Surgical Safety in Developing Countries: Middle East, North Africa, and Gulf Countries
The coming decade will bring significant new challenges to surgical health care in the Gulf Cooperation Council (GCC) and the Middle-East and North Africa (MENA) countries. These challenges will require new strategies on the part of government and private health-care players. Health care demand and spending are rising sharply in these regions. Policymakers want the private sector to play a bigger role in their health-care systems, in both the provision of safer and reliable care and the financing of care. Recent increases in awareness of surgical morbidity in developing countries have placed greater emphasis on strategies to improve surgical safety in resource-limited settings. To promote the private sector’s involvement, GCC/MENA governments must make major regulatory and policy changes—above all, using public funds to reimburse nationals for the private health-care services they consume, and defining and enforcing a single set of quality standards for both public and private providers. The private payers most likely to succeed will focus on patient-centered, high quality and safe care, and build volume by competing in more than one GCC/MENA state and region. Establishing strong regulatory bodies to define and firmly enforce higher-quality standards for health-care providers and medical professionals, policy-makers will build the confidence of patients in the quality of health care, no matter who provides it.
KeywordsSurgical safety Gulf countries Middle East WHO Hajj Mecca Islam
- 1.WHO, EMRO, Regional committee’s annual report, 2012.Google Scholar
- 3.Kreideit A, Kalkman C, Barach P. Role of handwashing and perioperative infections. Br J Anesth. 2011. doi:10.1093/bja/aer162.Google Scholar
- 4.World Health Organization. http://www.who.int/patientsafety/safesurgery/en/.
- 7.World Health Organization. http://www.who.int/patientsafety/education/curriculum/en/.
- 9.World Health Organization. http://www.emro.who.int/entity/patient-safety/index.html.
- 11.World Health Organization. http://www.who.int/patientsafety/implementation/checklists/childbirth/en/.
- 14.Groene RO, Orrego C, Suñol R, Barach P, Groene O. “It’s like two worlds apart”: an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qual Saf. 2012;0:1–9. doi:10.1136/bmjqs-2012-001174.Google Scholar
- 15.Health statistical year book. 4. Riyadh, Saudi Arabia, Ministry of Health, 2009.Google Scholar
- 16.Alkhazem M. Health coordination starts from the Ministry. 20. Al Riyadh Daily. 12 April 2009 [in Arabic].Google Scholar