NAMBIAR HEALTH CARE PROJECT[1]

8/7/2019 NAMBIAR HEALTH CARE PROJECT[1]

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A Project Report on Health Care Sector

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AUTHORS NAME AND AFFILIATIONS

T.O. Pramod Kumar

Qualification -

1. Bachelor of Arts (Economics) from CALICUT UNIVERSITY, India.

2. Master Degree in Economics from CALICUT UNIVERSITY, India.

3. Post Graduate Diploma in Computer Application from AL-FAROOK EDUCATIONAL

INSTITUTE, INDIA

4. Master Degree in Marketing Management, MUMBAI UNIVERSITY, INDIA

During my education gained knowledge in this area. And work experience of around

10 years in the service industry. Out of these 2 years worked as an ERP consultant for Health

care industry. During this period acquired knowledge and wide experiences from health Care

sector.

I would like to share my experience and knowledge in this project.


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CONTACT DETAILS

T.O. PRAMOD KUMAR

DUBAI

U A E

MOBILE 0097 150 340 8422

E-mail [email protected]

[email protected]


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The Thoughts that conceived this paper

Life is no brief candle for me. It is a sort of splendid torch which I have got hold of for the

moment, and I want to make it burn as brightly as possible before handing it on to future

generations.

"If you have an apple and I have an apple and we exchange apples then you and I will still

each have one apple. But if you have an idea and I have an idea and we exchange these ideas,

then each of us will have two ideas."

George Bernard Shaw (1856-1950)


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CONTENTS

EXECUTIVE SUMMARY ............................................................................................ 6

INTRODUCTION ........................................................................................................ 9

OBJECTIVES OF THE STUDY .................................................................................16

RESEARCH METHODOLOGY .................................................................................17

DUBAI ADVANTAGE ...............................................................................................18

HEALTH CARE SECTOR -BRIEF OVERVIEW .......................................................21

HEALTH CARE SECTOR EMERGING AREAS & TECHNOLOGIES .....................24

OPPORTUNITIES .....................................................................................................29

RECOMMENDATION ...............................................................................................30

CONCLUSION ..........................................................................................................33

ORGANIZATION STRUCTURE ................................................................................34

HEALTH CARE EXCHANGE ....................................................................................35

PUBLIC HEALTH CARE EXCHANGE .....................................................................36

PRIVATE HEALTH CARE EXCHANGE ...................................................................37

BIBLIOGRAPHY .......................................................................................................38


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EXECUTIVE SUMMARY

INTRODUCTION

United Arab Emirates (U A E), federation of seven independent states lying along the east

central coast of the Arabian Peninsula. The states making up the UAE are Abu Dhabi, Ajman,

Dubai, Al Fujayrah, Ras al Khaymah, Sharjah and Umm al-Qaiwain.

ECONOMY

The economy of the UAE is overwhelmingly dominated by petroleum extraction and

processing. These activities have provided the UAE one of the worlds highest incomes per

capita. The government is encouraging privatization within the economy. The increased

number of free zones operating in the country is serving to offer a wider range of options to

potential investors, including 100 percent ownership of investments.

OBJECTIVES OF THE STUDY

1. Self reliance of health care sector (Revenue Model)2. Plan health care strategy3. Plan IT Strategy (Health Exchange)4. Structure of the health care sector5. Quality and efficiency6. Sustaining and Leadership


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HEALTH CARE SECTOR EMERGING AREAS & TECHNOLOGIES.

1. BIOTECHNOLGY

2. INFORMATION AND COMMUNICATION TECHNOLOGY.

3. PEOPLE ORIENTED INDUSTRY

4. HEALTH TOURISM

5. CUSTOMER IS CENTRE

6. PERFORMANCE MANAGEMENT & BUSINESS INTELLIGENCE.

7. COMMUNITY PARTICIPATION.

8. ETHICS.

9. REVENUE MODEL.

10. HL7 STANDARD.

11. GLOBAL STANDARDS AND CERTIFICATION.

12. SOCIAL RESPONSIBILITY.

13. BRAIN RESEARCH.

14. ROLE OF GOVERNMENT.

A GREAT OPPORTUNITY

U A E is marching towards to knowledge based economy .Its Dubai advantage and advantage

in other areas also encouraging. In healthcare UAE needs to be base for Middle east and

African region. Dubai is the hub for health care in Arab world.


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RECOMMENDATION

1. To form the Healthcare authority based on the Medical District.2. Form the regulatory board. An apex body under the ministry of Health.3. Common customer care cell. Provide all type of information to the patient and citizen.4. A mother website to provide all information regards to health care sector services and

policies. Rules and procedures. Contact information etc.

5. Information and communication Technology Strategy (ICT) - to integrate all level ofprocess and system. Linking up to Ministry and external body also.

