Critical Thinking: Case Study – New Hospital Proposal
In this assignment, you will compare and contrast the legal structure and governance of a profit and not-for-profit hospital. Also, examine the benefits and disadvantages of Public-Private partnerships. Write a 4-5 page report evaluating each option and provide your recommendation of the type of structure that would best serve the needs of your community.
Your report should address the following substantive requirements:
There can be seen continuous improvement in healthcare delivery in Saudi Arabia (SA). The Saudi healthcare system is also supported by the government of Saudi and persistent efforts of Ministry of Health (MOH) (Aldossary, While and Barriball, 2008). In general or private healthcare centres, there are three stages of healthcare systems i.e. primary, secondary and tertiary. Around 19 health regions are situated in 13 geographical regions of SA where a healthcare director manages each healthcare region (Altuwaijri, 2008). SA is also known to be as welfare country where these healthcare systems are authorised to provide healthcare services free to the population of country and emigrants operating in community hospitals.
Some of the healthcare services in SA includes specialised healthcare services like cancer treatment under provision of non-profit public healthcare sectors (Aldossary, While and Barriball, 2008). Contradictory, wealthy individuals pay a certain amount of fee to obtain private healthcare services. This report offers a new hospital proposal including its governance and legal structures. In addition, benefits and drawbacks are also being discussed in relation with public-partnership partnership with good recommendations in respect with structure serving needs of population.
In SA, Non-profit healthcare sectors include MOH hospitals and other associations based free of charge healthcare centres. These public hospitals include standard goals to protect health of population and deliver necessary healthcare services to hospital employees. Public sectors account for more than 60% of healthcare services. Moreover, there are 274 MOH hospitals under non-profit healthcare sectors (MOH, 2014).
Several university hospitals and governmental agencies like Ministry of National Guard Health Affairs also propose non-profit healthcare services including their workers and dependents. The arrangement of community healthcare depends upon administrative reforms of restructuring MOH structure, procedures, regulations and policies (MOH, 2014).
MOCI (Ministry of Commerce and Industry) in Saudi reported an instrument in relation with Non-Profit Companies Law including objective of assisting the community sector to gain overall development areas, setting up a major context, offering financial care to non-profit work and contribute in raising of Saudi gross national products (Albejaidi, 2010).
This sector includes private healthcare system where a fee is being charged in respect with superior healthcare services. This sector includes clinics, private hospitals, pharmacies and dispensaries where the services are mostly delivered to urban areas population. There are around 145 total numbers of private hospitals in Saudi (Landry and Taylor, 2012). A good example can be stated in term of Soliman Fakeeh hospital, includes one of the largest healthcare systems serving employees and their dependents. On private sectors, MOH has complete supervision with the help of medical units of commerce industry in Saudi. In respect to specialised healthcare services, this sector needs to follow some specific rules and procedures in respect with licensing (Landry and Taylor, 2012).
There is no charge in healthcare services provided by Non-profit healthcare services. Their main goal is connected with welfare of community and promoting health free of charge like MOH hospitals. MNG-HA like government hospitals delivers free healthcare services to their employees and dependents. MOH control several public healthcare facilities while other government agencies have their own rules and arrangement under the guidance of MOH. The structure of board of directors in non-profit segment keenly count on the decision of board decision a staff if require. In non-profit sectors, member vote is being allowed considering share of healthcare centre. Contradictory, profit healthcare sectors are comprised of private healthcare centres that give specialised healthcare services in exchange for some amount. These are managed and owned by private enterprises and physicians. These private healthcare sectors are administered by MOH in respect with prices of services, quality, medications and medical equipment.
It is significant to promote health by offering equal and accessible services to population in respect with Saudi healthcare system. This is one of the key benefits of non-profit healthcare sectors. These organisations are generally big in terms of capacity and comprising more numbers of bed with serving patient needs.
However, there are some drawbacks also such as huge wastages of resources, lengthy waiting time, huge workloads (affecting lower productivity of work), bad quality of services and negative satisfaction of patients.
For profit healthcare sectors, benefits can be stated in terms of highly specialised healthcare services, well employees’ compensation, length of political stance, opportunity to direct visit to consultant in respect with healthcare services. One of great advantage includes their capability of for profit healthcare centres to assist any functions and purposes in respect with patient requirements.
Disadvantage of for-profit healthcare segments includes irrational high prices, medical equipment and at times medications. In addition, mandating taxes like sales tax, income tax and property taxes are consuming from individual savings (Hassanain, Assaf, Al-Ofi and Al-Abdullah, 2013). Moreover, there are limited numbers of beds in private healthcare corner.
Wide range of service is being offered by non-profit healthcare sectors embracing the health of Saudis. However, we need to encompass how population needs can be best served with these healthcare service and systems. Hence, to serve population needs in best way, there is requirement of some improvement in the current non-profit healthcare services.
In case of non-profit healthcare centres, best structured can be formulated with improvement in their systems like providing free of charge medical and preventative healthcare services to with serving population needs in terms of high quality. It can be done by implementing privatization plan.
Privatization will be the solution and key to overcoming healthcare expenses. Other benefits of this solution include boosting of government economy and development of healthcare systems. This plan can bring various opportunities for foreign healthcare organisations to capitalise and take part in the healthcare market in SA.
It is also noted that rising population and health expenses stimulating government to come up with considerable changes in the healthcare system (Kellermannn and Jones, 2013). For healthcare and economic reasons, the Saudi government focused on procedure of change with the help of a system fulfilling the health demands to Saudi population (Gough, 2010).
Saudi health care system structure is distributed into private and public sectors, which are also called profit and non-profit organisation respectively. SA is known to be a welfare country where both non-profit and for-profit healthcare sectors offer various healthcare services. In case of non-profit healthcare sectors, the healthcare service are offered free of charge with objective to protect population health and allow every citizen to use these services in effective ways. On the other hand, for-profit healthcare sectors offers specialised healthcare services but charge high fees for the same. Both sectors have their benefits and drawbacks like in case of non-profit sector, free services and high availability of beds are considered as advantage where their drawbacks includes poor quality of service and long waiting time. In case of for-profit sector, advantage includes quality services and political stance while drawbacks include limited beds and high prices for the services. The best-recommended healthcare structure fulfil the needs of population is non-profit privatized public healthcare sector.
Albejaidi, F. M. (2010). Healthcare system in Saudi Arabia: An analysis of structure, total quality management and future challenges. Journal of Alternative Perspectives in the Social Sciences, 2(2), 794-818.
Aldossary, A., While, A., & Barriball, L. (2008). Health care and nursing in Saudi Arabia. International nursing review, 55(1), 125-128.
Altuwaijri, M. M. (2008). Electronic-health in Saudi Arabia. Just around the corner?. Saudi medical journal, 29(2), 171-178.
Gough, B. M. (2010). Historical dictionary of Canada. United Kingdom: Scarecrow Press.
Hassanain, M. A., Assaf, S., Al-Ofi, K., & Al-Abdullah, A. (2013). Factors affecting maintenance cost of hospital facilities in Saudi Arabia. Property Management, 31(4), 297-310.Kellermann,
Kellermann, A. L., & Jones, S. S. (2013). What it will take to achieve the as-yet-unfulfilled promises of health information technology. Health affairs, 32(1), 63-68.
Landry, M. D., & Taylor, J. S. (2012). " The Saudi healthcare system: a view from the minaret": more similarities than differences. World health & population, 13(3), 65-67.
MOH. (2014). MOH Strategy retrieved from: https://www.moh.gov.sa/en/ministry/about/pages/strategy.aspx
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