Saudi Health and Medical Services


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Saudi Health and Medical Services

  1. 1. Healthcare in theKingdom of Saudi Arabia Abdullah Al Rabeeah, MD, FRCSC
  2. 2. OMANI TWINS (27 Oct 2007) Safa and Marwa
  3. 3. HISTORICAL BACKGROUND1926 Primary Health Care Centers (Taif & Makkah) Health Directorate of Makkah1928 Health and Emergency Services Directorates1931 Ministry of Interior (Department of Health)1950 Establishment of Ministry of Health (MoH) HRH Prince Abdullah Al Faisal (First Minister of Health) Formation of MoH coincided with establishment of hospitals
  4. 4. HISTORY OF HOSPITALS1950 The Eye Hospital (Jeddah)1952 Isolation Hospital (Jeddah)1954 Riyadh Central Hospital (KSMC)1961 National Guard Hospital (KAMC)1967 Security Forces Hospital King Abdulaziz University Hospital1978 Military Hospital (RMH)
  6. 6. HISTORICAL FACTS1978 Arab Board Training Programs1993Saudi Council for Health Specialties
  7. 7. Chapter 5 of the Basic Law of Saudi Arabia Rights of the Saudi Citizen Article 27 : The government guarantees the right to health care for citizens and their families in cases of emergency, sickness, disability and old age. Article 31 : The government is responsible for public health in the Kingdom and provides healthcare services for every citizen.
  8. 8. MINISTRY OF HEALTH (MoH) established 1950(5th article specifies MoH primary responsibilities) Guarantee provision of primary healthcare services to all citizens Provide secondary and tertiary healthcare services Develop strategies and implementation of plans to ensure provision of healthcare services
  9. 9. Improvements in Health Indicators
  10. 10. Decrease in contagious diseases despite increase in population (2003-2010) Source: MoH Statistical Yearbook (2003 - 2010)
  11. 11. Infection rate per 100,000 people by Major Infectious Diseases
  12. 12. Vaccination Coverage (Children aged 1 year)Country Ranking** KSA is within the first ten
  14. 14. CHALLENGES Increasing expectations of Saudi citizens Increasing healthcare costs Limited resources Effective deployment of available resources The Kingdom’s vast geography Implementation of quality standards Sustained growth Changing disease and population demography
  15. 15. Increased Healthcare Costs in Developed Countries (2002 – 2010)Sources: OECD, EIU, IMS Flashlight
  16. 16. Healthcare demand Continuous growth Factors– aging, chronic diseases, psychiatric illnesses, high rate of road accidents Increasing expectations of citizens
  17. 17. Change in Demographics (in millions)
  18. 18. Obesity and Diabetes RatesNote: 1) Nauru 2) Tonga - Oceanic islands near Australia with an estimated population between 9K and 100K respectivelySource: WHO (2010)
  19. 19. Contributing Factors to Chronic illnessSource: 2009 Annual Report to the General Administration of Traffic / 1st Saudi and GCC Health Promotion Council (2010)2009 WHO Statistics Report / MoH Anti-smoking Program (2010)
  20. 20. Limited resources Bed capacity Professional staff parameters
  21. 21. Hospital Beds (Per 1000 Capita - 2010)Source: OECD Health Data 2011 (* 2008 * 2009) / MoH
  22. 22. Physicians(Per 1000 Capita - 2010)
  23. 23. Nurses (Per 1000 Capita - 2010)Source: OECD Health Data 2011 (* 2008 * 2009 *2010) / MoH
  24. 24. Percentage of GDP spent on healthcare (2010)Source: OECD Health Data 2011 (* 2008 * 2009) / MoH
  25. 25. Per Capita Expenditures on Healthcare (2010)Source: OECD Health Data 2011 (* 2008 * 2009 *2010) / MoHNote: In USD, PPP (Purchasing Power Parity)
  26. 26. Private Sector ParticipationSource: 2011 WHO Statistics Report
  27. 27. Deployment of available resources Optimization of hospital beds (plus day surgeries) Effective use of hospitals (50 beds) ? Electronic processes Duplication
  28. 28. Hospital Occupancy Rates
  29. 29. MoH HospitalsPer Bed Capacity
