scholarly journals Policy Discourse: Shifting the burden of healthcare from state to market in the Kingdom of Saudi Arabia

Author(s):  
Redwanur Rahman ◽  
Mohammed Asif Salam

Abstract Saudi Arabia has modified from a predominantly free, public and comprehensive system under a welfare model to more of a mixed-economy model of healthcare. The welfare state slowly moved to a liberal model, emphasising market forces to dominate, and the private sector was trusted to provide better provision of healthcare. The country has confronting enormous problems in the health sector due to population growth, lifestyle changes, shift of disease pattern, elevated expectations, escalated healthcare costs, limited infrastructure and resources, and poor management practice in the provision of healthcare. Moreover, the government has been emphasizing on the need to bring in private sector investment to improve quality and efficiency, development of manpower, and standardization of services. As the current pattern of healthcare is unsustainable, the country is planning to restructure the present healthcare system towards institutionalizing it to meet the future challenges. The governments must make an appropriate amount of effort to build its healthcare systems by transforming and modifying the challenges faced by the society and its political-economic systems. The government should encourage equity, and fairness in the provision of healthcare.

2010 ◽  
Vol 163-167 ◽  
pp. 4529-4534 ◽  
Author(s):  
Abdullah M Alsugair

The comprehensive development in Saudi Arabia forced the private sector to bring foreign employees to assist in accomplishing this development. The number of foreign employees reached to six million people according to the late statistics. This huge number of people exerted pressure on the public free medical facilities that forced the government to issue a decree that instructs private sector to use private medical facilities for their foreign employees. The private sector dealt with this decree in different ways according to the perception of the company from providing full medical coverage for their employees to providing nothing. This has created a problem to many foreigners in which they have to pay for their medical needs. The government, then, issued a new decree that is the mandatory medical insurance. This decree requires the private sector to provide full medical coverage for their foreign employees. This decree will have an impact on the construction companies (contractors) and the cost of the construction projects. This paper presents results of a study conducted to identify the impact of the mandatory medical insurance on the construction contractors in Saudi Arabia. The methodology used was to prepare a questionnaire that investigates the objectives of this study and distributes it to the contractors. The questionnaire includes many aspects among them the impact of this decree on the company performance and the competition between contractors; how this extra expense being dealt with; and the impact on the employee. The questionnaires were distributed to 150 construction contractors and 90 questionnaires were collected. Results of the study reveal the impact of the mandatory medical insurance on the construction contractors in general and according to their classifications. In addition, the study presents the current practice implemented by contractors to provide medical care for their foreign employees.


Author(s):  
Fareed Alyagout ◽  
A. K. Siti-Nabiha

The Kingdom of Saudi Arabia has embarked on the privatization of its public enterprises with the main objectives of improving the efficiency of the national economy, enlarging Saudi citizens’ ownership of productive assets, and encouraging local and foreign capital investment in the Kingdom. Subsequently, in 2003, the Saudi Council of Ministries approved a list of twenty-two targeted economic activities and government services to be privatized and the private sector is being invited to participate in many economic activities and services. As such, the aim of this chapter is to present the historical context and rationale for privatization in Saudi Arabia. The objectives and implementation process taken by the Saudi government to create a suitable environment for private sector investment and the issues and problems associated with privatization initiatives are also discussed in this chapter.


2018 ◽  
Vol 7 (2.34) ◽  
pp. 69
Author(s):  
Abdulrahman Gharamah ◽  
Mohamad Fauzan Noordin ◽  
Najma Imtiaz Ali ◽  
Imtiaz Ali Brohi

The Kingdome of Saudi Arabia (KSA) and its growth objective is to be a major player in the global economy and moving toward a knowledge-based economy. To achieve its objectives, the private sector in various fields in KSA needs to be in line with country’s ambitious goal; Knowledge Management (KM) handling and readiness for the foreseen customer demand need to be in line with goals. This study presents a critical review to evaluate existing KM practice in the private sector in Kingdom of Saudi Arabia (KSA) to see the readiness of this sector to play an integral role of knowledge-based economy and support nation’s growth strategy.  The paper will examine current states in term of how knowledge management is practiced in the country.  This paper addressed various aspects of knowledge management ranges from the need of implementing knowledge management systems to the added value by deploying such systems. In addition, the review was discuss if the private sector is heading in the right direction, and coherent with KSA strategic goal by examining a sample of four major firms in private sector. The outcome of the sample reflected that the private sector is harmonized with KSA objective. 


2021 ◽  

The Government of Pakistan strongly supports public–private partnership (PPP) initiatives. From 1990 to 2019, Pakistan witnessed 108 financially closed PPP projects, with a total investment of approximately $28.4 billion. About 88% of these projects are in the energy sector, attracting more than $24.7billion, followed by investments in the port sector. In early 2021, Parliament approved the amendments to the 2017 PPP Law, enacting the Public Private Partnership Authority (Amendment) Act 2021. This further strengthens the enabling legal and regulatory framework for developing and implementing PPPs, thereby promoting private sector investment in public infrastructure and related services.