6. Medical Ethics committee formation For the benefit of patient.7. Revenue models, fees and fine structure decided.8. A compulsory medical insurance to working class (Labors).9. Implement performance management, business intelligence, Quality and efficiency.

CONCLUSION

U A E is marching towards to a knowledge-based economy. Health care sector is also one of

the most important priorities of any government as of now. These measures will take care of

the growth and success as like as other areas. Dubais competitive and leader ship position

will also help to emerge as a leader in this area. The way we are grown through the Free zones

and other prestigious projects. Hope that we can excel in these areas also.

Besides that Healthcare sector can give more job opportunities. Income generation and

government role will be bigger and wider. Self-reliance to the healthcare sector. Financially

Less dependent to government. Government focusing more on the regulation, execution and

implementation.

Boost to economy, growth of more associated fields and more employment creation.

Technological advancements. Sustain the leadership position in the region. Need an organized

work towards to achieve this vision.


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INTRODUCTION

United Arab Emirates (U A E), federation of seven independent states lying along the east

central coast of the Arabian Peninsula. The states making up the UAE are Abu Dhabi, Ajman,

Dubai, Al Fujayrah, Ras al Khaymah, Sharjah and Umm al-Qaiwain. The Area of the UAE is

83,600 Sq Km. The federal capital of UAE is Abu Dhabi. Much of which lies in the emirates

of Abu Dhabi.

The emirate of Dubai is the business capital of U A E. Dubai with an area of 3885 Sq km is

the second largest emirates situated in the banks of the creek a natural in let from the gulf, the

city ranks as the U A Es most important port and commercial centre. At independence

Sheikh Zayed took office as the president of the UAE (Federation formed in 1972). Under his

leadership UAE has developed in to one of the richest countries in the world with a per capita

GDP in excess of USD 17,000/Annuam. UAE ranks 14th in the 2001 World Index of

Economic Freedom.

The quality of life in the UAE is ranked 4th in the region. U AE march towards to knowledge

economy, that we can see in the pattern of public expenditure .In 2003 U A E spend 17 % to

education in the public expenditure. Also U A E vision to become the knowledge based

economy in 2020. The development plan and projects are based along with this direction.

Long recognized as the leading regional trading hub of the Middle East, the city of Dubai has

transformed itself in recent years in to a truly international business centre of global

significance.

As a regional business base, Dubai is strategically located midway between the far east and

Europe on the east west trading routes and between the former soviet Union and Africa on

the north south axis. While the emirates of Sharjah is the cultural Capital. , Also known as

city of knowledge.


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POPULATION

The native population of the UAE is composed principally of Arabs of Bedouin stock, who

enjoys the full citizenship rights. However, they comprise only around 25 % of total

population, the rest being expatriates and immigrant workers. Over two thirds of the

populations are male.

U A E population 4.041 million in 2003. Male 2.745 Million, Female 1.296 Million

In Dubai population is 1.070 Million in 2003.U A E population growth 6 %

55 % of U A E population active in labor market. 60% of Dubai population active in labor

market. Growth in labor force 1.6%. 30 % of population of UAE resides in Dubai.

Population structure

Age 0- 14 - 26 %

Age 15 49 - 68 %

Age 50 + - 6 %

In this shows the majority of the population is active and productive.

ECONOMY

The economy of the UAE is overwhelmingly dominated by petroleum extraction and

processing. These activities have provided the UAE one of the worlds highest incomes per

capita. The government is encouraging privatization within the economy. The oil Industry

overtook the traditional occupations of date growing, pearl diving, camel-breeding and fishing.

Economic development is unevenly distributed, with Abu Dhabi and Dubai, the principal oil

producers, enjoying the greatest and most rapid development. Government efforts have been

made to diversify the economy and there is a growing services sector. The trade industry is

also booming as each emirate has established free zone to encourage companies to setup there.


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The emirates of Ras Al Khaymah and Fujairah are the main agricultural centers as they are

both substantially better watered than the other emirates. The emirate of Dubai has become a

commercial centre and has now consolidated its position as the key-trading route between the

East and the West. It has also been named the business capital of the Middle East and has

become a large tourism attraction. The UAE supports a liberal economy and is committed to

free trade. The UAE currency is secure and freely convertible. There are no restrictions on

profit transfer or capital repatriation. Import duties are low and in the case of foodstuff,

medicine, agricultural products, and items imported in for use in the free zones are non-

existent. Labor costs are competitive and corporate tax and personal taxes are nil. In addition

to this every effort is being made to reduce the paper work involved in establishing a business

in the UAE. These factors combined with a strategic accessible location an excellent reliable

infrastructure and an extremely pleasant and safe working environment.

