Health System in Saudi Arabia CHP300: Community Health Program-l Mohamed M. B. Alnoor.
-
Upload
cornelius-rich -
Category
Documents
-
view
219 -
download
2
Transcript of Health System in Saudi Arabia CHP300: Community Health Program-l Mohamed M. B. Alnoor.
Health System in Saudi Arabia
CHP300:CHP300:
Community Health Community Health Program-lProgram-lMohamed M. B. Alnoor
Health System in Saudi Arabia
• To know why should a medical student understand the health system• To understand what is a health system• To know the components of a health system • To Know the strengths and weaknesses of the current health system• To Know the Cooperative Health Insurance
in KSA• To know the challenges facing the current Saudi health system• To know the future changes in the Saudi Health System Strategy
Lecture Objectives
Health System in Saudi Arabia
Lecture ObjectivesWhy should a medical student understand the health system
•You belong to it (you are part of the system)• To participate in the system’s improvement process• To understand the medico-legal aspects of patient care
Health System in Saudi Arabia
What is Health:
Definitions
Health System
(WHO) 1948
“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”
Health System in Saudi Arabia
Definitions
What is a Health System ?A health system is the sum total of all the organizations, institutions and resources whose primary purpose is to improve health.
Health System
What is a System ?
A SET OF INTERRELATED AND INDEPENDENT PARTS DESIGNED TO ACHIEVE A SET OF GOALS.
Health System in Saudi Arabia
A health system needs to provide services that are: Responsive,
Financially fair,
Treating people decently.
(WHO)
Health System Needs
Health System in Saudi Arabia
Financing Resources Legislative Authorities Health Regulators Health Care Providers Human Resources Medical supplies providers Pharmaceutical producers Judiciary Services
Health System: Components
Health System in Saudi Arabia
Financing Resources:Governmental 5.9% of GNP in 2006. Out of pocket. Charity. Donation.
Health System: Components
Health System in Saudi Arabia
Legislative Authorities:
The Royal Cabinet:
Al Shora Council
The Bureau of Experts
Health System: Components
Health System in Saudi Arabia
Health Regulators:
The National Organizations:
The National Health Council Ministry of healthThe Saudi Commission for Health Specialties Council of Co-operative Health Insurance The Saudi Food and Drug Authority
Health System: Components
Health System in Saudi Arabia
Health Care Providers:• Ministry of Health• Ministry of Defense and Aviation• National Guards• Ministry of Interior• Specialized Hospitals (KFSH, KKESH)• Universities (Ministry of Higher Education)
Health System: Components
Health System in Saudi Arabia
Health Care Providers:• Ministry of Social welfare• The Private Health Providers • The big Companies: Saudi Aramco, SABIC, Saudi Electric Company, Saudi Airlines • Charity Health Providers• The Saudi Red Crescent
Health System: Components
Health System in Saudi Arabia
Health Care Providers:
MOH 58.5%
Private Sector 23 %
Other GovernmentalSectors 18.7%
Hospital Beds distribution according to sectors
Source: MOH Annual report 2007
Health System: Components
Health System in Saudi Arabia
SECTOR
14091427
#OFHOSPITALS
#OFBEDS
#OFHOSPITALS
#OFBED
S
MINISTRYof HEALTH
16225 91822031 877
OTHER GOVERNM.
