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Title: Health-care priority setting decisions in Saudi Arabia : an exploration of the context, and potential, for using economic evaluation
Author: Kashm, Mohammed Abdullah
ISNI:       0000 0004 5922 5394
Awarding Body: University of Birmingham
Current Institution: University of Birmingham
Date of Award: 2016
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Recent health care reforms within Saudi Arabia have advocated use of economic evaluation in health care decision making. Little research has, however, considered the use of economic evaluation to set priorities in rentier state settings. This thesis explores the nature of the rentier state and the basis of health care priority setting, and conducts a systematic review of the use of economic evaluation in priority setting. The thesis uses in-depth qualitative research to explore health care priority setting and use of economic evaluation in Saudi Arabia. Qualitative data comprised 22 in-depth interviews with decision makers at the national and district levels, 3 focus groups, and one meeting observation. Data collection and analysis were conducted iteratively using constant comparison. Findings show that contextual factors have a great influence on the decision making process and that the use of economic evaluation is still very limited. There appeared to be two types of barriers to the use of economic evaluation: decision context-related barriers and barriers relating to the production of economic evaluation data. Incorporating economic evaluation into the health care decision making process in Saudi Arabia is proving to be complex and contextual factors have more influence on priority decisions than economic evaluation.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: HB Economic Theory ; RA Public aspects of medicine