The UAE is expected to increase its industrial diversification drive in the new

millennium. Emphasis on development of the finance, trade and services sectors will also be

accelerated. Globalization will encourage the formation of larger banking units through

mergers while the move towards emiratisation will also gain momentum. Having invested

heavily in infrastructure since the establishment of the state, the Government is actively

encouraging the private sector to participate in further infrastructure development in transport,

communications, telecommunications, energy and ports. Private sector investment in industry,

involving public shareholding, inflow of foreign capital and technology transfer is expected to

increase. New corporate, stock market and banking legislation, a review of the laws governing

economic activity and the development of additional legislative and administrative

frameworks that promote efficiency and transparency will be key factors in economic

development.

The increased number of free zones operating in the country is serving to offer a wider

range of options to potential investors, including 100 percent ownership of investments.


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The massive Jebel Ali Free Zone (JAFZ) has become one of the largest industrial

complexes worldwide which, together with the adjacent port, the world's largest manmade

harbour, has continued to attract investors. Fujairah Free Trade Zone (FTZ), which was

awarded an ISO 9002 certificate in 1999, offers businessmen the location advantage of an east

coast port as well as the benefits of partnership with the Fujairah Government. FTZ has been

growing at a rate of 20-22 percent annually and currently has over 125 projects registered at

the zone, representing sector investment worth Dh 750 million. Trade value out of the zone by

the end of 1999 should top Dh 1 billion. Arab, Gulf and international capital investment in

Sharjah's Hamriyyah Free Zone had exceeded Dh 2.5 billion by the end of 1999, with local

investment accounting for 50 percent. The Sharjah Government has invested Dh 600 million

in infrastructure projects in the zone.

Saadiyat Free Zone Authority

The US $3.3 billion Emirates Global Capital Corporation (EGCC), which was incorporated in

April 1999, has been granted a 50-year concession by Saadiyat Free Zone Authority (SFZA)

to establish a major new commodities market and free zone on Saadiyat Island near Abu

Dhabi. The concession covers an area of 26 square kilometers.

Dubai Airport Free Zone Authority

Dubai Airport Free Zone Authority (DAFZA), one of the most recently established free zones

in the UAE, grants licenses to companies with an international reputation who intend to invest

properly in environment-friendly projects that are not labour-intensive.

.

Ajman Information Technology Park

Ajman Free Zone (AFZ) commenced work in July 1999 on the region's first information

technology park. The park will be developed in two phases, the first of which, a pilot project

of 10 offices, is under way.


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A further Dh 5 million will be invested in a purpose-built block that will house 100 offices.

The IT Park will offer a 'move in and plug in' facility in which a company can start operating

as soon as it occupies designated premises. The park offers all the facilities needed for an

effective business operation - PCs, ISDN, phone and fax lines, Internet access and related

services - to attract IT developers and IT support centers, besides emerging Internet retailing,

wholesale and e-commerce business.

Intellectual Property

Recognition of the close link between the protection of intellectual property rights and foreign

investment has acted as an incentive for vigorous action against intellectual property

violations in the Emirates.

International Obligation

The UAE is a member of the Paris Convention for the Protection of Industrial Property, the

World Intellectual Property Organization (WIPO), and a signatory of the WTO Agreement on

Trade - Related Aspects of Intellectual Property (TRIPS) with which it must comply by the

year 2000. The latter deals with such issues as copyright, trademarks, patents, industrial

designs and trade secrets. The country also acceded to the International Patent Cooperation

Treaty in 1998, which protects inventions registered with the International Bureau at WIPO

and local patent offices.

The UAE become a member of the United Nations and the Arab League in 1971.It is a

member of the International Monitoring Fund, the Organisation.Of Petroleum Exporting

Countries (OPEC), World Trade Organization (WTO) and other international and Arab

organizations, including the Arab Gulf Co-operation Council (AGCC)


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Domestic Law

Federal Law No. 40/92, Protection of Intellectual Works and Copyright, was issued on 28

September 1992, embracing all aspects of intellectual property such as trademarks, patents,

industrial design and copyright. After an extended grace period, the law was implemented in

the second half of 1993. In June 1999 the UAE National Committee for Industrial Property

Protection discussed amending the federal law within the context of TRIPS, including

regulations governing the protection of patents on pharmaceuticals. The initiative to amend

the law in line with WTO obligations was announced by the Ministry of Finance and Industry

in mid-1997 and work has been under way ever since. All articles of the legislation as well as

subsequent by-laws are being reviewed.

