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Title
MAPPING THE UAE HEALTH SYSTEM: CHALLENGES AND RECOMMENDATIONS
Faculty Advisor
Dr. Iain Blair
Defense Date
6 December 2015
Abstract
An optimal functioning health system delivers quality, timely, and efficient services to all individuals in a
convenient and accessible location. The United Arab Emirates (UAE) is a rapidly developing country hosting
a multinational population with emerging health issues and needs that are influencing the growth and
direction of the health system. This study offers a comprehensive review and appraisal of the structure
and function of the UAE health system using the Health Systems in Transition (HiT) framework.
A two-stage mixed-methods research design was used; stage one, included completing each chapter of
the HiT framework using published and unpublished data; stage two entailed convening three focus group
discussions with participants selected from key stakeholder groups including managers, service providers,
and patients of the UAE health system to further explore the health system challenges and gaps identified
after completing the HiT. Focus group discussions were taped, transcribed verbatim, and thematically
analyzed.
Study findings revealed that the UAE health system includes the majority of the World Health Organization’s
components of a well-functioning health system. Specifically, governmental leaders are committed to good
health and service, a wide range of accredited health care services are available, the UAE population has
universal healthcare coverage, and the system is well-resourced in terms of infrastructure, financing, and
human resources. However, the study highlighted a number of challenges and potential areas of health
reform including: health sector fragmentation; rising costs and uncertain outcomes; proper regulation of
the fast expanding private sector; shortage of national health human resources coupled with difficulty
in retaining and supporting career advancement of expatriate human resources; population growth and
increased levels of chronic disease risk factors.
The UAE health system has developed on an impressive trajectory since the country’s formation in 1971.
Despite significant achievements, several challenges have emerged affecting the costs and quality of health
services. Recommended solutions to address such challenges include setting up independent national-level
institutes for healthcare planning, improvement, quality and outcomes monitoring, enhancing workforce
planning, and strengthening public health. In addition, there is a need to improve the integration between
health systems and raise levels of health literacy in the population. Finally, the study recommends setting
up national academic centers of excellence to avoid duplication and ensure high quality services. The
study offers a valuable contribution to the health systems research in the UAE and allows international
comparisons and benchmarking with other countries.
Dissertation
AMER AHMAD SHARIF
Institute of Public Health
College of Medicine and Health Sciences