Cultura

Healthcare Management In Saudi Arabia: A Comprehensive Review Of Current Practices And Future Directions

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Amer Ali Amer Bajabaa, Abdullah Suliman Asaad Alfaifi, Ibrahim Khaled Alqasim, Suliman Abdullah Suliman Aljamal, Abdulrahman Rajeh Nasser Bin Rajeh
Mubarak Mohammed Saad Aldossri, Mansour mohammed ali alsifrani, Anas Salem Al Dharman, Malek Dhaen Mohammed Almalki

Abstract

This paper examines the evolution, current state, and future trajectory of healthcare management in Saudi Arabia. The Kingdom has experienced remarkable transformation in its healthcare system, particularly as part of Vision 2030's comprehensive development framework. Through analysis of recent literature and policy documents, this review evaluates healthcare governance structures, operational management practices, quality improvement initiatives, digital health transformation, workforce development strategies, and financing models. The findings reveal significant progress in healthcare infrastructure development and digital health implementation, while highlighting persistent challenges in workforce nationalization, care integration, and sustainable financing. The paper identifies several emerging trends, including predictive analytics integration, value-based healthcare transitions, and public-private partnerships. Policy recommendations include enhancing interdepartmental coordination within the Ministry of Health, strengthening data governance frameworks, implementing standardized performance metrics, and developing specialized healthcare management education programs. This comprehensive review contributes to the understanding of healthcare management in Saudi Arabia and provides evidence-based guidance for policymakers and healthcare leaders navigating the ongoing transformation of the Saudi healthcare system.

Keywords : Healthcare Management, Saudi Arabia, Vision 2030, Health System Performance, Strategic Decision-Making, Digital Health, Healthcare Governance.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty