ArticleJournal of Taibah University Medical Sciences2021
Autonomy, accountability, and competition: The privatisation of the Saudi health care system.
Article in Journal of Taibah University Medical Sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Prerequisites for implementing accreditation in Iran's comprehensive healthcare centers: a qualitative study.BMC primary care · 2025Article
- Privatization of Healthcare Services from the Nursing Perspective in the Kingdom of Saudi Arabia: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2025Article
- Healthcare Financing in Saudi Arabia: A Comprehensive Review.Healthcare (Basel, Switzerland) · 2024Review
- Primary Healthcare Centre Improvement and Privatisation in the Kingdom of Saudi Arabia: A Systematic Review.Cureus · 2024Review
- Key aspects of the Saudi healthcare system reform and the potential impact on the main stakeholders: A qualitative study.Journal of Taibah University Medical Sciences · 2024Article
- Streamlining patient flow and enhancing operational efficiency through case management implementation.BMJ open quality · 2024Article
- Hospital governance accountability structure: a scoping review.BMC health services research · 2024Article
- Privatization of Medical Services and Revenue Development Project: A Cross-Sectional Survey of Staff Perceptions at the University of Jeddah Medical Center.Healthcare (Basel, Switzerland) · 2023Article
- Accreditation of primary health care centres in the KSA: Lessons from developed and developing countries.Journal of Taibah University Medical Sciences · 2023Article
- Healthcare Transformation in Saudi Arabia: An Overview Since the Launch of Vision 2030.Health services insights · 2022Article
- Understanding the Impact of Digital Health Strategies During the COVID-19 Outbreak in Saudi Arabia.Risk management and healthcare policy · 2021Article
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Authors and funding
5 authors.
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Abstract
objectivesThis study aims to explore the perceptions of different stakeholders about the privatisation of the Saudi health care system.
methodsUsing 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 in-depth interpretation of the data.
resultsOur 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.
conclusionOur 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.
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