Enforcement

Enforcement of trademarks comes under the purview of the Ministry of Economy and

Commerce, the copyright law under the Ministry of Information and Culture and the patent

and design law under the Ministry of Finance and Industry. Enforcement is also assisted by

the Ministry of Interior, particularly the police and the Criminal Investigations Department,

Dubai's Department of Economic Development and Sharjah Municipality. International

organizations that are also engaged in the anti-piracy drive in the UAE are the Motion

Pictures Association (MPA) the Business Software Alliance (BSA) and the International

Federation of the Phonographic Industry (IFPI). In July 1999 thousands of pirated audio and

videocassettes, compact discs and computer play station tapes confiscated in a series of

government raids where destroyed and some shops selling the goods were shut down. The

raids on video and CD shops in Dubai and the Northern Emirates were carried out by the

Ministry of Information and Culture, Dubai Police Economic Crime Section and the Business

Software Alliance. In August, a trader who had been convicted of selling pirated

videocassettes had his sentence increased from the original Dh 5,000 fine to three months'

imprisonment following an appeal brought by the Motion Picture Association Middle East.


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Reduction in Piracy Levels

In the last few years the UAE has achieved tremendous results in fighting piracy at the local

and federal levels. As a result the UAE continues to have the lowest piracy level in the Middle

East according to statistics released by the Business Software Alliance (BSA). Of the US

$190 million revenue estimated to have been lost by the IT industry on account of illegal

copying of software in the Middle East, the UAE's contribution was a mere US $3.6 million.

On a global scale, the estimated loss of revenue in the UAE is not even 1 percent of losses

perceived to be suffered by IT companies due to software piracy in countries such as the UK,

Canada, Germany and France.

E-Commerce

In order to keep abreast of commercial trends worldwide, the UAE intends to set up an

Internet-based central financial forwarding and clearance facility known as the Payment

Gateway Server (PGS). Several top companies are working with government departments to

establish the facility, which is expected to be the first of its kind in the AGCC area.

PGS, a major step in the introduction of e-commerce, is the equivalent of central clearing and

forwarding of financial transactions carried out on the Internet. The server, which will permit

secure electronic transactions, is an intermediary between Web-based merchants, financial

institutions and consumers. As a country U A E in top spot in the region. In area like

telecommunication, power utility, Road & transportation.


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OBJECTIVES OF THE STUDY

1 Self reliance of health care sector (Revenue Model)

2 Plan health care strategy

3 Plan IT Strategy (Health Exchange)

4 Structure of the health care sector

5 Quality and efficiency

6 Sustaining and Leadership


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RESEARCH METHODOLOGY

Looking to the scenario and market potential, we want to know the actual picture and

reality of Health care sector. How potential is this sector and promising to this entire region

also gives more employment opportunity.

According to this developed a research plan after that analyses the data and

presented.

Data sources Economic journal, Internet, Ministry of Health Year book

Research Approach Observed the entire industry. Focused discussion, Discussed with

ministry and department level, Industry experience and knowledge in these sector.

According to the plan collected the data and compiled properly.

Analyses the data and presented in a meaningful way.

Recommendation and conclusion After that the recommendation and conclusion presented.


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DUBAI ADVANTAGE

A strategic location in a large market-access to a large untapped regional market of over 1.6

billion inhabitance covering the Middle East to the sub continent, North Africa to the

Caspian region. More than 544 million people living within this catchments area have a GDP

per capita income above 1000USD. Dubais strategic position is centrally located in a high

growth-rate regional emerging market and is recognized as the centre for new economy

business in the area.

Have more than 100 nations people live in Dubai. In the Dubai population more than 80% are

expatriates. Two third of the population is male only.

Dubai is an established regional hub that has long enjoyed political and economic stability.

100% foreign ownership in specially created economic free zones. No corporate and Income

tax. Dubai guarantees a straightforward framework of loss, legal procedures and filing process.

Highly skilled, low-cost knowledge workers. Professional service firms and financial

institutions. Dubai has an enviable communication infrastructure offering high bandwidth

with competitively priced telecommunications. High quality standard of life that makes Dubai

one of the most preferred places to live and work.

A virtually crime-free, tolerant society, with world-class hotels and entertainment facility,

excellent value, shopping sports and leisure all combined to make living and working in

Dubai a pleasure.

The second largest of the seven emirates which constitute in the U A E, Dubai is politically

stable and is open to business with all countries of the world. The emirates also offer

incoming companies excellent facilities for establishing manufacturing and distribution

operations.

Dubai is tolerant and welcoming and enjoys a very low crime rate. The life style is

international with high quality residential and office accommodation (free hold properties also)

as well as good education, health and shopping facilities.


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Sporting and leisure interests are well catered for and Dubais many top class international

hotels offer wide range of dining and nightlife & entertainment. Dubai is also known as city

of contrasts, City of gold, City of millioners.

World Class Airport, which ranks as one of the world busiest in terms of transit passengers, is

linked to some 160 destinations with 106 Airlines. And have a huge expansion plan with new

airlines and airport. More than 21.7 million passengers passed through the airport in 2004.

