RESUMO
Newcomers to the United Arab Emirates (UAE) health care system often enquire about the way in which UAE health services are financed particularly when funding issues affect eligibility for treatment. The UAE ranks alongside many western counties on measures of life expectancy and child mortality but because of the unique population structure spends less of its national income on health. In the past as a wealthy country the UAE had no difficulty ensuring universal access to a comprehensive range of services but the health needs of the UAE population are becoming more complex and like many countries the UAE health system is facing the twin challenges of quality and cost. To meet these challenges new models of health care financing are being introduced. In this brief article we will describe the evolution of UAE health financing, its current state and likely future developments.
Assuntos
Atenção à Saúde/economia , Financiamento Governamental/tendências , Emirados Árabes UnidosRESUMO
Injury is a leading cause of morbidity and mortality in the United Arab Emirates (UAE). The UAE is a rapidly developing country with fast economic growth, demographical and environmental changes that are associated with new hazards emerging at a similar pace. The UAE as a federal entity has federal and local systems responsible for safety policy, regulations and enforcement. To set priorities for safety promotion and injury prevention, it is necessary to have data on the most frequent external causes of injury and the main individual, equipment and environmental risk factors that contribute to injury. However good quality data for injury prevention are scarce. The aim of this paper is to describe the scale of injury as a public health problem in the UAE, and the development of safety policies, regulations and promotion efforts with special emphasis on traffic, occupational and child safety.
Assuntos
Promoção da Saúde/legislação & jurisprudência , Traumatismos Ocupacionais/prevenção & controle , Segurança/legislação & jurisprudência , Prevenção de Acidentes/legislação & jurisprudência , Acidentes de Trânsito/prevenção & controle , Adolescente , Causas de Morte/tendências , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Traumatismos Ocupacionais/epidemiologia , Emirados Árabes Unidos/epidemiologiaAssuntos
Atenção à Saúde/normas , Educação Médica/normas , Garantia da Qualidade dos Cuidados de Saúde/normas , Doenças Transmissíveis Emergentes , Controle de Custos/métodos , Atenção à Saúde/economia , Atenção à Saúde/tendências , Educação Médica/tendências , Custos de Cuidados de Saúde/tendências , Humanos , Dinâmica Populacional , Garantia da Qualidade dos Cuidados de Saúde/economia , Emirados Árabes UnidosRESUMO
To carry out their duties more effectively, health care professionals in the UAE often ask about the population structure and the main causes of mortality and morbidity in the country. This paper summarizes what is known about these topics drawing on secondary data sources that are available in the public domain, including census data, population estimates, births and deaths, proportionate mortality, age-standardized mortality rates and disability adjusted life-years. There are inconsistencies and flaws in some of this data which this paper will highlight and attempt to explain. Since 2005, the UAE population has grown substantially owing to high natural growth and high net inward migration and is currently estimated to be about 8.2million. In 2008, injuries, heart disease, neoplasms and cerebrovascular disease accounted for 57% of deaths, and this is well known. Less is reported about the risk of death, disease, injury and disability. The population of the UAE is diverse, and there are variations in mortality and morbidity risk by age-group, sex and nationality. The authors recommend improvements in the timeliness, completeness and consistency of data. They conclude that better data will encourage more analysis which will generate health intelligence leading to health improvement for the UAE population.
Assuntos
Efeitos Psicossociais da Doença , População , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Coeficiente de Natalidade , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Morbidade , Mortalidade , Crescimento Demográfico , Fatores de Risco , Fatores Sexuais , Emirados Árabes Unidos/epidemiologia , Adulto JovemRESUMO
In the UAF, health services have developed greatly in the past 40 years and there have been enormous improvements in population health. The hospital sector is growing strongly with private sector investment. However the current and future health needs of the population are complex and may not be properly served by the continued expansion of hospital capacity. In this paper, using the Emirate of Dubai as a case study, we examine the changes that have taken place in health services and attempt to predict their optimum configuration and capacity in the future taking into account population structure and growth and levels of morbidity and service use.