healthcare in the kingdom of saudi arabia - insead · pdf filehealthcare in the kingdom of...
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Eng. Faris Albugami, MBA
Programs Manager
Planning & Training Assistant Deputyship
Saudi Ministry of Health
Healthcare in the
Kingdom of Saudi Arabia
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1970 1990 2010
Hospitals Hospital Beds
74 9,030
(1.3 / 1000)
257 41,123
(3.4 / 1000)
415 58,126
(2.14 / 1000)
Primary Care Centers
591 3,028 4,594
Physicians 1,172 22,136 66,014
Nurses 3,261 48,477 129,792
Paramedical 1,741 22,410 68,705
HISTORICAL FACTS
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HISTORICAL FACTS
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Article 27: The government guarantees the right to healthcare 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 to every citizen.
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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
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Average life expectancy at birth (years)
Vaccination Coverage
Infant mortality (per 1000 live births)
Mortality of children under 5 (per 1000 live births)
Maternal Mortality per 10.000 live births
1983 2010
66 73.7
85% (cities) 27% (villages)
52
63
32
98.8%
16.9
19.5
14.0
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Source: MoH Statistical Yearbook (2003 - 201)
0
20
40
60
80
100
2003 2005 2007 2009 2010
81.2
53.7 62.0
54.1
- 6.5% CAGR
39.5
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Polio
Measles
Tuberculosis
1983 2010
1.0
304.4
52.2
zero
1.29
15.82
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0
10
20
30
40
50
60
70
80
90
100
1 9
17
25
33
41
49
57
65
73
81
89
97
10
5
11
3
12
1
12
9
13
7
14
5
15
3
16
1
16
9
17
7
18
5
19
3
Country Ranking* * KSA is within the first ten
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MoH 60%
Other Government Sectors 20%
Private Sectors 20%
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Sources: OECD, EIU, IMS Flashlight
USA Europe Japan KSA
1431 1423 1427 1431 1431 1431 1427 1427 1427 1423 1423 1423
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0
5
10
15
20
25
30
35
40
45
2005 2006 2007 2010 2015E 2020E
Saudis aged60 yearsabove
PopulationGrowth
23.2
0.97
23.7
1.02
24.2
1.07 31.8
1.19 31.8
1.57 37.2
2.20
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Note: 1) Nauru 2) Tonga - Oceanic islands near Australia with an estimated population between 9K and 100K respectively
Source: WHO (2010)
1. Nauru (1) 71.1% 2. Tonga (2) 57.6% 3. Kuwait 42.0% 4. KSA 33.0%
5. USA 33.0% 6. UAE 32.7% 7. Bahrain 28.9%
8. UK 26.9% 9. Seychelles 23.9%
1. Nauru (1) 31.0% 2. UAE 19.0%
4. Bahrain 15.0% 3. KSA 17.0%
5. Kuwait 15.0% 6. Oman 13.0% 7. Tonga 13.0% 8. Mauritius 16.0% 9. Malaysia 12.0%
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Source: 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)
Roadside accidents
Smoking
Lack of physical activity
2009 – 484,000 accidents (6,142 deaths and 33,000 injuries and disabilities)
34% of the population due to climatic conditions
Male population
(35-45% = Adults and 24% = Teenagers)
Ranked 23rd in the world’s highest tobacco consumption
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Source: OECD Health Data 2011 (* 2008 * 2009) / MoH
Germany Japan GCC KSA USA Canada UK Australia France
1.9 2.2
3.8* 3.3* 3.3* 3.1*
7.1
8.2
13*.7
Organization of Economic Cooperation and Development (OECD) = 5.8
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France GCC Canada KSA Japan USA UK Australia Germany
1.8 2.0
3.0 2.7 2.7 2.4
2.1
3.5
3.53
OECD = 3.06
Source: WHO (2011 report)
N.B. The rate for KSA is based on MOH Statistics, WHO figures where 0.94
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Source: OECD Health Data 2011 (* 2008 * 2009 *2010) / MoH
4.8
11.0*
KSA
10.2*
Australia
10.8*
USA
8.8.5*4
France
9.5*
Japan
9.5*
UK
9.4*
Canada Germany
OECD = 9.66
GCC
4.0
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Source: OECD Health Data 2011 (* 2008 * 2009) / MoH
3.7% 3.4% 3.8%
11.6%* 11.8%*
USA
17.4%*
France Germany
8.7%*
Qatar
8.5%*
Australia
9.8%*
UK Japan KSA Bahrain
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Source: OECD Health Data 2011 (* 2008 * 2009 *2010) / MoH
Note: In USD, PPP (Purchasing Power Parity)
KSA Kuwait Qatar Japan UK Australia Germany Canada USA
531 901
1,253
2,403
2,878* 3,487* 4,218*
4,478*
7,690*
3,445*
UAE
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Government healthcare expenditure
Country As % of Total Government
Budget As % of Total Healthcare
Expenditure
15.6 81.7 UK
19.5 45.5 USA
17.6 67.5 Australia
18.1 70.0 Canada
16.6 79.0 France
18.2 76.9 Germany
17.9 81.3 Japan
8.4 79.5 KSA
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Source: 2011 WHO Statistics Report
