Evidence map›Paper›PMID 38851234›Full record

ArticleBMJ open2024

Economics of primary healthcare: cost estimation of clinical services at primary care facilities in the six countries of the Gulf Cooperation Council.

Khalifa Elmusharaf, Sébastien Poix, Daniel Grafton, Johanna S Jung, Rebecca Gribble, Rachael Stanton, Lamia Mahmoud, Deena Hamza Al Asfoor, Tayba Alawadi, Mohammed Mustafa and 10 more

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Khalifa ElmusharafPublic Health, University of Birmingham, Dubai, UAE.ORCID 0000-0001-8652-1867
Sébastien PoixSchool of Medicine, University of Limerick, Limerick, Ireland sebastien.poix@ul.ie.ORCID 0000-0002-8509-2447
Daniel GraftonUnited Nations Development Programme, Istanbul, Turkey.
Johanna S JungUnited Nations Development Programme, New York, New York, USA.
Rebecca GribbleUnited Nations Development Programme, Geneva, Switzerland.
Rachael StantonUnited Nations Development Programme, New York, New York, USA.
Lamia MahmoudWorld Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.
Deena Hamza Al AsfoorWorld Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.ORCID 0000-0002-7973-1935
Tayba AlawadiUnited Arab Emirates Ministry of Health & Prevention, Dubai, UAE.
Mohammed MustafaUnited Arab Emirates Ministry of Health & Prevention, Dubai, UAE.
Lulwa ShuwaiterKingdom of Bahrain Ministry of Health, Manama, Bahrain.
Mohammed S AlsuwaidanSaudi Arabia Ministry of Health, Riyadh, Saudi Arabia.
Zahir Al-AbriGovernment of Oman Ministry of Health, Muscat, Oman.
Sultana Al-SabahiGovernment of Oman Ministry of Health, Muscat, Oman.
Sherif FaddaPrimary Health Care Corporation, Doha, Qatar.
Hassan Raza SyedPrimary Health Care Corporation, Doha, Qatar.
Muneera AlmutairiKuwait Ministry of Health, Kuwait City, Kuwait.
Yahya M Al-FarsiCollege of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman.ORCID 0000-0002-0302-7132
Nicholas BanatvalaWorld Health Organization, Geneva, Switzerland.
Dudley TarltonUnited Nations Development Programme, Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveWhile the Gulf Cooperation Council (GCC) countries have demonstrated a strong commitment to strengthening primary healthcare (PHC), the costs of delivering these services in this region remain relatively unexplored. Understanding the costs of PHC delivery is essential for effective resource allocation and health system efficiency.

designWe used an ingredient-based method to estimate the cost of delivering a selection of services at PHC facilities in the six GCC countries in 2019. Services were categorised into eight programmes: immunisation; non-communicable diseases (NCDs); oral and dental care; child health; nutrition; mental health; reproductive, maternal, neonatal and child health and general practice. The cost estimation focused on two key ingredients: the costs of drugs and supplies and the healthcare workforce cost. The coverage rates of specific types of health services, including screening and mental health services, were also estimated. Data for the analysis were obtained from ministries of health, health statistics reports, online databases, national surveys and scientific literature.

resultsThe estimated costs of delivering the selected services at public PHC facilities in the six GCC countries totalled US$5.7 billion in 2019, representing 0.34% of the combined 2019 GDP. The per capita costs varied from US$69 to US$272. General practice and NCD programmes constituted 79% of the total costs modelled while mental health ranged between 0.0% and 0.3%. Over 8 million individuals did not receive NCD screening services, and over 30 million did not receive needed mental health services in public PHC facilities across the region.

conclusionsTo our knowledge, this is the first study to estimate the costs of services delivered at PHC facilities in the GCC countries. Identifying the main cost drivers and the services which individuals did not receive can be used to help strengthen PHC to improve efficiency and scale up needed services for better health outcomes.

Indexed as

Primary Health CareHealth Care CostsHumansMiddle EastHEALTH ECONOMICSHealth policyPrimary Health CarePUBLIC HEALTH

Identifiers

PMID38851234
PMCPMC11163647

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.