The draft of the new system for the development of the health system (Okaz obtained a copy of it) obligates the Ministry of Health to ensure the provision of health care to all residents with quality and efficiency, in a fair and accessible manner, and to follow up the organization of health care with permanent review to ensure quality and efficiency by directing, supervising, agreeing or coordinating with Competent, funded or health care providers, according to effective governance.
The system also obligates the Ministry to develop policies that encourage the implementation of best health practices in the provision of health care, encourage raising the level of quality and efficiency of the health sector’s outputs, apply the principle of value based on evaluating and rewarding outputs, develop indicators of efficiency, quality and beneficiary experience, and develop the necessary policies to achieve the integration of care services. Beneficiary-centered health services among service providers through a safe and effective health care model, ensuring quality and efficiency for the beneficiary. The Ministry of Health and the competent authorities in the health sector monitor the cost of health care to address everything that would affect the inflation of health care costs in a manner that exceeds the potential for the required quality and adequacy, in cooperation with the relevant national authorities, and then submit to the Council of Ministers according to the powers to propose policies to address this. The draft in the organization of health facilities revealed that the organization aims to achieve everything that would ensure continuous improvement of the quality of health care services to be safe, effective and with a positive experience to provide health care to beneficiaries in a healthy and safe environment, and protect them from any harm or harm that can be avoided and treat beneficiaries to recover from cases. Ill health or its complications, promoting the health of beneficiaries, protecting them from premature death and acquired diseases, improving the quality of life of beneficiaries who suffer from long-term physical, mental or psychological conditions, and ensuring a positive experience for beneficiaries in their health care journey.
It is prohibited for any facility to provide health care except after obtaining a license from the competent authority, and the regulations set the criteria and conditions necessary for licensing according to the types of health facilities and according to the levels of health care. A licensed health care provider that is qualified to provide health care to the entire population with all types of legal insurance or purchase.
And Article 10 of the system stated that the health facility to provide any health care service must complete all the conditions stipulated in the system and the regulations, and take the necessary licenses from the relevant competent authorities, including initial approvals and final licenses, and must take into account the competent authority before issuing licenses for facilities Health care fair and appropriate distribution to the needs of the population to ensure the quality of service and its sustainability efficiently.
The system stipulated that the building of the health facility of all types should meet the health conditions, engineering specifications, appropriate distribution, furniture, equipment, medical and non-medical devices, the medical waste disposal system, the infection control system, and the health information system.
And the draft system obligated the health facility to provide treatment in emergency cases for people and not to claim money before providing treatment in all emergency cases received, all emergency cases that fall on its property, and general dangerous cases in which the competent authorities impose emergency intervention on health facilities to save them in times of disaster, war, or situations. life-threatening.
The regulation defines the necessary determinants of what the cases apply to when the need arises, as well as the provisions related to payment of the service cost and the methods of collecting it after it is provided. The system also allowed accepting a proposal from the minister based on the requirements of the public interest and by a decision of the Council of Ministers to restrict the granting of licenses to practice some health care professions or some types of health facilities stipulated in the system and the regulations to Saudis only, and it may determine the percentages of non-Saudis’ contribution to the care professions. health if so required.
Kidnapping and abortion are forbidden!
In the duties of the health practitioner, the system revealed that the relationship between the health practitioner and other practitioners must be based on cooperation and mutual trust. Beneficiaries who are treated with a colleague, or those who work with him, or dismiss them from him, directly or indirectly. It is also prohibited for the health practitioner, when replacing his colleague in the treatment of his beneficiaries, to exploit this situation for his personal interest, and he must rise above everything that offends him in the practice of his profession.
And the law stated that it is forbidden for a pregnant woman to abort during the period after the first forty days and before the four months of pregnancy unless its continuation harms her physically or psychologically, or if it is medically proven beyond any doubt that the fetus has deformities that cause psychological harm to him and his family, provided that it is by a decision of the A medical committee formed in accordance with the conditions specified by the regulations, and a woman may have an abortion before this period if her interest calls for it, and the formed medical committee may not allow an abortion after the four months of pregnancy unless its continuation threatens the woman’s health with serious harm. Human cloning, or experiments on humans, except in accordance with the requirements specified by the regulations, and it is not permissible to perform any work or intervention with the intention of cutting off the offspring of a woman or a man without the written consent of the beneficiary who is subjected to the medical intervention, provided that it is for health reasons.
When are the devices removed from the patient? Under no circumstances may the life of the beneficiary be terminated for whatever reason, even at his request, or the request of his guardian or guardian.
It is prohibited to remove resuscitation equipment from the beneficiary unless his heart or all brain functions have completely and finally stopped in accordance with the considered medical standards. The new system approved 4 categories of national health insurance, namely: citizens if they are not covered by special health care systems, programs or services provided to them by the authorities they work for in accordance with the provisions of this system or a decision of the Council of Ministers, citizens working in the public and private sectors, their family members, and children. The Saudi mother of a non-Saudi husband residing in the Kingdom, the non-Saudi wife married to a Saudi, and the non-Saudi married to a Saudi woman residing in the Kingdom if the required and due health care is in accordance with the national health insurance policy and is not covered by the insurance coverage in the private health insurance policy issued to them under this system and its regulations, and the third is non-Saudis working in government sectors; If they are not covered by other special systems, programs or services for health care in accordance with the provisions of this system or a decision of the Council of Ministers. And the fourth is any category issued by a decision of the Council of Ministers to include it among the beneficiaries.
No residence without insurance Benefit from private health insurance Residents who are covered by a work sponsorship or without a work sponsorship, as well as holders of privileged residence, citizens working in the private sector, citizens working in the public sector and covered by private health insurance in accordance with the regulations and regulations of their employers, and those who are coming to the Kingdom for the purpose of visiting or Tourism, Hajj or Umrah covers the period of their stay, except for what is excluded by a decision of the Council of Ministers. Likewise, residence permits of all kinds may not be granted to non-Saudis except after obtaining a private health insurance policy that covers the period of their stay, unless they are excluded under the provisions of any regulation or decision issued by the Council of Ministers. The new system obligated the Ministry of Health to set a list of basic health coverage necessary for beneficiaries, including maternity and childhood care, preventive programs for all ages, health care for people with disabilities and the elderly, health care for accidents, emergencies and disasters, combating infectious and epidemic diseases, and treating chronic and incurable diseases, such as removing tumors and organ transplantation. , dialysis, mental health, women's health programs, basic dental treatment and medical examinations for her, vision examination, eye treatment, the cost of one method of vision correction – annually -, treatment in dermatological clinics, with the exception of cosmetic cases and other elements of services Primary and secondary health care and what is determined by the Ministry.
Inclusion of the children of the Saudi mother for health insurance
Granting national health insurance to the children of a Saudi mother from a non-Saudi husband residing in the Kingdom, a non-Saudi wife married to a Saudi man, and a non-Saudi married to a Saudi woman residing in the Kingdom if the required and due health care is in accordance with the national health insurance policy and is not covered by the insurance coverage in the private health insurance policy According to the system, the state works to ensure the implementation of comprehensive health coverage policies for the entire population in a fair manner in the Kingdom through regulations.
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