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Health Statistics

2013
Health Authority Abu Dhabi
Reliable Excellence in Healthcare
www.haad.ae/statistics
www.haad.ae/statistics-xl
27 November 2014

Contents
Overview
Stable vision
Achieving our vision the journey so far
Statistical highlights
Public Health highlights
Investor highlights
Benchmarks

2
3
4
5
6
7

Population
Population various breakdowns
Births and Deaths
Leading causes of death
Injury deaths
Communicable diseases
Cancer

9
11
13
15
16
17

Episodes and activities


Episodes various analyses
Activities by type

22
25

Note

Providers
Provider overview
Labour productivity
Hospitals
Hospital inpatient profile
Beds including critical care
Centres and Clinics
Blood bank
Market structure

27
28
29
30
31
33
34
35

Claims
Claims

38

Payers
Payer members
Payer claims

40
41

Financing
Enhanced plans premiums
Enhanced plans limits
Enhanced plans benefits
Financing model, spend distribution

43
44
45
46

The data presented have been prepared to the best of our knowledge at time of release. Although effort has been invested to creating consistency and coherence, this
should be considered work in progress. Feedback on content and layout are welcome.

Stable vision
Elements of the HAAD 2006 vision have guided significant healthcare reform:
In the Emirate of Abu Dhabi, everyone
has access to healthcare.
A system encompassing the full
spectrum of health - protecting,
promoting, sustaining and restoring
services across the territory of the
Emirate.

Person
Quality driven by ambitious
improvement targets set by
the regulatory authority of
the Emirate and reflected in
the regularly monitored and
published key performance
indicators of the system.

Payer

There is mandatory health insurance for all Abu Dhabi


residents. The financing system is flexible to manage
for change over time and the degree of subsidy
should be managed as efficiently as possible.
2

Provider

An open system for all certified providers of health


services delivers world-class quality care and outcomes in
compliance with the highest international standards.

Achieving our vision the journey so far


In 2006 we first defined a vision for Abu Dhabis health system with the mission to Ensure
Reliable Excellence in Healthcare. This vision has guided major reforms and continues to
inform daily decisions in healthcare. The Health Authority Abu Dhabi (HAAD) was created to
track and steer progress towards realising the vision and, to measure returns on investments
for a healthy society. HAAD regulates all healthcare actors public/private,
provider/payer/professionals by licensing, setting clear and simple rules, e.g. minimum
standards for facilities and ensuring compliance. HAAD does not own, build or manage
healthcare facilities, treat patients, pay for treatment (insurers and other payers do) or pay
the private sector to partner. SEHA (Arabic for health) is the largest public provider; it owns
and develops existing public healthcare facilities, including partnerships with 2 renowned
overseas operators to manage its facilities.
Everyone has access to healthcare via mandatory health insurance. A first in the region, in
2006 Abu Dhabi guaranteed access to healthcare for all expatriates by mandating health
insurance and linking it to resident permits. In 2008 the old Ministry of Healths health cards
for Nationals were replaced with Thiqa health insurance, which provided free at the point of
care access to care in both public and private sectors and the freedom to choose the
provider.
World-class quality care and outcomes with quality regularly monitored and published. In
support of improving quality, HAAD develops clinical care and service standards tailored to
Abu Dhabi across the health sector. In 2012, Abu Dhabi Health Regulations (Policy Manuals)
were published for implementation across the healthcare sector. Since 2011, we have been
working on the development of a comprehensive, consistent and trustworthy provider rating
system that would allow benchmarking of the quality of services among Abu Dhabi providers
as well as internationally. HAAD has disseminated a number of quality metrics to improve
quality. Capacity has improved, for instance, since 2009 the number of hospital beds available
to the population has increased by 21% (681). However, many challenges remain, for
example, whilst under 5 year olds mortality rate (8 per 1000 live births) is among the best of
GCC countries, it is still above that of the UK (5 per 1000 live births) and Singapore (3 per
1000 live births).
Full spectrum of health services. Our model of care sets out services which are appropriate,
convenient and well coordinated around patients needs.
Prevention. Disease prevention and health promotion are cornerstones of our public health
strategy to reduce burden of diseases at onset in vulnerable population. This requires
continuous collaboration with strategic stakeholders, e.g. municipalities on tobacco control,
schools on healthy eating and exercise, police on road safety and employers on workplace
health promotion.
Screening for health risks. When Nationals were first screened for various health risk factors
in a programme called Weqaya (Arabic for prevention), it showed that 71% had at least one
cardiovascular diseases (CVD) risk factor; many were unaware thus unable to seek care, and
risk factors are projected to increase. Community-based services help patients manage their

chronic conditions, like diabetes, on a daily basis. Some diabetes services now offer integrated
consultation, diagnostic and pharmacy services to people with diabetes. Another creative
solution is to treat patients, particularly those who are frail, in their homes.
Specialty care. Competition for patients has helped the creation of new services and
increased convenience and efficiency for existing services. There is clear evidence that the
Strategy to encourage investment in both public and private healthcare provision is now
delivering major benefits. During 2013 there has been a marked reduction of existing service
gaps. There has been 20% growth in the numbers of Emergency Physicians, 41% growth in
Neonatologists and 21% increase in Paediatric and Orthopedic doctors respectively. Critical
care doctors have grown by 14%. Obstetrics and Gynecology doctors have grown by 30%. Full
detail of these improvements are included in The Capacity Masterplan Pages C8 and C9.
Health facilities and clinicians. The desire is to treat patients outside hospitals wherever
possible, however, to account for population increase, several private providers have opened
new acute and sub-acute care facilities. 10 new private hospitals have opened in the last 5
years adding 780 beds. In addition, 350 new clinics and centres have opened, with more
planned, in both private and public sectors. During 2013 the number of facilities offering
healthcare has also grown by 11% to 162627. The challenge is to manage potential oversupply in some areas and to ensure hospitals operate with both quality and cost comparable
with international benchmarks. In the last 5 years the number of doctors per 10000
population has increased from 23 to 25 (9% increase) and nurses from 42 per 10000
population to 52 (24% increase).
Ambulance services. Good hospitals are worthless if patients cannot get there. The police
provide emergency ambulance services. HAAD is working with them to develop a more
integrated service that responds to a wider range of health emergencies and ensures the
patients are taken to the most appropriate facility.
Predominantly private providers. Based on positive experience both locally and regionally,
we would like private operators to provide most healthcare, as well as to continue to add
required new capacity. Private Investors are generally more responsive to market needs than
the public sector. During 2013 the private sector was responsible for 74% of the growth in
physician numbers and most of the growth in facilitiesC8,C9.
HAAD continues close monitoring of providers both public and private against robust clinical
indicators to ensure high quality of care is provided.
A Flexible and efficient financial system. We want to pay providers for the patients they
actually treat and the quality of that treatment, as well as limit direct subsidies to public
providers. The DRG system introduced in 2010, and fully implemented for all hospitals
inpatients in 2013, promotes efficiency: it pays hospitals on the basis of how sick patients are,
not how long they stay or how many health services they are provided with. HAAD is focussed
on improving the reimbursement system to ensure adequate reimbursement levels that are
based on reference prices and a revision of the tariff is expected soon.

Statistical highlights
There are more
insurance contracts
(3.3m) than residents

Population

Financing

Payers

39 licensed payers provide


health insurance for the
entire population

Note

2.73m residents, 18% Nationals


Median age 19.6 for Nationals and 31.7
for Expatriates
35945 births and 3015 deaths
14.3 million Episodes*:
1.4% inpatient (193996)
39% by Nationals
49% by hospitals

Episodes*

Claims

Providers

21.3 Million claims submitted


99.1 % of claims for outpatients

83.9 million Activities**:


44% Consultations

and procedures

20% Drugs

21% DRGs

7% Services
5% Dental
4% Materials
(HCPCS)

6864 physicians, 1220 dentists, 14235


nurses and 5332 allied health
professionals and 2396 pharmacists
1626 licensed facilities including:
41 hospitals (3864 beds***)
922 centres and clinics
502 pharmacies

* An Episode is an inpatient Encounter or a set of outpatient Encounters linked to the same clinical case based on the patient (identified by insurance member ID) , and
principal diagnosis. An Episode clinician is the clinician responsible for consultation.** percentages by value ***the total number of reported operational beds and licensed
beds for new facilities

Public health highlights


Population. 18% of residents are Nationals, of whom 69% are under 30
209. Expatriates

and more than half are under


are predominantly aged
between 20 and 409. A significant share are employed in construction
and accommodated in labour camps. The introduction of mandatory
health insurance in 2006 provided all residents in Abu Dhabi access to
high quality care. The population continues to grow rapidly.

Birth. The UAEs Total Fertility Rate has declined from 4.4 to 1.7 per
woman between 1990 and 2011 (World Health Statistics 2013 (WHO)).
Declining birth rates are attributed to urbanisation, delayed marriage,
changing attitudes about family size, and increased education and work
opportunities for women.

Death. Mortality rates have also declined steadily11,12 over the past
years. Infant mortality is now comparable with other developed
countries7 and the WHO has reported a decrease in the under 5
mortality rate from 22 to 7 per 1000 live births between 1990 and
2011 across the UAE. In 2013, the diseases of circulatory system caused
the highest number of deaths, accounting for 36.7% of all death cases
registered in the Abu Dhabi Emirate. External causes of morbidity and
mortality and neoplasms are the second and third highest causes of
death13,14.

Injuries. Injuries are the second leading cause of death (19.6%) and
healthy life years lost in Abu Dhabi. Fatal injuries are caused primarily
by road traffic (62%), followed by injuries due to falls and falling objects
(11%), and suicide (8%). Occupational injuries and childhood injuries
are accounting for 18.4% and 12.2% of total injury deaths,
respectively.13-15

Notes

Non-communicable diseases. The Emirate has high rates of chronic


diseases related to lifestyle, such as obesity, diabetes, and
cardiovascular diseases. Cardiovascular diseases accounted for 36.7%
of all death cases in 2013. Adult Nationals were screened for
cardiovascular risk factors in 2008 as a condition for enrollment in
Thiqa insurance. Without major changes, these rates are set to
increase further as the young population ages. Individuals thought to
be at high risk of cardiovascular disease are being followed up.

Cancer caused 12.9% of all deaths in the Emirate in 2013. Lymphoid,


Haematopoietic and related tissue cancers are the dominant cancers in
Abu Dhabi. Late detection of breast cancer leads to significant
increases in mortality. Adult female Nationals aged 40-69 are being
screened for breast cancer as part of their Thiqa insurance renewal.
Education and awareness campaigns have increased screening rates for
all nationalities.

Communicable diseases. Rates of childhood communicable diseases


are very low, due to immunization programs targeting children aged <5
years16. Expatriates are screened for communicable diseases before
acquiring residence status16.

Respiratory infections are the second most common non-life


threatening condition in the Emirate after signs, symptoms and illdefined conditions, accounting for 11.1% of Episodes across all
healthcare facilities23. Respiratory infections mostly impact workforce
productivity and quality of life.

The superscripts in pages 5 and 6 refer to the specific pages of this publication where more detailed information can be found

Investor highlights
Population. The population is concentrated on or nearby Abu Dhabi
islandC34. Areas of growth in the short to medium term are expected to
be just off the island (Mohammed Bin Zayed city, Capital district,
Shamkha and the islands adjacent to Abu Dhabi island) and Al Ain city.
At the end of 2013 there were 0.48m National Thiqa members, 1.34m
Basic members and 1.49m Enhanced members41. Recent annual
population growth has averaged 7.7% and is considered to be among
the highest population growth rates in the world*.
Demand. Aggressive growth in demand is expected for general medical
services and services linked to lifestyle-related diseases, e.g. diabetes
and cardiovascular diseases and cancer with larger volume increases in
outpatient settingsC37.
Supply. Since the end of 2012 there has been 22% growth in the
number of licensed physicians and dentistsC8,C9 and 11% growth in the
number of licensed facilities**. It is estimated that by 2022 up to 4800
additional doctors and 13000 nurses will be required. If turnover
remains high, this translates into up to 1700 doctors and 2900 nurses
to be recruited annuallyC36. HAAD demand projectionsC26 also indicate
that in 2020 demand for inpatient services may require over 2200
additional beds (based on current occupancy rate). However, there are
currently 16 hospitals under construction that are more than 50%
complete, which should provide up to 2859 bedsC31,C32. This is an
increase of 700 beds under construction compared to 2012, which
signals significant future capacity to meet the required demandC32.

Capacity gaps. Capacity gaps exist in Intensive and Critical Care


Medicine, Emergency Care, Neonatology, Paediatrics, Oncology,
Orthopaedics, Rehabilitation and PsychiatryC9. Sub-specialty gaps exist
in Paediatric and Paediatric Surgery. Adult Surgical sub-specialties
including Neurosurgery, Plastics, Surgical Oncology are all
undersupplied in Abu Dhabi.

Note

Significant new inpatient capacity is anticipated during 2014 and


2015C30,C31 particularly in acute care services with the planned supply
of Intensive and Critical care and Emergency Bays addressing the
current shortfalls in these types of services by 2016C32. Overall bed
occupancy rates vary by facility, but are lower than optimal30 indicating
low efficiency. Bed occupancy in ICU, NICU, PICU, CICU, CCU and
Isolation was consistently over the optimal 75% during 201134.
Reimbursement. HAAD sets prices for the Basic product uniformly.
Providers negotiate prices with Payers for Enhanced plans, generally as
a multiple of Basic product rates. Thiqa rates are equivalent to
Damans most generous Enhanced plan. DRGs were introduced for the
Basic product in 2010, and mandated for all hospital inpatients in
2013. In 2013, more outpatient payments were needed based on
Evaluation and Management (E & M) codes, where payment reflected
the severity of the patients condition not the grade of doctor seen.
Provider market. Government-subsidised SEHA hospitals provided
care in 61% of all inpatient Episodes (2% increase from 2012) and 38%
of all hospital outpatients (1% decrease from 2012)23. The largest
independent groups are Al Noor and NMC30. International providers
have come to Abu Dhabi, generally on the basis of a management
service agreement, such as the Cleveland Clinic for SEHAs SKMC and
Johns Hopkins for SEHAs Tawam.
Payer market. Overall, the competitive Enhanced health insurance
market has increased to almost 1.49m members. Over 50% of this
market is held by three payers Daman (34%), ADNIC (14%) and Oman
(7.5%)42. Average Enhanced premium per member increased in 2013
by 10% to 3380AED40. Daman also administers Thiqa and Basic
products. Claims per member have risen from 4.6 in 2009 to 6.5 in
201339. On average payers take 51 days to remit claims42.

*SCAD, http://www.scad.ae/en/statistics/Pages/Statistics.aspx?ThemeID=4
** Percentage growth needs to be interpreted with caution, due to the fact of having some services within SEHA facilities holding a separate license.

Benchmarks
Life expectancy at birth (years),
Males

Population growth, 2001-2011


Abu Dhabi

Germany
Kuwait
Oman
Qatar

74

3.1

Singapore

UK
USA

80
9.2

Abu Dhabi

8.0

Bahrain

10

Oman

USA

Notes

Sources

6
4

9.4

2.7

7
5

3.0

73.7
21

19.2

63.9

19.3

1.9
3.0

44.9
27.6

2.2

UAE
UK

45.5

20.5

1.2

113.8

17.9

1.8

Saudi Arabia

36.9

2.0

Qatar

38.6

8.2

11

52.1

14.9

Kuwait

25.1

1.8

Germany

Nurses / 10'000 population

Physicians /10'000 population

2.3 Adjusted*

1.4

6.3

53

81

Beds/1'000 population

Infant mortality rate / 1'000 live birth

25

82

76

Under 5 mortality rate /1000 live births

38

77

79

0.9

21

85

75

0.5

Singapore

68

77

2.6

UAE

36

81

83

11.2

Saudi Arabia

39

76

70

2.2

28

80

80

3.4

25

83

78

33

80

78

7.2

29

78.7

75.2

7.5

Bahrain

Injury mortality/100'000 population

Females

40.9
27.7
24.2

94.7
98.2

* Adjusted for fair international comparisons as the population in Abu Dhabi is young and is not expected to use hospital beds as frequently as older populations. The
adjustment is made by mapping the population age structure of Abu Dhabi to that of Germany, using German resource consumption profiles.
Life expectancy 2012 for Abu Dhabi Emirate, 2011 for others, Infant and under 5 mortality rates and clinicians Abu Dhabi 2013 others 2005-2012.
WHO Statistical Information System/World Health Statistics 2013, Public health department, HAAD population estimates, SCAD, and Health Statistics Analysis

Population

Financing

Payers

Episodes

Claims

Providers

Population by age, gender and nationality

Age band
85+
80-84
75-79

70-74

Female

Male

National
Expatriate

65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
05-09

0-4

Total

Notes

National
All
Male
2'222
804
2'931
887
4'898
1'375
8'709
2'168
14'369
2'809
31'964
3'419
72'431
4'122
108'350
4'743
160'803
6'741
240'306
8'766
322'479
13'939
446'231
19'355
501'623
22'372
254'154
23'591
103'511
24'790
120'720
27'862
152'667
34'351
184'190
39'707
2'732'557
241'801

Female
875
881
1'163
2'083
2'671
3'902
5'790
6'687
8'651
11'607
17'390
22'270
24'011
23'412
23'621
27'303
33'262
37'990
253'567

HAAD is collaborating with SCAD to align figures with official SCAD estimates
The total National population and the regional distribution are based on SCAD data
Source

SCAD population estimates for Nationals, as well as additional HAAD assumptions and analysis based on raw insurance data

Expatriate
Total
Male
Female
Total
1'679
224
319
543
1'768
505
658
1'163
2'538
1'059
1'301
2'360
4'251
2'211
2'248
4'459
5'480
5'175
3'715
8'890
7'321
17'896
6'746
24'643
9'911
49'630
12'890
62'519
11'430
76'921
19'998
96'920
15'391
117'005
28'408
145'412
20'373
176'354
43'579
219'934
31'329
227'278
63'872
291'150
41'625
318'837
85'768
404'605
46'383
364'737
90'504
455'240
47'003
161'384
45'767
207'151
48'411
30'879
24'221
55'100
55'165
33'879
31'676
65'555
67'613
43'903
41'150
85'053
77'696
54'839
51'655
106'494
495'368 1'682'714
554'475 2'237'189

Population by region and nationality


6.0%
40.8%

13.9%
23.0%

Western
Eastern
Abu Dhabi

53.1%

Region

National

Expatriate

Total

Abu Dhabi

263'207

1'411'639

1'674'846

15.7%

Eastern

202'266

515'247

717'513

28.2%

Western

29'895

310'304

340'199

8.8%

495'368

2'237'189

2'732'557

Total
Notes

10

63.1%

National

HAAD is collaborating with SCAD to align figures with official SCAD estimates
The total National population and the regional distribution are based on SCAD data
Source

SCAD population estimates for Nationals, as well as additional HAAD assumptions and analysis based on raw insurance data

84.3%
71.8%
91.2%

Expatriate

Births and deaths


Rates

By Nationality and Gender

Number

National

Expatriate

Western

Male

Female

7'958

7'618

1.1

1.0

1.4

0.6

567

364

1546

Still births

104

149 38%

30%

106

41

4.1

4.8

3.4

1.5

18

20

19

25

25 26

Neonatal mortality

135

155 46%

48%

89

63

4.3

4.0

5.2

2.3

36

35

39

44

Infant mortality

62

63

19

18

24
15
23
19
5
11
8
63
138
146
118
145
170
164
177
106
80
44
40
24
26

26
18
19
18
5
7
6
7
24
12
23
16
27
29
37
53
34
53
38
32
53

2013

2012
217

227 45%

50%

125

93

6.3

5.6

7.7

5.3

52

49

Child mortality (1-4)

64

59 37%

56%

26

29

1.6

1.2

2.4

2.3

14

Death by Age Group


0-6 days
7-27 days
28-364 days
1-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85+

94
41
82
64
33
26
51
126
195
175
154
194
217
235
240
192
168
190
137
131
178

49%
48%
54%
56%
53%
69%
76%
89%
83%
88%
84%
87%
84%
80%
77%
65%
64%
52%
52%
51%
45%

62
27
36
26
10
15
22
67
109
118
107
111
135
128
143
122
113
111
81
72
102

41
22
30
29
8
15
15
21
52
38
47
44
60
75
90
75
74
70
49
58
70

2
1
4
3

2
1
1
2
6
6
14
3
9
6
9
5
10
4
9
10
9
4
5

3%
2%
2%
2%
1%
1%
2%
4%
7%
6%
6%
6%
7%
8%
9%
7%
7%
6%
5%
5%
6%

4%
2%
2%
2%
1%
1%
1%
4%
6%
7%
6%
6%
8%
7%
8%
7%
7%
6%
5%
4%
6%

4%
2%
3%
3%
1%
2%
2%
2%
5%
4%
5%
4%
6%
8%
9%
8%
8%
7%
5%
6%
7%

1%
1%
2%
2%
0%
2%
2%
8%
13%
13%
9%
11%
8%
12%
8%
4%
1%
1%
1%
1%
5%

27
9
16
14
5
14
27
34
29
17
33
15
15
21
23
30
46
57
33
45
57

27
8
14
8
4
4
5
5
10
10
6
7
8
17
22
19
37
39
29
35
50

Note

11

105
50
72
59
19
36
46
109
201
185
180
183
220
231
259
208
197
193
140
136
186

52%
34%
42%
37%
47%
50%
70%
36%
19%
15%
22%
12%
10%
16%
17%
24%
42%
50%
44%
59%
58%

