The assignment examines the Saudi Arabian healthcare system, focusing on its organizational structure, regulations regarding travelers carrying potential contaminants, and the role of various ministries involved in healthcare. It highlights the dependence of the system on the Ministry of Health and the presence of military healthcare facilities.
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Running head: HEALTHCARE SYSTEMS IN TURKEY AND SAUDI ARABIA HEALTHCARE SYSTEMS IN TURKEY AND SAUDI ARABIA Name of the Student Name of the University Author Note
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1HEALTHCARE SYSTEMS IN TURKEY AND SAUDI ARABIA Comparison of healthcare systems Healthcare system of TurkeyHealthcare system of Saudi Arabia Healthcare system structure Organizationalstructureofthehealthcare system in Turkey is provided by the Ministry of Health (MoH), ministry of defense (MoD), social insurance organizations (SSK), private physicians, pharmacists, universities, among others (Kacak, Ozcan & Kavuncubasi, 2014). Other private organizations also support the Turkish healthcare system but it is very low. TheMoHessentiallyistheproviderof primary care and hospital care. It is also the onlyproviderofpreventivehealthcare services(Gürsoy,2015).MoHisalso involved in the Turkish health services and policies. This is carried out at the central level. However, health services provided by the MoH are governed by the Directorates of Provincial health, which in turn is governed by the Provincial governors (Yilmaz & Guner, 2013).Thissystemisapplicableatthe provinciallevel.Thedifferenttypesof hospitals in Turkey involve the State funded hospitals, university hospitals and the private hospitalsororganizations(Apps.who.int, The structure of the healthcare system in Saudi Arabia is mainly dependant on the Ministry of health.Itisresponsibleforcarryingout supervision of hospitals and healthcare in both publicaswellasprivatesectors.The healthcare system in Saudi Arabia provides universal coverage in the field of healthcare (Aljuaidet al., 2016). The healthcare system can be divided into two levels. The first level comprises anetworkofthe primaryhealth services and the healthcare clinics. The second levelcomprisesofthehospitalslocatedin urban localities as well as the facilities that provides specialized treatments. The Ministry of Health governs 62% of the existing hospitals and 53% of treatment clinics or centers. The remaining healthcare facilities are governed by the government agencies like the Ministry of Defense,MinistryoftheInterior,National guard,amongothers.Governanceisalso carried out by private organizations as well. The healthcare facilities include the Ministry of Health Facilities, which provide services to the
2HEALTHCARE SYSTEMS IN TURKEY AND SAUDI ARABIA 2017).Thegeneralpractitionersorother senior doctors can prescribe medications and such medications are only found in hospital or other registered pharmacies. The emergency care in Turkey is free for all its citizens, even those who do not have any health insurance. The emergency wards and departments are open throughout the year and is available for allwhodialthenumber112.InTurkey, dental care is of a high standard. The facilities fordentaltreatmentsfollowtheWestern standards and are only private organizations withvaryingpricesfortreatments.The Turkish healthcare system is also well known foritslasersurgeriesandtrainsvarious ophthalmologists in this field. public and are situated in urban areas as well as small towns in Saudi Arabia. Other facilities like the military hospitals provide service to the Saudi armed forces and their families. The Nationalguardsprovidesservicestothe soldiersbelongingtotheSaudiArabian NationalGuardandtheirfamilies.The Ministry of Interior provides services to the police and the custom officers. The referral hospitals provide specialized care to the Saudi Arabian citizens (Khaliq, 2012). Healthcare regulations and their importance regarding emerging diseases TheorganizationplanoftheTurkish healthcare system is based on the Statutory decree, which provides duties to the Turkish health ministries. The objectives of the decree under the Article 1 includes maintenance of physical and mental health consistencies of individualsthroughouttheirlifespan, improvementofthepublichealthstatus, determining the threats towards public health The Ministry of Health is responsible for the Saudi Arabian healthcare system. The ministry is responsible for the management, planning andformulationofhealthcareandother prevention programs with the aim to prevent or control disease spread(Memish, 2014).The aim of the International Health Regulations is toprevent,providetreatment,controland provide public health response with respect to
3HEALTHCARE SYSTEMS IN TURKEY AND SAUDI ARABIA with respect to hazardous agents, planning of healthcare bodies in one authority, ensuring a standardsupplyofhealthcareservices, providing appropriate and easy access to the public. The regulations provided to the MoH include maintenance of physical and mental well-being of the public through promotion andimplementationofprogramstargeting equalhealthcarestatusforthepublic, managementofpublicmeasuresand establishment and subsequent promotion of important organizational bodies. Services are to be provided with respect to prevention, treatmentandrehabilitationforindividuals sufferingfromepidemicandother communicable diseases. Services are also to be provided for child and mother healthcare. TheNationalPublicHealthcareServices ensurethesupplyofhealthcareresources, promotionofvaccinationorimmunization servicesforthepreventionofepidemic, communicable,degenerativeorother emerging diseases. Other disease prevention strategies involve the creation of a disease list thatwillhelpinthepreventionand subsequentmanagementofemerging international disease spread. The regulations consists of a wide variety of innovations which is not limited to only one but many diseases irrespective of their origins and which could providesignificantharmtohumans.The regulations also provides opportunities for the Statepartiestodevelopcorepublichealth capacities.OtherobligationsoftheState partiesincludenotificationstotheWorld HealthOrganizationregardingemergency issuesofinternationalconcern.The implementation of the regulation is guided hy the goal to prevent spread of disease. The State parties are required to inform WHO within 24 hours the risks factors associated with disease spreadlikeexportorimportofinfected individuals, vectors that carry infections and contaminationsandcontaminatedgoods.In order to determine whether an event poses the risk ofdeveloping into an emerging health concern, the director general needs to consider Statepartyinformations,theemergency committee advice, available evidence based on scientific research and assessments of the risk posedtohumanhealth.Recommendations include implementations of health measures by
