Opportunity arabia oct 12 health challenges and problems
Health: Problems and ChallengesOpportunity ArabiaOctober 1st 2012
Saudi Arabia•Largest health care market in the GCC•Population 28 Million•Current health care services inadequate –supply only 60% of requirements
Government AimsWorld class health care facilities for citizens and expatriatesMassive expansion of health care sectorCentre for Medical Tourism
Achievements – Health Services 1 408 Hospitals in total (50- 1000+ beds) 244 Public Hospitals 34,370 beds
Achievements – Health Services 2• Tertiary Care – Organ transplants, 30 operationsfor conjoined twins • 21 Medical Colleges – 18 Government, 3 Private
Achievements - Population1960 population 3 million, 90% nomadic2012 population 28 Million, mostly urbanisedDoubling of life Expectancy since 1960sHuge reductions in mortality and morbidity rates
Health Care Sector• Government dominated – MOH provides 60% ofexpenditure• Free of charge to all Saudis• Limited care for expatriates fuels demand for privatemedicine
Structure of Services•Tier 1 : Primary Care Centres and Clinicsthroughout the Kingdom•Tier 2: Secondary Care Hospitals and SpecialisedTreatment Hospitals largely in the urban areas
Ministry of Health (MOH) Ministry of 20 MOH Health (MOH) Regions Planning and Role Development of Services Curative Preventative
Health Services MOH 60% MOH 40% Others Private KFSHRC NGHA MOD Education 30%
Other Providers 40% of Other 40% Services Military & 30% Private Education Private 30% 10%Quasi Government KFSHRC NGHA MODA Universities 10%
Private Sector• Small hospitals 50-200 beds• Out patient services and minor surgery• Variable standards
Budgetary Allocations1816141210 8 6 4 2 0 KSA USA Japan China Germany
Resources• Compared to other developed countries there is a shortage of beds, nurses and doctors.• Saudi Arabia has greater shortages than other GCC countries with lowest number of beds, nurses and doctors.
Rural/ Urban Divide • Medical services concentrated in cities of Riyadh, Jeddah, Al Khobar and Dammam • Delivery of quality services in other cities and rural areas is weak.
Challenges: Demographics• 50% of population under age 25• Population over 60 set to double• Lifestyle diseases – obesity, diabetes, cardiac diseases , renal diseases
Solutions: MOH Medical Cities 6 New Medical Cities• Additional 6200 beds• Highly specialised centres for cancer, organ transplant surgery, eye surgery and cardiac diseases.
Solutions: MOH Hospital Expansion• New hospital construction – major bed expansion in all regions of the country
Solutions: New Clinics• Primary Care - SAR 7 Billion for establishing and funding 2000 Primary Care Services• Rehabilitation Services• Polyclinics
Solutions: MOH Initiatives• Preventative Health Programmes• E Health: Electronic Records and telemedicine• Home Medicine Programme for ambulatory care
Solutions: Private Sector Expansion 2012 -2015• Mandatory health insurance for expats creates increased demand for private medical care.• Health insurance may be extended to Saudi citizens• Health insurance predicted to grow by 19% by end of 2015
Solutions: Training• Ministry of Education will establish Medical training schools in all 24 Government Universities.
Solutions: Quality Control• Quality Control of Clinical Services• Hospital Accreditation System• Standardisation of Medical Education
Opportunities• Hospital design and construction• Private medical insurance• Training and Recruitment• Pharmaceuticals and medical equipment
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