  30. 30. Quality Standards Accreditation Proper resources Improvement of hospital infrastructure
  31. 31. International Experience in HealthcareAustralia South AfricaCanada SpainIreland TunisiaJordan UAEMalaysia UKMorocco USASingapore
  33. 33. Traditional Healthcare System Referrals Hospitals Healthcare Center Referrals Referrals Healthcare Healthcare Center Center Referrals Referrals Referrals Referrals
  34. 34. Integrated and Comprehensive Healthcare System Local Hospital Patient Central Healthcare Hospital Center Healthcare Center General Hospital Local Hospital Healthcare General Center Hospital Local Hospital Central General Hospital Hospital Central Hospital
  35. 35. Main ObjectivesTODAY FUTURE Central Hospital General Hospital Local Hospital A/B Primary Care Center
  36. 36. National Roll-out Medical City Central Hospital General Hospital Local Hospital A/B Primary Care Center
  37. 37. Major Initiatives
  38. 38. Classification of Facilities
  39. 39. Future Proposal Medical Specializations
  40. 40. PHC Services750 new primary care centersReplace rental property with MoH owned facilitiesIncrease from 2,086 to 2,736
  41. 41.  Transfer and referral system Electronic automation
  42. 42. Main Objectives
  43. 43. e-Health Work Plan
  44. 44. Current e-Health Project
  45. 45. Future e-Health Project
  46. 46. AccreditationNational accreditation program (CBAHI)International accreditation program (JCI)
  47. 47. Goals of ICHC Ease and timely access to care Comprehensive medical care services Automated referral system Equity to all levels of care Proper transfer and referral system
  48. 48.  Quality Safety Satisfaction
  49. 49. Challenges for Implementation  Funding  Resistance to change  Demographics  Electronic automation  Performance measures  Manpower training and development
  50. 50. Internal Consensus Building
  51. 51. National Consensus Building Health Heads of Committee- Directorate Shoura CouncilEquitable access of  Modernization and services and facilities increased efficiencySignificant  e-Health system will improvement of improve coordination in services healthcare delivery
  52. 52. International Consensus Building Hospitals should not be less than 150 beds MoH to focus on training and development to carry out implementation of project This approach has been adopted and validated by world-class health systems
  53. 53. Budget Parameters(over the next 5 years)
  54. 54. ICHC Implementation Develop and restructure hospitals Improve primary healthcare services Improve patient referral system Develop ambulance transportation system Develop medical information and e-Health system Develop Human Resources Ensure adequate supply of pharmaceuticals Implement accreditation of MoH facilities
  55. 55. 10-YearsStrategic Plan
  56. 56. Mass Gathering Medicine
  57. 57. Innovations
  58. 58. Projects
  59. 59. King Fahad Medical City (Central Region) King Abdullah Medical City (Western Region) King Faisal Medical City (Southern) and King Khalid Medical City (Dammam)Prince Mohammad bin Abdulaziz Medical City (Northern Region)
  60. 60. Proposed Healthcare Investment Model MoH Commissions Transfer of:  Process know-how  Technical know-how  Logistical support expertise  Technology
  61. 61. Opportunities Training for healthcare professionals Institutional Partnership Public-Private-Partnership Transfer of Technology Research Health Facility Development
  62. 62. SUMMARYHealthcare is a promising avenue for collaboration but requires robust business -to-government initiatives Opportunities are numerous and can be identified through the MoH 10-years strategic plan
  63. 63. Presentation of the Project tothe Custodian of the Two Holy Mosques (September 2009) “Nothing is more precious than the health of citizens” – The Custodian of the Two Holy Mosques
  64. 64. Thank You...
  65. 65. THANK YOU...