The Saudi Journal of Health Systems Research · Published 2025-05-08 · DOI 10.1159/000546023
Introduction: Organizational change requires a shift in the mindset of its people. Many transformation efforts fail when they do not fully engage employees or involve leadership. This study aimed to assess healthcare employees’ awareness and knowledge regarding the ongoing health sector transformation in Saudi Arabia. Methods: This descriptive cross-sectional study included 668 healthcare employees. Data were collected using an online questionnaire assessing demographic characteristics, awareness, and knowledge about health sector transformation. Awareness was measured using a 3-point Likert scale (score range: 10–30), while knowledge was assessed using a 6-item questionnaire with correct/incorrect response options. Each correct response was assigned two points, while incorrect responses or “do not know” answers were given one point. The total knowledge ranged from 6 to 12, with higher scores indicating greater knowledge. Descriptive statistics, t tests, ANOVA, and Pearson correlation were used for analysis. Results: The mean awareness score was 16.57 ± 6.24, indicating a moderate level of awareness, while the mean knowledge score was 9.3 ± 2.48, representing moderate knowledge about the transformation. Statistically significant associations were found between age, work experience, and both awareness (t = 4.28, p < 0.000) and knowledge (p < 0.000). A positive relationship was identified between awareness and knowledge levels (r = 0.53, p < 0.000). Conclusion: The study reveals that healthcare providers possess a moderate understanding of health sector transformation. A positive correlation between awareness and knowledge indicates that enhancing knowledge can improve awareness. These findings highlight the need for targeted educational strategies to support healthcare workers during the transformation process.
Abstract from DOAJ. Public domain (CC0 1.0).
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