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This paper estimates the impact of policies on the current status of Healthcare Human Resources (HHR) in Saudi Arabia and explores the initiatives that will be adopted to achieve Saudi Vision 2030. Retrospective time-series data from the Ministry of Health (MOH) and statistical yearbooks between 2003 and 2015 are analyzed to identify the impact of these policies on the health sector and the number of Saudi and non-Saudi physicians, nurses and allied health specialists employed by MOH, Other Government Hospitals (OGH) and Private Sector Hospitals (PSH). Moreover, multiple regressions are performed with respect to project data until 2030 and meaningful inferences are drawn. As a local supply of professional medical falls short of demand, either policy to foster an increase in supply are adopted or the Saudization policies must be relaxed. The discrepancies are identified in terms of a high rate of non-compliance of Saudization in the private sector and this is being countered with alternative measures which are discussed in this paper. The study also analyzed the drivers of HHR demand, supply and discussed the research implications on policy and society. The findings suggest that the 2011 national Saudization policy yielded the desired results mostly regarding allied health specialists and nurses. This study will enable decision-makers in the healthcare sector to measure the effectiveness of the new policies and, hence, whether to continue in implementing them or to revise them.
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Social distancing can slow the spread of COVID-19 if citizens comply with it and internalize the cost of their mobility on others. We study how civic values mediate this process using data on mobility across Italian provinces between January and May 2020. We find that after the virus outbreak mobility declined, but significantly more in areas with higher civic capital, both before and after a mandatory national lockdown. The effect is not driven by differences in the risk of contagion, health-care capacity, geographic socioeconomic and demographic factors, or by a general North-South divide. Simulating a SIR model calibrated on Italy, we estimate that if all provinces had the same civic capital as those in top-quartile, COVID-related deaths would have been about 60% lower. We find consistent results for Germany where the incidence of the pandemic and restrictions to mobility were milder.