3
3
15
26
26
17
22
16
23
16
7
1
2
1
2
9

NA

Eastern

3.9

1 115

Female

Abu
Dhabi

16.9

199

51%

Male

Total

13.3

983

34'358 35'945 43%

NA

Abroad

13.2

1'717

Deaths

NA

Western

6 232

70%

Live Births

Abu
Dhabi

1'313

3'015 31%

Males

22'250 12'144

2'923

National

Eastern

NA

10'301 10'015

27 26

537

Rates: crude birth and death rates calculation are based on internal HAAD population estimates (per 1000) other rates based on crude births (per 1000), data s of 31st
March 2014; HAAD and SCAD are collaborating to align with official SCAD data
Source Birth and Death notifications; Health Statistics Analysis

NA

Female

By Region

Number

Male

Total

3 11

Births and deaths time series


50

Crude birth rates

National
Expatriate
Aggregate

40

30

20

10

Crude death rates


4.0

3.0

2.0

1.0

1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013

0.0

Note

12

Rates based on internal HAAD population estimates; HAAD and SCAD are collaborating to align with official SCAD data
Presented data include cases where nationality is not available
Source MOH statistics, Preventive Medicine Department annual reports, Public Health and Policy; Health Statistics Analysis

Year

Total

National

Rate

1985

18'874

6'376

46.9

12'498

29.1

34%

1986

19'700

6'328

45.2

13'372

30.3

32%

1987

20'667

6'400

43.8

14'267

30.7

31%

1988

22'113

6'668

43.3

15'445

31.6

30%

1989

21'686

6'647

41.0

15'039

29.2

31%

1990

21'750

6'652

39.1

15'098

27.9

31%

1991

20'246

6'729

37.8

13'517

23.7

33%

1992

20'456

7'202

38.3

13'254

22.1

35%

1993

20'410

7'928

40.4

12'482

19.8

39%

1994

21'505

8'060

39.1

13'445

20.2

37%

1995

20'425

8'261

37.1

12'164

16.9

40%

1996

20'095

8'697

38.1

11'398

15.4

43%

1997

20'017

8'917

37.2

11'100

14.3

45%

1998

20'348

8'435

33.5

11'913

14.5

41%

1999

21'303

8'948

33.9

12'355

14.3

42%

2000

23'525

9'783

35.2

13'742

15.1

42%

2001

23'974

10'349

34.9

13'625

15.6

43%

2002

24'317

10'714

34.5

13'603

15.1

44%

2003

24'990

11'279

34.6

13'711

14.7

45%

2004

26'215

12'021

35.2

14'194

14.7

46%

2005

27'112

12'254

35.3

14'858

15.8

45%

2006

25'738

12'165

33.8

13'573

10.9

47%

2007

27'002

12'857

34.7

14'145

10.7

48%

2008

28'456

13'040

32.4

15'416

8.9

46%

2009

29'044

13'479

28.3

15,565

7.0

46%

2010

29'502

13'635

31.5

15,867

7.5

46%

2011

32'034

14'636

33.8

17,398

8.3

46%

2012

34,358

15'170

31.8

19,131

8.6

44%

2013

35'945

15'576

32.7

20,316

9.2

43%

Year

Total

National

Rate

1985

1'275

520

3.8

755

1.8

41%

1986

1'356

492

3.5

864

2.0

36%

1987

1'444

528

3.6

916

2.0

37%

1988

1'480

551

3.6

929

1.9

37%

1989

1'561

571

3.5

990

1.9

37%

1990

1'628

572

3.4

1'056

1.9

35%

1991

1'774

652

3.7

1'122

2.0

37%

1992

1'829

690

3.7

1'139

1.9

38%

1993

1'946

689

3.5

1'257

2.0

35%

1994

1'963

614

3.0

1'349

2.0

31%

1995

2'166

722

3.2

1'444

2.0

33%

1996

2'050

723

3.2

1'327

1.8

35%

1997

2'105

708

3.0

1'397

1.8

34%

1998

2'098

758

3.0

1'340

1.6

36%

1999

2'206

792

3.0

1'414

1.6

36%

2000

2'250

822

3.0

1'428

1.6

37%

2001

2'574

928

3.1

1'646

1.9

36%

2002

2'612

849

2.7

1'763

2.0

33%

2003

2'493

913

2.8

1'580

1.7

37%

2004

2'489

887

2.6

1'602

1.7

36%

2005

2'443

820

2.4

1'623

1.7

34%

2006

2'380

821

2.2

1'559

1.5

34%

2007

2'750

990

2.6

1'760

1.5

36%

2008

2'949

981

2.4

1'947

1.1

33%

2009

2'988

983

2.4

1'990

1.3

33%

2010

2'879

967

2.2

1'888

1.0

34%

2011

2'902

940

2.2

1,958

1.0

32%

2012

2'923

976

2.3

1,945

0.9

33%

2013

3'015

932

2.2

2,083

0.9

31%

Expatriate Rate % Nationals

Expatriate Rate % Nationals

Causes of death

Endocrine,
nutritional and
metabolic diseases
2%

Other causes
24%

Congenital
malformations,
deformations and
chromosomal
abnormalities
2%
Injury, poisoning
and certain other
consequences of
external causes
3%

Note

13

Diseases of the
circulatory system
37%

Neoplasms
16%

External causes of
morbidity
16%

Codes
I00-I99

Total
Diseases of the circulatory system

V00-Y99 External causes of morbidity


Injury, poisoning and certain other
S00-T98
consequences of external causes
C00-D49 Neoplasms
Congenital malformations, deformations and
Q00-Q99
chromosomal abnormalities
E00-E89 Endocrine, nutritional and metabolic diseases
Other

2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001
3'015 2'923 2'902 2'879 2'988 2'949 2'742 2'450 2'446 2'489 2'492 2'617 2'574
1'107 1'135 1'089 762 707 697 506 378 424 413 624 778 622
485

451

481

202

632

464

105

81

100

385

57

85

468

474

461

461

397

73

85

98

144

621

503

565

563

574

614

600

360

370

315

294

298

276

289

252

199

120

177

131

156

146

152

199

190

79

62

63

72

194

210

201

130

133

126

103

73

65

715

634

601

731

786 1144 867

993

874

943

763

664

845

Causes of death classified according to WHO ICD-10; where Neoplasms include: malignant (388 death cases), Other (80 death cases): benign, uncertain, and other unspecified
behavior. Injury codes are part of the group codes S00-Y99.
Source

Death notifications; Health Statistics Analysis

Causes of death
Codes
I00-I99
V00-Y99
C00-D49
R00-R99
A00-B99
J00-J99
S00-T98
P00-P96
Q00-Q99
K00-K95
N00-N99
E00-E89
G00-G99
O00-O99
M00-M99
D50-D89
L00-L99

Note

14

Total
Diseases of the circulatory system
External causes of morbidity
Neoplasms
Symptoms, signs and abnormal clinical and
laboratory findings, not elsewhere classified
Certain infectious and parasitic diseases
Diseases of the respiratory system
Injury, poisoning and certain other
consequences of external causes
Certain conditions originating in the perinatal
period
Congenital malformations, deformations and
chromosomal abnormalities
Diseases of the digestive system
Diseases of the genitourinary system
Endocrine, nutritional and metabolic diseases
Diseases of the nervous system
Pregnancy, childbirth and the puerperium
Diseases of the musculoskeletal system and
connective tissue
Diseases of the blood and blood-forming
organs and certain disorders involving the
immune mechanism
Diseases of the skin and subcutaneous tissue
NA

Cases
3'015
1'107
485
468

National
By Gender
By Age Group
NA 0-1 1-15 15-30 30-45 45-60
567 364 1 102
49 110
88 106
183 123
6
7
21
24
46
103 21
3
15
56
30
7
91 58
7
9
12
28

151

14

16

130
127

30
26

26
26

1
4

105

20

91

21

16

73

16

18

70
62
61
30
22

12
15
17
9
7

13
15
9
2
6

16

14

2
1

1
2

5
3

10

34

28

4
1
2
1
13

2
1
1
2

1
1
3

1
1
2
1
1

60+
477
202
13
93

Expatriate
By Gender By Age Group
0-1 1-15 15-30 30-45 45-60
1'546 537 125
65 246 460 604
669 132
12
3
62 193 310
326 35
5
18 120 133
71
170 149
1
15
17
37 104

23

78 43

2
5

45
38

47 27
35 40

5
3
4
2
2

12
24
16
2

71

27

29

54

2
3

3
4

12
8

20
11

37
49

25

26

21

11
11
11
1

18
18
15
3

24 30

54

22 16

30

1
1
2
9

11
2
3

31
16
21
9
4

14
16
14
10
5

12

2
2
8

2
4

2
1

Causes of death classified according to WHO ICD-10; where Neoplasms include: malignant, benign, uncertain, and other unspecified behavior, and Injuries codes are
part of the group codes S00-Y99.

Source Death notifications; Health Statistics Analysis

60+
583
221
14
145

4
1
1

Injury deaths
40

365

303

342

379

456

430

20

2.0

2.0

Falls/Falling Object

66

55

64

66

55

56

10

1.0

1.0

66

0.0

10

12

Fire/Flame, Burn

22

18

25

Drowning

20

29

12

17

Homicide

19

12

10
6

1.0

23

14

1.0

0.5

16

11

0.0

0.0

11

1.5

1.5

1.0

1.0

2.0

0.5

0.5

1.0

0.0

0.0

0.0

20

18

18

26

13

21

17

Total

591

514

537

551

680

623

1.0

Homicide

2008

Other

1.5

Road Traffic Deaths, N=365


Car

Occupational Injury Deaths, N=109


55%

Pedestrian

Falls/Falling Object

0.0

3.0

Electricity

Other

Childhood Injury Deaths (0-19 yrs), N=72

42%

Road Traffic Injuries (RTI)

60%

18%

Road Traffic Injuries (RTI)


Truck

30%

7%

Bus

6%

Pickup/van/minibus

6%

Motorcycle

2%

Bicycle

1%

All-terrain vehicle

1%

Unknown/Other

0.5

2008

14

2.0

2013

11

15

2011

1.5

2012

Electricity

Drowning

2.0

3.0

5%

Suffocation
Electricity
Fire/Flame, Burn

Drowning
Other

Falls/Falling Object

8%

Homicide

8%

Drowning

7%

6%
5%
3%
1%

Poisoning
14%

Other

4%

13%

* Definition of fatal injuries: Mortality cases with underlying cause of death codes (S00-T98) in ICD-10 Chapter 19 and external cause codes (V01-Y98) excluding
complications of medical and surgical care (Y40-Y84).
** Scales differ across charts. For data source please refer to www.haad.ae/statistics-xl.

15

Source

2013

2011

16

2.5

Fire/Flames

2012

24

0.0

2.0

Poisoning

2009

Poisoning

4.0

2010

52

2009

42

2010

47

2008

62

Suicide

3.0

3.0

2013

Falls/Falling
Object
11%

49

30

2011

Road Traffic
Injuries (RTI)
62%

4.0

Falls/Falling Object

Road Traffic Injuries (RTI)


Suicide

Suicide
8%

4.0

2013 2012 2011 2010 2009 2008

2012

Poisoning
4%

Road Traffic Injuries


(RTI)

Mechanism

2010

Other
3%

Electricity
1%

Homicide
3%

Nationals
Expatriates
Total

Rates per 100'000**

2009

Drowning
4%
Fire/Flame,
Burn
4%

Cases, by Year*

Active Surveillance. HAAD Death notification data complemented by investigation into the causes of injury using medical records and police reports - Public Health and
Research Division; Health Statistics Analysis.

Note

16

1
1
3

1
148 44 20 44 22 20 23 14 14 3

60-64

65+

45-49

3
4
13
8
10
8

50
120
49
46
41
64
9
14

55-59

40-44

4
3
5
5
1

117
161
57
71
52
66
14
22
1
19

4
2

50-54

35-39

2
2
8
12
1
2

497 412 141 81 539 850 510 274


22 13 10 39 548 513 341 219
264 54 16 11 33 105 97 67
52 32 19 15 122 214 167 86
1
6 47 82 108 78
2
1
2 14 58 64 61
37 19 9 3 8 23 33 25
2 4 46 64 52 27
45 51 27 11 15 14 6 8
10 15 8 6 39 48 32 20
61 41 3
1
26 32 8 1 4 17 13 3
1
1 1 1 25 42 31 19
6 26 32 20
3 9 13 10 9
28 8 1 1 5 6 7
3
1
10 22 11 4
15 3 2 2 6 12 17 10
1
10 15 14 6
5 11
5 1 5 2 1
10 2
4
3 1 4
2
1 2 1
3
1 2
1 3
1
250 53 19 21 51 100 112 86

1
2

30-34

25-29

1
1

20-24

3 1
3
5 4 3
21 13 10
7
1
2 1

15-19

1
1
4
1
8 4 4
22 10 5
8 17 5
2 1 1
2 3 3
1
2

10-14

5-9

1
1
1 2
7 22
1 2
1 4
1 1
15 3

30-34

25-29

20-24

15-19

5-9

10-14

21 19 16 4
1
20 12 14 6
16 13 11 5
21 48 38 27
2 6 5 6
7 5 12 7
5 3 6 3
5 4 4
3 3 4
2

0-4

533 363 85 21
1
292 48 15 5
16 14 12 11
1 1 2 6
2
1
107 34 7 4
1 2
16 31 23 5
6 2 2 1
61 29 2
26 15 5 3
1
2
1
2
36 12 5 2
2 3 2 1
8 2 1 1
3
2 6
11 10 4 1
25 1
1
1
1 2 1

65+

n
n

4'581
2'203
1'237
1'001
699
546
410
311
271
248
198
174
169
162
132
122
99
94
92
59
38
15
11
10
5
2
1'268

60-64

9'872
2'719
1'147
758
665
528
297
350
279
443
201
198
192
88
136
56
135
103
44
52
53
18
26
21
14
2
875

55-59

2013

50-54

Chickenpox
11'768
Malaria
2'731
Other Food Poisoning
667
Scabies
585
Viral Hepatitis B
673
Viral Hepatitis C
580
Seasonal Infuenza
282
Pulmonary Tuberculosis
380
Viral Hepatitis A
138
Typhoid Fever
394
Scarlet Fever
239
Mumps
194
Extra Pulmonary Tuberculosis 182
Syphilis
99
Other STIs
363
Measles
48
Brucellosis
75
Giardia Lambia
82
Gonorrhoea
42
Viral Meningitis
37
Whooping Cough
39
Rubella
42
Acute Encephalitis
10
Acute Flaccid Paralysis
14
Other Viral Hepatitis
1
Tetanus
3
Other
422

2012

45-49

n n
n

2011

Expatriate

40-44

n n

Disease

National

35-39

Total

0-4

Preventable
Screened

Communicable diseases

19
119
32
26
33
48
5
12
2
13 11

14
68
20
16
26
50
8
13
1
4

5
21
6
10
10
19
4
5
1

4
6
4
1
10
20
10
11

8 1
1 2
15 10 4 3 1
16 12 11 12 5
5 2
1
12
5
3
1

2
4

8
1
1

3
2

1
75 44 44 23 7

Preventable: Diseases preventable by vaccination; Screened: Adult expatriates are screened on application or renewal of residence visa, some data where updated by
the Communicable Diseases Department.
Source HAAD infectious diseases notification data 2011-2013 BI report - Public Health and Policy; Health Statistics Analysis

Cancer incidence 2012


By nationality

National
28%
Expatriate
72%

Cancer incidence 2012


Rate per 100'000 population
Total Male Female
Total
Male
Female
Total
1'729 805
924
63.3
41.8
114.4
National
481
181
300
97.1
74.9
118.3
Expatriate 1'248
624
624
55.8
37.1
112.5

By gender

Male
47%
Female
53%

17

Source

Cancer incidence data for 2012 are based on data as of April 2013, Cancer Prevention and Control Section, Public Health and Research Dept., Health Statistics Analysis

Cancer incidence 2012


National
Expatriate
NA

Total
Breast (Excludes Skin Of Breast C44.5)

26%

Hematopoietic And Reticuloendothelial


Systems

35%

Colorectal
351

155

380

426

Lymph Nodes

35%

Thyroid Gland

33%

128

15%

Bronchus And Lung

127

Prostate Gland

Digestive Organs

41%

Bladder

Thyroid and Other


Endocrine Glands

54%

Stomach

30%

Bladder

23%48

Corpus Uteri

45%47

22%

Urinary Tract
Respiratory System
and Intrathoracic Organs

Source

44%

44

Urinary Tract

33%Lymph Nodes

38%

Eye, Brain and Other Parts


of Central Nervous System

26%

43

Respiratory System
and Intrathoracic Organs

21%

Mesothelial and soft tissue

31%

116
23%

13%

30

34% 44
45% 40

Stomach

29%24

Thyroid and Other


Endocrine Glands

15%26Thyroid Gland

9%

23

Unknown Primary Site

Skin

0% 25

15%20

Lip, Oral Cavity and Pharynx

Unknown Primary Site

44%25

449

Pancreas

Other Sites

18%

Bones, Joints and


Articular
209 Cartilage of Limbs

28%

235

55
115

114
48

45%

47

24%37

51
Cervix Uteri

19%31

56% 39
Stomach

47% 34
19% 27

Brain

50%
14 Other Sites

Skin

0%14

Bones, Joints and


Articular Cartilage of Limbs

12

Other and ill Defined- Sites

12

Breast

64

66
Ovary

25%
12

73

Corpus Uteri

Lip, Oral Cavity and Pharynx

Other and ill Defined- Sites

18

Thyroid Gland
36%

56

20%
127

26%

253

Male Genital Organs

Digestive Organs

100

46%

39%

153

54
Brain

50

Other Sites

43%

Systems
Lymphoid, haematopoietic
37%
and related tissue

376

26%

Colorectal

76

34%

112

Bronchus And Lung

26% 53

Mesothelial and soft tissue

115

Lymph Nodes

8%

Breast (Excludes Skin Of Breast C44.5)


Hematopoietic And Reticuloendothelial

93

172

11%

Eye, Brain and Other Parts


of Central Nervous System

187

44%

Female Genital
Organs

78

20% 56

Colorectal

Breast

154

Prostate Gland

29%

Lymphoid, haematopoietic
and related tissue

124

151

Hematopoietic And Reticuloendothelial


Systems

287

157

25%

Female

Male

31%
26

29%
17

32%

123

Cancer incidence data for 2012 are based on data reported as of April 2013, Cancer Prevention and Control Section, Public Health and Research Dept., Health
Statistics Analysis

Cancer death cases


By nationality
Cancer death cases
National
33%

Rate per 100'000 population

Total Male Female

Total

Male Female

176

14.2

12.2

25.8

Expatriate
67%

Total

388 212

National

128

78

50

25.8

32.3

19.7

Expatriate

260 134

126

11.6

8.0

22.7

By gender

Male
55%

Female
45%

By site
All

Male

Trachea, bronchus and lung

11.6%

Trachea, bronchus and lung

Breast

11.6%

Leukaemia

Leukaemia

11.1%

Liver and intrahepatic bile ducts

Liver and intrahepatic bile ducts

11.1%

Colorectum

Colorectum

8.2%

Stomach

6.4%

Brain, nervous system


Pancreas
Cervix uteri
Kidney, renal pelvis and ureter
Other

19

Note
Source

5.7%

Female
16.5%

13.7%

3.3%
2.6%
23.4%

9.0%

Colorectum

6.6%

Cervix uteri

Brain, nervous system

6.6%

Stomach

6.1%

Trachea, bronchus and lung

4.2%

Ovary

Bladder

3.3%

Brain, nervous system

Multiple myeloma

3.3%

Pancreas

Other

8.5%

Leukaemia

Stomach

Prostate

25.6%

Liver and intrahepatic bile ducts

13.2%

Pancreas

5.1%

Breast

17.5%

Data need to be interpreted with caution, due to undercounting and ambiguity about the overall population (denominator)
Death Notifications 2013, Health Statistics Analysis

Other

8.0%
7.4%
6.8%
6.3%
5.7%
5.1%
4.5%
4.0%
18.2%

Cancer death cases by age group


60

9.0

8.1
8.0

48

50

45

47
7.0

41

40
40

6.0

5.7
5.0

4.7

30

28

20

Note

20

85+

80-84

75-79

45-49

0.0

70-74

40-44

Cases

0.6
55-59

0.1

0.4
50-54

0.1

0.1

35-39

10-14

0.0
30-34

5-9

0.0

0.0

25-29

0-4

0.0
20-24

0.1

2.0

1.0

0.0

3.0

1.5

65-69

0.0

18
11

9
5

3.3

18

60-64

15-19

10

17

16

4.0

3.8

22

Rate per 1000

Data need to be interpreted with caution, due to undercounting and ambiguity about the overall population (denominator).
Source

Death Notifications 2013, Health Statistics Analysis

Age
0-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85+

%National %Female
11%
22%
40%
60%
0%
22%
67%
33%
33%
33%
31%
63%
33%
33%
0%
53%
22%
50%
0%
59%
29%
47%
23%
50%
17%
58%
34%
43%
54%
41%
39%
29%
73%
36%
78%
28%

Population

Financing

Payers

21

Episodes

Claims

Providers

Episodes by type, setting and nationality


Clinic

Inpatient
ER

N/A

National

Center

Outpatient

Expatriate

Hospital

Provider type

Notes

22

Setting

Nationality

Total
Hospital
Inpatient
ER
National
Expatriate
N/A
Non-ER
National
Expatriate
N/A
Outpatient
ER
National
Expatriate
N/A
Non-ER
National
Expatriate
N/A
Centre
National
Expatriate
N/A
Clinic
National
Expatriate
N/A

