Nair Kesavan Sreekantan, Mughal Yasir Hayat, Albejaidi Fahad, Alharbi Ali H
Department of Health Informatics, College of Applied Medical Sciences, Qassim University, P.O. Box 6666, Buraidah 41542, Saudi Arabia.
Healthcare (Basel). 2024 Dec 17;12(24):2544. doi: 10.3390/healthcare12242544.
Saudi Vision 2030 is a game-changer for all aspects of the economy, including healthcare. This article provides a comprehensive overview of healthcare financing in the Kingdom of Saudi Arabia (KSA). It identifies key healthcare financing challenges that must be addressed to achieve the initiative's envisioned health system goals. The review also examines and demonstrates how healthcare funds in the KSA are allocated among different healthcare services, to offer a perspective on resource use efficiency at various healthcare levels. This research used a mixed-method design which includes a literature review and secondary data analysis. A literature review was conducted aligned with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. The secondary data were gathered from the reports and websites of government agencies, international organizations, and non-governmental organizations. Despite implementing significant reforms in its healthcare system, the share of private healthcare expenditure in total healthcare spending has seen only marginal growth. The current healthcare financing system appears insufficient to adequately support the chronically ill and the poor. There is a significant imbalance in the allocation of government budgets between hospitals and primary care, with four-fifths of financial resources directed towards hospital services. The Ministry of Health's budget allocation prioritizes personnel compensation, potentially reducing the available budget for medicines and other essential healthcare supplies. Ongoing reforms in the health sector, including privatization, public-private partnership initiatives, and the government's commitment to developing a robust primary healthcare network, are expected to play a significant role in controlling rapidly increasing public healthcare expenditures in Saudi Arabia.
《沙特阿拉伯2030愿景》对包括医疗保健在内的经济各方面而言都是一个变革者。本文全面概述了沙特阿拉伯王国（KSA）的医疗保健融资情况。它确定了为实现该倡议所设想的卫生系统目标必须应对的关键医疗保健融资挑战。该综述还考察并展示了沙特阿拉伯王国的医疗保健资金如何在不同的医疗服务之间分配，以便从不同医疗层面的资源利用效率角度提供一个视角。本研究采用了混合方法设计，包括文献综述和二手数据分析。文献综述是按照系统评价和Meta分析的首选报告项目（PRISMA）报告指南进行的。二手数据来自政府机构、国际组织和非政府组织的报告及网站。尽管沙特阿拉伯在其医疗保健系统中实施了重大改革，但私人医疗保健支出在总医疗保健支出中的占比仅略有增长。当前的医疗保健融资系统似乎不足以充分支持慢性病患者和贫困人口。政府预算在医院和初级保健之间的分配存在严重失衡，五分之四的财政资源用于医院服务。卫生部的预算分配优先考虑人员薪酬，这可能会减少用于药品和其他基本医疗保健用品的可用预算。卫生部门正在进行的改革，包括私有化、公私伙伴关系倡议以及政府致力于发展强大的初级医疗保健网络，预计将在控制沙特阿拉伯迅速增长的公共医疗保健支出方面发挥重要作用。
