Only recently published reports and data that was no more than three years old i. This stage went from September to March Relevant data were independently extracted from available reports and reviewed considering the study PICOs population, intervention, comparisons, and outcomes [ 11 ].
The population under study and the comparisons should be from UAE or same geographic regions and the interventions and outcomes relevant to primary healthcare or chronic diseases settings. With the utilization of the selection strategy described above, it was found studies in the databases and another 13 reports were considered important.
The studies and 13 reports were selected to analyze and it was felt the need of a search for some extra articles included in the references of the articles we analyzed, so at the end, we reached the number of 20 articles and 13 reports Fig. After screening their eligibility criteria, we have included 33 studies and reports in our qualitative analysis.
Three of them were not used due to the studies specifications, like an economic vision of the healthcare system. Table 2 presents the summary of the relevant literature included.
During the period —, the physician density increased from In , the Emirate of Abu Dhabi presented high ratios of physicians Translating these figures into absolute numbers, there were physicians, dentists, 14, nurses, allied health professionals and pharmacists divided by licensed healthcare facilities public and private [ 15 ] From the in the emirate, SEHA is responsible and operates 12 hospitals, 11 dialysis centers, 62 ambulatory healthcare centers and clinics, and 2 blood banks [ 17 ], employing a total of more than 17, professional staff across all three geographical regions of the Emirate of Abu Dhabi Fig.
In , there were 35 public hospitals in the UAE, as well as 14 private hospitals and outpatient clinics. At this time, although several small private hospitals have been set up over the past years [ 3 ] there was still a tendency for UAE nationals to seek treatment aboard in the United States and Europe.
During the same year, the private PHC centers and clinics attended more outpatients 5,, comparing with the public ones by SEHA 2,, [ 17 ]. The Joint Commission International JCI is considered the gold standard in global health care and is part of a global enterprise of dynamic and non-profit organizations that lead the innovative solutions to help health care organizations improving performances and outcomes. All of the ambulatory healthcare centers and clinics of the eastern region were part of this accreditation scheme [ 19 ].
These standards are validated by JCI. From the 62 ambulatory healthcare centers, only one is an occupational healthcare center, 10 are disease prevention and screening centers primarily for infectious disease residency visa screening , and 9 dialysis centers and clinics [ 16 ].
The AHS is also responsible for the Mobile Health Clinics and the School Health Services, which encompasses school clinics including higher schools, universities and private schools [ 17 ]. From those, 18 facilities are in the region of Abu Dhabi and 20 facilities are in the Eastern region Al Ain. This model has the same core foundation as the CCM, with the main objective to provide structure, proactive, and coordinated care for patients rather than episodic treatments for illnesses [ 17 ].
As the name of the model suggests, it has the patient in the center surrounded by the primary care physician, the dietician, the nurse case manager, the counselor, the specialty physician, the laboratory, radiology, pharmacy, and the hospital Fig. Patient-centered medical home model [ 17 ].
Globally, the this model is influencing some of the reforms in PHC delivery, it was vital to the primary care reform in USA [ 23 ]. There is evidence that this model is improving patient outcomes, moderating health disparities and reducing health resources by reducing the number of hospitals visits.
The Patient-centered medical home aims to inspire quality care, engage patients and expand access and delivery options [ 24 ]. These aims are aligned with the CCM ones and there is more than one study evaluating the Patient-centered medical home interventions, such as patient registers, care plans, e-mails between the patient and health professional team , self-management strategies and population profiles [ 23 , 25 , 26 ].
These Patient-centered medical home interventions can be easily linked to the CCM elements: clinical information systems, delivery system design, self-managements, and community. The Patient-centered medical home model was only recently implemented in the Abu Dhabi emirate in and there are currently no publicly available records or reports on the monitoring or evaluation process. The CCM was designed with the main goal of transforming the daily care routine of the patients with chronic conditions from acute and reactive to proactive, planned and population-based [ 27 ].
Table 3 shows the evidence that we collect for each element of the CCM. The UAE has experienced a profound change from an underdeveloped region of small desert principalities to a modern state. The major transformation started in —74 with the extraction and exportation of oil, and wise investments of the UAE leadership. Nowadays the UAE is a high-income developing country with a competitive health system, which has been earning multiple international awards.
According to the Health Statistics of Abu Dhabi, there was an unequal distribution in specialty care across the three geographical regions of the Emirate of Abu Dhabi. Rural primary care is not well developed in the emirate, especially in the Western region and need several improvements like solving the critical shortages.
The UAE healthcare system is faced with a rising demand due to high population caused by natural growth and positive net migration. Moreover, the UAE national population is young but with high rates of chronic disease risk factors; therefore, the rates of chronic disease are projected to increase greatly as the young population ages.
One of the challenges of the current model of care is the lack of sufficiently self-management support and prevention screening programs and diagnostic services are not integrated into care plans and patients have undirected access to services and specialty care increasing inappropriate use and over-supply of services [ 14 ].
There is evidence that the strategies in place in the primary healthcare of this emirate are linked and share what the CCM defines as better approaches to each of its elements. Also, the continuous need for research in the fast developing countries with such a different pattern of nationalities and regulation entities.
The Abu Dhabi emirate health system is internationally well-positioned and competing with others from the developed countries, even facing the challenge of the unique characteristic of the population, both UAE citizens, and expatriates. Four members of the Federal Cabinet are women. We believe that with vision and enterprise that anything is possible… We see ourselves as a model of openness and tolerance, a force for positive change in what can often be a tough neighborhood.
Search form Search. Globalized and Open In just over four decades, the nation has transformed from a tribal culture reliant on agriculture and fishing to an entrepreneurial success story with world-class infrastructure.
The gorgeous archipelago offers a mix of ancient history, rich culture and heritage, stunning nature, beautiful beaches, high-end luxury, surprising wildlife, family-friendly adventure, world-class shopping, renowned golf courses and a welcoming atmosphere. This architectural marvel can house up to 55, worshippers and visitors every day and welcomes people of all beliefs. Its Corniche Beach is a pristine lifeguarded beach park perfect for families.
Abu Dhabi is actually an archipelago made up of over islands, so there are endless watersports activities for you, your family and friends to enjoy. For epic adventures ideal for the family, head to Yas Island. Today, the bustling high-rise capital of the UAE is a melting pot of culture, history, heritage, nature, beaches, luxury, wildlife and shopping.
The green garden city of Al Ain a UNESCO World Heritage site is home to historical buildings and the magnificent Al Ain Oasis, where , date palms and other fruit trees are tended to by still-operational centuries-old falaj irrigation systems. Making up over two-thirds of Abu Dhabi, Al Dhafra stretches along hundreds of kilometres of coastline and boasts exquisite beaches and islands, incredible wildlife, towering sand dunes, adventurous off-road driving, luxury resorts and ancient forts.
0コメント