International Journal of

ADVANCED AND APPLIED SCIENCES

EISSN: 2313-3724, Print ISSN: 2313-626X

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 Volume 9, Issue 7 (July 2022), Pages: 179-185

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 Original Research Paper

Retrospective and prospective of the Algerian healthcare supply: Some obstacles that have become chronic discomforts

 Author(s): Nesreddine Aissaoui 1, Said Khalfa Brika 2, *, Aggoun Charaf 3, Dhafer Meqbel Alqarni 4, Ahmed Laamari 5, Adam Musa 2

 Affiliation(s):

 1Department of Finance Sciences, Faculty of Economics, Business and Management Sciences, Oum El Bouaghi University, Oum El Bouaghi, Algeria
 2Departement of Administrative Sciences, Applied College, University of Bisha, Bisha, Saudi Arabia
 3Departement. of Management Sciences, Sciences Institutes, Center University of Mila, Mila, Algeria
 4Department of Business Administrations, College of Business, University of Bisha, Bisha, Saudi Arabia
 5Faculty of Science and Art in Al-Namas, University of Bisha, Bisha, Saudi Arabia

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 * Corresponding Author. 

  Corresponding author's ORCID profile: https://orcid.org/0000-0002-8918-578X

 Digital Object Identifier: 

 https://doi.org/10.21833/ijaas.2022.07.018

 Abstract:

The current paper attempts to analyze the causes, which divert the care structures from their fundamental mission, and to evoke the consequences of this situation on the main actors who make up the Algerian health system, to try to prescribe the solutions likely to improve the quality of health care in this country. Although free healthcare has been decreed since 1973 to overcome the financial obstacles, and despite the efforts of successive governments to dismantle the geographical obstacles, unfortunately, the organizational obstacles have not found effective and lasting solutions until now; the majority of experts have pointed out this type of obstacle since the outbreak of the COVID-19 pandemic. This article highlights the growth of national and international scientific research; on the conditions that can improve the quality of health care provision. Nevertheless, current work barely addresses organizational shortcomings, particularly in the unique context of a health system that provides free health care. Through an analysis of the Algerian context, this article proposes avenues of research for the organizational obstacles that can hinder the performance of the health care system, which can constitute future empirical studies. The results of the study indicate that there is a great disparity between the regions ranging from the North to the South of the country in terms of health coverage (hospital beds, specialized care, medical personnel, etc.); a flagrant lack of operational medical equipment, and a shortage of medicines for hospital use; despite the good results recorded over the past three decades, expenditure continues to increase steadily; the private sector does not play its role as a complement to the public sector, it improvises as best it can to provide less risky lucrative care; and the application of obsolete legislation that governs a sick hospital.

 © 2022 The Authors. Published by IASE.

 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

 Keywords: Supply of care, Hospital management, Governance of care structures, Performance of the health system, Algerian health system

 Article History: Received 30 January 2022, Received in revised form 23 April 2022, Accepted 24 April 2022

 Acknowledgment 

The authors would like to thank the anonymous reviewers and the editor for their insightful comments and suggestions.

 Compliance with ethical standards

 Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

 Citation:

 Aissaoui N, Brika SK, and Charaf A et al. (2022). Retrospective and prospective of the Algerian healthcare supply: Some obstacles that have become chronic discomforts. International Journal of Advanced and Applied Sciences, 9(7): 179-185

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 References (15)

  1. Aissaoui N (2017a). The management of nearby public care facilities in Algeria between equity and efficiency: Case of EPSP in the East sanitary region. Environmental and Water Sciences, Public Health and Territorial Intelligence Journal, 1(1): 42-51.   [Google Scholar]
  2. Aissaoui N (2017b). Financing of the Algerian health system: What future for free care? Environmental and Water Sciences, Public Health and Territorial Intelligence Journal, 1(3): 11-20.   [Google Scholar]
  3. Aissaoui N (2018). Innovation and governance of the Algerian social security system; Reality and challenges facing multiple transitions. Environmental and Water Sciences, Public Health and Territorial Intelligence Journal, 2(1): 24-32.   [Google Scholar]
  4. Akki-Alouani A (2015). Pour un système de santé qui profite à tous: l’Algérie face au défi de l’approche systémique. Pensee plurielle, 2: 93-107‏. https://doi.org/10.3917/pp.039.0093   [Google Scholar]
  5. Alla F (2016). Les déterminants de la santé. In: Bourdillon F, Brücker G, and Tabuteau D (Eds.), Traité de santé publique: 15-18. Lavoisier, Cachan, France.  https://doi.org/10.3917/lav.bourd.2016.01.0040   [Google Scholar]
  6. Durrani H (2016). Healthcare and healthcare systems: Inspiring progress and future prospects. MHealth, 2(2). https://doi.org/10.3978/j.issn.2306-9740.2016.01.03   [Google Scholar]
  7. Feldhaus I and Mathauer I (2018). Effects of mixed provider payment systems and aligned cost sharing practices on expenditure growth management, efficiency, and equity: A structured review of the literature. BMC Health Services Research, 18(1): 1-14. https://doi.org/10.1186/s12913-018-3779-1   [Google Scholar] PMid:30587185 PMCid:PMC6307240
  8. Golding N, Burstein R, Longbottom J, Browne AJ, Fullman N, Osgood-Zimmerman A, and Hay SI (2017). Mapping under-5 and neonatal mortality in Africa, 2000–15: A baseline analysis for the sustainable development goals. The Lancet, 390(10108): 2171-2182‏. https://doi.org/10.1016/S0140-6736(17)31758-0   [Google Scholar]
  9. Krieger N (2021). Structural racism, health inequities, and the two-edged sword of data: Structural problems require structural solutions. Frontiers in Public Health, 9: 301. https://doi.org/10.3389/fpubh.2021.655447   [Google Scholar] PMid:33937178 PMCid:PMC8082016
  10. Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn JE, and Black RE (2015). Global, regional, and national causes of child mortality in 2000–13, with projections to inform post-2015 priorities: An updated systematic analysis. The Lancet, 385(9966): 430-440. https://doi.org/10.1016/S0140-6736(14)61698-6   [Google Scholar]
  11. Marmot M (2000). Social determinants of health: From observation to policy. The Medical Journal of Australia, 172(8): 379-382. https://doi.org/10.5694/j.1326-5377.2000.tb124011.x   [Google Scholar] PMid:10840490
  12. Mugisha F, Kouyate B, Gbangou A, and Sauerborn R (2002). Examining out‐of‐pocket expenditure on health care in Nouna, Burkina Faso: Implications for health policy. Tropical Medicine and International Health, 7(2): 187-196. https://doi.org/10.1046/j.1365-3156.2002.00835.x   [Google Scholar] PMid:11841709
  13. Powell-Jackson T, Hanson K, Whitty CJ, and Ansah EK (2014). Who benefits from free healthcare? Evidence from a randomized experiment in Ghana. Journal of Development Economics, 107: 305-319. https://doi.org/10.1016/j.jdeveco.2013.11.010   [Google Scholar]
  14. Schiefer D and Noll VDJ (2017). The essentials of social cohesion: A literature review. Social Indicators Research, 132(2): 579-603. https://doi.org/10.1007/s11205-016-1314-5   [Google Scholar]
  15. Sieverding M, Onyango C, and Suchman L (2018). Private healthcare provider experiences with social health insurance schemes: Findings from a qualitative study in Ghana and Kenya. PLOS ONE, 13(2): e0192973. https://doi.org/10.1371/journal.pone.0192973   [Google Scholar] PMid:29470545 PMCid:PMC5823407