Ethical issues In Saudi Arabia on healthcare

In Saudi Arabia on healthcare in spite of the relatively high expenditure, in the main cities its health system is highly centralized with its focus on secondary as well as tertiary care relatively than primary care. For the healthcare providers this has led to several ethical challenges. With a panel of practitioners study this article reports conducted the study results along with non-clinicians. In Saudi Arabia, for healthcare providers, patient, as well as their families, in order to find the top ten ethical challenges but we discuss here only three out of ten.

Material & Methods of healthcare In Saudi Arabia

On Cross-sectional, descriptive, along with qualitative one the study was designed. Question was asked by the participants: “in Saudi Arabia what challenges are facing in health care? Throughout a modified Delphi process the participants were asked to rank the ethical challenges, using a scale of ranking. After three rounds of question a consensus was reached as well as an experts’ meeting.

Results of healthcare In Saudi Arabia

Here we described the 10 major ethical issues, by the participants as perceived in order of their important: rights of patient, resources of equity, patients confidentiality, safety of patients, conflicts of interest, privatization ethics, Consent informed, opposite sex dealing, start and end of life, as well as ethics of healthcare team.

Conclusion on healthcare In Saudi Arabia

Although by the participants many of the challenges listed that have received significant public along with worldwide specialized attention, in Saudi Arabia scant attention has been paid to these top challenges. To help address these key challenges we propose many possible steps.

Introduction of healthcare In Saudi Arabia

With a surface region of 2,150 thousand sq km, Saudi Arabia is the second greatest Arab nation, as well as 25.5 million a populace, around 7 million of whom are non-Saudis. It is the main Muslim nations, for Muslims as two of the most sacred locales (Makah and Madina), are situated here where millions come to love as well as work each year. in the Eastern Mediterranean Region, Contrasted with different nations it has one of the most elevated gross national livelihoods per capita as well as use on health (USD 22,300 and 6.4% (as level of (GDP)), respectively.

 On health (5% of GDP) regardless of this generally high use, in the human services framework the vast majority of the offices remain to a great extent amassed in the three principle as well as most thickly populated cities, to be specific: Riyadh, with18% the political capital of the MoH (Ministry of Health) clinics as well as  for 6.2 million individuals 18% of the Primary Health Care Centers (PHCCs); Jeddah along with Makah with 9% of the Ministry of Health doctor's facilities as well as for a populace of 4.9 million 7.5% of the PHCCs; along with the Eastern Region, including Dammam as well as Qasim, which has 15% of the Ministry of Health doctor's facilities, as well as for a populace of 3.4 million 13.4% of the PHCCs.

 In 1925, the advancement of the medicinal services framework, in Saudi Arabia started by a Royal pronouncement when a Public Health Department was built up. In 1926 the principal school of nursing was opened, in 1927, trailed by the School of Heath and Emergencies.

In industrialized countries relating to healthcare systems there is growing international literature that discusses the ethical issues. Although with specific specialties’ these generally deal or else given group of patient. By JM Berslin as well as colleagues done this leading study also recognize the top ethical challenges that patients as well as in the healthcare system their families in Toronto, Canada, face. In their study the top three challenges: (1) between patient disagreement/ about treatment decisions families and healthcare professionals (2) waiting list (3) as well as for the aged access to needed resources, the chronically ill, along with the mental ill.

Similarly, related to the healthcare system other studies were carried out to recognize the national ethical problems. ‘Ethical problems’ perceive by the clinical situations doctors along with nurses. To oncology nurses as highly important to describe the ethical issues deemed.  By the Canadian study as frequently encountered these studies the conclusion reached reflected the ethical issues close to those revealed for example, in the healthcare problems reform process, interactions professionals, along with relationship of doctor-patient. For oncology nurses the top three priority ethical issues were assisted suicide, decision of end of life, along with the pain management [1].