Dubai has a proven track record of implementing dictionary projects such as Dubai Internet

City, Dubai Media City, Burj Al Arab, Dubai Marina Development and Dubai International

Financial City.

The strong Government commitment to progress and facilitating business has made this

incredible growth in a short time span possible. Dubai Health Care City is part of and

contributes to the Governments vision 2010 of developing a knowledge economy. A pro

business attitude and English as the business language.

The Dubai Financial market (DFM), the first stock exchange in the U A E was established to

create a fair, efficient and transparent marketplace that that serves the interest of the national

economy.

Dubai Internet City provides a knowledge economy ecosystem that is designed to support the

business development of information and communication Technology Companies (ICT)

Dubai Silicon Oasis, which will be the first and only purpose, built industrial park for the

semi conductor industry.

Dubai Media City is the regions media hub and Knowledge Village is a centre for learning

and innovation located near DIC

Dubai Land project one of the big project commercial and tourist attraction


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Dubai has plenty festival and most attractive place for tourist Dubai shopping festival and

Dubai summer surprises.

Major Exhibition and conference like GITEX, ARABHEALTH and others held in Dubai

Dubais formula for development was becoming evident to everyone visionary leadership,

high Quality infrastructure, an expatriate friendly environment, zero tax on personal and

corporate income and low import duties. The result was that Dubai quickly becomes a

business and tourism hub for regions that stretches from Egypt to the Indian Sub continent

and from South Africa to what is now called CIS countries.

In 2014 Dubai has so many landmarks the world tallest building, largest man made island,

largest shopping mall, first underwater luxury hotel, one of the world largest recreations and

theme parks.

Health care City 3.46 million Sq ft of property. Internal project is ready. Project completely

ready 2010. 490 USD million healthcare city projects. Facility is expected to serve patients in

these region and 31 countries in the Middle East and Africa

Project will include hospitals, clinics, medical, fitness labs, nursing school and medical

university.

Dubai holds unique position in the Middle East as a commercial Hub and fastest developing

city in the region. The forecast of Dubai population 2.2 Million in 2014 i.e. 6% growth in a

year.

New projects Palm Island, The world, Dubai Land, Dubai Metro Train

Dubai is working a long-term goal to 15 million tourists per year by 2010. These all shows

that nations capacity and courage to grow.


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Health care sector -Brief Overview

Man is the center of life and is the main target of national socio-economic development. The

Ministry of Health (MOH) has adopted this principle in providing accessible and quality

comprehensive health services since the early days of the Federation in 1971. Primary Health

Care was a fundamental starting point for a compatible preventive and curative community-

based service in the country.

Accordingly, the MOH has developed national strategies that incorporated the political and

socio-economic status and which emphasized on international and regional collaboration with

respected agencies and academic institutions. The main theme of this strategy is evident

through the provision of comprehensive care, increasing life expectancy, and the continuing

efforts to eradicate communicable and parasitic diseases, early detection and treatment of

chronic diseases. In addition to that the MOH has developed special programs targeting

mothers, children, students, teens, old aged people, handicapped and technicians. Medical

services has improved dramatically during the past 30 years where the number of hospitals

increased from 7 to 30, the number of beds increased from 700 to 4473 and the number of

primary health care centers increased from 12 to 115.

Manpower development plays a major role and is well integrated in the MOH strategies

through a number of in-service training programs. More than that, the MOH is reorienting its

systems to accommodate for nationals graduating from relevant universities and other

educational institutions.

The MOH is keen to establish a number of ambitious future projects that focuses on providing

state-of-the-art services in the country, which highlights our needs for motivated UAE

national graduates to fulfill the resulting new positions. Our accomplishments in the past 30

years are a stimulus for better professional planning to cater for people's needs and aspirations.


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Medicines have brought great benefit to life. Many are life-saving and most help people to

lead a normal life. However, no medicine is 100% safe. The manufacture of medicines is a

complex business and we never know all the effects of a drug on the body. There is always a

risk that medicines will cause unrecognized side effects or that there may be a potentially

dangerous defect in the product itself. Furthermore, there can be mix-ups in the prescribing

and dispensing of medicines. The Department of Drug Control has many activities designed

to maximize drug safety in the UAE. In addition to the Medicine Information activities, the

department encourages all health professionals to report adverse reactions and quality defects.

The federal govt., local government and the Private sector service currently health care

sector in Dubai. As the government has stopped offering free medical services. The expatriate

is mostly depending on private clinic and hospitals. The public sector spending on the health

care is covered by the federal and local govt. The federal government budget for 2003

allocated approximately USD 0.5 billion for health care in U A E.Individual emirate have

their own contribution for health care sector. The Dubai department of Health and medical

services (DOHMS) has a budget of some 0.38 billion USD for the year 2004. That is 2% of

GDP of Dubai.

