oa10 health care sector saudi arabia 2013
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Health Care Sector Saudi Arabia
Opportunity Arabia 10 October 4th 2013
Saudi Arabia •Largest health care market in the GCC
•Population 28.9 Million (2012 World Bank)
•Average life expectancy 75 years
Health Care Sector
National Health Care System
Government provides health care via several Government agencies: MOH, MODA, NGHA,MOI, MOE
(70% of services Primary to Tertiary)
Private Sector – growing role (30% of services Primary and Secondary)
Ministry of Health (MOH)
Regulation
Planning
Finance
Management
Ministry of Health (MOH)
Role
Ministry of Health (MOH)
20 MOH Regions
Planning and Development
of Services
Preventative Curative Rehabilitation
Structure of Services
•Tier 1 : Primary Health Care (PHC) via network of 1925 medical centres
•Tier 2: Referral to Secondary and Tertiary Care Hospitals providing general and
specialised care (220 Hospitals)
Governmental Providers: Armed Forces and Security Personnel
MODA
MOI
SANGHA
Governmental Providers: Autonomous Agencies
Ministry of Education (students)
Ministry of Labour and Social Affairs (orphans and mentally retarded)
GOSI and GPYW - Sports
Royal Commission for Jubail and Yanbu
University Hospitals
Governmental Providers: National Tertiary Referral Centres
King Faisal Specialist Hospital and Research
Centre Riyadh and Jeddah
King Khalid Eye Hospital
Private Sector: 30% of healthcare
• Small hospitals 50-200 beds and polyclinics
• Primary and Secondary Care mainly Out patient services and minor surgery
• Variable standards of quality
Health Services
MOH
60% MOH
KFSHRC NGHA
40% Others
MODA EducationPrivate
30%
Government Aims
1. Massive expansion of health care sector including private sector.
2. World class health care facilities for citizens and expatriates
3. Centre for Medical Tourism
Achievements – Health Services 1
1. Primary Care service
2. 500+ Hospitals in public and private sectors.(50- 1000+ beds)
3. New Medical Cities under construction
Achievements – Health Services 2
• Tertiary Care – Organ transplants, 30 operations for conjoined twins
• 5 major medical schools and 21 Colleges offering medical training – 18 Government, 3 Private
Achievements - Population
1960 population 3 million, 90% nomadic
2012 population 28 Million, mostly urbanised
Doubling of life Expectancy since 1960s
Huge reductions in mortality and morbidity rates
Budgetary Allocations % GDP
KSA USA Japan China Germany0
2
4
6
8
10
12
14
16
18
Challenges: Resources
Infrastructure Deficiencies and Human Resources Shortages• Compared to other developed countries there is a
shortage of beds, nurses and doctors.
• Lowest number of beds, nurses and doctors per head of population in GCC.
Challenges: Rural/ Urban Divide
• Medical services concentrated in cities of Riyadh, Jeddah, Al Khobar and Dammam
• Delivery of quality services in other cities and rural areas is weak.
Challenges and Opportunities •Demand Drivers for Health Care
•Megaprojects and Medical Cities
•Private Investment Incentives and Opportunities
Demand Drivers 1
Demographics• Population Growth - 50% of population under age 25
• Population over 60 set to double
• Expatriate population not entitled to state medical care
Demand Drivers 2
Diseases• Lifestyle diseases – obesity, diabetes, cardiac diseases ,
renal diseases• Accidents and Trauma• Cancer• Genetic Disorders
Challenges
Infrastructure, Geography, Quality • Inadequate infrastructure• Staff shortages in all disciplines• Rural versus Urban Disparity in resources• Quality of Services – need for standard regulatory
framework
Solutions: MOH Medical Cities
6 New Medical Cities
• Additional 6200 beds
• Highly specialised centres for cancer, organ transplant surgery, eye surgery and cardiac diseases.
Solutions: MOH Hospital Expansion
• New hospital construction – major bed expansion in all regions of the country
Solutions: New Clinics
• Primary Care - SAR 7 Billion for establishing and funding 2000 Primary Care Services
• Rehabilitation Services
• Polyclinics
Solutions: MOH Initiatives
• Preventative Health Programmes
• E Health: Electronic Records and telemedicine
• Home Medicine Programme for ambulatory care
Solutions: Private Sector Expansion 2012 -2015
• Mandatory health insurance for expats creates increased demand for private medical care.
• Health insurance may be extended to Saudi citizens• Health insurance predicted to grow by 19% by end of 2015
Solutions: Training
• Ministry of Education will establish Medical training schools in all 24 Government Universities.
Solutions: Quality Control
• Quality Control of Clinical Services
• Hospital Accreditation System
• Standardisation of Medical Education
Business and Investment Opportunities
Government and Private
Government
• Hospital megaprojects and construction• E Health Services• Preventative Care and Education• Quality Control and Regulation
Government and Private
Private Sector• Private sector contribution in the primary and secondary
healthcare markets is heavily concentrated in 3 main provinces: Riyadh, Makkah and the Eastern regions. These make up approximately 66% of the population.
• Jazan and Al Jouf regions noted to be short of physicians and beds and require private sector investment..
Private Sector – Evolving
Emerging
Evolving
Developed
Government and Private
Private Sector• Private investments low – just 9 out of 125 new projects
• Strategic Initiatives to encourage private investment and reduce public sector burden..
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