Healthcare in Algeria consists of an established network of hospitals, clinics, and dispensaries. The government provides universal health care.
The first public hospitals were built in Algiers, Oran and Annaba between 1883 and 1889, and in 1895 the first class of native Algerian medical students graduated as medical doctors. However between 1914 and 1964, healthcare stagnated and only 50 hospital beds were added, on average. Only about 19 qualified doctors were added to the workforce on average every year. The Algerian government invested heavily in training new medical staff and medical schools began graduating large numbers of doctors.[ citation needed ]
At the start of Algeria's independence in 1962, [1] the Algerian health care system was small and consisted of only one physician per 33,000 people. There was estimated to be 300 doctors in all and only one trained paramedic per 40,000 people. [2] The country has made major changes and progress since then in its policies and systems of health care. From 1975 onward, the Algerian government introduced a free national health care system. Hospital treatment, medications, and outpatient care became free to all citizens of Algeria. [3]
The national medical insurance scheme covers 90% of the entire population. Under the public health insurance system, vulnerable populations such as the poor, children, and the elderly, are entitled to free healthcare, while wealthier citizens must partially pay for their healthcare according to a sliding scale. The Algerian government decided to invest in government run expansive health care centres and clinics instead of investing in expensive hospitals. [4] The health care facilities and medical equipment varies in size depending on the size of local population. Remote areas tend to get more rudimentary medical services. [2] The Algerian government had a 4-year plan from 2010–14, which was expected to spend €5.7bn in health care which a majority of the fund directed in the establishment of over 1,500 health care facilities all over Algeria. By 2015, the Algerian government had allocated €4.85bn to build 10 hospital and renovate old ones. [4] The Algerian government is investing in human resources by creating 58,000 jobs in nursing, doctors and health care assistants. The Algerian government is dedicating increased funds into increasing the amount of resources that the health care sector needs to develop their new facilities. This funding will go into new medical equipment and improved hospital capacity capabilities.
Access to healthcare is enhanced by the requirement that doctors and dentists work in public health for at least five years. However, doctors are more easily found in the cities of the north than in the southern Sahara region. While medical equipment and medications in public facilities may not always be up to date, staffing levels are high. [5]
The minister of the Ministry of Health, renamed the Ministry of Health, Population and Hospital Reform in 2000 is part of the Council of Ministers established by the Algerian Constitution of 1996. [6]
The Algerian healthcare system consisted in 2018 of the following, according to Mohamed L’Hadj, Director General of the Ministry of Health, Population and Hospital Reform: [7]
The private health sectors in Algeria is a non government run health care system which citizens must pay for their services. The private health care sector had developed quickly to fill the gaps that the government public health care system had left. [8] Private medical care is very limited as their services are not covered by the public health care system and only a few Algerians can afford to pay out of pocket for their own medical treatments. [8] Patients that seek to use the private health system will pay large amounts of out of pocket fees and enjoy a higher quality of services. A private health insurance system does not yet exist in Algeria. Private medical facilities are becoming more common in Algeria, with 250 private clinics operating in 2015, and many more planned and under construction. [4]
The first COVID-19 case in Algeria was reported by the Ministry on February 25, 2020. [9] By November 2020, the Algerian healthcare system was struggling to cope with the pandemic. [10]
The healthcare industry is an aggregation and integration of sectors within the economic system that provides goods and services to treat patients with curative, preventive, rehabilitative, and palliative care. It encompasses the creation and commercialization of products and services conducive to the preservation and restoration of well-being. The contemporary healthcare sector comprises three fundamental facets, namely services, products, and finance. It can be further subdivided into numerous sectors and categories and relies on interdisciplinary teams of highly skilled professionals and paraprofessionals to address the healthcare requirements of both individuals and communities.
Two-tier healthcare is a situation in which a basic government-provided healthcare system provides basic care, and a secondary tier of care exists for those who can pay for additional, better quality or faster access. Most countries have both publicly and privately funded healthcare, but the degree to which it creates a quality differential depends on the way the two systems are managed, funded, and regulated.
Algeria is the largest country in Africa and is estimated to have a population of around 46,278,751 people. Algeria has a public health care system, which is accessible and free of charge to all citizens of Algeria. The public health care system is financed by the government of Algeria. Given Algeria's young population, policy favors preventive health care and clinics over hospitals. In keeping with this policy, the government maintains an intensive immunization programme and a policy which allows Algerian citizens health care for Hospitalisations, medicines and outpatient care free to all citizens of Algeria.
A public hospital, or government hospital, is a hospital which is government owned and is fully funded by the government and operates solely off the money that is collected from taxpayers to fund healthcare initiatives. In almost all the developed countries but the United States of America, and in most of the developing countries, this type of hospital provides medical care free of charge to patients, covering expenses and wages by government reimbursement.
Health care in Saudi Arabia is a national health care system in which the government provides free universal healthcare coverage through a number of government agencies. There is also a growing role and increased participation from the private sector in the provision of health care services.