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4HEALTHCARE SYSTEMS IN TURKEY AND SAUDI ARABIA epidemicandcommunicablediseases, establishment of early warning systems for thepreventionofcommunicablediseases, assuring measures of protection and secure workingenvironmentsforcivilpersonnels responsibleforoncologystudiesand performanceofepidemiological,diagnostic studiesforearlydetection,treatmentand prevention,establishmentofdiagnostic laboratoriesforcontrol,reporting, surveillance and prevention of diseases. Other regulations involve acknowledgement of the public regarding the measures taken during occurrenceofvariousdiseases,providing toolsforepidemiologicalsurveillanceof epidemic and highly communicable diseases, development of disease specific control and surveillancemethods,allocatinglocal operatingsystemsforsurveillanceduring emerging diseases, carrying out control and surveillanceprograms,evaluationofthe epidemiologicalsurveillancedataregarding theepidemicandcommunicablediseases, sharing of the epidemiological surveillance data to National and International bodies and determinationoffactorswithrespectto the State party with respect to persons, cargo, baggage,goods,postalparcels,containers, among others. These health measures will help to prevent subsequent disease spread. Medical examinations,vaccinationsornayother medicalprocedures,whichposeariskof disease transmission can be administered to travelerskeepinginmindthenationaland internationalsafetyguidelinesinorderto minimize such risks. If a conveyance is found tobeinfectedorcontaminated,necessary disinfectionanddecontaminationofthe conveyance is necessary to prevent the disease spread. Other health measures include isolation of the conveyance, isolation or quarantine of the infected traveler. The local authorities have the responsibility of detecting disease or death cases that are not normal with respect to a particular territory. The local authorities can apply prevention measures of vector control, if the disease spread by the vector is dominant in the region. The pharmacists are also required to educate the public regarding the disease, it transmission, prevention, among others. The healthcare regulations in Saudi Arabia aims to cure,eliminateorpreventthedisease
5HEALTHCARE SYSTEMS IN TURKEY AND SAUDI ARABIA environmental health andfood safety in the preventionofepidemicandother communicablediseasesofrecentorigin (Yilmaz, 2017). occurrence by carrying out timely diagnosis andtreatmentinterventions(Www.who.int, 2017). Aims of funding for access to healthcare services and delivery The MoH carries out the necessary decisions regarding allocation of financial resources to hospitalaccountsandtoprovincialhealth administrations. The funds for MoH hospitals areprovidedbygovernmentrevenues, hospital fees paid by individuals or insurers. Theaimofsuchfundingistomakethe healthcare services and delivery accessible to the people. The University hospitals obtain their funds from state budgets and also from theuniversityfunds.Thestatebudget providessupportforrecurrentandcapital expenditures.Byconcentratingonself generated funds, revenues are strengthened in these hospitals as compared to state hospitals. TheSSKhealthcareservicesobtaintheir funding from premiums, which are paid by employers and the employees. The funding for the public hospitals include allocations fromthestatebudgetandselfgenerated revenues. Funding of the healthcare programs isbasedontheprovisionandsubsequent Fundingofthehealthcareservicesisa challenge faced by the Ministry of Health in Saudi Arabia. The government provides the expenditures for the public healthcare services. Theseservicesarefreeofcostandputs significant pressure on the government with respecttoincreaseinpopulation,priceof technologies and increased awareness among the individuals of the community. In order to overcomethis,theCouncilofCooperative HealthInsurancesupervisesthenecessary health insurance plans for the Saudi Arabian population (Al-jedai, Qaisi & Al-meman, 2016). Thehealth insurance strategies consists of 3 stages, which involves health insurance for Non- Saudis and Saudis in the private sector, governmentsectorsandothergroupslike pilgrims (Al-Hashem, 2016).
6HEALTHCARE SYSTEMS IN TURKEY AND SAUDI ARABIA utilizationofresources(Sulku&Bernard, 2012). Common elements and differences TheorganizationalstructureinTurkeyis dependent on the Ministry of health. Ministryofdefense,socialinsurance organizations,privatephysicians, pharmacists,amongothers,governsother healthcare facilities. Military healthcare facilities are not available. TheTurkishhealthregulationsdoesnot involvethe diagnosis of travelers carrying potential contaminants that can give rise to epidemic concerns in the future. The organizational structure in Saudi Arabia is dependent on the Ministry of health. Otherhealthcarefacilitiesaregovernedby Ministry of Defense, Ministry of the Interior, National guard, among others. Military healthcare facilities are available. The Saudi Arabian health regulations involve the diagnosis of travelers carrying potential contaminants that can give rise to epidemic concerns in the future.