Saudi Vision 2030 is a game-changer for all aspects of the economy, including healthcare. This article provides a comprehensive overview of healthcare financing in the Kingdom of Saudi Arabia (KSA). It identifies key healthcare financing challenges that must be addressed to achieve the initiative’s envisioned health system goals. The review also examines and demonstrates how healthcare funds in the KSA are allocated among different healthcare services, to offer a perspective on resource use efficiency at various healthcare levels. This research used a mixed-method design which includes a literature review and secondary data analysis. A literature review was conducted aligned with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. The secondary data were gathered from the reports and websites of government agencies, international organizations, and non-governmental organizations. Despite implementing significant reforms in its healthcare system, the share of private healthcare expenditure in total healthcare spending has seen only marginal growth. The current healthcare financing system appears insufficient to adequately support the chronically ill and the poor. There is a significant imbalance in the allocation of government budgets between hospitals and primary care, with four-fifths of financial resources directed towards hospital services. The Ministry of Health’s budget allocation prioritizes personnel compensation, potentially reducing the available budget for medicines and other essential healthcare supplies. Ongoing reforms in the health sector, including privatization, public–private partnership initiatives, and the government’s commitment to developing a robust primary healthcare network, are expected to play a significant role in controlling rapidly increasing public healthcare expenditures in Saudi Arabia.

(1) Background: The increasing level of concern over reduction non-renewable resources, global warming, pollution, and social issues has led firms to initiate green and social activities. Furthermore, there is limited empirical evidence on the potential impact of green initiatives, corporate social responsibility (CSR), and reflective moral attentiveness (RMA) on sustainable performance. The purpose of this study was to investigate the mediating effect of reflective moral attentiveness (RMA) on the relationship between green supply-chain-management practices (GSCM) and CSR on sustainable performance. Based on the natural-resource-based view, stakeholder resource-based view, and signaling theory, this study investigated the role of GSCM practices and CSR in sustainable performance using cross-sectional data from the manufacturing and services industries from Khyber Pakhtunkhwa province, in Pakistan. (2) Methods: Using a non-probability convenience-sampling method, 500 employees were selected from the firms which are listed on the Pakistan stock exchange (PSE) and questionnaires were distributed. Complete questionnaires were received from 380 employees and used in the analysis, yielding a response rate of 76%. Partial least squares structural equation modeling (PLS-SEM) software was used for the confirmatory-factor analysis (CFA) and the testing of the hypotheses. The CFA results revealed the reliability and validity of the questionnaires. (3) Results: The results of the structural model (hypotheses testing) show that four attributes of GSCM practices (internal environmental management, green purchasing, cooperation with customers, and eco-design) have a positive influence on sustainable performance, while investment recovery and CSR were found to be insignificant. Moreover, there were significant and positive influences of GSCM and RMA on sustainable performance. On the other hand, control variables, such as gender, experience, and age, were found to have no significant role in sustainable performance. A further analysis revealed that reflective moral attentiveness mediated the relationship between GSCM, CSR, and sustainable performance. (4) Conclusions/implications: This study has several implications for green services and manufacturing firms specifically and for practitioners, researchers and academics in general. The innovation and novelty of this study lie in its determination of the contribution of RMA, GSCM, and CSR to achieving sustainable performance. Firms can improve their clean production activities by incorporating this model as a strategy. Future studies may add moderators and mediators to explore the impact of CSR and GSCM practices upon sustainability.

Introduction: The educational landscape has been expanded to disadvantaged and distant areas through online courses. These online courses have gained extensive interest yet there are limited studies available in the literature. The emergence of massive open online courses (MOOCs) has allowed sustainability educators to glimpse the light. Online education is gaining popularity and, with the introduction of MOOCs, would be beneficial for knowledge building and sharing, and the development of learned society. Objective: This study investigated the mediating (indirect) effects of media richness and user-based use motives on the extended UTAUT model, use behavior (UB), and actual use (AU) of MOOCs on health informatics and administration sustainability education among educators and students in Saudi higher learning institutions (HLIs). A theoretical model based on the Unified Theory of Acceptance and Use of Technology (UTAUT) and Channel Expansion Theory (CET) was used to investigate the factors that affect the adoption of MOOCs in health informatics and administration education. Methodology: A survey design approach was applied. Cross-sectional data were collected from health informatics educators and students from HLIs in Saudi Arabia. A non-probability convenience sampling technique was used for sampling. Data were collected online using Google Forms. A total of 145 completed questionnaires were used in the analysis. PLS-SEM(Version 4.1.1.2) was used for statistical analysis. To investigate the reliability and validity, a measurement model was developed and confirmatory factor analysis (CFA) was conducted. To test the hypotheses, a structural model was run using bootstrapping, coefficients, standard errors (SE) t-values, p values, and lower and upper-level confidence intervals. Results/Findings: The findings were that system quality and user satisfaction is an important factor in the UTAUT model and the inclusion of media richness and user-based use motives significantly mediated between the expanded UTAUT model and the UB and AU of MOOCs. Moreover, media richness and user-based use motives were found to be dominant factors in the overall study model to predict use behavior and actual use of health informaticians in Saudi Arabia. Conclusions: The combination of these two theories i.e., the UTAUT and CET, can effectively enhance the adoption, use behavior, and actual use of MOOCs in the emerging field of health informatics in Saudi Arabia.