Hospital

Health care sector in Dubai has 15 hospitals in public and private sector.

Ministry of Health (MOH) which is responsible for providing health care across the UAE

operates two hospitals and nine Medical centers in the Emirates of Dubai. DOHMS, which

manages 3 hospitals and 18 health centers. Average occupancy in the hospital is in between

50 60%

Total 274 pharmacies are in Dubai. Seven companies involved in manufacturing

pharmaceutical item.


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Health is a collective responsibility Government has to create the environment for smooth

service providing to community. Health is in its broadest context is essentially about the

quality of life.

U A E statistics

No of Health centers 109 (2003)

No Of Hospital 27 (2003)

Bed occupancy 56 %

Medical district - 9

Following are the medical district Abu Dhabi, western, Al Ain,

Dubai, Sharjah, Ajman, Um al qwain, Ras al Khaima, Fujairah

Population by Medical District (2003)

Abu Dhabi 832,000

Western - 223,000

Al Ain - 536,000

Dubai - 1,204,000

Sharjah - 636,000

Ajman - 235,000

UAQ - 62,000

RAK - 195,000

FUJEIRA - 118,000


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Health Care Sector Emerging Areas & Technologies

1. BIOTECHNOLGY: - Biotechnology is the area today widely discussed. It applies healthcare sector, agricultural sector and other areas. Medicines and other products are available

from the biotech companies. Today all government spending lot of money in this area for

research and development. The challenges in this area is collaborating the work, national

policy for research and development, standardization and verification of biotech products.

Also integrate the work along with the heath sector. Appoint expert people to

monitor the sector and make a task force for the biotech sector.

2. INFORMATION AND COMMUNICATION TECHNOLGY. (ICT)

Today any service sector ICT is a main element for service delivery and simplify the

process. Especially in healthcare sector ICT can be used very successfully and cost

effective way. Web technology is used for customer service linking up the entire

network. Telemedicine is other area emerged through ICT. With the help of ICT

service should be fast, accurate and simple to the citizen. This brings more control and

better and faster decision can be made.

Health core application or Healthcare information system (HIS) is also one big

contribution of ICT. IT strategy should form for entire sector - IT System standard,

right information, right people at the right time.

New technology and practices like Smart card technology, voice Data image

transmission, Data warehouse, health information, MIS, Information sharing between

the private and public health care institution. Patients health information,

confidentiality And accessibility, authority of rights, online decision process

Reduction of duplicate work Improve the efficiency, integrated system for health

insurance. Regularize the existing legal framework for improve the process

(See more details & model in Healthcare Exchange)


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3. PEOPLE ORIENTED INDUSTRY: - Health care sector is people oriented industry. Itsall about people. People giving services to people. So quality service coming from quality

people. Continuous training and development is critical. Welfare of the staff is also critical

to retain the staff as well as bring more talent to this sector. Especially in UAE service

sector can only create more employment, in that Health care sector one of main area for

employment generation and grow in to regional hub for healthcare.

4. HEALTH TOURISM: - Another emerging area is Health tourism. Primarily U A Egovernment trying its best brings more tourists to this country. Health tourism has its own

importance. Mainly implement the quality and standards in this area. Bring all the

supporting institution under one roof for this. Go to an extent that brings all institutions

like Health SPA, fitness centre, Beauty parlor, Saloon etc. And link to this health care

sector.

5. CUSTOMER IS CENTRE FOCUS: - Today business and services are driven bycustomers. Customer is god. Same like customer is the centre focus in health care.

Humanity service needs more customer centric approach. Through this deliver a world-

class health services. Governments vision can be transferred through this. Speedy and

easy information available to citizen. To educate the staff about the need of customer care.

Bring the culture in their duties to patients. Customer complaints and grievances,

problems to be managed. Fulfill the promises and committed to the duty. Customer Care

group guarantees the rights of each patient to the best health care available. Through this

give new direction to the entire services

Necessary education, workshop, seminar s organized. Hot line numbers, counseling

centers arranged. Customer comments, suggestion, complaints well taken care


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6. PERFORMANCE MANAGEMENT & BUSINESS INTELLIGENCE: - These are thenew tools used in business field. This is entirely new to the sector like Healthcare. But

today this kind of tools required minimizing the cost, bringing efficiency and

accountability. Decision process would be faster and accurate. In a complex and

challenging economy not only companies but also government sector is also required

forward thinking. Consolidating performance and predict performance these are

challenges in the new economy. If enterprises are private or public performance is priority

area. People make the best decisions when they have the best information in front of them.

This is what business intelligence delivers. These tools are most important in todays

world to compete, to succeed, to lead.

