Public Response to Privatization of Healthcare Services in Saudi Arabia on Twitter (Preprint)
BACKGROUND The Saudi government has been providing free medical care for all Saudis in public healthcare facilities, with the Ministry of Health being the major financing, operating, and supervising body. In July 2017, the Saudi government approved privatization of healthcare services. OBJECTIVE This study aimed to assess public reactions to this reform that have been shared on Twitter. METHODS All tweets that contained the hashtag “خصخصة_الصحة#” [i.e., #Healthcare_Privatization] between 9th and 16th July 2017 were collected. Manual content analysis of the tweets was carried out to identify sentiments, types of sources of the tweets and the general theme of each tweet. Association between the types of sources and sentiments delivered was tested using chi-square test. RESULTS Out of 12,430 tweets collected, 2,119 met the inclusion criteria and were included in the final analysis. Most tweets delivered neutral or undetermined sentiments [37.4%], followed by positive [35.2%] and then negative [27.4%] sentiments. Each tweet has been assigned to one out of nine themes that best fits. The most common theme of the tweets was ‘supportive and explanatory’ [24.6%] then ‘unsupportive and/or expecting failure’ [16.3%]. The majority of contributors were members of the public [85.1%] and the clinical and non-clinical healthcare workers [10.1%]. There was a significant association between the type of the source and the sentiments delivered 2 [6, N = 1740] = 82.1, P-value <0.0001] CONCLUSIONS Our study has shown that Twitter data represents a possible rich source of information to be studied by decision makers to evaluate public responses to major reforms in healthcare systems worldwide. Studying such data provides an insight into common concerns and misunderstandings to be addressed.