The purpose of this study was to investigate the buffering (moderating) effect of environmental uncertainty (EU) on the relationship between the critical success factors (CSFs) of public–private partnership projects (PPPPs) and sustainable performance. A survey approach was adopted to collect primary data from construction industries that have signed an agreement with the public sector. The public sector includes federal and provincial government departments such as the National Highway Authority (NHA) and the Frontier Works Organization (FWO) for the construction of roads, and the private sector includes engineering companies registered with the Pakistan engineering council. The non-probability convenience sampling technique was used to select the sample, and the Krejcie and Morgan table was used to calculate the sample size. A total of 500 questionnaires were distributed but 394 completed questionnaires were used in the analysis of the data, yielding a response rate of 78.8%. Confirmatory factor analysis was conducted to check the reliability and validity of the scales; the findings revealed that the scales met the threshold, and all the factor loadings, average variance extracted, composite reliability, Cronbach alpha, and discriminant validities met the cut-off level. Hence, the questionnaires were found to be reliable and valid. The results revealed that environmental uncertainty significantly moderates the CSFs (technical, procurement, and economic factors) of PPPs and the sustainable performance of PPPPs. Furthermore, the interaction terms of all moderating effects revealed negative beta values; this implies that a low level of uncertainty results in better economic performance, better technical and procurement factors, and highly sustainable performance. It is concluded from the findings that if EU is high, then the sustainability of PPPPs is low; moreover, fewer economic resources and no technical support and procurement also have a weak impact on enhancing sustainable performance. On the contrary, if EU is low, there is a high level of sustainability in PPPPs.

This paper attempts to provide an overview of the Covid-19 pandemic situation in India and highlights various public health system challenges faced by the country in its efforts to control the pandemic. This paper is based on extensive review of literature conducted to stimulate pertinent descriptive information on Covid-19 pandemic and public health system challenges in India. The Covid-19 pandemic has created unprecedented challenges on India’s public health system. India has implemented several strategies to mitigate the pandemic, but the rapid spread of the virus poses huge challenges of hitherto unseen scale on multiple fronts. India’s public health system is chronically underfunded, leading to a shortage of Covid-19 treatment facilities. Even the available health resources are unevenly distributed across states resulting in huge disparities in emergency preparedness and management of the pandemic. Due to lack of robust primary health care system and effective public health strategies, vulnerable population in most states are prone to the pandemic and risk of severe complications. The findings can draw attentions of health policy makers to develop appropriate policy for future pandemic preparedness and management.

For quality decision-making, the provision of accurate information to physicians and consultants is crucial, and this can only be possible by adopting the e-health applications and digitalization of health data. For health information data management, the adoption and implementation of electronic health records (EHRs) is essential. The purpose of this paper is to investigate the factors that are instrumental for the adoption of electronic health records (EHRs) systems in Saudi Arabia. The population of this study was project directors, general managers, directors, analysts, and the Ministry of Health (MOH) in Saudi Arabia. A survey approach research design was used. Non-probability convenience sampling was used. Convenient sampling allows the researchers to have whoever is willing and available participate in the study survey. Data was collected from project directors, directors, analysts, and supervisors. SPSS was used for statistical data analysis. Frequencies, percentages, and mean standard deviation were reported, and correlations were run to test the hypothesis. It was concluded that except for demographic variables, which were not correlated with resources, end-users, technology, knowledge, values and goals, process, management structure, and administrative support, all other constructs correlated significantly. This study is a valuable extension of knowledge regarding the adoption of EHRs in Saudi Arabia’s healthcare organizations.