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Financing healthcare in Gulf Cooperation Council countries: a focus on Saudi Arabia

Alkhamis, Abdulwahab, Hassan, Amir and Cosgrove, Peter (2014) 'Financing healthcare in Gulf Cooperation Council countries: a focus on Saudi Arabia'. International Journal of Health Planning and Management, Vol 29, Issue 1, e64-e82.

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This paper presents an analysis of the main characteristics of the Gulf Cooperation Council's (GCC) health financing systems and draws similarities and differences between GCC countries and other high-income and low-income countries, in order to provide recommendations for healthcare policy makers. The paper also illustrates some financial implications of the recent implementation of the Compulsory Employment-based Health Insurance (CEBHI) system in Saudi Arabia.


Employing a descriptive framework for the country-level analysis of healthcare financing arrangements, we compared expenditure data on healthcare from GCC and other developing and developed countries, mostly using secondary data from the World Health Organization health expenditure database. The analysis was supported by a review of related literature.


There are three significant characteristics affecting healthcare financing in GCC countries: (i) large expatriate populations relative to the national population, which leads GCC countries to use different strategies to control expatriate healthcare expenditure; (ii) substantial government revenue, with correspondingly high government expenditure on healthcare services in GCC countries; and (iii) underdeveloped healthcare systems, with some GCC countries' healthcare indicators falling below those of upper-middle-income countries.


Reforming the mode of health financing is vital to achieving equitable and efficient healthcare services. Such reform could assist GCC countries in improving their healthcare indicators and bring about a reduction in out-of-pocket payments for healthcare

Item Type: Article
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Administration and Organization > WA 530 International health administration
Faculty: Department: Groups (2002 - 2012) > Professional Services
Digital Object Identifer (DOI):
Depositing User: Lynn Roberts-Maloney
Date Deposited: 10 Nov 2014 09:50
Last Modified: 06 Feb 2018 13:07


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