2013
14'344'192
6'969'966
193'996
64'967
26'492
25'281
13'194
129'029
40'941
56'931
31'157
6'775'970
728'900
365'826
330'358
32'717
6'047'070
1'935'277
3'695'273
416'520
6'765'800
3'107'622
3'366'210
291'969
608'425
137'855
444'167
26'403

SEHA
35%
39%
61%
88%
95%
86%
80%
47%
63%
41%
37%
38%
72%
78%
66%
64%
34%
57%
24%
14%
35%
54%
19%
11%
0%
1%
0%
0%

2012
12'765'198
6'311'459
163'859
60'124
29'886
26'102
4'136
103'735
33'484
44'576
25'675
6'147'600
828'293
440'637
368'230
19'426
5'319'307
1'779'900
3'121'611
417'796
5'860'605
2'771'498
2'794'952
294'155
593'134
131'091
425'743
36'300

SEHA
37%
40%
59%
88%
94%
87%
43%
42%
66%
37%
21%
39%
81%
87%
75%
46%
33%
58%
22%
6%
38%
60%
19%
5%
3%
5%
2%
1%

2011
11'361'157
5'774'551
130'219
45'138
21'216
21'232
2'690
85'081
28'894
40'135
16'052
5'644'332
655'394
354'837
297'177
3'380
4'988'938
1'647'896
2'907'096
433'946
5'049'446
2'269'165
2'497'339
282'941
537'160
103'564
394'009
39'588

SEHA
37%
40%
65%
94%
97%
92%
76%
49%
67%
41%
39%
40%
97%
99%
96%
61%
32%
57%
22%
2%
38%
63%
19%
1%
2%
7%
0%
0%

An Episode is an inpatient Encounter or a set of outpatient Encounters linked to the same clinical case based on the patient (identified by insurance member ID),
and principal diagnosis. An Episode clinician is the clinician responsible for consultation. Episodes are attributed to facility types according to Episode Clinician
facility as per clinician licensing database. Non-SEHA ER Episodes are underrepresented because of miscoding of ER Encounter types as outpatient. 2010 data
represents estimates based on Encounters reported in 2010 eClaims and Encounter/Episode ratios. SEHA episodes include Self-pay.
Centres and Clinics episodes are outpatients.
Source

Cube 2013; Health Statistics Analysis

2010
10'998'469
5'954'723
136'725
36'576
18'311
17'469
796
100'149
40'878
43'793
15'478
5'817'998
575'654
321'781
251'751
2'123
5'242'343
1'875'221
3'000'493
366'629
4'528'463
1'974'079
2'340'605
213'779
515'283
107'613
380'371
27'298

SEHA
34%
38%
63%
95%
98%
95%
22%
51%
75%
45%
4%
38%
95%
96%
93%
61%
31%
53%
21%
2%
31%
54%
15%
1%
1%
2%
0%
0%

Episodes by diagnosis group, % of volume


Total
% of Total Episodes 100
Signs, symptoms and ill-defined conditions 19.1

23

Outpatient
Non-ER
93.8

ER
4.6

Inpatient
Non-ER
0.9

ER
0.7

19.0

21.9

27.3

15.4

Respiratory infections

11.1

10.9

16.8

3.4

6.2

Musculoskeletal diseases

8.7

8.9

6.2

2.8

2.3

Endocrine disorders excluding diabetes

6.8

6.9

3.9

8.8

12.2

Respiratory diseases

6.7

6.8

5.9

3.8

5.0

Digestive diseases

6.7

6.7

7.2

7.5

8.6

Cardiovascular diseases

4.8

4.8

3.5

5.4

8.2

Nutritional deficiencies

4.5

4.7

1.6

3.6

3.5

Infectious and parasitic diseases

4.5

4.6

2.7

2.9

4.7

Genitourinary diseases

4.4

4.4

4.4

3.6

4.8

Skin diseases

4.1

4.2

2.7

1.6

2.1

Diabetes mellitus

3.8

3.9

2.7

3.0

5.1

Sense organ diseases

3.5

3.6

2.4

1.1

1.3

Injuries

3.2

2.8

11.5

2.5

5.9

Neuropsychiatric conditions

2.5

2.5

2.1

2.6

4.8

Oral conditions

2.5

2.6

0.8

0.4

0.4

Maternal and Perinatal conditions

2.1

1.9

2.7

16.6

6.0

Cancer

0.4

0.4

0.3

1.7

1.4

Congenital anomalies

0.3

0.3

0.1

1.4

0.9

RTA

0.1
100.0

0.0
100.0

0.7
100.0

0.2
100.0

1.1
100.0

Notes
Episodes are attributed to diagnosis groups according to principal diagnoses. Data should be interpreted with caution, particularly for categories with low counts.
Source Cube 2013; Health Statistics Analysis; diagnosis groups based on WHO classification of diagnoses ICD 9

Episodes by diagnosis group, % of value


Total
100.0%

Outpatient
66.8%

Inpatient
33.2%

100

Break down *
DRG
Procedures Services
61.0
18.1
14.1

Drugs
4.1

Supplies
2.6

2.6

20.1

11.9

4.2

1.4

2.5

0.1

0.9

0.0

1.3

0.6

0.3

0.1

0.2

0.1

2.4

0.3

0.0

11.1

7.9

1.0

1.8

0.0

0.4

5.3

2.6

0.0

0.0

4.7

3.0

1.3

0.3

0.1

0.0

7.6

5.7

1.7

0.1

0.0

4.4

1.8

0.9

0.3

0.2

1.2

5.8

3.0

2.7

0.3

0.0

0.0

11.6

10.6

0.6

0.4

0.0

0.0

Genitourinary diseases

4.9

5.1

4.0

1.0

0.1

0.0

4.6

2.0

1.9

0.6

0.0

0.1

Digestive diseases

4.7

3.7

2.5

1.1

0.0

0.0

6.7

4.6

1.5

0.5

0.1

0.1

Oral conditions

4.6

6.6

6.5

0.1

0.0

0.0

0.6

0.2

0.3

0.1

0.0

0.0

Endocrine disorders excluding diabetes

4.5

5.1

2.9

2.1

0.1

0.0

3.4

2.4

0.3

0.2

0.5

0.0

Respiratory diseases

4.4

4.0

2.4

1.4

0.2

0.0

5.2

2.7

1.0

1.5

0.0

0.1

Neuropsychiatric conditions

4.4

3.4

1.8

1.1

0.5

0.0

6.4

1.5

0.6

4.0

0.1

0.3

Injuries

4.1

2.3

1.9

0.3

0.1

0.0

7.7

4.7

1.9

1.0

0.0

0.1

Infectious and parasitic diseases

3.2

2.8

1.8

1.0

0.0

0.0

3.8

3.2

0.3

0.3

0.0

0.0

Sense organ diseases

3.1

3.3

2.5

0.4

0.4

0.0

2.6

0.4

1.3

0.6

0.2

0.2

Skin diseases

2.4

3.0

2.1

0.9

0.1

0.0

1.1

0.5

0.4

0.1

0.0

0.0

Cancer

2.1

1.8

0.8

1.0

0.1

0.0

2.6

1.9

0.2

0.4

0.1

0.0

Nutritional deficiencies

1.4

1.9

1.5

0.4

0.0

0.0

0.2

0.2

0.1

0.0

0.0

0.0

Congenital anomalies

0.8

0.4

0.2

0.1

0.1

0.0

1.8

1.0

0.1

0.6

0.0

0.0

RTA

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

100

Break down *
Procedures Drugs
66.0
27.3

Supplies
4.0

Services
2.7

Signs, symptoms and ill-defined conditions 20.1

20.1

12.6

3.9

1.0

Diabetes mellitus

8.5

12.0

5.7

5.5

Cardiovascular diseases

7.5

5.8

3.1

Respiratory infections

6.9

8.0

Musculoskeletal diseases

6.5

Maternal and Perinatal conditions

% of Total value

* Breakdown values reflect proportions of the total value (claimed amount) of each grouping (Outpatient and Inpatient)

24

Notes
Source

Episodes are attributed to diagnosis groups according to principal diagnoses . Data should be interpreted with caution, particularly for categories with low counts.
Cube 2013; Health Statistics Analysis; diagnosis groups based on WHO classification of diagnoses ICD 9.

Activities by classification type, % of value


HCPCS
4%
Dental
4%
Service
7%

CPT
44%

Drug
20%

DRG
21%

Current Procedural Terminology (CPT) Sections


Pathology & Laboratory
Evaluation & Management (E&M)
Diagnostic Ultrasound
Radiology
Eye & Ocular Adnexa
Integumentary
Musculoskeletal
Respiratory System
Digestive System
Urinary System
Nuclear Medicine
Auditory System
Cardiovascular System
Radiation Oncology
Female Genital System
Maternity Care & Delivery
Male Genital System
Nervous System
Breast Mammography
Other CPT

100%
39.7%
36.8%
7.2%
5.5%
1.7%
1.4%
1.4%
1.4%
1.2%
.8%
.8%
.4%
.3%
.3%
.3%
.3%
.2%
.1%
.2%
.1%

OP*

Service Codes **
Per Diem - Long Term Stay
Per Diem - Haemodialysis
Per Diem - Day Stay (Day care) Surgical Case - Inclusive
Outlier Payment
Per Diem - Short Stay
Per Diem - Day Stay (Day care) Medical Case - Inclusive
Per Diem - ICU/CCU - Daily Rate (Day 1 to 7)
Comprehensive Screening Evaluation and Management by Clinician
Per Diem - Automated Peritoneal Dialysis
Per Diem - Ward or Shared Room - Daily Rate (Day 1 to 3)
Per Diem Intensive - Care Unit
Per Diem - NICU - Daily Rate (Day 22 and More)
Per Diem - NICU - Daily Rate (Day 1 to 7)
Non-Surgical Cleansing of a Wound
Room and Board: First Class Room
Operating Room and Services
Intensive Care Unit
Per Diem - Ward or Shared Room - Daily Rate (Day 4 to 8)
Neonatal Intensive Care Unit
Per Diem - Ward or Shared Room - Daily Rate (Day 8 and More)
Per Diem - SCU - Daily Rate (Day 1 to 3)
Per Diem - PICU - Daily Rate (Day 22 and More)
Per Diem - NICU - Daily Rate (Day 8 to 14)
Operating Room Services - General Classification
Per Diem - Special Care Baby Unit
Other services

100%
38.5%
25.6%
13.9%
10.0%
6.8%
1.1%
.5%
.4%
.4%
.3%
.2%
.2%
.2%
.2%
.2%
.2%
.2%
.1%
.1%
.1%
.1%
.1%
.1%
.1%
.0%
.4%

OP*

Drug
Antineoplastic And Immunomodulating Agents
Cardiovascular System
Alimentary Tract And Metabolism (Excluding Drugs Used In Diabetes)
Drugs used in diabates
Antiinfectives For Systemic Use
Blood And Blood Forming Organs
Respiratory System
Musculo-Skeletal System
Nervous System
Dermatologicals
Genito-Urinary System And Sex Hormones
Sensory Organs
Systemic Hormonal Preparations, Excluding Sex Hormones And Insulins
Various
Antiparasitic Products, Insecticides And Repellents

100%
15.7%
13.9%
12.7%
12.5%
11.2%
8.1%
8.1%
4.7%
4.5%
2.2%
2.1%
1.8%
1.4%
.9%
.2%

OP*

DRG
Newborns & Other Neonates
Respiratory System
Childbirth
Circulatory System
Digestive System
Musculoskeletal System & Connective Tissue
Nervous System
Female Reproductive System
Skin, Subcutaneous Tissue & Breast
Ear, Nose, Mouth & Throat
Infectious & Parasitic Diseases Of Systemic Or Unspecified Sites
Hepatobiliary System & Pancreas
Urinary Tract
Endocrine, Nutritional & Metabolic Systems
Diseases & Disorders Of Blood, Blood Forming Organs, Immunological System
Myeloproliferative System & Poorly Differentiated Neoplasms
Mental Diseases & Disorders
Male Reproductive System
Injuries, Poisonings & Toxic Effects Of Drugs
Eye
Other DRG

100%
19.1%
13.7%
13.6%
10.6%
7.9%
6.4%
4.1%
3.2%
3.2%
3.0%
2.7%
2.6%
2.6%
2.1%
1.1%
1.1%
1.0%
.6%
.5%
.2%
.8%
.0%
100%
35.4%
11.7%
10.9%
10.0%
9.2%
9.0%
6.4%
4.8%
2.0%
0.7%

OP*

Dental
Restoration
Diagnostic
Oral And Maxillofacial
Orthodontics
Endodontics
Adjunctive General Procedures
Prevention
Fixed Prosthodontic Procedure
Periodontics
Removable Prosthodontic Procedure

* Dark area indicates proportion of outpatients


Notes Not all drugs have been mapped to the appropriate ATC code http://en.wikipedia.org/wiki/ATC_code_A02; HCPCS CMS Hospital Outpatient Payment system includes 90% unclassified
drugs. **Service codes are an Abu Dhabi Emirate specific classification maintained by HAAD HSF to complement the CPT classification for billing purposes. DRG: Diagnosis-Related Group.

25

Source Cube 2013; Health Statistics Analysis

OP*

Population

Financing

Payers

26

Episodes

Claims

Providers

Providers
Other
5%
Store
4%

Hospital
3%

Facilities

Centers
(various)
36%

Clinic
21%

Pharmacy
31%

Total
Hospital
Centers (various)
Center
Mobile
Rehabilitation
Diagnostic
Dialysis
Fertilization
Clinic
Pharmacy
Store
Other

Clinicians

Total

SEHA Abu Dhabi Eastern Western

1'626
41
587
411
16
121
23
10
6
335
502
72
89

10%
32%
13%
11%
56%
1%
30%
100%
17%
1%
14%
8%
2%

1'102
22
418
295
12
89
14
3
5
204
327
64
67

441
13
148
105
3
31
6
2
1
107
145
8
20

Total

83
6
21
11
1
1
3
5

30'083
16'915
6'265
5'519
23
268
239
123
93
613
2'065
120
4'105

24
30
2

National

Growth rate (CAGR 2007 - 13)


Hospital
Centers (various)
Clinic
Pharmacy
Store

Notes

27

Source

2013
41
587
335
502
72

2012
39
540
316
454
69

2011 2010
35 33
494 429
265 239
427 408
67 60

2009
39
365
207
405
61

2008
37
386
196
369
62

2007 CAGR
33
3.7
389
7.1
188 10.1
358
5.8
63
2.3

Male
Female
Expatriate Male
Female
NA
Male
Female
Breakdown by Region
Abu Dhabi
Eastern
Western

Physicians SEHA Dentists SEHA


6'864
4'536
1'647
1'567

43%
53%
24%
24%

11
48

0%
33%

21
137

10%
1%

1'220 21%
214 21%
869 20%
867 20%
1 100%
1
0%

PharmaAlternative
SEHA
SEHA
cists
Medicine
2'396 30%
36 0%
33 45%
4 0%
4 75%
31 0%
3 100%
17 0%
1

0%

14

0%

0%

0%
0%

23%

48

63%

2'335

25% 1'003

7%

2'065 32%
120 8%
174 22%

337 44%
582 75%
4'130 39%
1'811 40%
2 100%
2 50%

35
103
684
397
1
0

37%
56%
16%
18%
0%

26
267
3'220
10'718
2
2

4%
89
35% 372
35% 2'379
53% 2'489
50%
1
0%
2

30%
55%
32%
46%
0%
0%

3
53 60%
1'272 27%
1'066 32%
1 0%
1 0%

0
0
21
15
0
0

4'724
1'811
329

849
332
39

17%
24%
64%

9'633
3'925
677

44% 3'853
58% 1'245
66% 234

31%
61%
79%

1'613 22%
660 43%
123 68%

32
4
0

544

35%
57%
76%

Definitions of categories as per Health Facilities Licensing criteria, see www.haad.ae


Behavioral Science Pavilion is considered part of SKMC as it is under SKMC management
Liwa licensed as a hospital, however, doesn't have inpatients, therefore classified as a Centre
Zayed Military Hospital is excluded from the Hospital list, but counted in the provider page both facility and clinicians

Clinicians licensing database; facility licensing database

89

Nurses&
SEHA AHP
SEHA
Midwifes
14'235 49% 5'332 40%
9'375 60% 2'753 58%
2'172 32% 1'542 32%
1'952 29% 1'113 37%
8 50%
14 93%
36
0% 205
2%
10 80% 181 29%
118 100%
5 100%
48 13%
24 33%
353
1%
34
0%

0%
0%

Hospital labour productivity

28

Source

Cube 2013; HAAD licensing database; Health Statistics Analysis

Hospitals

Notes

29

MF2467

Health Point

Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Abu Dhabi
Eastern
Eastern
Eastern
Eastern
Eastern
Eastern
Eastern
Eastern
Eastern
Western

MF104
MF118
MF131
MF1954
MF213
MF2222
MF2270
MF23
MF2349
MF2503
MF254
MF2934
MF3048
MF3078
MF394
MF687
MF772
MF1589
MF1974
MF2259
MF233
MF2555
MF3345
MF3590
MF404
MF464
MF439

Emirates French
Al Noor - Khalifa St.
Al Salama
Life Line
Dar Al Shifa
Life Line - Al Musafah
Al Noor - Airport Road
Al Ahalia
Lifecare - Al Mafraq
Burjeel
Al Raha
Universal
Provita International Medical Centre
Long Term Custodial Care Centre
N M C Specialty
Gulf Diagnostic Centre
National
Al Noor - Al Ain
N M C Specialty - Al Ain
Al Ain Cromwell Women & Children Hospital
Emirates International
Ain Al Khaleej
Provita International Medical Centre - Al Ain
Long Term Medical And Rehabilitation Hospital
Oasis
Specialised Medical Care
Al Rewaise

.0
7.04
.0
.0
.2
.0
.0
.0
.1
.0
.0
.4
.1
.4

.3
67.75
.1
6.2
2.0
3.7
1.0
3.4
9.5
6.1
.1
7.0
.5
1.0

.0
207.63
.0
9.7
8.6
2.6
20.2
7.7
12.4
2.5
.0
14.5
.7
.0

5.7
3'990.9
53.9
466.4
198.7
238.9
122.1
181.5
357.9
452.3
57.6
183.6
59.6
30.7

4.0
.0
.0
.0
1.5
.0
.0
.2

5.0
.8
.3
4.5
2.1
5.0
.9
.4

10.3
.0
.0
26.6
10.9
20.4
33.7
7.1

399.5
213.0
66.8
330.5
175.3
79.5
47.7
61.5

.1
.0
.0

6.9
.3
1.0

2.0
5.6
12.0

108.5
49.6
55.7

4'312
2'402
518
143
317
487
633
131
83
24
21
12
16
17

171
49
2

118
6'511
91
535
235
297
149
183
559
261
78
480
52
182
155
82
861
152
94
363
407
221
109
226
84
169
225
82
179

24
1'886
27
197
77
99
42
54
185
107
28
129
24
69
5

5
117
3
9
6
3
4
2
7
6
1
10
7
1

225
66
38
117
98
56
51
50
6
10
62
30
34

21
5
3
4
9
2

1
23
3
10
2
2
2
2
2

3
4

9'202
5'652
1'130
531
838
929
1'513
359
185
43
37
26
17
44

2'669
1'622
347
37
222
274
519
87
74
18
10
3
13
18

3'864
2'503
451
257
342
387
675
153
124
30
29
15
22
18

54
3'496
48
233
117
153
69
99
285
98
40
272
12
76
136
76
487
44
40
169
256
136
40
129
70
141
130
31
109

35
1'012
13
96
35
42
34
28
82
50
9
69
9
36
14
6
128
37
13
73
44
27
18
40
8
18
33
18
32

80
1'281
12
117
40
25
17
36
117
50
50
115
13
31
40
70
92
9
22
50
55
67
25
80
24
32
51
21
20

ALOS

Abu Dhabi

16'354
9'725
1'997
711
1'377
1'691
2'688
580
352
87
70
43
48
81

Ambulances

Bed Occupancy

Tawam
Al Corniche
Al Ain
Al Mafraq
SKMC
Al Rahba
Madinat Zayed
Ghayathi
Al Silla
Al Wagan
Delma
Al Mirfa

Non-ER
6'047.1
2'050.5
381.9
102.6
301.1
406.2
490.2
121.6
105.1
38.1
26.2
45.5
12.5
19.5

Bed Capacity

MF2058
MF1079
MF2057
MF2006
MF2007
MF2003
MF2066
MF2065
MF2064
MF2060
MF2046
MF2009

Outpatient
ER
728.9
521.3
86.9
13.4
82.5
74.0
119.3
66.2
35.2
13.1
9.7
6.8
6.9
7.3

AHP &Pharmacists

Mubadala
Other

Eastern
Abu Dhabi
Eastern
Abu Dhabi
Abu Dhabi
Abu Dhabi
Western
Western
Western
Eastern
Western
Western

Non-ER
129.0
61.0
12.5
15.5
9.7
9.6
6.7
3.9
2.2
.2
.2
.1
.3
.2

Indicators

Nurses & Midwifes

Total
SEHA

Inpatient
ER
65.0
57.9
9.0
6.2
11.5
11.5
10.3
4.8
2.2
.7
.5
.5
.5
.2

Dentists

Hospital

Beds

Physicians

Region

Staff

Total licensed staff

Episodes, 000's

56% *
64% *
71%
61%
80%
56%
57%
64%
35%
57%
14%
9%
1%
7%

3.7
4.7
5.4
2.6
4.7
3.7
8.3
4.1
3.7
6.8
2.1
0.8
0.1
1.1

36%*
8%
34%
10%
60%
12%
14%
39%
62%

1.8 *
5.1
2.3
0.7
1.5
0.7
0.5
1.8
1.8

16%
8%

0.9
0.6

24%
2%
62%
2%
1%
36%
20%
11%
16%

2.3
0.1
0.2
1.5
1.1
0.6
1.5

5
1
1
2
1
1
1

10%
6%
76%
5%
10%

2.0
1.3
0.7

1
1
6

*
*

93
49
6
2
5
2
12
3
6
4
3
1
2
3

44
1
3
4
1
3
2
2
7

Total number of beds for SEHA facilities as of July , 2014, Others as of 31st December 13 and licensed beds for the new facilities was used; Episodes are attributed to facilities according to Episode Clinician facility
as per clinician licensing database, Military Hospital is excluded. * These totals exclude Western Region facilities (Average Occupancy = 28%, ALOS = 3.0) and new facilities that are still ramping up their activity with less
than two years of operations (Average Occupancy = 6%, ALOS = 0.8).

