Mansoor Ahmed, director (MENA area), healthcare, schooling and PPP at Colliers Worldwide, appears at long run care, rehabilitation and homecare in Saudi Arabia
Saudi Arabia, with a present estimated inhabitants of roughly 35 million, is the most important nation within the Gulf Cooperation Council (GCC). Underneath Imaginative and prescient 2030 the nation goes by way of elementary structural adjustments in all of the sectors together with healthcare.
The healthcare sector is present process an evolution on the again of speedy developments in expertise and R&D consistent with international and regional developments. The Covid-19 pandemic, nonetheless, has additionally uncovered the vastly numerous construction of healthcare methods and elevated the significance of R&D and the availability of specialized healthcare inside generalised healthcare.
A key driver is the altering demographic profile by way of a decreased fertility price and elevated life expectancy. In consequence, the inhabitants above 60 years is anticipated to extend from 5.5% in 2020 to 11.0% by 2030.
This shift could have a big affect on illness patterns and the kind of healthcare companies required. As nearly 80% of an individual’s healthcare necessities usually happen after the age of 60 years this may enhance the demand for long-term care, rehab and residential care. That is very true in Saudi Arabia with its excessive prevalence of lifestyle-related ailments together with diabetes, coronary and obesity-related sicknesses.
What’s long-term and
post-acute care?
Lengthy-term and post-acute care embrace a wide range of rehabilitation or palliative companies that assist meet the medical and non-medical wants of individuals with continual sicknesses or disabilities. It consists of the care sufferers obtain after, or in some circumstances, as an alternative of a keep in an acute care hospital over a comparatively lengthy time frame.
This big range of companies ranges from advanced care in a long-term, acute-care hospital to personalised residence care help. In comparison with the overall inhabitants, sufferers who obtain these companies usually have a broader vary of circumstances and extra advanced, continual care wants that end in frequent transitions between their properties, acute, post-acute, and longer-term care settings.
ESTABLISHING
QUALITY LONGTERM CARE AND
REHAB FACILITIES
WITH HOME-BASED
INTERNATIONAL
OPERATORS CAN
ACT AS A CATALYST
TO REDUCE
EXPENDITURE
ON OUTBOUND
TREATMENTS WHILE
SIMULTANEOUSLY
GROWING A NEW
SERVICE SECTOR
Medical tourism: saving cash by changing
worldwide remedy with home remedy
Shortage and high quality of specialized healthcare services stay the foremost causes for outbound medical remedy within the GCC. Each nationwide and expatriate sufferers choose going abroad for medical therapies primarily in Germany, the UK, the US, Canada and Asian international locations. This consists of therapies referring to long-term care and rehabilitation.
Traditionally over 20,000 sufferers was despatched overseas for remedy, nonetheless, with the introduction of PPP fashions, this has fallen lately. The plan now’s that except remedy shouldn’t be accessible in Saudi Arabia the state will not pay for abroad remedy.
Within the GCC, particularly within the UAE, there has additionally been an enchancment within the high quality of healthcare service provision. The emergence of numerous reputed indigenous manufacturers and the opening of internationally recognised hospitals (equivalent to Kings School Hospital, Mediclinic, Cleveland Clinic) is anticipated to result in an additional decline in outbound medical tourism.
Establishing high quality long-term care and rehab services with home-based worldwide operators can act as a catalyst to scale back expenditure on outbound therapies whereas concurrently rising a brand new service sector.
Medical wellness and
preventative healthcare
Within the MENA area, the prevalence of diabetes and weight problems is among the highest on the earth, with nearly 55 million folks aged 20 to 79 years affected by diabetes. This quantity is anticipated to double by 2045.
Eight Center Jap international locations; Kuwait, Qatar, Egypt, Saudi Arabia, Bahrain, UAE, Jordan and Lebanon have the very best ratio of weight problems amongst adults globally with 27% to 40% of the overall inhabitants affected. The prevalence of chubby and weight problems in these international locations ranges from 74% to 86% in ladies and 69% to 77% in males.
Within the GCC international locations, there’s a must concentrate on extra preventive rehabilitation care by the institution of medical wellness remedy centres.