306 5923910 257
PRIVATE SECTOR
616 44512712 590
TOTAL25338 95538654724
Health Care Providers:
Health System: Components
Health System in Saudi Arabia
Health Care Providers:
PRIMARY HEALTH CARE
SECONDARY HEALTH CARE
TERIEARY HEALTH
CARE
Level of Care
>2000
Around 400
Health System: Components
Health System in Saudi Arabia
Human Resources:
Professionals Nationalities Gender Cultural
Backgrounds
Health System: Components
Health System in Saudi Arabia
Medical supplies providers:•Medical supplies (consumables)• Medical Equipment• Medical Instruments• Medical Devices Around 30 Medical Supplies Factories in KSA
Health System: Components
Health System in Saudi Arabia
Pharmaceutical Producers:
• Medications
• Medical Solutions
• Immunizations
Health System: Components
Judiciary Services
Committee for Private sector violations Medico-legal committee. Health Insurance Violation Committee
Health System in Saudi Arabia
Health System: Components
Health System in Saudi Arabia
Ministry of Health Organizational Chart
Health System in Saudi ArabiaMinistry of Health Organizational Chart
الوزير
وكيل الوزارة
للشئون التنفيذية
الوزارة وكيلو للتخطيط
التطويروكيل
الوزارة المساع
دللطب الوقائ
ى
وكيل الوزار
ة المسا
عدللطب العالج
ى
وكيل الوزارة
المساعد العداد
تطوير و القوىالعاملة
وكيل الوزارة
المساع
دللتخطي
طو
البحوث
Health System in Saudi Arabia
Distribution of Provinces (13)
Health System in Saudi Arabia
Province Organizational Chart
Health System in Saudi Arabia
Province Organizational Chart
الصحية المدير للشئونالعام
التوعية و االعالم ادارةالصحية
الطبية اللجنةالمتابعة الشرعية ادارةالفنية
و االدارى المستشارينالمخلفات الفنى لجنة
ضمان الطبية ادارةالجودة
المساعد و للتخطيط
التطوير
المساعد للمستش
فيات
المساعد
للتموين
الطبى
المساعد المالى
واالدا رى
المساعد للرعاية الصحية األولية
للتخطيط المساعدالتطوير و
Health System in Saudi Arabia
Role of Provincial Health Director
• Manage Patient Care • Supervise the private sector • Supervise reporting of infectious diseases among all health providers • Co-operate with health related agencies • Participate in the health development planning
Health System in Saudi Arabia
STRENGTHS AND WEAKNESSES OF THE CURRENT HEALTH SYSTEM
Strengths:
• Universal (covers everybody) (NHS)• Accessible• Comprehensive ( primary, secondary and tertiary)• Safe• Equitable
Health System in Saudi Arabia
Weaknesses:
Single source financing dependent Multi - sectoral:
o Duplication of services among Providers
o Difficult to Co-ordinateo Waste of resources
STRENGTHS AND WEAKNESSES OF THE CURRENT HEALTH SYSTEM
Health System in Saudi Arabia
CHALLENGES FACING THE CURRENT HEALTH SYSTEMFinancial
1956: 39.549.458 SR1958: 68.480.000 SR1960: 116.395.000 SR
2009: 40.43 billion SR 2010: 61.20 billion SR 2011: 68.70 billion SR
Budget allocated to the health sector by the Ministry of Health :
Health System in Saudi Arabia
CHALLENGES FACING THE CURRENT HEALTH SYSTEMFinancial
Data for decision-making/policy-making .ManpowerPopulation:
Growth Aging Demanding
Changes in Disease patterns (NCD) New medical technologies and new medications
Health System in Saudi Arabia
The overall development boom Population growth of 3.1% per
annum Expatriate workers ( seven
millions) Increased demand on health
services Rise in the cost of health care
HIGH COST OF HAELTH HIGH COST OF HAELTH CARE CARE
Health System in Saudi Arabia
A delivery system that prevents abuse and
excessive use a managed health care model,
under theCooperative Health Insurance
HIGH COST OF HAELTH HIGH COST OF HAELTH CARE CARE
Health System in Saudi Arabia
Islamic Cooperative Insurance (Takaful)Sudan in 1979 and Malaysia in 1984Followed by :IndonesiaBruneiSaudi ArabiaBahrain Qatar.
Health InsuranceThe Cooperative Health Insurance in KSA
Recently, UAE, Kuwait, Egypt and Bangladesh
Health System in Saudi Arabia
Act and Laws1985 : Royal Decree No
(M/5)1999, Cooperative Health Insurance Act .Based on Islamic ‘Takaful’
Aimed at covering ultimately the whole Saudi and non Saudi population.
Health InsuranceThe Cooperative Health Insurance in KSA(Takaful)
2003: control law of cooperative insurance companies. 2005: compulsory for all non-Saudis(private sector)2008: included Saudis (private sector )
May 2009: bylaws were declared
Health System in Saudi Arabia
Pros and ConsPros H.I. became the largest insurance business:By 2011: 8.3 million health insured individuals,
2,147 Health Care Providers accredited 26 Health Ins. Co. certifiedFuture : 2011-2020: up to 40,000 job opportunities . 2016: will be worth US$18 Billion.
Health InsuranceThe Cooperative Health Insurance in KSA(Takaful)
Cons Continuous increase of health care cost Lack of compliance with the Shariaa laws
Health System in Saudi Arabia
Health System in Saudi Arabia
Proposed Health Reforms 1] Sectoral coordination:(National Health Services Council )2] Health
manpower(Labor Force Council in Saudi Arabia) 3] Financing health
care
Future changes in the Saudi Health System Strategy
Health System in Saudi Arabia
Proposed Health Reforms 4] The function of the Ministry of Health 5] Relevant Data and Statistics
6] Improve the Pharmaceutical Sector
Future changes in the Saudi Health System Strategy