Prof. Dr. Haytham Eloqayli

In this article, I present my vision for developing the healthcare sector with the aim of enhancing public satisfaction without increasing expenditure, while improving public sector management through a model inspired by countries that have successfully established government health insurance companies. This model enhances medical services, reduces resource waste, and supports the private sector to boost regional competitiveness in medical tourism, fostering integration among healthcare components rather than competition.

Key Pillar

1. Establishing a Government Health Insurance Company
- Regulating medical services (insurance, referrals, exemptions) through pre-approvals to control waste in imaging, lab tests, and redundant visits to the same specialty.
- This proven model in other countries has reduced wait times and optimized resource use without compromising service quality.
- Streamlining coordination with other healthcare sectors by defining covered services, preventing open-ended resource depletion.

2. Integration with the Private Sector
- Through two approaches:
- Medical Tourism: Promoting it to attract patients from neighboring countries.
- Government Insurance Company: Covering partial private sector treatment costs (e.g., 60%) at preferential rates, with mandatory pre-approval for procedures.

3. Creating a Medical City in a Free Zone
- The government provides land and infrastructure, while private investors build hospitals, medical centers, and hotels.
- Proposed strategic location (between the capital amman, Saudi Arabia, Iraq, and Syria) to attract future investments and expand services.

4. Restructuring Relations with Public Institutions
- Such as university hospitals, via predefined service packages with electronic approvals for add-ons, as implemented in other countries.

5. Public Sector Development
- Optimizing government healthcare spending to improve public satisfaction by focusing on:
- Cardiac care
- Emergency/trauma services
-Pediatric emergencies l
- Reallocating resources to align with community priorities and critical demand areas.

Conclusion:
The proposed model aims to integrate the healthcare system, enhance efficiency, and boost the economy through medical tourism, while preserving national resources.