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Why Saudi healthcare’s next gains will be won at the delivery layer

by Abdullah Al Khorami, Chief Business Officer, Etihad Salam Telecom Company
September 10, 2026
in Opinions

AI can improve patient outcomes across the Kingdom. Whether it does depends on execution and on the operators built to deliver technology at national scale

Why Saudi healthcare’s next gains will be won at the delivery layer

Saudi Arabia has already moved the numbers that matter most in healthcare. Life expectancy reached 79.7 years in 2025, close to the Vision 2030 target of 80, and primary healthcare now covers 97.5 percent of population clusters across the Kingdom. The Sehhaty app has passed 31 million users, and the Seha Virtual Hospital has served more than 365,000 patients through 241 connected facilities. The ambition is set, and the early results are real.

The pressure behind those numbers keeps rising. Non-communicable diseases now cause about 74 percent of all deaths in the Kingdom and cost it an estimated SAR 91.6 billion a year, close to 3 percent of GDP, according to a Ministry of Health, UNDP and WHO study. A growing, aging population adds demand every year. Chronic disease at that scale is where AI earns its place in care: earlier detection from imaging and lab data, risk scoring that flags patients before a crisis, and remote monitoring that keeps people out of hospital beds. Those are the tools that move patient outcomes, and each one depends on data infrastructure that works reliably.

Abdullah Al Khorami, Etihad Salam Telecom Company

The next set of gains is harder to reach. Cutting diagnostic wait times, catching disease earlier, and personalising treatment at population scale all depend on artificial intelligence applied inside clinical workflows. The market is moving quickly. Saudi Arabia’s AI-in-healthcare sector is projected to grow from USD 87.5 million in 2025 to USD 638 million by 2034, a compound annual rate of 24.7 percent, according to IMARC Group. That growth will improve patient outcomes only if the technology behind it is deployed, secured, and run reliably across hundreds of facilities.

This is where the constraint sits. AI in a hospital is not a single application. It is a chain of dependencies: high-bandwidth, low-latency connectivity between sites, cloud and edge compute to run models near the point of care, data pipelines that move imaging and records securely, and cybersecurity strong enough to protect patient data under regulation. A diagnostic model is only as useful as the network carrying the scan and the compute returning the result. Each link has to work, at scale, every day.

Telecom operators already own most of that chain. Saudi Arabia ranks among the global leaders in 5G, with average download speeds of 314 Mbps in 2025, according to GSMA Intelligence. The operators that built that network also run national data centers, security operations centers, and managed-service teams that keep critical systems available around the clock. The shift underway across the industry is from selling connectivity to delivering the full technology stack that sits on top of it: AI, 5G, cloud, cybersecurity, and managed services under one accountable operator.

That model matters because the real risk in the Kingdom’s digital-health agenda lies in execution. The strategy and the funding are already committed; delivery is the variable. McKinsey’s global research across industries found that fewer than one-third of large-scale transformations succeed, and that even successful programs capture only about 67 percent of the value they targeted, while the average company realises just 37 percent, according to McKinsey & Company. Value leaks at every stage, from target-setting through implementation. Healthcare has less tolerance for that leakage than most sectors, because a failed rollout there is measured in patient care, and the cost compounds quickly.

Fragmented procurement is how that value leaks in practice. When connectivity comes from one vendor, cloud from another, security from a third, and integration from a fourth, accountability dissolves. If a diagnostic platform underperforms, a hospital cannot afford four suppliers pointing at each other while patients wait. It needs one operator answerable for the network, the compute, the security, and the uptime, with service levels tied to clinical continuity rather than component delivery.

Saudi Arabia has the strategy, the funding, and the infrastructure base. The execution question across healthcare institutions is one of who can take an AI ambition and stand it up across a region, keep it secure, and keep it running over time. Operators that have already built and managed national-scale networks are well positioned to answer it, particularly those that move toward end-to-end delivery rather than component supply.

AI ambition in healthcare is not in short supply. Better patient outcomes tend to follow from organisations that can execute at scale and be held accountable for results.

Tags: AIdigital healthhealthcareSaudi Arabia
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