Healthcare Finance in the Kingdom of Saudi Arabia: A Qualitative Study of Householders' Attitudes.
Healthcare Finance in the Kingdom of Saudi Arabia: A Qualitative Study of Householders' Attitudes.
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DOI：
10.1007/s40258-017-0353-7
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发表时间：
2018-03
影响因子：
3.6
通讯作者：
Vaidya K
中科院分区：
文献类型：
--
作者：
Al-Hanawi MK;Alsharqi O;Almazrou S;Vaidya K
沙特阿拉伯的公共部门医疗体系基本上由石油收入提供资金，而且“在交付时是免费的”，由于支出不断上升和石油市场日益动荡，该体系正面临越来越大的压力，中长期可能无法持续。这项研究调查了沙特人民对其公共部门医疗服务的满意度，并评估了他们是否愿意通过国家医疗保险计划为该系统提供资金。这项研究还调查了公众对未来国家医疗保险制度的偏好和期望。共有36位户主参加了面对面的录音半结构化访谈。参与者是根据城市和农村地区不同的社会经济和社会人口因素有目的地挑选出来的，以代表可能影响个人观点、预期、偏好和医疗保健体验的地理多样性。证据表明，对目前公共部门医疗服务的提供和质量，包括预约的可获得性、等待时间和药品的可获得性，存在一些不满。这些家庭表示愿意为国家保险计划缴费，条件是公共部门医疗保健服务的质量有所提高。调查结果还显示了人们对拟议的国家医疗保险计划的各种偏好和期望。质量改进是一个关键因素，可以激励沙特人民为医疗体系融资做出贡献。一个新的机构，由政府监督下的公共和私营部门之间的伙伴关系组成，可能是解决公众偏好差异的一个可接受的选择。本文的在线版本(doi：10.1007/s40258-0170353-7)包含补充材料，授权用户可以使用。
The public sector healthcare system in Saudi Arabia, essentially financed by oil revenues and ‘free at the point of delivery’, is coming under increasing strain due to escalating expenditure and an increasingly volatile oil market and is likely to be unsustainable in the medium to long term. This study examines how satisfied the Saudi people are with their public sector healthcare services and assesses their willingness to contribute to financing the system through a national health insurance scheme. The study also examines public preferences and expectations of a future national health insurance system. A total of 36 heads of households participated in face-to-face audio-recorded semi-structured interviews. The participants were purposefully selected based on different socio-economic and socio-demographic factors from urban and rural areas to represent the geographical diversity that would presumably influence individual views, expectations, preferences and healthcare experiences. The evidence showed some dissatisfaction with the provision and quality of current public sector healthcare services, including the availability of appointments, waiting times and the availability of drugs. The households indicated a willingness to contribute to a national insurance scheme, conditional upon improvements in the quality of public sector healthcare services. The results also revealed a variety of preferences and expectations regarding the proposed national health insurance scheme. Quality improvement is a key factor that could motivate the Saudi people to contribute to financing the healthcare system. A new authority, consisting of a partnership between the public and private sectors under government supervision, could represent an acceptable option for addressing the variation in public preferences. The online version of this article (doi:10.1007/s40258-017-0353-7) contains supplementary material, which is available to authorized users.
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影响因子：
3.3
作者：
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通讯作者：
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影响因子：
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作者：
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