Abstract
This cross-sectional study analyzed data from the 2018 Saudi National Health Survey for 5,962 adults to examine if insurance coverage correlates with quality of healthcare. Insured individuals had significantly higher odds of receiving preventive screenings like blood pressure checks (OR 3.46) and tests for chronic diseases like HbA1c (OR 2.12), compared to uninsured. Provider communication (OR 2.28) and satisfaction (OR 3.03) were also superior among insured versus uninsured. Overall, insurance coverage strongly correlated with better quality indicators across domains like prevention, chronic disease management, communication and satisfaction. Expanding health insurance availability could act as a policy lever to improve healthcare quality in Saudi Arabia by increasing utilization and access.
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