law involves several legislative enablers designed to enhance investor confidence in the privatization process. Although this study demonstrates systemic legislative progress to facilitate transformation process of healthcare sector, also endorses caution and research in identifying barriers to the implementation of PPPs, Saudi workforce development, implementing effective revenue cycle management function for healthcare reimbursement and ensuring vulnerable population access to good quality and tertiary healthcare. As healthcare of Saudi Arabia embarks on the transformation journey facing daunting challenges, but it appears that the government has laid out a roadmap with the legislative framework; however it is important that there is ongoing monitoring with adjustments as this complex and multifaceted process proceeds.

摘要

沙特阿拉伯的《2030年愿景》通过采用公私合作伙伴关系(PPP)实现私有化,在其医疗保健部门的发展中占据了核心地位。本研究的目的是概述自雄心勃勃的《2030年愿景》推出以来沙特阿拉伯的医疗保健转型情况,确定需要解决的问题以及为实现卫生系统转型所采取的步骤。文献综述基于对已发表和未发表文章的广泛回顾,使用关键词“沙特医疗保健”、“医疗保健转型”、“沙特愿景:2030”、“公私合作伙伴关系”和“私有化”在不同的搜索引擎和数据库中进行搜索,此外还参考了政府报告、政策、政府战略文件和相关新闻稿中发布的二手数据。与许多其他发展中经济体一样,医疗保健的未来仍在权衡全民覆盖的政策,同时控制成本,由社会和经济因素驱动的国家转型计划已实施战略步骤来发展其私立医疗保健系统,包括:建立健康集群、国家私有化与公私合作伙伴关系中心——所有政府部门私有化的官方推动者,以及最近批准的私营部门参与(PSP)法,其中涉及多项旨在增强投资者对私有化进程信心的立法推动者。尽管本研究展示了促进医疗保健部门转型过程的系统性立法进展,但也赞同在识别公私合作伙伴关系实施的障碍、沙特劳动力发展、为医疗保健报销实施有效的收入周期管理功能以及确保弱势群体获得优质和三级医疗保健方面保持谨慎并进行研究。随着沙特阿拉伯的医疗保健踏上面临艰巨挑战的转型之旅,但政府似乎已制定了带有立法框架的路线图;然而,随着这个复杂且多方面的过程推进,持续进行监测并做出调整很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09b6/9445529/e60a099deaf5/10.1177_11786329221121214-fig1.jpg

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