DHA: Dubai Health Authority
• Created 2007 replacing DOHMS
• Strategic oversight of health sector in Dubai
• Licenses hospitals and professionals
DHA: Dubai Strategic Plan 2015
• Health Services -
Quality, Access, Integration
• Public Health Promotion
• Private Sector – enhanced engagement
DHA Facilities for Medical Care
4 Hospitals: Rashid Hospital, Dubai Hospital, Latifa
Hospital, Hatta Hospital
10 Specialist Centres: Thalassaemia Centre etc
14 Primary Care Centres: Throughout the city
DHCC: Dubai Health Care City
• Founded in 2002
• 4.1 million square feet in centre of Dubai
• 2 Hospitals, 100+ medical outpatients centres and
laboratories
• Employs 3000 licensed professionals
Dubai: Drivers of Health Care Demand
1. Demographics
2. Economics
3. Medical Tourism
Demographics 1
Overview
• Population recently exceeded 2 million
(Max population growth 1985-2005)
• Population growth and ageing
• Demographically delineated groups
Demographics 3
Segments
• Emiratis: 17%
• Expats: 83% (85% of this group are Asian)
• Median age 27 years
• 77% male (expat workers living without family)
Demographics 4
Groups and Medical Needs
Different Demographic Groups,
Different Medical Needs
Emiratis : Chronic Diseases, Lifestyle Diseases
Blue Collar Expat workers: Work related injuries,
road traffic accidents
Economics 1
• Increased GDP: GDP per capita projected at $58,000 by
2015, 5.5% annual growth
• Increased Government spending on health and social care
(CAGR 5%)
• Increased personal consumption of health care
(part driven by insurance with low premiums)
Economics 2
• Government accounts for 70% of present health care
spending
• Per capita spending on health in world top 20
• UAE 2nd highest spending in the GCC
• Huge potential growth in health care sector
(public and private)
Economics 3
HC Expenditure per Capita $
Qatar
UAE
Kuwait
Bahrain HC Expenditure per Capita $
KSA
Oman
0 500 1000 1500 2000
Economics 4
Health Care Costs Rise 30-40%
• Rising costs of Medical Equipment and New Technology
• Complex and costly Licensing Procedures
• Low cost insurance drives over consumption of health
care
Medical Tourism
Overview
• Worldwide medical tourism industry worth $60 B
• Aims to be major destination for medical tourism
• Low Cost Treatments in Accredited Hospitals
Medical Tourism
Dubai
• 25 JCIA hospitals, clinics and programmes in
Dubai (almost 50% of UAE total)
• Treatments 50% cheaper in Dubai than in the USA
• 7.5 Million Annual Tourists to Dubai
Medical Tourism
DHCC
<<PatientsBeyond Borders Dubai
Healthcare City Edition>>
Book authored by Josef Woodman and launched
at Arabian Travel Market 2012
Medical Tourism
American Hospital Dubai
No. 1 JCIA Hospital in the Gulf
8% of patients non UAE
40% of Joint Replacement Surgery non UAE
Treats patients from more than 20 countries
Dubai: Medical Sector Headlines
Khaleej Times Dec 2, 2012:
Dubai Medical Sector to hit
$10.9 by 2013
Government and International
Investment
Challenges: Regulatory
Cost and Complexity of Regulation
Professionals and Hospitals
Malpractice complaints dealt with by Criminal Courts and
Police
Challenges: Operational 1
Staff Attraction and Retention
Chronic shortage, high turnover
80% physicians and 90% nurses expatriate
Emiratis not attracted to work in this sector.
Challenges: Operational 2
Quality and Standardisation of Services
Accreditation and Staff
Different accreditation systems
Different Staff Training and Cultures
Challenges: Operational 3
Poor Perceptions, Lack of Confidence
YouGov Survey 2011
70% of residents and 57% of Emiratis would seek overseas
treatment for serious illness
OUTBOUND MEDICAL TOURISM
Challenges: Operational 4
Low Insurance Premiums
Strategy to attract high market share
BUT
Lack of investment in advanced technology and treatments
Over consumption of Out Patient services & Medications
Opportunities 2:
In Bound Medical Tourism
Medical Tourist Services
MINOR PLASTIC SURGERY
DENTAL AND ORAL SURGERY
ONCOLOGY
JOINT REPLACEMENT SURGERY
Opportunities 3:
Long Term Care
Long Term Care for Disability
ELDERLY
ALZHEIMER’S DISEASE AND DEMENTIA
REHABILITATION
Opportunities 4:
Home Care
AMBULATORY CARE
FOR ELDERLY AND CHRONIC ILLNESSES
REDUCES COSTS OF HEALTHCARE
Opportunities 5:
PPP
Private Public Partnership
TECHNOLOGY AND KNOWLEDGE TRANSFER
ACCESS TO SPECIALIST TREATMENTS
Opportunities 6:
Insurance
Health Care Insurance
POSSIBLE COMPULSORY INSURANCE?
Increasing Market Size
Demand for Specialist Treatments
Opportunities 7:
Recruitment
Health Care Staff Recruitment
High Staff Turnover and High Demand
Opportunities 8:
Alternative Medicine
Demand for Alternative
Therapies Increasing
60,000 patients in Dubai treated in 2011.
ACUPUNCTURE, HOMEOPATHY, AYURVEDA, CHIN
ESE MEDICINE