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HEALTH CARE DATA IN SAUDI ARABIA: CHALLENGES IN COLLECTING, SHARING, AND
APPLYING
Mohammed Al-Kelya MS, PhD Vice President, ISPOR Saudi Arabia Chapter and
Head Quality Management, KAIMRC Riyadh, Kingdom of Saudi Arabia
&
Abdulaziz Al-Saggabi, MSc, PharmD President, ISPOR Saudi Arabia Chapter and
Director, Drug Policy & Economics Center, NGHA Riyadh, Kingdom of Saudi Arabia
Health Care System In Saudi Arabia
“Every Saudi citizen has the right to have access to free medical services and no one should be denied medical attention because of economic reason”
2
Health Care System Indicators
28376355 Population
2.86(%) Population 65 Years Old & Above
24700 Gross National Income Per Capita (PPP Int. $)
3.69 Total Expenditure On Health As A Percentage Of Gross Domestic Product
68.93 (%) General Government Expenditure On Health As A Percentage Of Total Expenditure On Health
31.07(%) Private Expenditure On Health As A Percentage Of Total Expenditure On Health
19.37(%) Private Prepaid Plans As A Percentage Of Private Expenditure On Health
6.84(%) Percentage of government budget allocated to Health Service
58.06(%) Out-of-pocket Expenditure As A Percentage Of Private Expenditure On Health
71% Governmental Insured Population
29% Population Insured by Private Health Insurance
3
Saudi Health Care System Delivery
4
Provider
Affiliation Providers
Hospital
N (%)
Beds
N (%)
PHC or
centers
Visits Per
Year
N (%)
( Millions)
Annual
Admissions
N (%)
(In 1000)
Governmental
MOH 251 34450
(58.9) 2109 65.97 (50.0)
1700.18
(56.2)
KAUH,R
KKUH,R
KFUH,K
RCHs
AHF
KFSH,R
NGHs
SFH
KFSH,J
ARAMCO Hs
39 10948
(20.0) NA 23.15 (17.6) 519.16(17.1)
Private Private sectors 130 13298
(21.1)
2185
polyclinic
198 clinics
42.73 (32.4) 808.24 (26.7)
Total 420 (100) 58696(100) 131.86 (100) 3027.58(100)
Provider Affiliation Providers Eligibility Type of Drug
Formulary
Governmental
MOH Saudi citizen and Resident Closed
M.O. Defense Employees & their dependents
Closed & More Generous than
MOH National Guard
Ministry of Interior Referred Cases Free Of charge,
FFS for self referral
Higher Educations Employee, student, referred
cases (free)
Similar to MOH
Closed
Public Education & others Employee, student, Less than MOH
Closed
Semi –governmental
Governmental industrial
institutions Employees & their dependent
More generous Closed
Governmental insurance
hospitals
Open formulary
Out of pocket
Private Private sectors FFS Open formulary
Out of pocket
Total
Saudi Health Care Services Providers, Beneficiaries and Type of Drug Formulary
5
Publication Increase
7
0
5
10
15
20
25
30
35
40
45
2009 2010 2011 2012
Fr
Year
Publication Trend of QOL related Studies in Saudi Arabia
Article
Confernce Abstract
Web of Science Database (ISI)
– Thromboembolic Disorders Registry
– Venous Thrombosis Registry
– Cleft/Lip Palate & Craniofacial Disorders Registry
– National Family Safety Registry
– Pan Arab Liver Transplantation Registry
– Rare Dental Disorder Registry
– Chronic Diseases Registry
– Organ Transplantation Registry
– Saudi Bio-bank
– Trauma Registries
Registries
8
– Saudi National Diabetes Registry – Saudi Cancer Registry – National Congenital Heart Defects Registry – National Epilepsy Registry – Neural Tube Defects Registry
– Neuromuscular Disease Registry – Primary Immunodeficiency Registry
Registries…(continued)
9
Demands for PE Studies in Saudi Arabia
Health Care
providers Awareness.
PE Guidelines by Regulatory
Body. Awareness of Policy Makers in Health Care Organizations.
Evidence base medicine focused.
Focus on cost containment not CE.
Data for PE Studies in Saudi Arabia
Cost lists -MOH Medical procedures price lists(fixed price) -SFDA Drug Price List
Clinical Data -Local Clinical
Studies -Registries -Hospital Data
Claims Data -Health Insurance Companies -CCHI
MOH list can be used as proxy for the cost across all Saudi hospitals
-Data is not standardized yet -Will be By 2014
-Accessibility -Standardization -Data usability
PE Research Team
Institutionalization -Only few local PE Centers - No Entity at national level responsible for TA
Human Capacity -No educational program -Few training programs
Integration -Building database all PE hospital studies -Sharing expertise and
data
Not equipped with all capabilities and focus at institution level
-No formal networking connecting experts and outcomes of their efforts. -Unsustainable training
-Short training programs