Please use this identifier to cite or link to this item: http://localhost:8080/xmlui/handle/123456789/6773
Title: Autonomy, accountability, and competition: The privatisation of the Saudi health care system
Authors: AlMubarak, Sama’a H.
Alfayez, Asma S.
Alanazi, Amal T.
Alwuhaimed, Lolwah A.
Hamed, Sara S. Bo
Keywords: Accountability
Health care reform
Perceptions
Privatisation
Qualitative study
KSA
Issue Date: 2021
Publisher: Journal of Taibah University Medical Sciences
Series/Report no.: Original Article;144-151
Abstract: Objectives: This study aims to explore the perceptions of different stakeholders about the privatisation of the Saudi health care system. Methods: Using a qualitative case study design, we interviewed 21 administrators and clinical staff of a public hospital in the Eastern Province of the KSA and analysed all official documents relevant to this study. The analysis followed a thematic approach to provide an indepth interpretation of the data. Results: Our analysis generated three main themes. The first was pertinent to the changes in the governance structure, with gradually increased autonomy from the government. The second reflected the necessity to introduce accountability within hospitals. The third described the cooperative relationship among the E1-Cluster hospitals as well as its competitive relationship with the private sector. Conclusion: Our study demonstrates the interplay between newly introduced concepts of autonomy and accountability within the Saudi health care system. The findings of this study and their implications for research, practice, and policy are elaborated. Such an understanding is essential to improve the implementation process of privatisation and to recognise new dynamics that are shaping the health care system. The study contributes to the current scarce literature on health care reforms in KSA by reporting perceptions and experiences of key stakeholders.
URI: http://localhost:8080/xmlui/handle/123456789/6773
ISSN: 1658-3612
Appears in Collections:Vol 16 No 2 (2021)

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