Source

Hospital submissions, Operation Centre, Clinician Licensing Database

Hospital inpatient profile by value


Hospital

100

2nd

3rd

4th

5th

Tawam

16

Top 5* 1st
Signs, Symptoms And Ill-Defined (23.7%)

Maternal And Perinatal Conditions (11.5%)

Cardiovascular Diseases (8.2%)

Cancer (8.0%)

Infectious And Parasitic Diseases (7.6%)

SKMC

16

Cardiovascular Diseases (23.6%)

Neuropsychiatric Conditions (10.3%)

Congenital Anomalies (9.1%)

Infectious And Parasitic Diseases (8.7%)

Signs, Symptoms And Ill-Defined (8.0%)

Al Mafraq

12

Injuries (18.4%)

Signs, Symptoms And Ill-Defined (17.1%)

Cardiovascular Diseases (15.7%)

Maternal And Perinatal Conditions (10.1%)

Digestive Diseases (6.2%)

Al Ain

10

Signs, Symptoms And Ill-Defined (19.0%)

Cardiovascular Diseases (14.4%)

Maternal And Perinatal Conditions (12.5%)

Injuries (10.9%)

Digestive Diseases (8.1%)

Al Corniche

Signs, Symptoms And Ill-Defined (52.5%)

Maternal And Perinatal Conditions (45.8%)

Genitourinary Diseases (1.1%)

Cancer (0.3%)

Endocrine Disorders (0.2%)

Al Noor - Airport Road

Maternal And Perinatal Conditions (27.4%)

Signs, Symptoms And Ill-Defined (27.3%)

Cardiovascular Diseases (14.5%)

Digestive Diseases (8.5%)

Injuries (4.1%)

Al Rahba

Signs, Symptoms And Ill-Defined (29.3%)

Maternal And Perinatal Conditions (22.8%)

Cardiovascular Diseases (10.1%)

Injuries (8.1%)

Infectious And Parasitic Diseases (7.6%)

N M C Specialty

Cardiovascular Diseases (24.3%)

Maternal And Perinatal Conditions (12.8%)

Signs, Symptoms And Ill-Defined (11.4%)

Digestive Diseases (11.4%)

Respiratory Infections (9.1%)

Burjeel

Maternal And Perinatal Conditions (18.9%)

Cardiovascular Diseases (18.3%)

Signs, Symptoms And Ill-Defined (12.8%)

Digestive Diseases (11.3%)

Respiratory Diseases (6.5%)

Al Noor - Khalifa St.

Maternal And Perinatal Conditions (25.4%)

Signs, Symptoms And Ill-Defined (19.9%)

Endocrine Disorders (12.3%)

Digestive Diseases (11.9%)

Cardiovascular Diseases (8.7%)

Provita International Medical Centre

Neuropsychiatric Conditions (68.0%)

Injuries (18.2%)

Respiratory Diseases (6.8%)

Congenital Anomalies (5.2%)

Cardiovascular Diseases (1.3%)

Al Ahalia

Cardiovascular Diseases (21.7%)

Digestive Diseases (14.4%)

Maternal And Perinatal Conditions (11.7%)

Musculoskeletal Diseases (10.0%)

Signs, Symptoms And Ill-Defined (9.0%)

Madinat Zayed

Maternal And Perinatal Conditions (13.4%)

Injuries (12.9%)

Cardiovascular Diseases (12.7%)

Signs, Symptoms And Ill-Defined (12.5%)

Digestive Diseases (10.9%)

Oasis

Maternal And Perinatal Conditions (42.5%)

Signs, Symptoms And Ill-Defined (37.2%)

Respiratory Infections (6.0%)

Digestive Diseases (4.9%)

Respiratory Diseases (3.0%)

Al Noor - Al Ain

Maternal And Perinatal Conditions (18.4%)

Digestive Diseases (15.6%)

Musculoskeletal Diseases (12.8%)

Signs, Symptoms And Ill-Defined (11.3%)

Cardiovascular Diseases (10.7%)

Long Term Medical And Rehabilitation Hospital

Neuropsychiatric Conditions (62.4%)

Cardiovascular Diseases (20.0%)

Congenital Anomalies (6.3%)

Sense Organ Diseases (5.2%)

Respiratory Diseases (4.0%)

N M C Specialty - Al Ain

Cardiovascular Diseases (18.9%)

Maternal And Perinatal Conditions (18.4%)

Digestive Diseases (14.6%)

Signs, Symptoms And Ill-Defined (13.9%)

Musculoskeletal Diseases (8.5%)

Behavioral Sciences Pavilion

Neuropsychiatric Conditions (99.0%)

Oral Conditions (1.8%)

Signs, Symptoms And Ill-Defined (0.6%)

Cardiovascular Diseases (0.3%)

Infectious And Parasitic Diseases (0.1%)

Life Line

Maternal And Perinatal Conditions (19.2%)

Digestive Diseases (18.9%)

Cardiovascular Diseases (15.9%)

Signs, Symptoms And Ill-Defined (11.5%)

Respiratory Infections (6.2%)

Al Ain Cromwell Women & Children Hospital

Maternal And Perinatal Conditions (46.0%)

Signs, Symptoms And Ill-Defined (22.3%)

Respiratory Infections (9.9%)

Digestive Diseases (9.1%)

Respiratory Diseases (7.5%)

Life Line - Al Musafah

Digestive Diseases (22.9%)

Cardiovascular Diseases (21.4%)

Respiratory Infections (15.8%)

Respiratory Diseases (9.0%)

Infectious And Parasitic Diseases (6.2%)

Al Salama

Musculoskeletal Diseases (17.3%)

Maternal And Perinatal Conditions (15.6%)

Digestive Diseases (14.7%)

Signs, Symptoms And Ill-Defined (13.6%)

Respiratory Infections (9.1%)

Al Rewaise

Maternal And Perinatal Conditions (29.1%)

Signs, Symptoms And Ill-Defined (18.9%)

Digestive Diseases (14.9%)

Cardiovascular Diseases (12.5%)

Respiratory Infections (10.4%)

Provita International Medical Centre - Al Ain

Neuropsychiatric Conditions (41.8%)

Cardiovascular Diseases (23.8%)

Congenital Anomalies (16.7%)

Injuries (16.2%)

Maternal And Perinatal Conditions (1.6%)

Emirates International

Endocrine Disorders (31.3%)

Digestive Diseases (15.5%)

Maternal And Perinatal Conditions (12.0%)

Signs, Symptoms And Ill-Defined (9.3%)

Cardiovascular Diseases (6.8%)

Ghayathi

Cardiovascular Diseases (22.3%)

Digestive Diseases (13.7%)

Respiratory Infections (13.3%)

Neuropsychiatric Conditions (9.9%)

Maternal And Perinatal Conditions (8.3%)

Dar Al Shifa

Maternal And Perinatal Conditions (37.1%)

Signs, Symptoms And Ill-Defined (18.9%)

Digestive Diseases (16.8%)

Respiratory Infections (6.3%)

Respiratory Diseases (5.2%)

Gulf Diagnostic Centre

Respiratory Diseases (35.6%)

Cardiovascular Diseases (10.0%)

Genitourinary Diseases (9.0%)

Musculoskeletal Diseases (8.3%)

Digestive Diseases (7.7%)

Al Raha

Respiratory Diseases (17.6%)

Maternal And Perinatal Conditions (15.8%)

Respiratory Infections (14.8%)

Musculoskeletal Diseases (11.7%)

Signs, Symptoms And Ill-Defined (10.1%)

Al Wagan

Respiratory Infections (53.2%)

Respiratory Diseases (13.6%)

Endocrine Disorders (9.9%)

Neuropsychiatric Conditions (6.3%)

Digestive Diseases (6.2%)

Al Silla

Maternal And Perinatal Conditions (21.5%)

Cardiovascular Diseases (16.3%)

Respiratory Infections (12.0%)

Signs, Symptoms And Ill-Defined (11.5%)

Neuropsychiatric Conditions (11.4%)

Al Mirfa

Maternal And Perinatal Conditions (31.4%)

Signs, Symptoms And Ill-Defined (15.2%)

Cardiovascular Diseases (15.1%)

Respiratory Infections (10.1%)

Digestive Diseases (5.4%)

Specialised Medical Care

Genitourinary Diseases (24.4%)

Respiratory Infections (23.0%)

Maternal And Perinatal Conditions (16.8%)

Respiratory Diseases (13.8%)

Digestive Diseases (9.7%)

Ain Al Khaleej

Endocrine Disorders (24.4%)

Digestive Diseases (16.8%)

Respiratory Infections (14.6%)

Respiratory Diseases (8.7%)

Signs, Symptoms And Ill-Defined (6.2%)

Delma

Maternal And Perinatal Conditions (24.3%)

Signs, Symptoms And Ill-Defined (19.7%)

Digestive Diseases (14.1%)

Infectious And Parasitic Diseases (9.4%)

Cardiovascular Diseases (6.9%)

National

Digestive Diseases (30.0%)

Injuries (13.6%)

Genitourinary Diseases (12.3%)

Cardiovascular Diseases (10.4%)

Skin Diseases (8.2%)

Emirates French

Injuries (14.6%)

Maternal And Perinatal Conditions (13.9%)

Genitourinary Diseases (13.9%)

Respiratory Diseases (11.9%)

Digestive Diseases (11.4%)

Lifecare - Al Mafraq

Infectious And Parasitic Diseases (80.5%)

Respiratory Diseases (17.9%)

Respiratory Infections (1.6%)

0 (0.0%)

0 (0.0%)

Universal

Cardiovascular Diseases (16.5%)

Neuropsychiatric Conditions (15.1%)

Injuries (13.6%)

Genitourinary Diseases (12.1%)

Respiratory Infections (9.5%)

* Dark area in pie chart represents share of top 5 Diagnosis groups within the total value of providers services

30

Note
Source

Attribution to diagnosis groups is based on principal diagnosis and does not necessarily reflect the full spectrum of services provided by respective healthcare facilities
Cube 2013; Health Statistics Analysis; diagnosis groups based on WHO classification of diagnoses ICD 9

Bed capacity by bed type


Acute

Acute Intermediate

Acute Specialty
Adult Critical Care
Designation Subset

Pediatric Critical Care SubAcute

51
46
38
35
27
19
18
14
12
12
8
7

12
38
30

22
69
62

11
14
22

11

8
21
5

7
6

23
15

2
2
7
29
14

12
15
2

24

10

33

16

20 123
6

18

61

16

88

16

105

10
10

17

4
30

4
1

26 156

6
29
11

10

11

Pediatric Extended Care Unit (PECU)

21

20
4
26
2
10
2

Long-term-care/ LTVU

46

118

14
16
18

33

3
4
29
20

26

5
6
14
3

PICU

23

16
35
14

NICU

88

Surgical Intensive Care Unit

13

8
4

48

Behavioural Sciences

1'361
92
117
117
115
50
36
55
20
17
25
9
21
67
40
40
50
51
12
25
13
70
24
32
22
50
80
31
80

24
174
198 21
16
46 23
27
15
13
2
25
44 24
292
227 38

Medical/ Surgical ICU

Telemetry

N M C Specialty
Al Noor
Al Noor - Airport Road
Burjeel Hospital
Al Noor - Al Ain
Life Line Hospital Al Musafah
N M C Specialty - Al Ain
Al Rewaise
Dar Al Shifaa
Emirates International
Gulf Diagnostic Centre
Specialized Medical Care
Al Ain Cromwell Women & Childrens Hospital
Provita International Medical Centre
Al Salama
Al Ahalia
Oasis
Emirates French
LLH
Al Raha
Disabled Custodial Care Centre
Provita International Medical Centre - Al Ain
Long Term Medical And Rehabilitation
National
Lifecare*
Ain Al Khaleej Hospital*
Universal*
Health Point*

Other

149

Medical Intensive Care Unit

Special Care Baby Unit

342
257
387
18
153
29
15
22
30
124
675
451

Cardiac Care Unit (CCU)

Pediatric Intermediate Care

Al Ain
Al Corniche
Al Mafraq
Al Mirfa
Al Rahba
Al Silla
Al Wagan
Delma
Ghayathi
Madinat Zayed
SKMC
Tawam

Burn Unit

Med/Surg Intermediate Care Unit


41

8
11
12

Total
3'864
2'503 1052 306 270

All
SEHA

Thereof: Isolation

VIP
80

Paediatric

Obstetrics/GYN

General Med / Surg

Facility

10

1
15
10
6

1
10

2
40

10
10
37

1
5

10
10

5
3

12
70
24
38
16

Notes
SEHA Facilities bed capacity as of July 2013 , Other than SEHA bed capacity as of 31st December 2013 Bed type breakdown for Other than SEHA facilities does not match with the
totals due to the different reporting time period and the change in bed type classification during 2012 and 2013. * Licensed beds are reported for new facilities.

31

Source

Operation Centre, SEHA

Bed occupancy
CICU

100%

100%

75%

75%

50%

50%

25%

25%

0%

0%

CCU

100%

100%

75%

75%

50%

50%

25%

25%

0%

0%

100%

Medical/Surgical ICU

100%

75%

75%

50%

50%

25%

25%

0%

Jan
Notes

32

Apr

Jul

Oct

SEHA

PICU

SCBU

0%

Presented bed occupancy is for the selected bed type


Incomplete submissions from some facilities
Optimal occupancy is 85% for normal beds and 75% for critical care beds

Source 2013 Bed census (HAAD Operation Centre)

NICU

Jan

Apr

Jul

Oct

Other

Centres & clinics


SEHA

33

Source Cube 2013; Professionals licensing database; Extrapolation and Facility submissions

1'387
56
22
9
4
24
21
11
10
24
21
22
21
14
5
7
10
6
2
4
28
15
15
7
0
5
10
20
11
5
11
13
5
29
7
7
6
11
5
9
8
2
9
9
3
9
19
5
8
8
6
5
6
2
4
5
7
15
5
7
18
4

781
0
2
1
0
3
4
1
0
1
7
2
0
2
5
2
7
2
0
0
3
0
0
1
13
3
2
0
0
2
1
1
1
12
4
3
2
1
2
0
1
7
0
1
1
4
2
0
0
0
2
2
1
5
3
2
0
2
0
0
0
2

1'827
33
10
4
0
76
53
8
9
8
14
26
21
5
4
6
8
5
0
0
39
10
22
7
1
10
6
27
4
6
7
14
9
34
8
6
3
11
4
2
4
4
8
6
3
8
12
0
13
24
8
4
6
5
6
5
77
11
9
5
4
18

1'082
34
14
3
25
20
15
3
1
10
9
8
8
14
0
1
6
0
20
12
13
4
4
0
7
9
4
5
5
2
7
4
0
41
0
2
3
4
5
3
0
0
8
0
4
1
10
13
1
24
6
1
4
0
2
1
9
4
0
1
6
8

Region

Eastern

Western

Facility
Dr. Ahmed Abu Sharia Medical Centre
Samaya Specialized Hospital
American Center For Psychiatry & Neurology
Gulf International Cancer Center
Capital Medical Centre For Health Screening
Open Mri For Spine Surgery-Abu Dhabi Branch
National Petroleum Construction Company Medical Centre
Al Bustan Medical Centre
Adco Medical Centre
Dr. Firas Dental And Orthodontic Centre
Alnoor Hospital Medical Center - Alsalam Living City
Fakih Medical Centre
Middle East Specialized Medical Centre
Mezyad Medical Centre
Healthway Medical Centre
Health Plus Fertility Centre
Tabarak Medical Centre
Advanced Center For Day Care Surgery
Merhi Dental & Orthodontic Centre
Health Plus Family Health Centre
American Fertility Centre
Cosmesurge & Emarites Hospital For One Day Surgery Branch
Abu Dhabi Knee And Sports Medicine Centre
Nora Medical Poly Clinics
Lotus Holistic Alternative Medical Centre
Al Reyada Medical Centre
American Crescent Health Care Centre
Royal Spanish Center Lasik Eyes & Cosmetic
Shadi International Dental & Orthodontic Centre
Dr.Munir Silwadi Dental Centre
Canadian Medical Centre
Adams Medical Centre
Mekkah Specialized Polyclinic
Al Ahli Specialists Medical Centre
Venecia Medical Center For Rehabilitation
National Reference Laboratory
Other
Imperial College Diabetes Centre - Al Ain Branch
Al Sultan Advanced Medical Clinics
Al Madar Medical Centre - Branch
Al Noor Hospital Clinics - Al Ain
Bin Sulaiman Medical Centre
Mubarak Medical Centre
Dr. Khalid Aljamal Medical Center
Royal Care Medical Centre
Fine Care Specialized Medical Centre
Al Khaleej Medical Centre
Arabic Canadian Medical Centre
Alnoor Hospital Clinics - Alain-Branch
Morani Orthodontic Center & General Medical
Emirates International Poly Clinic
Cosmo Health Medical Polyclinics
Ideal Medical Center - Al Ain Branch
Cosmesurge & Emirates Hospital For One Day Surgery Polyclinic
Health & Beauty Polyclinic
Uae University Clinics - Tawam Clinic
Other
Al- Noor Hospital Clinics - Madinat Zayed
Alnoor Hospital Speciality Clinics - Madinet Zayed
Al Noor Hospital Speciality Clinics - Almirfa
Habshan Clinic
Other

Episodes
(best estimate)
13'675
13'340
12'191
11'879
11'879
11'879
11'188
10'300
10'119
9'870
9'504
9'504
9'441
9'218
8'657
8'589
7'341
6'897
6'751
6'744
6'640
6'572
5'816
4'788
4'752
4'672
4'573
4'546
4'210
4'089
3'862
3'426
3'415
3'013
2'376
1'436
1'424'201
74'975
58'098
53'758
42'491
29'979
24'364
17'501
16'631
16'631
13'838
11'879
7'128
5'731
5'697
4'752
4'495
3'333
2'402
2'215
690'141
58'220
30'534
14'214
2'073
135'301

AHP & Pharmacists

Imperial College London Diabetes Centre


Al Noor Hospital Speciality Clinics- Al Musafah
Al Musaffah Al Alhli Medical Centre
Proficiency Central Laboratories
Prince Specialized Medical Centre
Nmc Day Surgery Centre
Al Musaffah Al Alhli Medical Centre
Al Noor Hospital Clinics - Al Mussaffah
Advance Cure Diagnostic Centre
Amrita Midical Centre
New National Medical Centre
Al Salama One Day Surgery Center
Ibn Al Nafis Medical Centre
Al Kamal Medicdal Poly Clinics
Home Health Medical Centre
Taha Medical Centre
Al Wahda Medical Centre
Al Borg Diagnostic Centre For Laboratories & X Ray
Gulf Radiology &Laboratory
Cosmesurge Emarites Hospital For One Day Surgery
Abu Dhabi Marine Operating Company Clinic
Harley Street Medical Centre
Nadia Medical Centre
Advanced American Dental Centre
Al Mafraq Medical Centre
Solutions Medical Center
Magrabi Specialized Hospital
Al Hendawy Medical Centre
Apollo Medical Centre
Al Rafa Medical Centre
American European Medical Centre
Dar Alshifa Medical Centre
Adnoc Medical Centre
Alriyadh Medical Centre
Sadd Maareb Medical Centre
Miami Emirates Medical Complex
Prime Medical Centre
Well Health Medical Centre
Almadina Medical Center For Special Clinics
Zakum Development Zadco Medical Centre
Remax Medical Centre
Health Plus Diabetes And Endocrinology
Dr. Ahmed Hassan Fikri Medical Centre
Al Rayyan Medical Clinic
Oxford Medical Centre
Almazroui Hospital One Day Surgery
Dar Al Mouasah Diagnostic Centre
Etihad Airways Polyclinic
National Rehabilitation Centre
Universal Specialty Medical Center
Golden Sand Medical Centre
Al Amal Medical Centre
First Medical Center
Aesthetic Skin Care Centre
Health & Life Medical Centre
Grace Medical Centre
Seha Emirates One Day Surgery Centre
Healthplus Womens Health Centre
Consultant Medical Centre
Exeter Medical Centre
Ruwais Housing Medical Centre

Episodes
(best estimate)
5'034'581
123'209
99'916
73'015
62'581
60'753
59'397
59'296
57'897
51'735
49'993
49'749
47'916
46'241
42'360
40'348
40'278
39'976
37289
36'836
36'492
35'638
35'638
34'918
30'886
29'612
28'511
26'944
26'814
26'191
24'946
24'745
22'886
22'867
22'629
22'522
22'419
22'045
21734
21'528
21'383
21'383
21'383
20'954
20'412
19'880
19'718
19'448
19'007
19'007
19'007
18'970
16'631
16'631
16'631
16'631
16'631
15'857
15'410
14'456
14'410
14'255

Nurses

Facility

Dentists

Notes Non-SEHA facilities with more than 10 clinicians;


Some centres Episodes were reported under
the managing hospital
Includes estimates based on the number
of clinicians and average productivity

Region
Total
Abu Dhabi

Physicians

498
7
28
25
17
1
20
0
3
1
7
2
57
36
10
25
11
4
6
1
4
8
3
6
9
7
8
20
2
2
5
2
64
5
3
2
0
0
2
2
5
28
0
8
15
5
10
12

AHP & Pharmacists

698
6
37
41
34
14
22
19
12
14
18
10
18
0
8
7
6
10
14
45
38
1
20
20
24
17
18
21
14
14
12
10
0
12
13
10
10
14
11
8
9
13
9
6
0
19
16
4

Nurses

177
2
6
6
6
0
4
0
0
0
5
0
0
27
30
0
10
2
2
0
0
0
5
0
3
3
4
7
2
2
2
1
39
1
0
2
2
0
1
0
0
0
1
0
0
0
2
0

Dentists

AHP&Pharmacists

397
7
24
30
16
11
17
6
5
7
9
5
17
0
0
10
0
6
7
0
0
3
12
19
15
18
13
18
12
11
6
6
0
9
6
7
7
0
6
5
6
11
3
2
1
10
8
6

Physicians

Nurses

Western

Dentists

Eastern

Baniyas
Khalifa A
Bain Al Gesreen
Other
Al Bateen
Shahama
Al Khalidiya Urgent Care
Al Ettihad Urgent Care
Al Zafarana
Samha
Al Rowda
Disease Prevention And Screening Centre
Al Mafraq Dental Centre
Abu Dhabi City Dental Centre
Disease Prevention And Screening Centre - Mussafah
Al Zafra Dental Centre
Al Khatim
Madinat Mohamed Bin Zayed Healthcare Centre
Seha Dialysis Services Sheikh Khalifa Medical City
Mafraq Dialysis Centre
Abu Dhabi Blood Bank
Al Yahar
Al Jahili
Neima
Mezyed
Al Maqam
Muweiji
Al Masoudi Primary Health Care Centre
Al Khabisi Clinic
Al Qua'A
Hili
Tawam Dental Centre
Niyadat
Oud Al Toba Primary Health Care Centre
Zakher
Al Hayer
SEHA Dialysis Services Tawam Hospital
Swaihan
Remah
Other
Disease Prevention And Screening Centre-Alain
Al Khazna
Tawam ivf Centre
Blood Bank Centre
Al Dhafra Family Medicine Centre
Liwa Hospital
Other

Episodes
(best estimate)
2'339'645
163'895
146'285
120'263
115'938
88'593
69'878
61'777
56'617
50'387
46'777
43'457
40'390
31'650
27'273
23'759
22'471
18'412
16'068
13'650
13'279
7'128
95'326
94'549
94'446
90'148
78'577
78'041
72'252
64'667
51'495
49'165
42'512
41'726
39'830
39'494
30'394
28'364
24'827
22'149
14'885
11'644
9'821
6'024
2'376
42'714
21'767
14'506

Physicians

Total
Abu Dhabi

Other

3
6
18
5
5
5
2
4
14
0
4
4
6
5
4
6
3
8
0
3
8
5
6
1
1
6
6
6
0
0
4
6
4
4
1
1
283
17
12
14
12
5
8
8
2
5
1
5
3
0
4
1
0
2
1
1
117
10
12
6
1
17

3
1
0
0
0
0
0
7
0
11
0
0
1
1
2
0
3
1
10
6
0
1
0
4
1
2
0
0
9
11
2
2
1
2
0
0
337
0
2
13
0
3
3
5
5
2
0
0
0
9
4
1
7
1
4
0
169
0
4
1
0
5

5
7
5
6
10
2
15
8
15
3
4
8
3
5
7
12
5
6
2
5
23
9
12
2
6
10
8
2
4
0
21
2
2
7
5
0
393
24
12
27
4
4
7
12
4
6
0
2
6
0
5
11
5
8
5
20
143
8
10
3
63
39

0
5
15
7
5
5
2
0
3
10
4
0
3
0
3
5
0
1
6
1
6
2
6
4
5
3
7
4
9
6
11
1
5
0
5
18
292
15
5
9
4
0
3
2
1
0
10
10
2
4
3
0
0
1
5
0
104
11
1
3
0
2

Blood bank donors

Year

National

Expatriate

14'073

2'664
2006

34

3'311
2007

Source

18'002

3'832
2008

2012

2011

2010

2009

26'819

27'094

25'850

24'758

5'747

5'077

3'794

4'240

4'116

Expatriate

27'312

21'742

23'300

21'610

20'642

18'002 16'150 14'073

Units donated
O +

30'315

26'819

27'094

25'850

24'758

22'379 19'849 17'129

National

27'312

16'150

2013
33'059

Donors

23'300 21'742
20'642 21'610

4'116
2009

4'240
2010

3'794
2011

5'077
2012

Abu Dhabi Blood Bank, Health Statistics Analysis

5'747
2013

2008

2007

2006

21'834 19'461 16'737


3'832

3'311

2'664

11'356

10'279

10'141

9'441

8'960

8'314

7'242

6'396

A +

7'448

6'705

6'704

6'620

1'430

5'840

5'263

4'548

B +

6'384

5'364

5'740

5'423

6'421

4'294

4'040

3'396

AB +

1'843

1'555

1'767

1'727

705

1'302

1'074

857

O -

1'688

1'501

1'310

1'274

5'130

1'346

1'101

953

A -

833

705

706

711

483

667

587

501

B -

624

576

575

521

1'493

501

426

381

AB -

139

134

151

133

136

115

116

97

Inpatient market by value


Diagnosis group
Signs, symptoms and ill-defined
conditions

100

1st

2nd

3rd

4th

5th

19

Al Corniche (21.6%)

Tawam (20.2%)

Al Mafraq (10.6%)

Al Ain (9.4%)

Al Rahba (7.0%)

Maternal and Perinatal conditions

15

Al Corniche (24.2%)

Tawam (12.5%)

Al Noor - Airport Road (8.8%)

Al Mafraq (8.0%)

Al Ain (8.0%)

Cardiovascular diseases

13

SKMC (28.2%)

Al Mafraq (14.0%)

Al Ain (10.3%)

Tawam (10.2%)

N M C Specialty (5.8%)

Injuries

Al Mafraq (27.6%)

SKMC (14.9%)

Tawam (14.3%)

Al Ain (13.1%)

Provita International Medical Centre


(5.0%)

Neuropsychiatric conditions

SKMC (21.5%)

Provita International Medical Centre


(19.7%)

Behavioral Sciences Pavilion (14.6%)

Long Term Medical And Rehabilitation


Hospital (12.2%)

Tawam (10.8%)

Digestive diseases

SKMC (12.8%)

Al Ain (11.6%)

Al Mafraq (11.1%)

Tawam (9.6%)

Al Noor - Airport Road (6.1%)

Respiratory diseases

Tawam (21.4%)

SKMC (21.3%)

Al Mafraq (11.5%)

Al Ain (10.6%)

Burjeel (3.9%)

Infectious and parasitic diseases

SKMC (28.4%)

Tawam (25.7%)

Al Mafraq (10.8%)

Al Ain (8.0%)

Al Rahba (7.3%)

Musculoskeletal diseases

Abu Dhabi Knee And Sports Medicine


Centre (44.3%)

SKMC (9.6%)

Tawam (6.8%)

Al Mafraq (6.4%)

Al Ain (6.3%)

Respiratory infections

SKMC (14.8%)

Al Ain (13.4%)

Tawam (11.5%)

Al Mafraq (10.5%)

N M C Specialty (6.6%)

Endocrine disorders excluding


diabetes

Tawam (30.4%)

SKMC (20.5%)

Al Noor - Khalifa St. (9.6%)

Al Mafraq (8.8%)

Al Ain (5.5%)

Cancer

Tawam (42.4%)

SKMC (22.9%)

Al Mafraq (12.3%)

Al Ain (6.7%)

N M C Specialty (2.6%)

Genitourinary diseases

Tawam (21.2%)

SKMC (13.3%)

Al Mafraq (12.1%)

Al Ain (9.1%)

Burjeel (5.8%)

Congenital anomalies

SKMC (65.6%)

Tawam (9.9%)

Provita International Medical Centre


(5.3%)

Long Term Medical And Rehabilitation


Hospital (4.3%)

Provita International Medical Centre - Al


Ain (3.4%)

Diabetes mellitus

SKMC (23.2%)

Al Mafraq (21.1%)

Al Ain (15.1%)

Tawam (12.8%)

Al Rahba (4.9%)

Skin diseases

SKMC (20.3%)

Al Mafraq (17.7%)

Al Ain (13.8%)

Tawam (9.0%)

N M C Specialty (6.1%)

Sense organ diseases

Al Mafraq (44.0%)

Long Term Medical And Rehabilitation


Hospital (12.7%)

Al Ain (12.2%)

SKMC (9.2%)

Tawam (6.0%)

Oral conditions

SKMC (52.4%)

Tawam (16.7%)

Al Mafraq (10.1%)

Behavioral Sciences Pavilion (6.8%)

Al Rahba (3.0%)

Nutritional deficiencies

SKMC (24.2%)

Tawam (17.8%)

Al Mafraq (10.6%)

Al Ain (8.4%)

Al Noor - Airport Road (7.8%)

RTA

Al Rahba (43.9%)

Al Mafraq (25.8%)

Al Ain (15.9%)

Madinat Zayed (14.3%)

Top 5*

* Dark area in pie chart represents share of top 5 providers within the total value of diagnosis group

35

Note
Source

Attribution to diagnosis groups is based on principal diagnosis and does not necessarily reflect the full spectrum of services provided by respective healthcare facilities
Cube 2013; Health Statistics analysis; diagnosis groups based on WHO classification of diagnoses ICD 9

Population

Financing

Payers

36

Episodes

Claims

Providers

Outpatient market by value


Diagnosis group

100

1st

2nd

3rd

4th

5th

Signs, symptoms and ill-defined


conditions

23

Top 5*

Tawam (15.8%)

SKMC (7.3%)

Al Mafraq (4.6%)

SEHA Dialysis Services Sheikh


Khalifa Medical City (4.2%)

SEHA Dialysis Services Tawam


Hospital (3.4%)

Diabetes mellitus

10

Imperial College London


Diabetes Centre - Abu Dhabi
(44.5%)

Imperial College London Diabetes


Centre - Al Ain (19.8%)

SKMC (3.7%)

Tawam (3.2%)

Al Ain (2.1%)

Oral conditions

Tawam Dental Centre (9.4%)

Al Mafraq Dental Centre (6.4%)

Abu Dhabi City Dental Centre


(4.3%)

Bain Al Gesreen (3.5%)

Al Zafra Dental Centre (3.0%)

Respiratory infections

Al Noor - Khalifa St. (5.4%)

Al Noor - Airport Road (5.0%)

N M C Specialty (3.3%)

Burjeel (2.7%)

Tawam (2.7%)

Musculoskeletal diseases

SKMC (7.1%)

Al Noor - Khalifa St. (5.8%)

Burjeel (5.7%)

Tawam (5.0%)

Al Mafraq (4.8%)

Genitourinary diseases

SKMC (7.4%)

American Fertility Centre (7.3%)

Tawam (5.2%)

Al Noor - Khalifa St. (4.6%)

Burjeel (4.5%)

Cardiovascular diseases

SKMC (10.8%)

Al Mafraq (5.6%)

Al Noor - Khalifa St. (5.4%)

Tawam (5.3%)

Burjeel (4.9%)

Imperial College London Diabetes


Centre - Al Ain (6.5%)

Al Mafraq (5.8%)

Endocrine disorders excluding


diabetes

Tawam (20.5%)

SKMC (16.1%)

Imperial College London


Diabetes Centre - Abu Dhabi
(12.6%)

Sense organ diseases

Samaya Specialised Hospital


(12.3%)

Al Noor - Khalifa St. (9.4%)

Magrabi Specialised (8.1%)

SKMC (6.1%)

Al Mafraq (5.5%)

Respiratory diseases

SKMC (7.6%)

Al Noor - Airport Road (7.2%)

Al Noor - Khalifa St. (6.9%)

Tawam (4.5%)

Al Noor - Al Ain (4.1%)

Digestive diseases

SKMC (7.6%)

Burjeel (6.5%)

Tawam (6.3%)

Gulf Diagnostic Centre (4.9%)

Al Noor - Khalifa St. (4.9%)

Neuropsychiatric conditions

Behavioral Sciences Pavilion


(15.6%)

SKMC (10.6%)

Tawam (8.3%)

Al Ain (8.3%)

Al Mafraq (4.8%)

Maternal and Perinatal conditions

Al Corniche (13.5%)

Al Noor - Airport Road (9.3%)

Al Noor - Khalifa St. (7.3%)

Injuries

SKMC (7.0%)

Al Mafraq (6.6%)

Al Ain (6.1%)

Al Noor - Airport Road (5.9%)

Tawam (4.7%)

Skin diseases

SKMC (8.9%)

Al Noor - Khalifa St. (6.6%)

Al Mafraq (5.0%)

Tawam (4.4%)

Al Ain (4.2%)

Infectious and parasitic diseases

Tawam (9.4%)

SKMC (7.4%)

Burjeel (7.4%)

Al Noor - Khalifa St. (5.4%)

Al Noor - Airport Road (4.1%)

Cancer

Tawam (25.0%)

Al Mafraq (23.5%)

SKMC (22.0%)

Gulf International Cancer Centre


(5.3%)

Tawam Molecular Imaging Centre (4.3%)

Nutritional deficiencies

Imperial College London


Imperial College London Diabetes
Diabetes Centre - Al Ain (23.5%) Centre - Abu Dhabi (14.9%)

SKMC (7.5%)

Gulf Diagnostic Centre (3.0%)

Tawam (2.9%)

Congenital anomalies

SKMC (31.6%)

Tawam (15.7%)

Al Noor - Airport Road (8.2%)

Emirates Outreach Healthcare


Services (6.0%)

Al Mafraq (5.4%)

RTA

SKMC (29.3%)

Al Mafraq (16.0%)

N M C Specialty (11.9%)

Al Ain (9.5%)

Al Rewaise (5.2%)

37

Source

Tawam (4.8%)

Cube 2013; Health Statistics analysis; diagnosis groups based on WHO classification of diagnoses ICD 9

Notes
Pharmacies are excluded.
Attribution to diagnosis groups is based
on principal diagnosis and does not
necessarily reflect the full spectrum of
services provided by respective
healthcare facilities.
* Dark area in pie chart represents share
of top 5 providers within the total value
of diagnosis group

Population

Financing

Payers

38

Episodes

Claims

Providers

Claims

Inpatient
Inpatient
Basic
Inpatient
Enhanced

Average
Claim net
per Claim
(AED)(1)
Claims (000)(2)
2013
2013
11'819
197
9'082
44
10'157
66

Inpatient
Thiqa

2011
145
39
46

2010
166
35
55

2009
146
25
50

2010 2009
0.06
0.06
0.03
0.03
0.05
0.05

14'438

88

72

60

76

71

0.18

0.16

0.14

0.18

0.18

Outpatient

355

21'069

19'684

17'186

12'918

10'443

6.43

6.22

6.10

4.84

4.52

Outpatient
Basic

174

5'260

4'964

4'029

2'928

2'107

3.9

3.7

3.0

2.4

2.3

Outpatient
Enhanced

339

8'841

7'620

6'963

4'146

3'932

6.0

5.6

6.6

4.0

4.0

Outpatient
Thiqa

513

6'968

7'100

6'193

5'844

4'404

14.5

15.5

14.0

13.8

11.2

Total

462

21'266

19'850

17'331

13'084

10'589

6.5

6.3

6.1

4.9

4.6

Notes

(1)

Average Claim net per Claim, represents amount claimed by provider, subject to full or partial rejection by the payer
of claims with Encounter start date in respective years. These include electronic claims of Abu Dhabi providers for members with insurance provided by payers
from outside of Abu Dhabi, self-pay and funded mandates

(2) Numbers

39

2012
166
42
52

Claims per member


2013
2012 2011
0.06
0.05
0.05
0.03
0.03
0.03
0.05
0.03
0.04

Source

Cube 2013; Health Statistics Analysis

Payer members
Members
Market Share

Members

Thiqa
15%

Enhanced
45%

Basic
40%

Notes

40

Total
Thiqa
Basic
Total Enhanced
Daman
Oman
ADNIC
Al Dhafra
Al Hilal Takaful
Al Wathba
Orient
Insurance House - PSC
AXA
Takaful Emarat
Al Buhaira
Green Crescent
EIC
Al Ain Ahlia
Al Sagr
Abu Dhabi Takaful
Aman
Qatar
RAK
ALICO
Al Khazna
NoorTakaful
Dubai National
Saudi Arabian
Union
Al Fujairah
Al-Ittihad
Arabia
United
Arabian Scandinavian
NGI
Alliance
Salama
Royal and Sun Alliance
Dubai Insurance Co.
Methaq Takaful
Lebanese
Sharjah

(1) Average

100.0%
40.0%
10.7%
9.6%
8.8%
3.9%
2.8%
2.7%
2.2%
2.1%
1.9%
1.8%
1.3%
1.3%
1.3%
1.1%
0.9%
0.9%
0.9%
0.8%
0.8%
0.5%
0.5%
0.4%
0.3%
0.3%
0.3%
0.3%
0.3%
0.2%
0.2%
0.2%
0.2%
0.1%
0.1%
0.1%
0.1%
0.0%
0.0%

2013
3'307'365
482'452
1'335'680
1'489'233
596'056
159'353
142'373
130'674
57'760
41'257
40'842
33'147
32'007
28'795
26'593
20'091
19'877
18'938
16'304
13'281
13'161
12'736
12'049
11'228
7'293
6'910
5'828
4'956
4'867
4'730
4'355
3'882
3'408
3'379
2'674
2'546
2'133
1'843
1'735
1'462
517
193

2012
3'163'795
457'845
1'341'405
1'364'545
457'637
167'933
141'486
192'635
26'809
52'140
34'580
25'834
11'938
25'365
30'479
24'969
20'849
8'441
19'741
14'086
4'663
7'691
8'331
11'350
20'039
5'376
65
3'656
4'092
7'584
4'292
4'660
9'409
4'496
957
2'266
1'508
1'560
1'547
386
2'363
3'332

2011
2'812'307
448'143
1'306'931
1'057'233
324'083
73'423
149'904
71'009
20'964
52'034
30'476

2010
2'671'391
422'239
1'204'418
1'044'734
299'089
171'478
151'654
12'590
11'075
48'038
26'742

2009
2'312'569
394'618
936'207
981'744
301'447
205'690
90'190
957
5'003
41'583
1'524

2008
2'260'749
383'795
944'344
932'610
304'649
155'735
97'058
14'087

22'532
316
61'983
43'894
29'691
4'154
15'327
22'233
4'595
11'569
8'966
8'566
11'532
1'625

886
1'600
49'838
70'881
17'721
24'419

3'537
16'222
51'215
21'341
15'167
23'857
27'661

3'044
12'721
25'083

258
9'332
11'368
1'030
137'648
47

916
10'381
8'827
6'431
90'229

2'445

469

4'099

36

2'112

1'076
825
29
2'798
14'822
622
1'381
170
17'002
7'044

443
3'645
1
627
881
1'726
781
2'486

49
1'887
4'489
792
40'960
926
9

3'596

1'437

2'602
1'344
5'676
3'588
1'660
4'012
26
1'026
463
688
946
337
20'659
6'139
4'110

1'131
286
6'305
10'508
10'384
78'147
2'094

24'337

26'517
4'707
94'758

Change from
2012-2013
143'570
24'607
-5'725
124'688
138'419
-8'580
887
-61'961
30'951
-10'883
6'262
7'313
20'069
3'430
-3'886
-4'878
-972
10'497
-3'437
-805
8'498
5'045
3'718
-122
-12'746
1'534
5'763
1'300
775
-2'854
63
-778
-6'001
-1'117
1'717
280
625
283
188
1'076
-1'846
-3'139

Contracts
2013
3'321'968
482'803
1'340'364
1'498'801
601'230
159'376
142'373
130'744
57'763
41'265
40'844
33'147
32'158
28'795
26'595
20'498
19'877
18'938
16'318
13'282
13'178
12'737
12'152
13'532
8'518
6'910
5'828
4'968
4'867
4'730
4'385
3'882
3'408
3'386
2'674
2'546
2'133
1'843
1'749
1'462
517
193

PPMPA(1)
2013
2'763
602
3'380
4'450
2'844
4'483
940
1'762
3'337
2'548
1'378
4'288
1'050
1'158
2'081
2'714
2'606
2'442
4'007
1'207
3'907
2'464
4'412
1'545
3'512
2'648
6'834
3'000
1'423
3'074
2'842
2'934
1'493
3'891
2'926
3'289
7'414
3'958
2'208
2'904
674

Premium per Member Per Annum


Market share applies to Enhanced products, some of the payers reported Enhanced members from other Emirates
Members of Al Watania insurance are not included
The Basic Product: for individuals (including limited income investors) with limited income in accordance with the threshold set by the Regulations and dependents of nonNationals who are not eligible to be covered by the non-Nationals employment based insurance
The Enhanced Product: for individuals above the income threshold set by the Regulations for the Basic Product and available to all non-Nationals

Source

Cube 2013; Health Statistics Analysis

Payer claims
Claim net

Claim count

Thiqa
33.72%

Enhanced
40.77%

Basic
25.51%

Claim net (1)

