利用公私合作在医疗保健领域的力量

The Gulf Cooperation Council (GCC)’ countries will face asignificant challenge in managing future healthcare costs.Healthcare spending is accelerating, in part because of therising incidence of chronic diseases. Thanks to systemictransformation, strategic planning, and population screen-ing programs, governments understand that the currentmodlel, in which the state shoulders most of the directfnancial burden and other social costs, is unsustainableover the long term. Governments need a differentapproach that invites the private sector to play a role as ameans of taming costs, improving quality of service, andproviding access to expertise.The GCC should use the publicprivate partnership (PPP)mechanism, which has been successfully applied globally.to increase private-sector participation, Governments canshape PpPs depending upon the different capabilities andappetites for risk of the public and private partners. PpPscome in many varieties and they can be customized foreach country's circumstances. Health systems in the GCCprovide a range of opportunities for private-sector players,including care provision, financing, healthcare supplies,and health education.GCC govermments will need to remove institutionalhurdles to the deployment of PPPs and create an enablingregulatory, operational, and financial environment. Thisrequires the correct legal and institutional framework forPPP governance and oversight, followed by a structuredprocess for identifying and executing a pipeline of PPphealtchcare projects. The careful and rigorous introductionof PPPs into healthcare can provide citizens with threemutually supporting healthcare improvements: greateraccessibility, higher quality care, and an affordable pricefor patients and governments. Executive Summary Contents0508101215 FutureDemandsonGCCHealthcareOppositesAttract:Public-Private PartnershipsValencia'sAlziraModelof Healthcare PPPsWhere to Play:Opportunities for the Private SectorLayingtheFoundationsforPPPs KeyHighlightsGCC countries can use PPPs as ameans of managing rising healch-healthcare system,and as partofaenhance the capabilities of theprogram of systemic transforma-tion of the sector.ppPs need to be structured so thatthey are customized to the specificreguirementsof thecare system.,Wholesale adoptionofpppmodelsfromabroadinappropriate.Services that are the furthest frompatientcontactand,withthegreatest,commercial value are wellsuitedfor,PPPs.health education for the.popula-tion,public sector.,should be retained'in' theFuture Demands onGCC HealthcareGCC healthcare systems have significant accomplish-ments, including widespread provision, rising professionalstandards and regulation, generous funding, and growinglevels of investment. Among the most importantadvances have been population screening programs andlong-range strategic planning efforts that are puttingthese countries at the forefront of the healthcare indus-try, along with impressively rapid system-wide transfor-mation programs., These forward-looking initiatives willbe most effective if the region can find a new way to payfor its future healthcare needs and build its healthsystems' capabilities. The current model, in which thestate absorbs most of the cost, is unsustainable in terms ofboth financing and healthcare delivery.As part of their national development programs, govern-ments are currently engaged in major efforts to improveaccessibility and quality of care, These healthcare changesand investments have the ambitious goal of putting theGCC on the top rung of the healthcare industry for careprovision and quality. Central to the upgrading of health-care in the region is the formulation of long-term strate-gic plans, an exercise that only governments can under- particularservices take. For example, Saudi Arabia's Ministry of Health hasdeveloped a 10-year strategy that takes an integrated,comprehensive approach to care provision, a transforma-tion that is instilling coherence into a previouslyfragmented system. Similarly, the Health Authority - AbuDhabi (HAAD) has developed a 10-year master plan toidentify future capacity gaps and provide recommenda-tions for developers, investors, and healthcare providers.Qatar has developed its National Health Strategy 2011-2016 around a comprehensive program of reforms thatare aligned with the Qatar National Vision 2030, thecountry's long-range national social and economic devel-opment program, The Dubai Health Authority (DHA) isimplementing a 2011-2013 health sector strategy toestablish a world-class integrated system that promotesthe emirate as a destination for healthcare services.Major expansions in care provision are occurring acrossthe GCC. These state-funded investments will meetcurrent and future demand for inpatient and outpatientservices, will reinforce trust in local healthcare provision,and reduce outbound medical tourism. As part of itshealthcare transformation program, Saudi Arabia is buildThe Gowernment Surmmit Tnought Leadership os There a