Moreover, in terms of volume and scope in Saudi Arabia the literature relating to the medical/ Clinical ethics. On the Islamic perspective most of the studies focus of some clinical practices for example donation of oxygen, orders of do-not-resuscitate, as well as issues of end-of-life, or else others issues like the satisfaction of patients. By Kalid Bin Saeed a study that is worthy of note was conducted views of executive’s physician as well as in Saudi Arabian hospitals clinicians on ethical issues. To the presence of ethical issues the contributory factors leading. This examination is gone for characterizing, gathering, as well as positioning in the medicinal services framework the major moral difficulties experienced in Saudi Arabia, as seen by the human services suppliers as well as the general population. By Breslin as well as associates it likewise proposes a way to deal with the administration of these moral issues in accordance with other global investigations, particularly the Canadian examination

Materials & Methods of healthcare In Saudi Arabia

Descriptive, cross-sectional, as well as qualitative the study was based on this. The three main cities of Saudi Arabia include Riyadh, Jeddah, as well as Dammam and other smaller cities. In the major health institutions the population study included ethics committee’s member. In medical ethics along with medical administration who had experience. As the table show below have the information of ten hospitals. From February to May 2010 this data was collected. In the study 90 replied, rate of 82% giving a response, as well as 83 provided their professional as well as contact data out of 110 participants. Clinicians as well as medical doctors both male and female participants include 46 (55%) and 12 (15%) [2] [2].

Discussion of healthcare In Saudi Arabia

In a culturally diverse population, the presence of a centralized healthcare system as well as to a set of ethical issues healthcare providers may give rise. For example, in many peripheral areas Saudi patient have to travel to seek health care one of the main cities. Hence, organized approach is introduced to control these ethical issues. Within the public the highest ranked ethical challenges in the healthcare system was the issue of patient’s rights according to the study of Canadian. The first major ethical issues were the disagreements among patients/ families on decision of treatment healthcare professionals. In Saudi Arabia, the ‘Manual Guide for Medical Practitioners’ this is the only known national document issued to provide guidance to practitioners. This unmistakably expresses the privilege of patients to: the entrance of 'good' treatment; for any restorative intercession give assent; classification of his/her medicinal data; to reject treatment against therapeutic advice as well as the privilege. Since it is just an archive that 'directs', the onus has been on the primary healing facilities to build up their Patients' Bill of Rights. Lamentably, this is still during the time spent being detailed, concluded, as well as embraced [6].

Equity of access to resources this is the 2nd highest ranked ethical challenges that in the healthcare system facing by the public. In the Saudi Arabia healthcare system the equity of distribution of major issues is health resources, in the main cities as most of the resources are primarily. In spite of this, even within these cities there are inequities among Saudis along with non-Saudis. With some serious diseases few exception are made for patient, for instance, dengue fever along with tuberculosis, to free management who should have access to this, their legal status  although [7].

Confidentiality of the patient is the third highest ranked in ethical challenges that is faced in Saudi Arabia healthcare system. Importance of this issue is understood by the panels that have to give the serious attention. On the management of patient information there are no clear policies, mostly the records of medical in many hospitals. To the discretion of the clinician the management of these records is usually left.  On sharing any information this includes decisions regarding the patient without the proper consent of the patient. By Khalid Bin Saeed this finding was made, in his study who indicated that 80% of the clinicians has stated that in their hospitals patient confidentially was a major ethical issue.

The most plausible reason is that patients are probably not going to realize that their classified data has been shared, and thusly, are more averse to document a grumbling against the treating specialist or the healing facility. With an expanding number of patients suing their treating specialists in Saudi Arabia, preventive measures have taken the main hospitals. The solution of these problems is that we should develop policies for the patient confidential report. The report was only given to the family member of the patient with the permission of the patient [8].

Conclusion of healthcare In Saudi Arabia

It is concluded that this examination was expected for correlation with those of the Canadian investigation. Due to the distinctions in culture as well as medicinal services frameworks of Saudi Arabia along with Canada Contrasts were without a doubt expected. It is concluded that in contrast to the Canadian examination, the suppositions of managers as well as legitimate agents this investigation incorporated. Albeit by the members a considerable lot of the difficulties recorded have gotten noteworthy open as well as around the world concentrated consideration, in Saudi Arabia almost no consideration has been given to these best difficulties.

 In spite of the fact that a code of morals requires not set down principles that are an unchangeable reality, it can furnish direction to manage moral issues as they emerge. The best moral issues mirrored the national and social characteristics of the Saudi populace and health framework. In any case, the Arabic-Islamic good qualities one can sensibly accept that the issues talked about will be appropriate to different nations of the locale that share. Contrasts will, notwithstanding, stay, as from various wellbeing conveyance frameworks there will be issues that emerge.