Enhanced
37%

Thiqa
50%

Basic
13%

Notes

Total
Thiqa
Basic
Total Enhanced
Daman
ADNIC
Oman
Al Wathba
Al Dhafra
AXA
Al Hilal Takaful
Saudi Arabian
Qatar
Insurance House - PSC
Takaful Emarat
EIC
ALICO
Al Ain Ahlia
Orient
Abu Dhabi Takaful
Green Crescent
RAK
Al Sagr
Aman
Al Buhaira
NGI
NoorTakaful
Dubai Insurance Co.
Arabia
Royal and Sun Alliance
United
Al Khazna
Al-Ittihad
Union
Alliance
Salama
Arabian Scandinavian
Al Fujairah
Sharjah
Methaq Takaful
Dubai National
Lebanese

(1) Claim

Claim count
2013
100%
33.72%
25.51%
40.77%
13.85%
5.92%
3.04%
1.97%
1.89%
1.07%
1.57%
0.63%
1.07%
1.22%
1.02%
1.02%
0.61%
0.63%
0.62%
0.62%
0.47%
0.49%
0.42%
0.46%
0.36%
0.23%
0.20%
0.15%
0.15%
0.09%
0.18%
0.19%
0.14%
0.10%
0.07%
0.04%
0.11%
0.05%
0.06%
0.04%
0.03%
0.01%

2012
100%
36.42%
25.40%
38.18%
11.44%
6.21%
2.86%
2.06%
1.83%
1.10%
1.01%
0.45%
0.93%
0.57%
0.28%
1.14%
0.65%
0.50%
0.60%
0.66%
1.16%
0.28%
0.49%
0.15%
0.70%
0.31%
0.17%
0.49%
0.07%
0.04%
0.25%
0.65%
0.16%
0.03%
0.06%
0.04%
0.10%
0.07%
0.34%
0.24%
0.00%
0.08%

2011
100%
35.49%
23.12%
41.40%
11.65%
6.89%
2.52%
2.02%
1.06%
0.67%
0.80%
0.33%
0.82%
0.00%
0.03%
1.24%
1.17%
0.97%
0.99%
0.78%
3.77%
0.50%
0.79%
0.09%
1.50%
0.35%
0.17%
0.14%
0.15%
0.04%
0.17%
0.57%
0.04%
0.05%
0.07%
0.05%
0.03%
0.08%
0.15%
0.67%
0.00%
0.11%

2010
100%
45.35%
22.47%
32.18%
15.27%
5.62%
3.31%
1.33%
0.00%
0.00%
0.32%
0.13%
0.26%
0.00%
0.00%
0.51%
0.29%
0.75%
0.36%
0.40%
1.12%
0.31%
0.02%
0.00%
0.98%
0.01%
0.06%
0.00%
0.07%
0.03%
0.00%
0.85%
0.00%
0.00%
0.00%
0.02%
0.00%
0.01%
0.00%
0.09%
0.00%
0.04%

2009
100%
42.22%
20.12%
37.66%
15.63%
0.40%
7.61%
0.85%
0.30%
0.14%
0.00%
0.01%
0.14%
0.00%
0.00%
0.66%
1.18%
0.69%
3.46%
0.46%
0.63%
0.38%
3.05%
0.02%
0.79%
0.02%
0.01%
0.00%
0.01%
0.01%
0.16%
0.75%
0.00%
0.00%
0.17%
0.01%
0.00%
0.07%
0.00%
0.00%
0.00%
0.06%

2008
100%
0.00%
32.83%
67.17%
32.02%
0.82%
13.03%
0.00%
0.80%
0.00%
0.00%
0.09%
0.92%
0.00%
0.00%
1.81%
1.19%
0.16%
3.34%
1.18%
0.00%
0.73%
6.65%
0.00%
1.38%
0.06%
0.00%
0.00%
0.03%
0.00%
0.07%
2.51%
0.00%
0.00%
0.00%
0.12%
0.06%
0.09%
0.00%
0.00%
0.00%
0.01%

Change
Days to Remit (2)
2012-2013
2013
6%
51
-1%
53
7%
46
14%
50
29%
51
1%
49
13%
34
2%
99
10%
58
3%
47
65%
62
50%
22%
60
126%
283%
38
-5%
62
0%
122
35%
58
10%
48
0%
-57%
75
85%
109
-7%
83
235%
99
-45%
168
-22%
52
24%
53
-68%
41
129%
68
112%
-26%
55
-70%
192
-9%
164
312%
75
32%
47
31%
175
8%
59
-27%
78
-82%
-84%
118
5728%
63
-83%
44

Average
Claim net per
Claim 2013
470
695
246
424
515
441
376
276
267
431
281
610
335
243
284
276
423
373
356
320
294
277
318
212
268
367
325
401
403
641
321
285
324
320
282
426
137
271
211
320
310
271

Claims per
Member 2013
6.3
14.7
4.0
5.7
4.9
8.7
4.0
10.0
3.0
7.0
5.7
27
17.6
7.7
7.4
10.7
11.4
7.0
3.2
9.8
4.9
8.6
5.5
7.3
2.8
18.1
6.1
18.0
7.9
10.1
10.8
5.3
6.7
4.3
5.9
4.4
6.6
2.2
62
5.0
1.2
5.0

net represents amount claimed by provider, subject to full or partial rejection by the payer
to Remit is measured as average number of days to submit AED 1 from first Claim Submission Date to first Remittance Date
Claims of Al Watania Insurance are not included; The Basic Product: for individuals (including limited income investors) with limited income in accordance with the threshold set by the Regulations
dependents of non- Nationals who are not eligible to be covered by the non-Nationals employment based insurance; the Enhanced Product: for individuals above the income threshold set by the
Regulations for the Basic Product and available to all non-Nationals

(2) Days

41

100%
34.0%
14.5%
7.5%
4.8%
4.6%
2.6%
3.8%
1.5%
2.6%
3.0%
2.5%
2.5%
1.5%
1.6%
1.5%
1.5%
1.1%
1.2%
1.0%
1.1%
0.9%
0.6%
0.5%
0.4%
0.4%
0.2%
0.4%
0.5%
0.3%
0.2%
0.2%
0.1%
0.3%
0.1%
0.1%
0.1%
0.1%
0.1%

(1)

Source Cube 2013; Health Statistics Analysis

Population

Financing

Payers

42

Episodes

Claims

Providers

Enhanced plans premiums

Average Gross Premium for Enhanced Product

7'893AED

4'456AED
3'458AED
2'527AED
1'533AED
680AED
[600-999 AED]
434'900

[1'0001'999 AED]

170'605

[2'000 -2'999 AED]

[3'000 - 3'999 AED]

225'942

201'646

[4'0004'999AED]

136'515

[5'000+ AED]

328'980

Number of Contracts
Notes

43

This data is only for Enhanced products


The Enhanced Product: for individuals above the income threshold set by the Regulations for the Basic Product and available to all non-National
The Basic Product: for individuals (including limited income investors) with limited income in accordance with the threshold set by the Regulations and dependents of nonNationals who are not eligible to be covered by the non-Nationals employment based insurance

Source

Cube 2013 and Products Search Engine Database; Health Financing Strategy Analysis

Enhanced plans limits 2012


Benefit Level
Equivalent to Basic product benefit level
Better than Basic product benefit level

Geographic
Coverage
+
Home
Country,
11%

Annual Limit
AED millions

% Cover
Outside Network

Other (7%)
5.00 (1%)
2.50 (3%)
1.50 (2%)

100 (20%)

Member %

1.00 (14%)

+
International,
56%

.50 (17%)

80 (37%)

.35 (2%)

.30 (27%)

70 (4%)

50 (4%)
20 (1%)

+ Other
Emirates ,
33%

0 (34%)
.25 (27%)

Note

44

This data is only for Enhanced products.


About 21% of the enhanced plans contracts are excluded due to non compliance with reporting of benefits information.

Source

Cube 2012 and Products Search Engine Database; Health Financing Strategy Analysis

Capacity
Masterplan
27 November 2014

Contents
Model of Care
Abu Dhabis model of care
Model of care How health services are currently used, whats wrong?
Model of care whats new
Key themes for healthcare reforms

C3
C4
C5
C6

Capacity Gaps*
Current service balance
Service capacity balance by specialty
Clinician sub-specialty gaps
IPC capacity gap, top Medical Board reasons for sending paediatric patients abroad
IPC capacity gap, Medical Board classified reasons for sending abroad
IPC Medical Board approvals for treatment abroad compared to the Abu Dhabi population. 2008-2013 trends
IPC capacity gap, categorised as Services not available breakdown by volume of patient treated abroad

C8
C9
C10
C11
C12
C13
C14

Capacity Management*
Planning for healthcare services
Service capacity balance by location
Improving capacity management through regulating clinical service lines
List of Abu Dhabi clinical service lines
Centralised, Regional and Standard services, by % total Abu Dhabi DRG volumes
Centralised, Regional and Standard services, by % total Abu Dhabi DRG volumes (Paediatric)
Paediatric DRGs coverage in Abu Dhabi Emirate
Coverage of Regionally required DRG in Abu Dhabi Emirate

C16 & C17


C18
C19
C20
C21
C22
C23
C24

*Detailed plans for specific locations and services are available on www.shafafiya.org
Note
The data presented have been prepared to the best of our knowledge at time of release. Although effort has been invested to creating
consistency and coherence, this should be considered work in progress. Feedback on content and layout are welcome.

C1

Contents
Demand & Supply Projections*
Inpatient current supply and projected demand
Projected demand by Abu Dhabi planning region
Projected inpatient demand by Abu Dhabi planning region, by number of beds
Current health facility locations
Supply projections
Inpatient current and projected demand, by number of beds and Emergency bays

C26
C27
C28
C29
C30 & 31
C32

Assumptions
Population density
Population growth, scenarios
Demand projections
Demand projections based on WHO disease classification
Demand projections for doctors by specialty

C34
C35
C36
C37
C38

Recommendations
Planning recommendations
Facility recommendations for developers, investors, and healthcare Providers
Service recommendations for investors and developers
Recommendation for allocation of land and service provision
Access requirements

C40
C41
C42
C43
C44

*Detailed plans for specific locations and services are available on www.shafafiya.org
Note
The data presented have been prepared to the best of our knowledge at time of release. Although effort has been invested to
creating consistency and coherence, this should be considered work in progress. Feedback on content and layout are welcome.

C1
47

Remote
support

Outpatient
Clinic

Ambulance

Check-up

Urgent Care
Centre

Disease
management

Triage

Emergency
Admission .

ER

Emergency

Preventative

Severe
Moderate
None

Including diagnostics

Demand & Supply


Projections
2011 Actual

2016

2021

2026

2031

122,345

184,102

223,539

276,589

332,040

Target (85%)
Sub Acute Overnight
Episodes
Sub Acute Overnight
Beds
ICU beds
Emergency Bays

N/A

5,223

6,769

7,061

3.5

3,308

4,328

5,609

5,850

3.0

2,724

3,564

4,619

4,818

3,216

4,233

5,461

6,738

1.5

438

449

525

175

209

245

281

0.5

1,379

0.0

32

5,873
2,377
18
23,400
715
655
702
139
286
100,298
4,912
3,330
2,570
7,325
683
713
1,071
3,809
1,546
378
661
6,785
1,270
3,676
3,898
2,139

1,284
539
68
73
24

6.2
5.2
2.2
7.8
2.6

8.1
6.5
1.1
3.4
1.2

1
1

325

89

0.7

33
78

42
74

10
17

17
75

3.9
20.7

4.3
14.7

5.5
13.9

1
1
4
1

2
426
87
41

4
792
103
42

36
25
9

302
62
12

3.6
8.4
37.4

0.7
179.7
81.3
49.6

1.4
334.0
96.3
50.8

3.0

6.1

11

11

81.6

112.2

8.6

21.2

1
1
1

3
10
1

1
1

5
1

148
1

1
3
1
1
1
2

14
3

5
1

1,733
8
17
25
13
6
8
4

2,864
13
29
34
20
9
11
13

3
3
8
175
50
32
38
22
23

4
3
17
256
100
61
63
39
25

1
6

318
1
1
4
3

968
3
4
3
4
2
1

1
1

1.0
0.3

0.3
0.1

0.1
0.0

4.5
0.8
0.8
2.6
0.9
1.2
1.3
2.7

5.1
0.6
1.4
2.2
1.2
0.7
1.0
0.5

8.3
1.0
2.4
3.0
1.9
1.1
1.4
1.8

3.1
4.8
1.0
4.5
2.5
2.7
7.5
2.0
2.0

0.9
1.4
0.4
6.0
3.1
2.1
4.8
4.4
4.6

1.2
1.4
0.9
8.8
6.3
4.1
7.9
7.8
5.0

1
2
1
1
1
1
1

1
1
1
11
3
3
5

5
23
7
3
5
2
2

32
107
14
17
18
10
10

81,520
95,972
97,522
111,191
15,375
(41,268)
22,755
72,169
114,161
94,685
138,260
45,753
17,306
64,683
114,743
17,196
67,629
98,930
119,173
99,224
49,672
119,878
49,902
19,925
240,000
80,000
100,000
5,000
30,000
200,000
3,049
4,804
30,937
36,456
1,042
892
1,171
209
558
364,298
10,488
18,135
20,516
3,709
1,313
32,120
1,650
1,993
2,240
1,411
45,000
11,000
114,000
60,000
7,000
65,000
5,000

Clinics

Hospitals

Projects under way

Clinics

Clinic
required

2030 planned

1
1
1

110,000
100,000
100,000
425,000
190,000
100,000
70,000
110,000
130,000
110,000
150,000
55,000
25,000
70,000
120,000
20,000
70,000
100,000
120,000
100,000
50,000
120,000
50,000
20,000
240,000
80,000
100,000
5,000
30,000
200,000
11,900
10,000
79,740
74,000
6,000
5,000
5,000
4,000
2,500
707,300
23,000
30,000
32,000
14,350
9,500
40,000
9,000
8,400
5,500
3,500
65,000
40,000
130,000
75,000
15,000
70,000
10,000

1
1

1
1
1
2

1
1
1
1

3
4
1

1
1
6
1

1
3

1
1
1

1
1
2
1
1
1

1
1
1
1
1

1
1
1
1

1
1
1
2
1
1
1
1
1
8

3
1
1
1
1
1
1
1
1
1

1
1
2
1
1
2
1
1
1
1

1
1

2030
Population

2030 requirements

Hospitals
required

Population Growth

12.4
9.5
1.4
2.2
1.2

Hospitals

2030 Plan growth

Doctors
/1000

132

430
241
21
57
14

Nurses
/1000

Nurses
3,878
1,663
194
106
47

Other

Dentists

Ratios

2,529
1,131
161
162
45

Facilities
/10000

Hospitals

Clinics

Nearby
hospital

182
86
31
37
10

Doctors

Total

% National

Total
2
7
2
None
2
None
6
None
None
None
None
3
None
None
None
None
8
1
None
None
None
None
None
186
1
1
3
1
1
1
2
None
1
1
5
16
4
4
6
1
1

Clinicians

13
5

1
1
1

Note: Abu Dhabi and Al Gharbia populations based on SCAD 2005 census. Al Ain population based on 2008 UPC estimate.
Source: Population: SCAD, UPC 2030 plans. Clinicians and Facilities: Licensing database. Planned Facilities ; SEHA, UPC 2030 plans, HAAD Planning analysis.

1.0

DRAFT

National
411'200
416'150
422'200
429'400
437'800
445'800
453'600
460'500
467'600
473'600

Expatriate
Low
1'945'000
1'970'000
2'060'000
2'130'000
2'175'000
2'250'000
2'310'000
2'360'000
2'400'000
2'475'000

Clinics2

High
2'045'000
2'190'000
2'350'000
2'505'000
2'675'000
2'850'000
3'045'000
3'240'000
3'400'000
3'575'000

Hospitals5

Ambulance
Stations

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Land provision options

Parking
(spaces)

Minimum service
requirement

Estimated
Resources

Transient1

Land area
(m 000s)

4-5

12-15

?3

2.5

25

2 Physicians

8-12

24-36

?3

30

Primary care
Pharmacy services (on-site or
within 10 min walk)
Laboratory service

12-30

36-90

8.5

?3

3.5

35

30-40

90-120

12

?3

4.5

45

60-80

180-240

80

n/a

n/a

3/bed

90-110

270-330

100

n/a

n/a

10-16

30-48

?7

16-40

48-120

?7

OR

Population growth, Scenarios

Notes

Notes :Sub Acute beds include: Rehabilitation, Palliative care, Maintenance, Older Persons and Psychogeriatric care; ICU beds exclude
Paediatrics, NICU, CCU, etc. Acute Overnight beds exclude day case beds. Sub acute numbers of beds adjusted
Source: TAHPI, Health Facility briefing system, reference data is based on data extracted from the Australian Institute of Health and Welfare,
supplemented by data from the USA inpatient sample and UK Hospital Episode Statistics Online (HES)
Assumptions
Projected bed numbers from 2016 onwards are based on International Average ALOS and 75% occupancy for ICU beds.
Population growth based on: Abu Dhabi Urban Planning Council
2030 Plan projections, Advantaged socio-economic class
and with life expectancy >77years. Expatriate utilisation increases from 45% of UAE National utilisation to 55% of UAE
National utilisation. Sub acute number of beds adjusted to meet international benchmark

C2
48

None
None
None
229
124
36
43
10
None
1
None
None
3
11
None

For planning purposes, land must be available for hospitals, clinics and ambulance stations
to serve anticipated population as per the following guidelines:

Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020

2.0

342

1,182

Facilities

10,963
1,996
44,004
14,141
2,256
27,267
16,361
10,674
13,038
4,565
33
4,927
2,703
1,837
480
2,121
53
397
1
95

Land requirements Guidelines for urban planners

As at 31 December 2010 Draft

Low

2.5

146

987

#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?

Population
(000s people)

High

3,992

789

8,851
5,196
48,803
37,544
4,958
4,108
3,829
3,791
1,942
343,002
12,512
11,865
11,484
10,641
8,187
7,880
7,350
6,407
3,260
2,089
20,000
29,000
16,000
15,000
8,000
5,000
5,000

Residential

4.0

224

N/A

28,480
4,028
2,478
313,809
174,625
141,268
47,245
37,831
15,839
15,315
11,740
9,247
7,694
5,317
5,257
2,804
2,371
1,070
827
776
328
122
98
75

Recommendations

Assumptions

Population (millions)

3,289

Intermediate (70%)

Type
Rural
Rural
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural

11

Population growth, scenarios

Current and projected demand, by Episodes and beds

Acute Overnight Beds Current (58%)

Gap now

Capacity Gap

Institute of Medicine 2001 Crossing the Quality Chasm, Bodenheimer et al 2002 JAMA, Department of Health UK 2001 Reforming Emergency Care, Picker Institute, Strategy analysis

Bed Occupancy

Population

Region
District
Abu Dhabi Desert Villages
Al Falah
Ghantoot District
Abu Dhabi Island
CBD/Financial Centre
Musaffah
Bani Yas
Al Shahama
Shamkhah
Al Rahba
New Port City
Capital District South
Bain Al Jesrain
Khalifa City A
Grand Mosque District
Inner Islands
Capital District North
Al Mina
Al Raha
Yas Island
Mohamed Bin Zayed City
Saadiyat
Airport District
Lulu Island
Capital District
Mohamed Bin Zayed Centre
South Hudayriat Island
Marina Village
Al Suwwah
Al Reem
Al Ain
Umm Ghaffa
Nahel
Industrial City
Al Salamat/Al Yaher
Al Dhahra
Abu Krayyah
Al Saad
Al Araad
Abu Samra
Al Ain City
Al Quaa
Al Wagan
Al Hayer
Al Dhaher
Remah
Sweihan
Al Khazna
Mezyad
Al Shwaib
Al Fagah
Western Liwa
Madinat Zayed
Ruwais
Mirfa
Ghayathi
Sila'a
Delma Island

Elective
Admission

Screening

Acute Overnight
Episodes

Capacity Masterplan

DRAFT

Non-emergency/elective

Patient self-care

Nationals

Model of care How health services should be used

Source

Capacity
Management

Capacity Gaps

Model of Care

Co-location

GFA4
OR (m2 000s)

OR

4-6 Physicians
7-14
Physicians
15-20
Physicians
180-240
Beds6

3/bed

Emergency services
Laboratory services
Radiology services
Stand-alone building

n/a

10

Ambulance service (land /air)

1 Ambulance

n/a

15

Ambulance service (land /air)

2 Ambulances

270-330
beds6

1Transient

population includes staff and other non-residential visitors


Clinics, Centers and Polyclinics
3Appropriate facilities for co-location with Clinics include Hospitals, Ambulance Stations, Mosques, Neighbourhood Commercial Centres, Sport
Facilities, Community/Cultural Centres, Pharmacies, Schools and Post Offices,
4Clinic GFA may be provided within larger commercial centre with adequate transport options and shared parking
5 If residential population is less than 60,000 or transient population is less than 180,000, land provision for a hospital facility needs to be made on a
site-based analysis which considers the accesibility of existing hospital facilities
6Optimal hospital size is 200-600 beds
7Appropriate facilities for co-location with Ambulance Stations include Clinics, Hospitals, Civil Defense Stations, Police Stations and Municipal Offices
Source HAAD Health Facility Community Guidelines 2009, Strategy analysis
2Clinics collectively refers to

Note

C17

HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here are for internal HAAD use only
Projections for Nationals are rounded to the nearest 2.5% variance between high and low, and those for Expatriates at 5%.
Source SCAD population estimates; additional HAAD assumptions and analysis based on raw insurance data`

73

Abu Dhabis model of care


Healthcare in Abu Dhabi faces growing demand for services arising from an expanding populationC18, C35. The current population is young
and has a rate of chronic diseases that is set to increase as it ages. The current model of care in Abu Dhabi does not adequately support self
care. Also, patients have undirected access to services and specialty care which leads to inappropriate use and, in turn, over-supply of
servicesC4,C17,C18. In response HAAD is further developing its capacity management processes, its Weqaya screening programme and its
approach to the continuum of care.
Specialty care is not equally distributed across the 3 regions of Abu Dhabi Emirate. In addition rural primary care and subacute care is not
well developed in the Emirate. In response HAAD is developing its comprehensive capacity planning process to address these issues
including resolving critical shortages including rural areas in the Western and Eastern Regions.
Historically, Abu Dhabi has had a relatively limited supply of healthcare services, particularly hospital beds, which led to investment in
infrastructure. Achieving world-class quality care, however, is about much more than new buildingsC5,C6. Before embarking on large-scale
projects which affect community healthcare services long-term, it is important to be clear on what type of healthcare is appropriate for the
evolving communities and population of Abu Dhabi in the 21st century.
Abu Dhabis model of careC5 describes how healthcare should look in future and is based on robust international experience*. The focus is
on empowering patients. As a first step, pro-active check-ups and convenient routine follow-up should help prevent disease. When there is
a condition, patients should be supported to care for themselves, where appropriate and supported by well developed primary and
subacute care including home care and the integrated use of telemedicine**. In order to promote the use of home care and telemedicine
HAAD has developed new At Home and telemedicine standards. This has been shown to improve quality, and improve access in rural
areas. There needs to be improved access to appropriate elective and emergency care, and this should be streamlined and optimised from
the patients perspective through an emphasis on early clinical triage. Diagnostics, for instance, should be more readily available to enable
one-stop-treatment.
Making such ambitious changes to our healthcare system will require many decisions on what to do and what not to do. The proposed
healthcare reforms with consensus from major health stakeholdersC6 help clarify how priorities should be made in delivering health
services and transitioning to the new model of care.

