The Role of the Temporary Contracting and Visiting Doctor Program in Supporting the Health System during and after COVID-19 Pandemic in Saudi Arabia.

Faisal S Alenezi, Aeshah I Alsagheir, Lamya M Alzubaidi, Wijdan S Al-Saedi, Saleh S Alharbi, Muna H Hassanein, Tareef Y Alaama
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Abstract

Background: Adequate supply of health workforce with proper skills is essential to deliver appropriate health services in normal times and during disasters.

Objective: To describe the role of the Saudi Temporary Contracting and Visiting Doctors Program in the provision of critical care during COVID-19 pandemic, and in the clearance of the surgical backlog thereafter.

Methods: We reviewed reports of General Directorate of Health Services and Saudi Ministry of Health annual statistical books to obtain the following data: number of temporary healthcare professionals contracted from 2019 to 2022; number of intensive care unit beds before and during COVID-19 pandemic; volume of elective surgeries before, during and after COVID-19 pandemic.

Results: In 2020, intensive care unit beds increased from 6341 to 9306 in governmental hospitals in response to COVID-19 pandemic. A total of 3539 temporary healthcare professionals were recruited from April to August 2020 to contribute towards staffing the added beds. During the recovery period from COVID-19 pandemic, 4322 and 4917 temporary health care professionals were recruited in 2021and 2022 respectively. Elective surgeries volume increased from 5074 in September 2020 to 17533 in September 2021 to 26242 in September 2022, surpassing the volume of surgeries in pre-COVID-19 period.

Conclusions: In response to COVID-19 pandemic, and through the existing temporary contracting program, the Saudi Ministry of Health was able to recruit temporary staff of verified credentials in a timely manner, to supplement the existing staff, for activation of the newly added intensive care unit beds, and for clearing the resulting surgical backlog.

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临时签约和访问医生计划在沙特阿拉伯COVID-19大流行期间和之后支持卫生系统的作用。
背景:要在正常时期和灾害期间提供适当的卫生服务,必须有足够的具备适当技能的卫生工作人员。目的:描述沙特临时签约和访问医生计划在COVID-19大流行期间提供重症监护以及之后清除手术积压方面的作用。方法:我们查阅了沙特卫生服务总局和卫生部年度统计手册的报告,获得以下数据:2019 - 2022年签约的临时卫生专业人员人数;COVID-19大流行之前和期间重症监护病房床位数量;在COVID-19大流行之前、期间和之后的选择性手术数量。结果:2020年,政府医院重症监护病房床位从6341张增加到9306张。从2020年4月至8月,共招募了3539名临时保健专业人员,为增加的床位提供人员。在2019冠状病毒病大流行恢复期,2021年和2022年分别招募了4322名和4917名临时卫生保健专业人员。择期手术从2020年9月的5074例增加到2021年9月的17533例,再到2022年9月的26242例,超过了疫情前的手术量。结论:为应对COVID-19大流行,通过现有的临时承包计划,沙特卫生部能够及时招募身份验证的临时工作人员,以补充现有工作人员,激活新增的重症监护病房床位,并清理由此导致的手术积压。
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