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Table 1 Selective strategic objectives, KPIs and KPTs, adopted under the National Transformational Plan 2020 [10]

From: Healthcare human resource development in Saudi Arabia: emerging challenges and opportunities—a critical review

Strategic objective Relevant objectives of vision 2030 Key performance indicators (KPIs) Baseline 2020 target (KPTs) Unit Regional benchmark International benchmark
1. Increase private sector share of spending through alternative financing methods and service provision Improve the quality of healthcare services (preventive or therapeutic)
Expand privatisation of governmental services
Create an attractive environment for both local and international investors and enhance their confidence in our economy
Percentage of private sector contribution in total healthcare spend 25 35 % 37 60
2. Increase the efficient utilisation of available resources Improve the quality of healthcare services (preventive or therapeutic)
Achieve the highest levels of transparency and good governance in all sectors
Achieve budgetary balance
Opex for every new inpatient admission 33,000 33,000 SAR 39,000 NA
3. Improve the efficiency and effectiveness of the healthcare sector through the use of information technology and digital transformation Improve the quality of healthcare services (preventive or therapeutic)
Achieve the highest levels of transparency and good governance in all sectors
Improve performance, productivity and flexibility of public authorities
Percentage of Saudi citizens who have a unified digital medical record 0 70 % NA 100
4. Increase training and development both locally and internationally Improve the quality of healthcare services (preventive or therapeutic)
Provide citizens with knowledge and skills to meet the future needs of the labour market
Number of resident Saudi physicians who are enrolled in training programs 2200 4000 Number NA NA
5. Increase the attractiveness of nursing and medical support staff as a preferred career path Improve the quality of healthcare services (preventive or therapeutic)
Provide citizens with knowledge and skills to meet the future needs of the labour market
Number of qualified Saudis in the field of nursing and support staff for every 100,000 people 70.2 150 For every 100,000 460 1106
6. Improve healthcare provision before hospitalisation and in the main hospitals (ER and ICU) Improve the quality of healthcare services (preventive or therapeutic) Percentage of patients who received emergency or urgent care with medical decision made (admission/transfer/discharge) in less than 4 h in key hospitals 40 75 % Under Study 95
7. Improve integration and continuity in service provision by developing the primary care Improve the quality of healthcare services (preventive or therapeutic) Number of primary healthcare visits per capita 2 4 Number 3.4 7
8. Improve the infrastructure, facility management and safety standards in healthcare facilities Enhance the liveability of Saudi cities
Improve the quality of healthcare services (preventive or therapeutic)
Number of licenced medical facilities (affiliated with the Ministry of Health and private) 40 100 % 100 100
9. Attain acceptable waiting times across all stages of service delivery Improve the quality of healthcare services (preventive or therapeutic) Percentage of appointments received in specialised medical disciplines within 4 weeks (average for all specialties in key hospitals) < 40 70 % Under study 83
10. Improve governance in the health system in order to enhance accountability with regard to quality issues and patient safety Improve the quality of healthcare services (preventive or therapeutic) Percentage of healthcare facilities reporting comprehensive performance and quality measures 10 100 % NA 100
11. Adopt a national plan for emergency response to public health threats per international standards Improve the quality of healthcare services (preventive or therapeutic) WHO emergency preparedness assessment score—average score for Riyadh, Jeddah and Eastern Province Calculation in progress 4–5 Score Under study Under study
12. Identify additional sources of revenues Expand privatisation of governmental services
Achieve budgetary balance
Total revenue generated from private sector for utilising government health resources 0.3 4 SAR billion NA NA
13. Improve public health services with focus on obesity and smoking Improve the quality of healthcare services (preventive or therapeutic) Increase in percentage of smoking incidence Calculation in progress Reduce by 2% from baseline % 12.5 10.5
Increase in percentage of obesity incidence Calculation in progress Reduce by 1% from baseline % 19.4 5
14. Improve the quality of life and healthcare service provided to patients outside hospitals Improve the quality of healthcare services (preventive or therapeutic) The percentage of patients who get health care after critical care and long-term hospitalisation within 4 weeks 25 50 % NA 65
15. Improve quality and safety principles as well as skills of service providers Improve the quality of healthcare services (preventive or therapeutic) Percentage of hospitals that meet the US median for patient safety culture 10 50 % NA 50