C3
49

* Impact of home care on hospital days: a meta analysis. Hughes, SL et al (1997). ** A randomised controlled trial of child psychiatric assessment conducted by videoconferencing.
Alford, R et al (2000).

Model of care How health services are currently used. Whats wrong?
There are no systems
in place to support
patient self-care and
management of
chronic disease

Open
access1

Ambulance

Outpatient

Inpatient

Primary care
centre/ clinic

Subacute care is not


(yet) fully aligned
and many long term
care patients are
occupying acute beds

Hospital ER

Hospital
admission

Specialist

Screening
programmes are not
(yet) fully aligned
towards preventing
and treating chronic
conditions

Hospital
specialist
Screening
Patient access to services
is not streamlined: leading
to over-servicing, oversupply and inappropriate
service use
Notes
Source

C4
50

1Access

Laboratory and
radiology

Diagnostics

Diagnostic services
are not optimally
integrated into
treatment paths

to SEHA hospital specialists is only via referral from SEHA Centres/Clinics and ER departments. Some SEHA Hospital ER departments also
direct non-emergency patients to adjacent Urgent care centres
Strategy analysis

Desired model of care. Whats new?


Primary and Community Care / Prevention

Subacute care

OUTPATIENT

Home
Healthcare
Telemedicine

INPATIENT

Consultant
led Family
based Care

Remote
support
Disease
management

Check-up

Vaccination
and public
health
programmes

Screening

Urgent Care
Centre
ER
Ambulance
Triage
C5
51

Source

Strategy analysis

Outpatient

Tertiary/Quaternary level
Acute Care

Secondary
level Acute
care

Centralized
Emergency
specialist services
e.g., Trauma
Centre, Stroke and
Cardiac

Key themes for healthcare reforms


The following 7 major priorities have been identified:

Integrated continuum of care for individuals

Wellness and preventionpublic Health


approach

Drive quality and safety as well as enhance


patient experience

Ensure value for money + Sustainability of


healthcare spend

Attract/retain/train workforce

Integrated Health Informatics and eHealth

Emergency preparedness

Governance as a key enabler of the reform effort


C6
52

Source

Abu Dhabi Health Sector Strategic Review and Performance Evaluation. May 2013.

Remote
support

Outpatient
Clinic

Ambulance

Check-up

Urgent Care
Centre

Disease
management

Triage

Emergency
Admission .

ER

Emergency

Preventative

Severe
Moderate
None

Including diagnostics

Demand & Supply


Projections
2011 Actual

2016

2021

2026

2031

122,345

184,102

223,539

276,589

332,040

Target (85%)
Sub Acute Overnight
Episodes
Sub Acute Overnight
Beds
ICU beds
Emergency Bays

N/A

5,223

6,769

7,061

3.5

3,308

4,328

5,609

5,850

3.0

2,724

3,564

4,619

4,818

3,216

4,233

5,461

6,738

1.5

438

449

525

175

209

245

281

0.5

1,379

0.0

1,284
539
68
73
24

6.2
5.2
2.2
7.8
2.6

8.1
6.5
1.1
3.4
1.2

1
1

325

89

0.7

33
78

42
74

10
17

17
75

3.9
20.7

4.3
14.7

5.5
13.9

1
1
4
1

2
426
87
41

4
792
103
42

36
25
9

302
62
12

3.6
8.4
37.4

0.7
179.7
81.3
49.6

1.4
334.0
96.3
50.8

3.0

6.1

11

11

81.6

112.2

8.6

21.2

1
1
1

3
10
1

2
7
2
None
2
None
6
None
None
None
None
3
None
None
None
None
8
1
None
None
None
None
None
186
1
1
3
1
1
1
2
None
1
1
5
16
4
4
6
1
1

1
1

5
1

148
1

1
3
1
1
1
2

14
3

5
1

1,733
8
17
25
13
6
8
4

2,864
13
29
34
20
9
11
13

3
3
8
175
50
32
38
22
23

4
3
17
256
100
61
63
39
25

1
6

318
1
1
4
3
1
1

968
3
4
3
4
2
1

1.0
0.3

0.3
0.1

0.1
0.0

4.5
0.8
0.8
2.6
0.9
1.2
1.3
2.7

5.1
0.6
1.4
2.2
1.2
0.7
1.0
0.5

8.3
1.0
2.4
3.0
1.9
1.1
1.4
1.8

3.1
4.8
1.0
4.5
2.5
2.7
7.5
2.0
2.0

0.9
1.4
0.4
6.0
3.1
2.1
4.8
4.4
4.6

1.2
1.4
0.9
8.8
6.3
4.1
7.9
7.8
5.0

1
2
1
1
1
1
1

1
1
1
11
3
3
5

5
23
7
3
5
2
2

32
107
14
17
18
10
10

81,520
95,972
97,522
111,191
15,375
(41,268)
22,755
72,169
114,161
94,685
138,260
45,753
17,306
64,683
114,743
17,196
67,629
98,930
119,173
99,224
49,672
119,878
49,902
19,925
240,000
80,000
100,000
5,000
30,000
200,000
3,049
4,804
30,937
36,456
1,042
892
1,171
209
558
364,298
10,488
18,135
20,516
3,709
1,313
32,120
1,650
1,993
2,240
1,411
45,000
11,000
114,000
60,000
7,000
65,000
5,000

Clinics

Hospitals

Projects under way

1
1

1
1
1
2

1
1
1
1

3
4
1

1
1
6
1

1
3

1
1
1

1
1
2
1
1
1

1
1
1
1
1

1
1
1
1

1
1
1
2
1
1
1
1
1
8

3
1
1
1
1
1
1
1
1
1

1
1
2
1
1
2
1
1
1
1

1
1

1
1
1

2030
Population

Clinic
required

2030 planned

1
1
1

Clinics

Hospitals
required

2030 requirements

Population Growth

12.4
9.5
1.4
2.2
1.2

Hospitals

2030 Plan growth

Doctors
/1000

132

430
241
21
57
14

Nurses
/1000

Nurses
3,878
1,663
194
106
47

Other

Dentists

Ratios

2,529
1,131
161
162
45

Facilities
/10000

Total

Hospitals

Clinics

Nearby
hospital

182
86
31
37
10

Doctors

Total

% National

5,873
2,377
18
23,400
715
655
702
139
286
100,298
4,912
3,330
2,570
7,325
683
713
1,071
3,809
1,546
378
661
6,785
1,270
3,676
3,898
2,139

Clinicians

13
5

110,000
100,000
100,000
425,000
190,000
100,000
70,000
110,000
130,000
110,000
150,000
55,000
25,000
70,000
120,000
20,000
70,000
100,000
120,000
100,000
50,000
120,000
50,000
20,000
240,000
80,000
100,000
5,000
30,000
200,000
11,900
10,000
79,740
74,000
6,000
5,000
5,000
4,000
2,500
707,300
23,000
30,000
32,000
14,350
9,500
40,000
9,000
8,400
5,500
3,500
65,000
40,000
130,000
75,000
15,000
70,000
10,000

Note: Abu Dhabi and Al Gharbia populations based on SCAD 2005 census. Al Ain population based on 2008 UPC estimate.
Source: Population: SCAD, UPC 2030 plans. Clinicians and Facilities: Licensing database. Planned Facilities ; SEHA, UPC 2030 plans, HAAD Planning analysis.

1.0

DRAFT

National
411'200
416'150
422'200
429'400
437'800
445'800
453'600
460'500
467'600
473'600

Expatriate
Low
1'945'000
1'970'000
2'060'000
2'130'000
2'175'000
2'250'000
2'310'000
2'360'000
2'400'000
2'475'000

Clinics2

High
2'045'000
2'190'000
2'350'000
2'505'000
2'675'000
2'850'000
3'045'000
3'240'000
3'400'000
3'575'000

Hospitals5

Ambulance
Stations

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Land provision options

Parking
(spaces)

Minimum service
requirement

Estimated
Resources

Transient1

Land area
(m 000s)

4-5

12-15

?3

2.5

25

2 Physicians

8-12

24-36

?3

30

Primary care
Pharmacy services (on-site or
within 10 min walk)
Laboratory service

12-30

36-90

8.5

?3

3.5

35

30-40

90-120

12

?3

4.5

45

60-80

180-240

80

n/a

n/a

3/bed

90-110

270-330

100

n/a

n/a

10-16

30-48

?7

16-40

48-120

?7

OR

Population growth, Scenarios

Notes

Notes :Sub Acute beds include: Rehabilitation, Palliative care, Maintenance, Older Persons and Psychogeriatric care; ICU beds exclude
Paediatrics, NICU, CCU, etc. Acute Overnight beds exclude day case beds. Sub acute numbers of beds adjusted
Source: TAHPI, Health Facility briefing system, reference data is based on data extracted from the Australian Institute of Health and Welfare,
supplemented by data from the USA inpatient sample and UK Hospital Episode Statistics Online (HES)
Assumptions
Projected bed numbers from 2016 onwards are based on International Average ALOS and 75% occupancy for ICU beds.
Population growth based on: Abu Dhabi Urban Planning Council
2030 Plan projections, Advantaged socio-economic class
and with life expectancy >77years. Expatriate utilisation increases from 45% of UAE National utilisation to 55% of UAE
National utilisation. Sub acute number of beds adjusted to meet international benchmark

C7
53

32

None
None
None
229
124
36
43
10
None
1
None
None
3
11
None

For planning purposes, land must be available for hospitals, clinics and ambulance stations
to serve anticipated population as per the following guidelines:

Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020

2.0

342

1,182

Facilities

10,963
1,996
44,004
14,141
2,256
27,267
16,361
10,674
13,038
4,565
33
4,927
2,703
1,837
480
2,121
53
397
1
95

Land requirements Guidelines for urban planners

As at 31 December 2010 Draft

Low

2.5

146

987

#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?

Population
(000s people)

High

3,992

789

8,851
5,196
48,803
37,544
4,958
4,108
3,829
3,791
1,942
343,002
12,512
11,865
11,484
10,641
8,187
7,880
7,350
6,407
3,260
2,089
20,000
29,000
16,000
15,000
8,000
5,000
5,000

Residential

4.0

224

N/A

28,480
4,028
2,478
313,809
174,625
141,268
47,245
37,831
15,839
15,315
11,740
9,247
7,694
5,317
5,257
2,804
2,371
1,070
827
776
328
122
98
75

Recommendations

Assumptions

Population (millions)

3,289

Intermediate (70%)

Type
Rural
Rural
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural

11

Population growth, scenarios

Current and projected demand, by Episodes and beds

Acute Overnight Beds Current (58%)

Gap now

Capacity Gap

Institute of Medicine 2001 Crossing the Quality Chasm, Bodenheimer et al 2002 JAMA, Department of Health UK 2001 Reforming Emergency Care, Picker Institute, Strategy analysis

Bed Occupancy

Population

Region
District
Abu Dhabi Desert Villages
Al Falah
Ghantoot District
Abu Dhabi Island
CBD/Financial Centre
Musaffah
Bani Yas
Al Shahama
Shamkhah
Al Rahba
New Port City
Capital District South
Bain Al Jesrain
Khalifa City A
Grand Mosque District
Inner Islands
Capital District North
Al Mina
Al Raha
Yas Island
Mohamed Bin Zayed City
Saadiyat
Airport District
Lulu Island
Capital District
Mohamed Bin Zayed Centre
South Hudayriat Island
Marina Village
Al Suwwah
Al Reem
Al Ain
Umm Ghaffa
Nahel
Industrial City
Al Salamat/Al Yaher
Al Dhahra
Abu Krayyah
Al Saad
Al Araad
Abu Samra
Al Ain City
Al Quaa
Al Wagan
Al Hayer
Al Dhaher
Remah
Sweihan
Al Khazna
Mezyad
Al Shwaib
Al Fagah
Western Liwa
Madinat Zayed
Ruwais
Mirfa
Ghayathi
Sila'a
Delma Island

Elective
Admission

Screening

Acute Overnight
Episodes

Capacity Masterplan

DRAFT

Non-emergency/elective

Patient self-care

Nationals

Model of care How health services should be used

Source

Capacity
Management

Capacity Gaps

Model of Care

Co-location

GFA4
OR (m2 000s)

OR

4-6 Physicians
7-14
Physicians
15-20
Physicians
180-240
Beds6

3/bed

Emergency services
Laboratory services
Radiology services
Stand-alone building

n/a

10

Ambulance service (land /air)

1 Ambulance

n/a

15

Ambulance service (land /air)

2 Ambulances

270-330
beds6

1Transient

population includes staff and other non-residential visitors


Clinics, Centers and Polyclinics
3Appropriate facilities for co-location with Clinics include Hospitals, Ambulance Stations, Mosques, Neighbourhood Commercial Centres, Sport
Facilities, Community/Cultural Centres, Pharmacies, Schools and Post Offices,
4Clinic GFA may be provided within larger commercial centre with adequate transport options and shared parking
5 If residential population is less than 60,000 or transient population is less than 180,000, land provision for a hospital facility needs to be made on a
site-based analysis which considers the accesibility of existing hospital facilities
6Optimal hospital size is 200-600 beds
7Appropriate facilities for co-location with Ambulance Stations include Clinics, Hospitals, Civil Defense Stations, Police Stations and Municipal Offices
Source HAAD Health Facility Community Guidelines 2009, Strategy analysis
2Clinics collectively refers to

Note

C17

HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here are for internal HAAD use only
Projections for Nationals are rounded to the nearest 2.5% variance between high and low, and those for Expatriates at 5%.
Source SCAD population estimates; additional HAAD assumptions and analysis based on raw insurance data`

73

Current service balance


To obtain an accurate picture of capacity balance in the Emirate,
international benchmarking of demand by population and population
type is analysed & projected forward. This data along with a number
of quantitative sources including International Patient Care (IPC) data
is monitored and compared to Abu Dhabi current and planned supply.

Growth. The number of physicians and dentists licensed within the


emirate has grown by 1427 (22%) since the end of 2012 continuing to
ensure wider coverage across the range of specialties. The number of
facilities offering healthcare has also grown to 1,6264. (11% increase
on 2012 level)

Historic Capacity Gaps are in Intensive and Critical Care medicine,


Emergency care, Neonatology, Paediatric, Oncology, Orthopaedic,
Rehabilitation and PsychiatryC9. In previous years only modest
increases in supply have occurred, however 2013 has seen major
progress in addressing specialties in shortage.

Centralised and Regional services. In order to improve coverage,


concentrate clinical expertise and improve quality and cost efficiency
HAAD has designated a limited number of Regional services each
serving a population of ~250,000 residents. For complex and highly
specialised Centralised services HAAD has designated certain highly
specialised services that will only be provided by a small number of
Abu Dhabi Providers to serve the whole Emirate. The detailed plans
are included in pages C19 to C24.

There has been significant growth in the specialties where capacity


gaps exist, for example since the end of 2012 there has been 20%
growth in Emergency Physicians, 41% growth in Neonatologists and a
21% increase in Paediatric and Orthopedic doctors respectively.
Critical care doctors have grown by 14%. Obstetrics & Gynecology
doctors have grown by 30%, Ophthalmologists have grown by 28%
and Neurologists by 32%. Mental Health Physicians have increased
by 35%. In each case additional facilities have also been opened.
Further general and specialised capacity is also due to be expanded
by new and existing providers in the futureC31,C32. The private sector
has been responsible for the largest proportion of growth (74%) in
licensed physicians.
Sub-specialty gaps Paediatric and Paediatric surgery sub-specialties
and adult surgical sub-specialties including Neurosurgery, Plastics,
Surgical Oncology remain undersupplied in Abu DhabiC9.
Health challenges. Growth in demand for healthcare services
associated with the prevention and treatment of cancer,
cardiovascular disease, diabetes, respiratory conditions, emergency
medicine and neuropsychiatric conditions is expected to be
particularly high.

C8
54

Improving capacity management through regulating clinical service


lines. Since January 2013 HAAD has began licensing hospital
providers for clinical services at DRG level in order to reduce
duplication of services, improve the coverage of capacity gaps both
at a specialty and geographic level and to meet future demand.
There is clear risk of oversupply within the Emirate. HAAD is
developing measures including improved alignment of supply with
demand.
International Patient Care Programme. The percentage of the
medical board approval for the patient travel abroad as compared to
the total population is showing a reducing trend and has reduced by
14 % during the period 2008-2013. Pages C10, C13 and C14 detail the
major capacity gaps.

Service capacity balance by specialty

As at 31 December 2013

Notes
Sources:

C9
55

42
128
41
95
84
275
529
27
402
23
503
21
4
32
201
218
228
41
333
194
13
1,213
100
2,392
36
180
40
55
189
49
36
9
25
163
8,021

14%
20%
41%
20%
35%
30%
21%
4%
23%
21%
20%

4
16
6
2
3
21
32
26
1
34

1
5
6
14
19
43
59
1
48
3
50

-11%
21%
27%
27%
41%
29%

1
11
30
10
1
28

-5
24
16
38
11
47

28%

11

31

28%
22%
20%
24%
15%
33%
28%
20%
17%
6%
0%
39%
15%
22%

11
102
-1
5
3
4
-2
5
-1
4
11
26%

252
18
299
8
18
7
8
34
2
3
-23
3
24
74%

11
20
14
32
22
103
118
7
92
13
108
16
4
14
64
53
77
22
56

-18%
14%
13%
12%
38%
12%

68
10
389
49
335
22
91
15
23
108
24
25
5
15
74

8%
11%
12%
26%
15%
22%
7%
25%
5%
23%
14%
4%
-80%
25%
4%

22%
11%
27%
19%
29%
11%
15%
17%
23%
18%
16%

Private

% Growth of
Facilities Providing
the Services

Public

Gaps

Facilities

Private

Specialty
Intensive & Critical Care Medicine
Emergency Medicine
Neonatology
Cardiology
Psychiatry
Obstetrics & Gynecology
Paediatrics
Oncology
General Surgery
Paediatric Surgery
Internal Medicine
Physical Medicine & Rehabilitation
Allergy & Immunology
Cardio-thoracic Surgery
Orthopedics
Family Medicine
Radiology
Neurology
Anesthesiology
Preventive Medicine
Ophthalmology
Infectious Diseases
Dentistry
Urology
General Medicine
Pulmonology
Pathology
Nephrology
Endocrinology
Dermatology
Gastroenterology
Alternative Therapies
Oral & Maxillofacial Surgery
Rheumatology
Otolaryngology (ENT)
Total

Public

Physicians/Dentists

Private

Capacity Balance
% Growth in
Physicians/Dentists

-1
1

3
1
-1
1

-2
-1
3
1

2
3
2
5
5
7
14
1
18
2
14

No Capacity Gap
Moderate Capacity Gap
Severe Capacity Gap
% Private / Public Capacity
Increase
No change
Decrease

-1
9
3
8
5
6
5

1
3
-1
-1
-3
-1
1
-1

38
10
45
5
9
4

21
3
1
-18
3
5

234

-2

Growth compares 2013 to 2012.


Gaps: Defined by analysis of IPC data, international benchmarking from doctors per capita, bed census analysis and analysis of regional DRG coverage, Strategy analysis.
Physicians and Facilities: Licensing database.