Tasks are being developed in life-style retreat settings the place restoration is in a relaxed and cozy surroundings fairly than a typical hospital setting. Colliers has additionally been engaged in numerous tasks together with waterfront hospitality the place well being and medical wellness parts are included throughout the resorts.
These tasks are anticipated to have a optimistic affect in the long run by lowering the demand for each acute care hospitals and post-acute care long-term and rehabilitation services.
Inside Saudi Arabia, the Purple Sea Venture, Qiddiya Leisure Metropolis and Amaala Purple Sea Riviera tasks could possibly be superb places to develop medical wellness and preventive healthcare services.
Psychological healthcare
Psychological well being is changing into a significant problem, presently there are round 1.4 million sufferers in Saudi Arabia that are anticipated to extend to 4.4 million by 2050.
A major proportion of psychological well being points are age-related and might be accommodated by way of long-term care/ rehabilitation services and even as a part of residence care.
The Covid-19 pandemic has additionally exacerbated psychological well being points by way of further life stress and isolation. Providing psychological well being in long-term care/ rehab services or as a part of homecare, can considerably scale back the capital and working expenditure and liberate beds
and sources in acute care hospitals and household clinics.
Conclusion
Because of the scarcity of long-term care, rehabilitation and residential care companies within the nation, sufferers in want of long-term care utilise acute care services, making a burden on acute care services.
Based mostly on numerous experiences and discussions with hospital operators, sufferers who could possibly be higher served in long-term care and rehab services occupy an estimated 20% to 30% of public hospital beds in Saudi Arabia.
The price of sufferers who want long-term care and rehab however are as an alternative handled generally hospitals is considerably increased in comparison with a long-term care facility. It is a essential problem; all authorities budgets are below stress whereas demand for healthcare continues to rise.
Capital and working prices of organising these services are as much as 30% decrease when in comparison with an acute care hospital.
The necessity for infrastructure to assist the availability of long-term care and rehab services is among the major coverage drivers for numerous governments within the GCC. For instance, Dubai has prioritised investments in organising affected person companies below its newest funding information.
As a part of the privatisation course of, the Ministry of Well being is in search of to interact operators each for long-term care and rehab services in addition to homecare.
So, what’s the hole?
As per Colliers estimates, Saudi Arabia, by 2030 would require further 20,000 – 22,000 long run care and rehabilitative beds. To attain OECD common requirements, nonetheless, the
nation would require 28,000 – 30,000 further beds by 2030.
An essential side shall be bettering homecare companies. Presently the capabilities, sources, and effectivity in residence care range throughout areas with restricted service supplied. Because of an absence of environment friendly operational procedures and correct info methods, the utilisation of residence care personnel stays low. Improved homecare provision will scale back the stress on each acute care and long run care and rehabilitation hospitals.
The goal below the Ministry of Well being’s PSP initiative is to extend homecare protection yearly from 40,090 (2017) to 90,300 (2022).
In November final yr, the Ministry of Human Assets and Social Improvement (MHRSD) introduced the implementation of a uniform mannequin for aged care within the nation in collaboration with the non-public and non-profit sectors. In Colliers’ opinion, this initiative is anticipated to enhance the effectivity and high quality of companies supplied to the aged in Saudi Arabia with higher utilisation of tertiary care, long run care and rehab services.
The best problem lies within the scarcity of manpower because the variety of physicians and specialised nurses and allied healthcare personnel for rehabilitation is inadequate. With new hospital developments underway the competitors to rent skilled and expert physicians, nurses and allied workforce is additional set to accentuate.
Presently, the market is in its nascent stage and plenty of current long run care, rehab and residential care services lack superior medical capabilities. Because the market matures, extra centres offering specialised complete rehabilitation equivalent to neurorehabilitation, cardiopulmonary, paediatric and musculoskeletal rehabilitation will enter the market. Colliers Worldwide healthcare workforce is actively working with a number of native, regional and
worldwide traders and operators to facilitate entry and/or growth in Saudi Arabia’s profitable long-term care, rehab and homecare sector.
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