Background

The cost of Saudi healthcare continues to rise at an alarming rate, putting the sustainability of the public healthcare system into question. Data have shown that hospital and healthcare providers’ services represent the bulk of this rising cost, which makes the calls to reform the Saudi healthcare system more focused on payment models than at any time before.

Objective

The aim of this paper is to review various identified payment models that can be used to contain costs and improve the quality of the care provided.

Method

A literature review of articles addressing the issues of cost containment and improving the quality of healthcare by reforming the current Saudi healthcare payment policy were identified through the Ovid®, Medline, and Google® Scholar search engines.

Results and Conclusions

Many research articles and literature reviews have identified and discussed different models of healthcare payments. Some articles have focused on one payment model, while others have discussed different payment models that have been identified. There is an urgent need to reform the current system of healthcare payments to improve the quality of healthcare and maintain funding for universal healthcare coverage in the future. Future healthcare payment reforms should consider restructuring the current healthcare system, which is largely fragmented by providing incentives to different governmental healthcare sectors, in order to transform it into a more organized and coordinated system. Thus far, there is not a single payment model that can, by itself, reduce healthcare costs and improve healthcare quality. Future healthcare reforms should use a mixture of different payment models to pay hospitals and physicians.

中文翻译：

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沙特阿拉伯如何改革公立医院支付模式？叙述性评论

 背景

沙特医疗保健成本继续以惊人的速度上涨，使公共医疗保健系统的可持续性受到质疑。数据显示，医院和医疗保健提供商的服务占成本上升的大部分，这使得改革沙特医疗保健系统的呼声比以往任何时候都更加关注支付模式。

 客观的

本文的目的是回顾各种已确定的可用于控制成本和提高所提供护理质量的支付模式。

 方法

通过 Ovid®、Medline 和 Google® Scholar 搜索引擎找到了一篇文献综述，内容涉及通过改革当前沙特医疗保健支付政策来解决成本控制和提高医疗保健质量问题。

 结果与结论

许多研究文章和文献综述已经确定并讨论了不同的医疗保健支付模式。一些文章重点讨论一种支付模式，而另一些文章则讨论了已确定的不同支付模式。迫切需要改革现行医疗支付体系，以提高医疗质量并维持未来全民医疗覆盖的资金。未来的医疗支付改革应考虑通过向不同的政府医疗部门提供激励措施来重组当前分散的医疗体系，从而将其转变为更有组织和协调的体系。到目前为止，还没有一种单一的支付模式可以单独降低医疗成本并提高医疗质量。未来的医疗改革应该混合使用不同的支付模式来支付医院和医生的费用。