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      The changing face of healthcare in Saudi Arabia

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          Abstract

          Many countries now struggle to provide cost-effective, quality healthcare services to their citizens. Saudi Arabia has experienced high costs along with concerns about quality of care in its public facilities. To address these issues the country is currently restructuring their healthcare system to privatize public hospitals and introduce insurance coverage for both foreign workers and citizens. The changes provide an interesting and insightful case for the challenges in radically changing a country’s healthcare system. The situation also demonstrates a unique case in the Middle East for greater reliance of the private sector to address rapidly escalating healthcare costs and deteriorating quality. The complexity of changing a healthcare system is discussed with the many challenges associated with the change.

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          Quality of primary health care in Saudi Arabia: a comprehensive review.

          Little is known about the quality of primary care in Saudi Arabia, despite the central role of primary care centers in Saudi health strategy. This study presents an overview of quality of primary care in Saudi Arabia, and identifies factors impeding the achievement of quality, with the aim of determining how the quality of Saudi primary care could be improved. Using a systematic search strategy, data were extracted from the published literature on quality of care in Saudi primary care services, and on barriers to achieving high-quality care. Of the 128 studies initially identified, 31 met the inclusion criteria for the review. Studies identified were diverse in methodology and focus. Components of quality were reviewed in terms of access and effectiveness of both clinical and interpersonal care. Good access and effective care were reported for certain services including: immunization, maternal health care, and control of epidemic diseases. Poor access and effectiveness were reported for chronic disease management programs, prescribing patterns, health education, referral patterns, and some aspects of interpersonal care including those caused by language barriers. Several factors were identified as determining whether high-quality care was delivered. These included management and organizational factors, implementation of evidence-based practice, professional development, use of referrals to secondary care, and organizational culture. There is substantial variation in the quality of Saudi primary care services. In order to improve quality, there is a need to improve the management and organization of primary care services. Professional development strategies are also needed to improve the knowledge and skills of staff.
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            Personal contemporary observations of nursing care in Saudi Arabia.

            Observations were made of the Saudi Arabian health-care delivery system, in regards to nursing care and the relationship between service provider and client. Current challenges facing the health-care system were also examined to determine how they affect nursing practice.
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              An Analysis Of Hospital Productivity And Product Change

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                Author and article information

                Journal
                Ann Saudi Med
                Ann Saudi Med
                Annals of Saudi Medicine
                King Faisal Specialist Hospital and Research Centre
                0256-4947
                0975-4466
                Jul-Aug 2008
                : 28
                : 4
                : 243-250
                Affiliations
                [a ]University of Oklahoma, Department of Health Administration Policy, Oklahoma City, Oklahoma, United States
                [b ]Operations and Management, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
                [c ]College of Business Administration, King Saud University, Riyadh, Saudi Arabia
                Author notes
                Correspondence and reprints: Stephen Lee Walston, PhD, Department of Health Administration & Policy, University of Oklahoma, 801 NE 13th Oklahoma City Oklahoma 73109 United States of America, T: +1-405-271-2114, F: +1-405-271-1868, swalston@ 123456ouhsc.edu
                Article
                asm-4-243
                10.5144/0256-4947.2008.243
                6074349
                18596400
                996566e9-2a6f-464d-8180-edfd0b29f4b0
                Copyright © 2008, Annals of Saudi Medicine

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 01 January 2008
                Categories
                Special Communication

                Medicine
                Medicine

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