Arena Hukum ◽  
2021 ◽  
Vol 14 (3) ◽  
pp. 567-586
Author(s):  
Asep Kusnali ◽  
Rustika Rustika ◽  
Riati Anggriani ◽  
Siti Maimunah ◽  
Haris Budiman

The government has issued regulations to ensure the health of Umrah pilgrims however there is no standard of health care for the Umrah pilgrims, either before departing, while traveling and in Saudi Arabia or returning to Indonesia. This study analyzes the Umrah health regulations and their implementation in the perspective of the rights to health. This research is a legal research design with sociological jurisprudence because the object under study is the application of law. The results of this study have explained that the right to health of Umrah pilgrims has been guaranteed in Law no. 8 of 2019 concerning the Implementation of Hajj and Umrah. However, there are still obstacles in the implementation which are the responsibility of the Umrah Travel Organizer, so it is necessary to make a policy by the ministry that organizes affairs in the health sector after carrying out affairs in the field of religion.


2018 ◽  
Vol 1 (2) ◽  
pp. 57-65
Author(s):  
Majid Ali

The paper aims to examine empirically the nexus between foreign direct investment, domestic investments and economic growth in Pakistan by using time series data. An OLS technique is used to analyze the relationship between FDI, Public & Private investment, Personal remittances with gross domestic products panning from 1976-2016. For a data to be stationary, ADF test has been used and validated that all variables are stationary at level. Results of the study shows that both public and private sector investment are positively related with GDP but Public sector investment have an insignificant effect on GDP, while FDI found inversely and insignificantly correlated with GDP. Personal remittances (PR) relate negatively and have a significant impact on GD. Private investment are found to be the most significant variable which can effect GDP, showing that private investment can fueled economic growth of Pakistan. Hence, the Government of Pakistan needs to formulate such a policy frame work, which focuses on private sector investment in order to enhance economic growth.


2021 ◽  
Vol 8 (9) ◽  
pp. 339-362
Author(s):  
Michael Munyoki ◽  
Tabitha Nasieku

Healthcare is one of the fundamental development agenda to any nation and its adequate provision in an accessible, quality and sustainable manner is the supreme responsibility of the state. However, the burden of healthcare cannot be met by the government alone, but requires substantial investment from the private sector as well. This article reviews the existing empirical literature to examine the contribution of private investment on the healthcare sector performance in Kenya. Existing evidence shows that there is minimal private-public partnership in the health sector in Kenya. The main factors inhibiting private-public partnership investment in the sector were attributed to the uncertainty associated with universal healthcare. Further, the scheme is characterised by an overall lack of transparency and accountability surrounding contracts, costing and allocations with many of the safeguards against these kinds of challenges blatantly ignored by several actors and in turn raising issues of accessibility for citizens. Also, private sector credit and political regimes have a negative but significant influence on private investments generally.


2020 ◽  
Author(s):  
Samira Davalbhakta ◽  
Supriya Sharma ◽  
Shefali Gupta ◽  
Vishwesh Agarwal ◽  
Gaurav Pandey ◽  
...  

AbstractBackgroundThe private medical sector is a resource that must be estimated for efficient inclusion into public healthcare during pandemics.MethodsA survey was conducted among private healthcare workers to ascertain their views on the potential resources that can be accessed from the private sector and methods to do the same.ResultsThere were 213 respondents, 80% of them being doctors. Nearly half (47.4%) felt that the contribution from the private medical sector has been suboptimal. Areas suggested for improved contributions by the private sector related to patient care (71.8%) and provision of equipment (62.4%), with fewer expectations (39.9%) on the research front. Another area of deemed support was maintaining continuity of care for non-COVID patients using virtual consultation services (77.4%), tele-consultation being the preferred option (60%). 58.2% felt that the Government had not involved the private sector adequately; and 45.1% felt they should be part of policy-making.ConclusionA streamlined pathway to facilitate the private sector to join hands with the public sector for a national cause is the need of the hour. Through our study, we have identified gaps in the current contribution by the private sector and identified areas in which they could contribute, by their own admission.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Xiangtian Nie ◽  
Kai Feng ◽  
Guoxiang Zhao ◽  
Tianyu Fan ◽  
Shengnan Wang

In public-private partnership (PPP) projects, the government plays a role as both regulator and participant. Trust between the government and the private sector is important as it may affect project performance and even cause the problem of a breach of contract, which may lead to project failure. Little is known, however, about the formation and evolution mechanisms of trust in this context. This study analyses the complex evolution of trust in PPP project networks. An evolutionary game of trust model between government and the private sector is established and analysed, the strategic equilibrium points are obtained by solving the replication dynamic equation, and the Jacobian matrix and differential equation stability theory are introduced to analyse the stability of the equilibrium points. The results reveal the relationships among the stable state of trust, the initial state of trust, and the payment matrix, indicating that the payment matrix can effectively shape the evolution process and stable state of trust to influence performance. This study provides a novel contribution in solving the complex trust problem in PPP project networks and it provides a new analytical tool for PPP project management practice.


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