The healthcare reform in China refers to the previous and ongoing healthcare system transition in modern China. China's government, specifically the National Health and Family Planning Commission, plays a leading role in these reforms. Reforms focus on establishing public medical insurance systems and enhancing public healthcare providers, the main component in China's healthcare system. In urban and rural areas, three government medical insurance systems—Urban Residents Basic Medical Insurance, Urban Employee Basic Medical Insurance, and the New Rural Co-operative Medical Scheme—cover almost everyone. Various public healthcare facilities, including county or city hospitals, community health centers, and township health centers, were founded to serve diverse needs. Current and future reforms are outlined in Healthy China 2030.
Healthcare in Malaysia is under the purview of the Ministry of Health of the Government of Malaysia. Malaysia generally has an efficient and widespread system of health care, operating a two-tier health care system consisting of both a government-run public universal healthcare system along with private healthcare providers. Within the chronically underfunded public universal healthcare system, specialist services are either free or have low user fees for procedures ; as such the public healthcare system suffers from high demand, routine congestion, long wait lists, chronic widespread delays along with persistent shortages in healthcare personnel, medical equipment and healthcare supplies. Therefore, private healthcare providers play a pivotal role in providing specialist consultants and general practitioner (GP) services to the Malaysian population; the private healthcare providers complements or supplants the public healthcare system in terms of availability, types of treatments provided and types of materials used.
Healthcare in China has undergone basic changes over the twentieth century and twenty-first century, using both public and private medical institutions and insurance programs. As of 2020, about 95% of the population has at least basic health insurance coverage.
Healthcare in Israel is universal and participation in a medical insurance plan is compulsory. All Israeli residents are entitled to basic health care as a fundamental right. The Israeli healthcare system is based on the National Health Insurance Law of 1995, which mandates all citizens resident in the country to join one of four official health insurance organizations, known as Kupat Holim which are run as not-for-profit organizations and are prohibited by law from denying any Israeli resident membership. Israelis can increase their medical coverage and improve their options by purchasing private health insurance. In a survey of 48 countries in 2013, Israel's health system was ranked fourth in the world in terms of efficiency, and in 2014 it ranked seventh out of 51. In 2020, Israel's health system was ranked third most efficient in the world. In 2015, Israel was ranked sixth-healthiest country in the world by Bloomberg rankings and ranked eighth in terms of life expectancy.
Healthcare in Singapore is under the purview of the Ministry of Health of the Government of Singapore. It mainly consists of a government-run publicly funded universal healthcare system as well as a significant private healthcare sector. Financing of healthcare costs is done through a mixture of direct government subsidies, compulsory comprehensive savings, national healthcare insurance, and cost-sharing.
Healthcare in South Korea is universal, although a significant portion of healthcare is privately funded. South Korea's healthcare system is based on the National Health Insurance Service, a public health insurance program run by the Ministry of Health and Welfare to which South Koreans of sufficient income must pay contributions in order to insure themselves and their dependants, and the Medical Aid Program, a social welfare program run by the central government and local governments to insure those unable to pay National Health Insurance contributions. In 2015, South Korea ranked first in the OECD for healthcare access. Satisfaction of healthcare has been consistently among the highest in the world – South Korea was rated as the second most efficient healthcare system by Bloomberg. Health insurance in South Korea is single-payer system. The introduction of health insurance resulted in a significant surge in the utilization of healthcare services. Healthcare providers are overburdened by government taking advantage of them.
Healthcare in Finland consists of a highly decentralized three-level publicly funded healthcare system and a much smaller private sector. Although the Ministry of Social Affairs and Health has the highest decision-making authority, specific healthcare precincts are responsible for providing healthcare to their residents as of 2023.
Kenya's health care system is structured in a step-wise manner so that complicated cases are referred to a higher level. Gaps in the system are filled by private and church run units.
Healthcare in Georgia is provided by a universal health care system under which the state funds medical treatment in a mainly privatized system of medical facilities. In 2013, the enactment of a universal health care program triggered universal coverage of government-sponsored medical care of the population and improving access to health care services. Responsibility for purchasing publicly financed health services lies with the Social Service Agency (SSA).
Examples of health care systems of the world, sorted by continent, are as follows.
India has a multi-payer universal health care model that is paid for by a combination of public and government regulated private health insurances along with the element of almost entirely tax-funded public hospitals. The public hospital system is essentially free for all Indian residents except for small, often symbolic co-payments in some services. Economic Survey 2022-23 highlighted that the Central and State Governments’ budgeted expenditure on the health sector reached 2.1% of GDP in FY23 and 2.2% in FY22, against 1.6% in FY21. India ranks 78th and has one of the lowest healthcare spending as a percent of GDP. It also ranks 77th on the list of countries by total health expenditure per capita.
The Egyptian healthcare system is pluralistic, comprising a variety of healthcare providers from the public as well as the private sector. The government ensures basic universal health coverage, although private services are also available for those with the ability to pay. Due to social and economic pressures, Egypt's healthcare system is subject to many challenges. However, several recent efforts have been directed towards enhancing the system.
Bahrain has a universal health care system, dating back to 1960. Government-provided health care is free to Bahraini citizens and subsidized for non-Bahrainis. Healthcare expenditure accounted for 4.5% of Bahrain's GDP, according to the World Health Organization. Bahraini physicians and nurses form a majority of the country's workforce in the health sector, unlike neighbouring Gulf states.
Healthcare in Azerbaijan is provided by public and private healthcare institutions and regulated through the Ministry of Healthcare.
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