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迈向沙特阿拉伯财政可持续的医疗体系。

Toward a Financially Sustainable Healthcare System in Saudi Arabia.

作者信息

Almodhen Fayez, Moneir Wael M

机构信息

Pediatric Urology, Surgery Department, King Abdullah Specialist Children's Hospital, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, SAU.

Pediatric Urology, King Abdulaziz Medical City, Riyadh, SAU.

出版信息

Cureus. 2023 Oct 10;15(10):e46781. doi: 10.7759/cureus.46781. eCollection 2023 Oct.

DOI:10.7759/cureus.46781
PMID:37954697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10632744/
Abstract

BACKGROUND

This study aimed to find out the application of a sustainability model framework to test the financial sustainability of the healthcare system in Saudi Arabia and to suggest some reforms required to maintain a sustainable healthcare system in the country.

METHODS

To test the financial sustainability of the publicly funded healthcare system in Saudi Arabia, we applied analytical techniques using a sustainability model framework based on the framework indicators proposed previously by the Office of Sustainable Development, Bureau for Africa, U.S. Agency for International Development. An empirical time-trend analysis was also used to judge the financial sustainability of the healthcare system of Saudi Arabia in the future.

RESULTS

The results showed significant threats to the financial sustainability of the healthcare system. Saudi Arabia's revenues, gross domestic product (GDP), government budget, and Ministry of Health (MOH) budget were all directly influenced by the oil prices.

CONCLUSION

The healthcare system in Saudi Arabia seems to be financially unsustainable, and the need for change is inevitable. Saudi's ambitious program of development "Vision 2030" will surmount the challenges faced by the country and will lead to substantial enhancements in the health sector in Saudi Arabia, and other opportunities for improvement do exist.

摘要

背景

本研究旨在探寻一种可持续性模型框架的应用,以测试沙特阿拉伯医疗体系的财务可持续性,并提出该国维持可持续医疗体系所需的一些改革建议。

方法

为测试沙特阿拉伯公共资助医疗体系的财务可持续性,我们运用了分析技术,采用基于美国国际开发署非洲局可持续发展办公室先前提出的框架指标的可持续性模型框架。还进行了实证时间趋势分析,以判断沙特阿拉伯医疗体系未来的财务可持续性。

结果

结果显示,医疗体系的财务可持续性面临重大威胁。沙特阿拉伯的收入、国内生产总值(GDP)、政府预算和卫生部预算均直接受油价影响。

结论

沙特阿拉伯的医疗体系在财务上似乎不可持续,变革的需求不可避免。沙特雄心勃勃的“2030愿景”发展计划将克服该国面临的挑战,并将大幅提升沙特阿拉伯的卫生部门,而且确实存在其他改进机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/3a0b7991a679/cureus-0015-00000046781-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/ca0ad6662db7/cureus-0015-00000046781-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/65952d268840/cureus-0015-00000046781-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/2a29e068a3b3/cureus-0015-00000046781-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/6044988c37e2/cureus-0015-00000046781-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/6bb296b8f514/cureus-0015-00000046781-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/3a0b7991a679/cureus-0015-00000046781-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/ca0ad6662db7/cureus-0015-00000046781-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/65952d268840/cureus-0015-00000046781-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/2a29e068a3b3/cureus-0015-00000046781-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/6044988c37e2/cureus-0015-00000046781-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/6bb296b8f514/cureus-0015-00000046781-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/957f/10632744/3a0b7991a679/cureus-0015-00000046781-i06.jpg

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本文引用的文献

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An Analysis of Public-Private Partnerships and Sustainable Health Care Provision in the Kingdom of Saudi Arabia.沙特阿拉伯王国公私合作伙伴关系与可持续医疗保健提供情况分析
Health Serv Insights. 2019 Jul 4;12:1178632919859008. doi: 10.1177/1178632919859008. eCollection 2019.
2
What drove the health system reforms in the Kingdom of Saudi Arabia? An analysis.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。
Int J Health Plann Manage. 2019 Jan;34(1):100-110. doi: 10.1002/hpm.2584. Epub 2018 Aug 26.
3
Willingness to pay for improved public health care services in Saudi Arabia: a contingent valuation study among heads of Saudi households.
沙特阿拉伯民众对改善公共医疗服务意愿的支付意愿:沙特家庭户主的条件价值评估研究。
Health Econ Policy Law. 2020 Jan;15(1):72-93. doi: 10.1017/S1744133118000191. Epub 2018 Jun 4.
4
Healthcare Finance in the Kingdom of Saudi Arabia: A Qualitative Study of Householders' Attitudes.沙特阿拉伯的医疗保健财务:住户态度的定性研究。
Appl Health Econ Health Policy. 2018 Feb;16(1):55-64. doi: 10.1007/s40258-017-0353-7.
5
What would a sustainable health and care system look like?一个可持续的医疗卫生保健系统会是什么样子?
BMJ. 2017 Sep 4;358:j3895. doi: 10.1136/bmj.j3895.
6
Health care financing and the sustainability of health systems.医疗保健融资与卫生系统的可持续性。
Int J Equity Health. 2015 Sep 15;14:80. doi: 10.1186/s12939-015-0208-5.
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In place of fear: aligning health care planning with system objectives to achieve financial sustainability.取代恐惧:使医疗保健规划与系统目标保持一致以实现财务可持续性。
J Health Serv Res Policy. 2015 Apr;20(2):109-14. doi: 10.1177/1355819614562053. Epub 2014 Dec 11.
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National health financing policy in Eritrea: a survey of preliminary considerations.厄立特里亚国家卫生筹资政策:初步考虑因素调查。
BMC Int Health Hum Rights. 2012 Aug 28;12:16. doi: 10.1186/1472-698X-12-16.
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The changing face of healthcare in Saudi Arabia.沙特阿拉伯医疗保健领域不断变化的面貌。
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Health Care Manag (Frederick). 2007 Jan-Mar;26(1):19-30. doi: 10.1097/00126450-200701000-00003.