7. COMMUNITY PARTICIPATION: - Health care sector needs lot of commitment andparticipation. Participation by community for improvement of standard of life, help for

needy people. Diseases related forum, social welfare, charity, educates the society about

harmful diseases. This participation and commitments can make difference in public life.

Patient forum, Consumer forum, Health promotion groups

8. ETHICS: - The medical profession has long subscribed to a body of ethical statementsdeveloped primarily for the benefit of the patient. As a member of this profession, a

physician must recognize responsibility to patients first and foremost, as well as to society,

to other health professionals, and to self. Ethics in practice, in medical trials usage of

medicines. Ethical committee should be formed, educate the stakeholders of healthcare

sector. Ethics code will design for smooth operation of the sector.

9. REVENUE MODEL- One of most important element in maintaining and managing theresources. Today government interfering in this sector is minimized across the world. We

have to find more meaningful sources revenues. Besides fees and fines. Clear-cut strategy

and segment wise fee structure. If we have strong revenue model that itself leads to

successful operation and development of the facility.


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10. HL7 STANDARD- HL7 is an example of a set of communication rules called a Protocol.These Interface Protocols define the rules by which two applications will exchange data in

an orderly manner. Healthcare Information System has been designed to provide a

completely integrated information framework for managing, planning and controlling all

the activities in a hospital.

HIS has been designed and developed as an integrated system solution. For better user

compatibility, the package is structured to be modular. This helps in implementing it

in stages, ultimately covering all the functions of the hospital. It handles various

functions, from minute details like Diet Charts, Drug Cards, Purchases, Returns, Stock

Ledger, Indents and Leave Records to major issues like Theatre Management,

Pharmacy, Personnel Information, Infection Monitoring, Blood Bank, General

Inventory and Financial Statements.

11.GOBAL STANDARDS & CERTIFICATION: - We are aiming to global player in thefield of healthcare. We should have practices and process also globally approved. So bring

global standardization in the health care sector is challenging. Manufacturing process,

medicines and equipment standards. Achieve and maintaining quality certification is

required. Required training and practices, and help to achieve those standards. This will

help to regulate the sector and maintain quality. Also one of the revenue streams also.

12.SOCIAL RESPONSIBILITY- Health is concern for all sector of society. Poor or richhealth care is a concern and agenda for government. But government has limited resources.

Here community, charitable association, patient welfare association can do better work.

Jointly make a difference to entire society. Government should encourage and facilitate

this movement.


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13.BRAIN RESEARCHES These new areas of science and branch of study. This shouldincorporate in the curriculum. Government should open centre for Research and

development in this area. Encourage the students do research in this area. This is

happening area in globally.

14.ROLE OF GOVERNMENT: - Regulator of health services in the country, planning,implementing and evaluating health programs. Formulation and updating public policies.

In addition to maintaining to equality and assuring equity and accessibility

Its a challenge task; challenges are fund mobilization, manpower utilization, work process, as

well as maintaining the availability of advanced equipment and high technology.

Decentralized decision-making. Encourage Partnership working and community involvement

Lot of programs and community development programs arranged and developed based on this


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OPPORTUNITIES

U A E is marching towards to knowledge based economy .Its Dubai advantage and advantage

in other areas also encouraging. In healthcare UAE needs to be base for Middle east and

African region. Dubai is the hub for health care in Arab world. Economic growth in the Arab

world 2%.

Arab Annual average population growth 3.5 %. 20 % population in the Arab world lives on

less 2 USD per day. In Arab world 14 20 million Arabs are jobless. That is 19.4 % of their

total active population. Considering all these elements there is a clear-cut growth in this area.

There is need for a leader in this area. As same as other area U A E needs to be excelling in

this area also. 70 % population in USA covered under medical insurance. There is a great

opportunity ahead to grab.


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RECOMMENDATION

1 To form the Healthcare authority based on the Medical District. Ideally 3 health careauthorities are sufficient. It helps to manage the resources at its maximum level.

Independent planning and management. It helps faster process and decision-making

(Structure of healthcare sector see page -37)

2 Form the regulatory board. An apex body under the ministry of Health.

Health care authority, Free zone, and all healthcare related institution comes under this

regulatory body. It has the right to regulate the industry for the sake of public health.

Objective of Regulatory Board

1.

Entire guidelines to Health care sector

2. Ensure right business practices3. Justice to all Stakeholders.4. Customer complaints and care, social responsibility guidelines formation.5. Making an effective contribution to public health.6. Standardization and certification guidelines7. Inspection and Standards of medicine and Equipment.8. Formulate the communication strategy.9. Freedom for information & provide authoritative and accessible information.10. A higher body and mediator for ministry, advisor for ministry, communicating body

internally and externally.

