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Public services reforms in Neo-Patrimonial systems: the commercialization of healthcare and education in Saudi Arabia

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ABSTRACT Reforms of public services have been extensively researched in representative democracies, where they have been especially explained by ideological change, political turnover, financial crises and pressures from international organizations.… Click to show full abstract

ABSTRACT Reforms of public services have been extensively researched in representative democracies, where they have been especially explained by ideological change, political turnover, financial crises and pressures from international organizations. Meanwhile, less attention has been paid to explaining them in countries whose institutions have been characterized as neo-patrimonial systems. This study aims to explain the commercialization of healthcare and education services that took place in Saudi Arabia since the 2000s. The analysis provides some ways to refine and expand existing theoretical accounts of public services reforms in regimes that differ from representative democracies.

Keywords: neo patrimonial; commercialization healthcare; public services; healthcare education; saudi arabia; patrimonial systems

Journal Title: Public Management Review
Year Published: 2019

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