Impact of Healthcare Insurance on the Efficiency of Emergency Services in Private-Sector Hospitals in Al-Ahssa, KSA: An Analytical Comparative Study for Insured and Non-Insured Patients

Abstract

Kingdom of Saudi Arabia is in a peculiar situation regarding healthcare; there is the free healthcare provided by the governmental hospitals in addition to that offered by private-sector hospitals for insured and non-insured patients. Aims of the study are to evaluate the level of efficiency of ED services in private-sector hospitals and to compare between insured and non-insured patient regarding their evaluation of efficiency of services provided in ED in private-sector hospitals in Al-Ahssa region, KSA. Research design: descriptive comparative research design. Setting: The study was conducted in three EDs (emergency departments) of three private hospitals in Al-Ahssa region, KSA which are: Al Mana General Hospital, AlMosa Specialist Hospital and AlAhssa Hospital Subjects: convenient sample of 150 patients (97 patients were insured however 53 patients) at the EDs of the three private hospitals were selected. Tools for data collection: Self-administered Patient Evaluation Questionnaire (PEQ). Results: Insured patients have higher means of efficiency of ED services in private hospitals in all axes of efficiency than non-insured. Recommendations: MOH should develop a program of cost share between citizens and MOH to promote parallel access with MOH hospitals for non-insured patients. Also, there should be a continuous monitoring of patients’ experiences of the received healthcare services in private-sector hospitals.

Key words: Health Insurance, Efficiency, Emergency Services.