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The role of contractual arrangements in improving health sector ...

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• Advanced medical equipment <strong>of</strong> large<br />

hospitals.<br />

• Skilled technical workforce.<br />

• Good reputation outside Jordan, s<strong>in</strong>ce<br />

32% <strong>of</strong> hospital revenues are from<br />

foreign patients.<br />

• More quality services compared with<br />

government hospitals.<br />

Direct effect<br />

Outside environmental effect<br />

• Relations with other players <strong>in</strong> the <strong>sector</strong><br />

(public <strong>sector</strong>, <strong>in</strong>surance and<br />

pharmaceutical companies).<br />

• Mislead<strong>in</strong>g <strong>in</strong>formation regard<strong>in</strong>g the<br />

performance <strong>of</strong> private hospitals.<br />

• Laws and regulations that organize the<br />

<strong>sector</strong> with related parties.<br />

• Low <strong>in</strong>come levels per capita.<br />

• Potential competition.<br />

Jordan<br />

Jordanian private hospitals<br />

• Inefficient <strong>role</strong> for the Private Hospitals Association.<br />

• Cash flow problems.<br />

• Shortage <strong>in</strong> qualified nurses.<br />

• Less advanced equipment for the small hospitals<br />

compared with large hospitals.<br />

• Excess capacity and overlapp<strong>in</strong>g <strong>in</strong> certa<strong>in</strong> medical<br />

equipment and services.<br />

• <strong>The</strong> bed occupancy rates are low (44%) compared with<br />

other <strong>health</strong> services providers.<br />

• Lack <strong>of</strong> skilled management expertise.<br />

• Inefficient cooperation with<strong>in</strong> the <strong>sector</strong>.<br />

Source: Adapted from Deloitte & Touché (M.E.) “F<strong>in</strong>ancial and Regulatory Study <strong>of</strong> Jordanian Private Hospitals”,<br />

2001.<br />

Figure 1. Strategic analysis <strong>of</strong> the private hospital <strong>sector</strong> <strong>in</strong> Jordan<br />

122<br />

Direct effect<br />

Outside environmental effect<br />

• Privatization <strong>of</strong> public <strong>in</strong>stitution creates<br />

additional demand on private hospital <strong>sector</strong>.<br />

• <strong>The</strong> Higher Health Council, headed by the<br />

Prime M<strong>in</strong>ister, is determ<strong>in</strong>ed to regulate the<br />

hospital <strong>sector</strong> to ma<strong>in</strong>ta<strong>in</strong> its competence and<br />

excellence on the regional level.<br />

• <strong>The</strong> implementation <strong>of</strong> a national <strong>health</strong><br />

<strong>in</strong>surance plan is expected to <strong>in</strong>crease demand<br />

on <strong>health</strong> care services, which will directly<br />

<strong>in</strong>fluence the performance <strong>of</strong> private<br />

hospitals.<br />

• Investment <strong>in</strong>centives and tax exemptions.

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