11.Influencing body for globally and with global association.12.Exchange ideas and global practices.


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13.Bring global practices, standards, and technology.14.Make feasible and healthy business environment for healthcare.15.Common policy for HR, staff welfare, training and development plan16.Expert committee formation, expert advice to the industry.17.Support industry and innovation, a common platform for all stakeholders.

3 Common customer care cell. Provide all type of information to the patient and citizen.

4 A mother website to provide all information regards to health care sector services andpolicies. Rules and procedures. Contact information etc.

5 Information and communication Technology Strategy (ICT) - to integrate all level ofprocess and system. Linking up to Ministry and external body also. Ministry requires a

total restructuring and redevelopment of its information and automation strategies and

systems. To implement the IT strategy looks an option of private participation.

a. Health care Information System (Patient care system)b. Integration with the application.c. Centralized applicationd. Security managemente. Supply chain Managementf. Asset Managementg. Financial Management system and other functions are linked on the basis f

MOH requirement

h. Human resources management systemi. Budget and control systemj. Medical record management with Health card.k. Sharing medical information across the healthcare centers


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l. Health exchange concept (See page -38-40)m. Centralized application

Consist of inter related system considering the functional requirement, business

requirement, administrative requirement, technical and infrastructure

6 Medical Ethics committee formation For the benefit of patient. This would be coveredentire health care sector. Ethics principles would be formed. These principles will be

educated through workshop. This will help to bring the best practices and improve the

services as service industry

7 Revenue models, fees and fine structure decided. Grants and other sources of revenuestreams to be identified (Some of the sources like - visitors fee, Medical insurance for

visit visa holders etc

8 A compulsory medical insurance to working class (Labors). This will help the welfareof the working class and a revenue stream for government. They are the backbone of

UAE economy.

9. Implement performance management, business intelligence, Quality and efficiency.


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CONCLUSION

U A E is marching towards to a knowledge-based economy. Health care sector is also one of

the most important priorities of any government as of now. These measures will take care of

the growth and success as like as other areas. Dubai is competitive and leader ship position

will also help to emerge as a leader in this area. The way we are grown through the Free zones

and other prestigious projects. Hope that we can excel in these areas also.

Besides that Healthcare sector can give more job opportunities. Income generation and

government role will be bigger and wider. Self-reliance to the healthcare sector. Financially

Less dependent to government. Government focusing more on the regulation, execution and

implementation.

Boost to economy, growth of more associated fields and more employment creation.

Technological advancements. Sustain the leadership position in the region. Organized work

towards to achieve vision. We can make a difference.


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Organization Structure

ORGANISATION STRUCTURE

HOSPITAL SERVICES EDUCATIONAL SERVICES


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Health Care Exchange

HEALTHCARE EXCHANGE

MINISTRY OF HEALTH

PUBLIC HEALTHCARE

EXCHANGE

PRIVATE HEALTHCARE

EXCHANGE

ITS DIGITAL NERVOUS SYSTEM EXCHAN GE INF ORMAT ION (IT NETWORK)


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Public Health Care Exchange

PUBLIC HEALTHCARE EXCHANGE

HIS &CLINICAL MANAGEMENT

LAB

BLOOD BANK

P

H

A

R

M

A

CY

HOSPITAL AUTHORITY

DHCC

COMMON SPECIALISED COMMITEES

BUDGET &

PLANNING

CHARITY

COMITEE

AUDIT

TASK FORCE

CUSTOMERCELL

LEGAL

REGULATORY BODY

NURSINGCOLLEGE

R&D CENTRE

MEDICAL COLLEGE

MINISTRY OF HEALTH

MINISTRY OF HEALTH

IT NETWORK LINK

ALL SECTOR AND

EXCHANGE INFORMATIONHEALTH CARD AND H

RECORD IS CORE EL


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Private Health Care Exchange

PRIVATE HEALTHCARE EXCHANGE

BLOOD BANKCLINICAL MANA GEMENT

HOSPITALMANAGEMENT

SOLUTION

PHARMACY

HEATHCARE RELATED

INSTITUTIONS

R&D AND EDUCATI ONAL INSTITUTE

NGO

MANUFACTURING COMPANIES

INSURANCEAGENCIES

BIOTECH

COMPANIES

PHARMA COMPANIES

MINISTRY OF HEALTH

MINI STRY OF HEALTH

INFORMATION SHARING

RELATED TO STAKE HOLDERS

HEALTH CARD AND HEALT

RECORD IS CORE ELEMEN

LAB

BLOOD BANK


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Bibliography

1. Ministry of Health year book 20022. Ministry of Health Year book -20033. Dubai Emirate Socio Economic Development Indicators Department of Economic

Development

4. Madar Research Special Dubai knowledge Economy Series5. Various websites

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