“Government funding” “Private sector”
% Participation of private sector High Low
9% 11% 15% 17%
24% 25% 30% 31% 32%
51% 52%
71% 75%
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0
20
40
60
80
100
120
Small Hospitals Large Hospitals
7%
(50 beds) (400 beds and above)
71% 93%
29%
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Australia South Africa
Canada Spain
Ireland Tunisia
Jordan UAE
Malaysia UK
Morocco USA
Singapore
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Hospitals
Referrals Referrals
Referrals
Referrals
Referrals
Referrals
Referrals
Healthcare
Center
Healthcare
Center Healthcare
Center
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Patient
Healthcare
Center
General Hospital
Local Hospital
Central Hospital
Local Hospital
Local Hospital
Healthcare
Center
Healthcare
Center
General Hospital
General Hospital
Central Hospital
Central Hospital
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FUTURE TODAY
Central Hospital General Hospital Local Hospital A/B Primary Care Center
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National Roll-out
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Develop ambulance transportation system
Ensure adequate supply of
pharmaceuticals
Develop Human Resources
Develop medical information systems
and E-health
Improve patient referral system
Develop and restructure hospitals
Improve primary healthcare services
7
6
3
4
2
1
8
Implement accreditation of MoH facilities
5
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30 Main Hospitals
100 General
Hospitals
114
Small Hospitals
2,086 Healthcare
Centers
62
Central Hospitals
120
General Hospitals
118
Local Hospital
2,736
Healthcare Centers
Current Future
305 Hospitals
249 MoH Hospitals
5 Medical Cities
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Medical Specializations
Central Hospitals
General Hospitals
Local Hospital A/B
Healthcare Centers
Tertiary/Quaternary Care Services
Advance Care Services
Intermediate and Critical Care Services
Basic Medical Services
Primary Healthcare Services
5 Medical Cities
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Medical City
Central Hospital
General Hospital
Local Hospital
Primary Healthcare Centers
5 national zones
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Strategy and Change
Management
Patient Satisfaction
Cloud Computing
Newborn Protection Solution
National e-Health
Standards
Saudi PACS Hospital
Information Systems
Home Care Support
Patient Satisfaction
Referral Management
System
Business Process
Standards
e-Health
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Tele-Medicine Support Services
E-Learning Services
Public Health (HESN)
Toxicology Management
Services
Data Center Services
Marketing And
Communications
National Healthcare Laboratory
Hospital Information Systems
(RFP Phase)
e-Health
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MoH and Health Officials
Health Committee Shoura Council
MoH Heads of
Directorate
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Quaternary
Referral Hospital SR1.8 m
Central Hospital SR 750,000
General Hospital SR 500,000
Operation Cost
Per Bed
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Hospital
(Physician per bed) 0.7
PHC
(Physical per healthcare center) 4.32
Saudi population
x 60% x SR500 SR 5.4 bn
Workforce
Medication
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Less than 100-bed Hospital 2
More than 400-bed Hospital 5
150 to 300-bed Hospital 3
Employees x SR3000
per year SR 529 m Training
Ambulance
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Health Technology Assessment Knowledge Translation Clinical Practice Guidance
Healthcare Finance
Solutions
Public-Private-Partnership Health Insurance
Performance Measures
Strategic Alignment Investment in IP Localization: • Economic • Self-sufficiency • National Security
Access Quality of Care Quality of Life
Health Industry and Technology Transfer
Research EBM
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1400
PHC
190 Hospitals
5 Medical
Cities
Mobile Clinics
• Medical Devices • Pharmaceuticals • E-Health
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King Faisal Medical City (Southern) and Prince Mohammad bin Abdulaziz Medical City
(Northern Region)
King Khalid Medical City (Dammam)
King Abdullah Medical City (Western Region) King Fahad Medical City (Central Region)
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Opportunities
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Summary
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Presentation of the Project to the
Custodian of the Two Holy Mosques
(September 2009)
“Nothing is more precious than the health of citizens”
-The Custodian of the Two Holy Mosques
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THANK YOU...