Clinician sub-specialty gaps Doctor not available


2013
Classification of Disease

Reason for Sending Abroad

Paediatric Ophthalmology

Paediatric retina specialist not available

Count of patients
1

Paediatric glaucoma specialist not available

2012
Count of patients

2011
Count of patients
4

Paediatric corneal specialist not available

Paediatric medical retina specialist not available

Post enucleation services specialist not available

Paediatric Spinal surgery

Paediatric spinal surgeon specialist not available

32

25

Paediatric Orthorpedic Surgery

Brachial plexus multidisciplinary team not available

13

Hand specialist not available

Hand/upper arm deformities specialist not available

Paediatric Orth-oncology

Paediatric ortho-oncology specialist not available

Neurology

Dystonia specialist not available

Specialized neuromuscular disorder specialist not available

Movement disorder specialist not available

Orthopedic Surgery

Foot and ankle specialist not available

Hand specialist not available

Ortho-oncology specialist (Sarcoma) not available

Paediatric Cardiology

Paediatric electrophysiology specialist not available

Paediatric Rheumatology

Paediatric rheumatology not available

Paediatric Pulmonology

Cystic fibrosis multidisciplinary unit not available

Paediatric Neurology

Neuromuscular disorder specialist not available


Muscle pathologist not available

1
2

1
1

Cardiology

Congenital heart disease in adult services not available

Metabolic Disease

Expertise in metabolic field not available

Paediatric Ophthalmic Oncology

Ophthalmic oncology specialist not available

Ophthalmic Oncology

Onco-ophthalmology services not available

Neurosurgery

Neuro-oncology specialist, Neuro-ophthalmic specialist not available

Plastic Surgery

Micro vascular plastic reconstruction not available

1
1

1
1

Ear reconstruction plastic surgeon not available


Colrectal Surgery

Required pelvic floor expertise not available

Paediatric Vascular Surgery

Specialized paediatric vascular centre not available

Ophthalmology

Glaucoma specialist not available

1
1

1
56

89

58

Clinician sub-specialty gaps are subject to dynamic change.

Source IPC 2011,2012 & 2013 Annual Statistics Report. Analysis of Medical Board referrals abroad for treatment (under International Patient Care, IPC).

C10
56

Facial palsy plastic surgeon not available

Notes

IPC capacity gap, top Medical Board reasons for sending


paediatric patients abroad
Medical Board Paedatric Reason for Abroad Treatment 2009-2013
45

40
35

30
25

20
15

10
5

Note
Source

C11
57

Paediatric
Oncology

2013

18

Paediatric
Orthopedic
Surgery
27

Paediatric
Cardiac Surgery

Paediatric
Neurology

Paediatric
Ophthalmology

27

22

37

Paediatric
Gastroenterolo
gy
20

Paediatric
Pulmonology

Paediatric
Cardiology

Paediatric
Paediatric
Paediatric Spine
Oncology/Haem Plastic Surgery
Surgery
atology
15
11
34

Paediatric
Haematology

Paediatric
General Surgery

Paediatric
Rehabilitation

Paediatric
Neurosurgery

Paediatric ENT

Paediatric
Urology

21

20

19

10

Paediatric
Brachial Plexus
Injury
6

2012

29

41

32

11

31

18

25

34

14

25

11

15

10

2011

40

37

29

26

21

18

17

17

16

15

14

11

18

12

2010

21

31

31

14

19

17

15

15

15

11

17

15

2009

16

28

41

15

18

16

12

19

10

15

16

Paediatric age is defined to be inclusive of ages from birth and up to 18 years old.
HAAD- IPC 2013 Statistic Report, IPC capacity gap analysis- planning analysis.

Paediatric BMT
follow up

BMT Paediatric

IPC capacity gap, Medical Board classified reasons for


sending abroad
568

600

500

400

344

300
205

199

200
108
100

37

14

0
Follow up previous
Treatment Abroad

Limited Services

Emergency
Treatment while
Abroad

Medical Board Classification of Reason for Sending Abroad

High
Risk/Complexity

Service Not
Available

Donor

Others

Count of Patients

Follow up previous treatment abroad


Limited services
Emergency treatment while abroad
High risk/complexity
Service not available
Donor
Others

Grand Total

C12
58

568
344
205
199
108
14
37

1,475

Source IPC 2013 Statistics Report- Medical Board sub reason for sending and approving treatment abroad.

%
38%
25%
15%
15%
8%
1%
3%

IPC Medical Board approvals for treatment abroad


compared to the Abu Dhabi population. 2008-2013 trends

120
100
80
60
40
20
0
2008

2009

2010

2011

2012

2013

% Medical Board approval to the total population


Linear (% Medical Board approval to the total population)
The percentage of the Medical Board approvals for treatment abroad as compared to the population is
showing a reducing trend and has reduced by 14% during the period 2008-2013.

C13
59

Note

26% of HAAD IPC approvals relate to UAE patients from Non Abu Dhabi Emirate.

Source

HAAD IPC 2013 Statistics Report; planning analysis

IPC capacity gap, categorised as Services not available


breakdown by volume of patient treated abroad

Pre-implantation genetic diagnosis (PGD)

Paediatric Ophthalmology

Paediatric Neurosurgery

Renal Transplant

Cardiology
Paediatric Vascular Surgery
Brachial Plexus Injury
Paediatric Cardiology
Urology
Spine Surgery
Ophthalmic Onocology
Paediatric Pulmonology
Paediatric Orthopedic Surgery
Paediatric Electrophysiology
Post Cardiac Transplant
ENT
Gastroenterology
Orthopedic Surgery

1
1
1
1
1
1
1
1
1
1

1
1
2

Paediatric Plastic Surgery

BMT

Plastic Surgery

Ortho-Oncology

Paediatric Rheumatology

Paediatric Neurology

Ophthalmology
Neurosurgery
Paediatric Ortho-Oncology
Liver Transplant

3
3
3
3

Post BMT Follow up

Paediatric Rehabilitation

Paediatric BMT Follow Up

Paediatric Bone Marrow Transplant

BMT follow up

10

Donor

10

Paediatric Spine Surgery

16
0

C14
60

10

12

14

16

18

Note

Services not available classification by Medical Board includes the non-availability of facilities, specialised centres, equipment, programmes,
clinical staff etc.

Source

IPC 2013 statistic report- Medical Board sub reason for sending abroad (Services not available) and approving treatment abroad.

Remote
support

Outpatient
Clinic

Ambulance

Check-up

Urgent Care
Centre

Disease
management

Triage

Emergency
Admission .

ER

Emergency

Preventative

Severe
Moderate
None

Including diagnostics

Demand & Supply


Projections
2011 Actual

2016

2021

2026

2031

122,345

184,102

223,539

276,589

332,040

Target (85%)
Sub Acute Overnight
Episodes
Sub Acute Overnight
Beds
ICU beds
Emergency Bays

N/A

5,223

6,769

7,061

3.5

3,308

4,328

5,609

5,850

3.0

2,724

3,564

4,619

4,818

3,216

4,233

5,461

6,738

1.5

438

449

525

175

209

245

281

0.5

1,379

0.0

32

5,873
2,377
18
23,400
715
655
702
139
286
100,298
4,912
3,330
2,570
7,325
683
713
1,071
3,809
1,546
378
661
6,785
1,270
3,676
3,898
2,139

1,284
539
68
73
24

6.2
5.2
2.2
7.8
2.6

8.1
6.5
1.1
3.4
1.2

1
1

325

89

0.7

33
78

42
74

10
17

17
75

3.9
20.7

4.3
14.7

5.5
13.9

1
1
4
1

2
426
87
41

4
792
103
42

36
25
9

302
62
12

3.6
8.4
37.4

0.7
179.7
81.3
49.6

1.4
334.0
96.3
50.8

3.0

6.1

11

11

81.6

112.2

8.6

21.2

1
1
1

3
10
1

1
1

5
1

148
1

1
3
1
1
1
2

14
3

5
1

1,733
8
17
25
13
6
8
4

2,864
13
29
34
20
9
11
13

3
3
8
175
50
32
38
22
23

4
3
17
256
100
61
63
39
25

1
6

318
1
1
4
3

968
3
4
3
4
2
1

1
1

1.0
0.3

0.3
0.1

0.1
0.0

4.5
0.8
0.8
2.6
0.9
1.2
1.3
2.7

5.1
0.6
1.4
2.2
1.2
0.7
1.0
0.5

8.3
1.0
2.4
3.0
1.9
1.1
1.4
1.8

3.1
4.8
1.0
4.5
2.5
2.7
7.5
2.0
2.0

0.9
1.4
0.4
6.0
3.1
2.1
4.8
4.4
4.6

1.2
1.4
0.9
8.8
6.3
4.1
7.9
7.8
5.0

1
2
1
1
1
1
1

1
1
1
11
3
3
5

5
23
7
3
5
2
2

32
107
14
17
18
10
10

81,520
95,972
97,522
111,191
15,375
(41,268)
22,755
72,169
114,161
94,685
138,260
45,753
17,306
64,683
114,743
17,196
67,629
98,930
119,173
99,224
49,672
119,878
49,902
19,925
240,000
80,000
100,000
5,000
30,000
200,000
3,049
4,804
30,937
36,456
1,042
892
1,171
209
558
364,298
10,488
18,135
20,516
3,709
1,313
32,120
1,650
1,993
2,240
1,411
45,000
11,000
114,000
60,000
7,000
65,000
5,000

Clinics

Hospitals

Projects under way

Clinics

Clinic
required

2030 planned

1
1
1

110,000
100,000
100,000
425,000
190,000
100,000
70,000
110,000
130,000
110,000
150,000
55,000
25,000
70,000
120,000
20,000
70,000
100,000
120,000
100,000
50,000
120,000
50,000
20,000
240,000
80,000
100,000
5,000
30,000
200,000
11,900
10,000
79,740
74,000
6,000
5,000
5,000
4,000
2,500
707,300
23,000
30,000
32,000
14,350
9,500
40,000
9,000
8,400
5,500
3,500
65,000
40,000
130,000
75,000
15,000
70,000
10,000

1
1

1
1
1
2

1
1
1
1

3
4
1

1
1
6
1

1
3

1
1
1

1
1
2
1
1
1

1
1
1
1
1

1
1
1
1

1
1
1
2
1
1
1
1
1
8

3
1
1
1
1
1
1
1
1
1

1
1
2
1
1
2
1
1
1
1

1
1

2030
Population

2030 requirements

Hospitals
required

Population Growth

12.4
9.5
1.4
2.2
1.2

Hospitals

2030 Plan growth

Doctors
/1000

132

430
241
21
57
14

Nurses
/1000

Nurses
3,878
1,663
194
106
47

Other

Dentists

Ratios

2,529
1,131
161
162
45

Facilities
/10000

Hospitals

Clinics

Nearby
hospital

182
86
31
37
10

Doctors

Total

% National

Total
2
7
2
None
2
None
6
None
None
None
None
3
None
None
None
None
8
1
None
None
None
None
None
186
1
1
3
1
1
1
2
None
1
1
5
16
4
4
6
1
1

Clinicians

13
5

1
1
1

Note: Abu Dhabi and Al Gharbia populations based on SCAD 2005 census. Al Ain population based on 2008 UPC estimate.
Source: Population: SCAD, UPC 2030 plans. Clinicians and Facilities: Licensing database. Planned Facilities ; SEHA, UPC 2030 plans, HAAD Planning analysis.

1.0

DRAFT

National
411'200
416'150
422'200
429'400
437'800
445'800
453'600
460'500
467'600
473'600

Expatriate
Low
1'945'000
1'970'000
2'060'000
2'130'000
2'175'000
2'250'000
2'310'000
2'360'000
2'400'000
2'475'000

Clinics2

High
2'045'000
2'190'000
2'350'000
2'505'000
2'675'000
2'850'000
3'045'000
3'240'000
3'400'000
3'575'000

Hospitals5

Ambulance
Stations

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Land provision options

Parking
(spaces)

Minimum service
requirement

Estimated
Resources

Transient1

Land area
(m 000s)

4-5

12-15

?3

2.5

25

2 Physicians

8-12

24-36

?3

30

Primary care
Pharmacy services (on-site or
within 10 min walk)
Laboratory service

12-30

36-90

8.5

?3

3.5

35

30-40

90-120

12

?3

4.5

45

60-80

180-240

80

n/a

n/a

3/bed

90-110

270-330

100

n/a

n/a

10-16

30-48

?7

16-40

48-120

?7

OR

Population growth, Scenarios

Notes

Notes :Sub Acute beds include: Rehabilitation, Palliative care, Maintenance, Older Persons and Psychogeriatric care; ICU beds exclude
Paediatrics, NICU, CCU, etc. Acute Overnight beds exclude day case beds. Sub acute numbers of beds adjusted
Source: TAHPI, Health Facility briefing system, reference data is based on data extracted from the Australian Institute of Health and Welfare,
supplemented by data from the USA inpatient sample and UK Hospital Episode Statistics Online (HES)
Assumptions
Projected bed numbers from 2016 onwards are based on International Average ALOS and 75% occupancy for ICU beds.
Population growth based on: Abu Dhabi Urban Planning Council
2030 Plan projections, Advantaged socio-economic class
and with life expectancy >77years. Expatriate utilisation increases from 45% of UAE National utilisation to 55% of UAE
National utilisation. Sub acute number of beds adjusted to meet international benchmark

C15
61

None
None
None
229
124
36
43
10
None
1
None
None
3
11
None

For planning purposes, land must be available for hospitals, clinics and ambulance stations
to serve anticipated population as per the following guidelines:

Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020

2.0

342

1,182

Facilities

10,963
1,996
44,004
14,141
2,256
27,267
16,361
10,674
13,038
4,565
33
4,927
2,703
1,837
480
2,121
53
397
1
95

Land requirements Guidelines for urban planners

As at 31 December 2010 Draft

Low

2.5

146

987

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#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
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Population
(000s people)

High

3,992

789

8,851
5,196
48,803
37,544
4,958
4,108
3,829
3,791
1,942
343,002
12,512
11,865
11,484
10,641
8,187
7,880
7,350
6,407
3,260
2,089
20,000
29,000
16,000
15,000
8,000
5,000
5,000

Residential

4.0

224

N/A

28,480
4,028
2,478
313,809
174,625
141,268
47,245
37,831
15,839
15,315
11,740
9,247
7,694
5,317
5,257
2,804
2,371
1,070
827
776
328
122
98
75

Recommendations

Assumptions

Population (millions)

3,289

Intermediate (70%)

Type
Rural
Rural
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural

11

Population growth, scenarios

Current and projected demand, by Episodes and beds

Acute Overnight Beds Current (58%)

Gap now

Capacity Gap

Institute of Medicine 2001 Crossing the Quality Chasm, Bodenheimer et al 2002 JAMA, Department of Health UK 2001 Reforming Emergency Care, Picker Institute, Strategy analysis

Bed Occupancy

Population

Region
District
Abu Dhabi Desert Villages
Al Falah
Ghantoot District
Abu Dhabi Island
CBD/Financial Centre
Musaffah
Bani Yas
Al Shahama
Shamkhah
Al Rahba
New Port City
Capital District South
Bain Al Jesrain
Khalifa City A
Grand Mosque District
Inner Islands
Capital District North
Al Mina
Al Raha
Yas Island
Mohamed Bin Zayed City
Saadiyat
Airport District
Lulu Island
Capital District
Mohamed Bin Zayed Centre
South Hudayriat Island
Marina Village
Al Suwwah
Al Reem
Al Ain
Umm Ghaffa
Nahel
Industrial City
Al Salamat/Al Yaher
Al Dhahra
Abu Krayyah
Al Saad
Al Araad
Abu Samra
Al Ain City
Al Quaa
Al Wagan
Al Hayer
Al Dhaher
Remah
Sweihan
Al Khazna
Mezyad
Al Shwaib
Al Fagah
Western Liwa
Madinat Zayed
Ruwais
Mirfa
Ghayathi
Sila'a
Delma Island

Elective
Admission

Screening

Acute Overnight
Episodes

Capacity Masterplan

DRAFT

Non-emergency/elective

Patient self-care

Nationals

Model of care How health services should be used

Source

Capacity
Management

Capacity Gaps

Model of Care

Co-location

GFA4
OR (m2 000s)

OR

4-6 Physicians
7-14
Physicians
15-20
Physicians
180-240
Beds6

3/bed

Emergency services
Laboratory services
Radiology services
Stand-alone building

n/a

10

Ambulance service (land /air)

1 Ambulance

n/a

15

Ambulance service (land /air)

2 Ambulances

270-330
beds6

1Transient

population includes staff and other non-residential visitors


Clinics, Centers and Polyclinics
3Appropriate facilities for co-location with Clinics include Hospitals, Ambulance Stations, Mosques, Neighbourhood Commercial Centres, Sport
Facilities, Community/Cultural Centres, Pharmacies, Schools and Post Offices,
4Clinic GFA may be provided within larger commercial centre with adequate transport options and shared parking
5 If residential population is less than 60,000 or transient population is less than 180,000, land provision for a hospital facility needs to be made on a
site-based analysis which considers the accesibility of existing hospital facilities
6Optimal hospital size is 200-600 beds
7Appropriate facilities for co-location with Ambulance Stations include Clinics, Hospitals, Civil Defense Stations, Police Stations and Municipal Offices
Source HAAD Health Facility Community Guidelines 2009, Strategy analysis
2Clinics collectively refers to

Note

C17

HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here are for internal HAAD use only
Projections for Nationals are rounded to the nearest 2.5% variance between high and low, and those for Expatriates at 5%.
Source SCAD population estimates; additional HAAD assumptions and analysis based on raw insurance data`

73

Planning for healthcare services


Current capacity gaps. Geographic coverage in the urban parts of the Emirate is generally good. There are, however, severe capacity shortfalls
in rural areas:
During 2014/2015 HAAD seeks to centrally
Short Term
Mid-term
procure for primary care facilities to serve
Region
Districts
Mobile Clinics
Primary Healthcare Clinics
Rotation
Permanent
Permanent
these locations. In more remote rural areas
Abu Dhabi
Ghantoot
1
1
innovation in delivering services is required,
Desert Villages (Al Wathba)
1
1
This might include the use of mobile and
Khalifa B
1
1
visiting clinics, and clinical staff on a visiting or
Eastern
North Nahel
1
1
East
Umm Ghaffa
1
1
rotational basis. In larger settlements of the
Al Dhaher
1
Western region, the pre-existing hospitals will
South Al Raad
1
1
need to adapt and respond to changing and
Abu Karayyah
1
growing needs; as the population grows so
Abu Samarah
1
West
1
Al Saad
1
does the requirement for more specialised
Western
Al Sila
1
1
services to be available within the region.
Liwa
-Hmeem
-Brier

1
1

1
1

HAAD analysisC24 shows that the Western region is significantly underserved at a regional specialty level. HAAD is addressing this issue through
the alignment of HAAD licensing process with healthcare demand.
Significant population growth. The Abu Dhabi Urban Planning Council (UPC) 2030 Plan envisages the population of Abu Dhabi Emirate
doublingC18, C35.
In Abu Dhabi region Abu Dhabi Island and Musaffah population is expected to reduce over time, with aggressive growth off island and in
rural areas, e.g., Mohammed Bin Zayed, Capital District, Shamkha, and Al Reem Island populations are projected to grow by over 820,000.
Growth in 17 of the 28 districts is projected to exceed 60,000 in each case. Population in the villages along the road stretching east from
Bani Yas and west of Al Ain city is anticipated to grow to over 74,000 transforming it from a predominately rural area to an urban
corridorC18.
The Al Ain city population is projected to double by 2030 with more modest growth expected in the surrounding rural areasC18.
Western region population is projected to almost double to over 378,000 with the biggest growth in Ruwais, Ghayathi, Mirfa, and LiwaC18.

C16
62

Source

HAAD Strategy Analysis; Abu Dhabi Urban Planning Council. http://www.upc.gov.ae/

Note

Number and location of unserved areas will be subject to review during 2014.

Planning for healthcare services


Significant additional capacity is required to meet growth in demand for
healthcare services as the population growsC35 and ages. In existing
developed areas the emphasis is on growing existing facilities to facilitate
specialisation and scale. Future development plans should be focused on
the areas where there is new residential and commercial development
and planned population growth.
Hospitals and clinics. In compliance with the requirements of the UPC
Community Facility Planning StandardsC43 the 2030 projected
populations, which are largely predicated on new, suburban residential
developments, may require a maximum of 16 new small-to-medium
general hospitals and 56 (31 Large,11 Medium and 14 Small) new
clinicsC18 to provide local access to the expanding communities. The
actual number required will depend on many factors including the
extent to which existing facilities expand or improve efficiency of
services and the accessibility of new facilities already planned or under
constructionC30,C31 to the new residential developments. HAAD analysis
of current and projected inpatient supplyC30,C31,C32 shows that the
number of hospital beds planned, and under construction, is sufficient
to meet the projected future demand.
Specialty Care. Encouraging investment in specialised care remains a
key objective. Whilst significant improvements in addressing specialty
shortages have been achieved more needs to be done particularly in
the area of reducing the number of patients required to travel abroad
for treatment. HAAD will continue to work intensively with public and
private providers and investors to ensure that the planned capacity
provides the right balance of specialties and service types and is
located in the most appropriate locations to further reduce capacity
gaps.
Emergency, Critical and Intensive Care. The analysisC32 shows that
sufficient capacity is planned and under construction to meet the
current shortfall by 2016. The current ambulance service network will

C17
63

also need to expand to support populations in newly developed and


remote areasC18.
Clinical staff. Attracting and retaining qualified staff remains a
challenge for healthcare services across the Emirate, particularly in
rural areas. It is estimated that by 2022 up to 4,800 additional doctors
and 13,000 nurses will be required. If turnover remains high, this
translates into up to 1,700 doctors and 2900 nurses to be recruited
annuallyC36. Clinical training and education of a world class standard
must be established locally to build a sustainable healthcare workforce
and service supply.
The risk of potential over-supply of healthcare, particularly of acute
hospital bedsC32, requires careful management. For example, Khalifa City
currently has 4 hospital projectsC18 under construction despite a projected
2030 population of only 80,000C18. Similarly, Al Ain city has 15 provisional
hospital projectsC18 with potential demand for only 3C18. In contrast to
these examples, there are few health facility projects in rural areas of the
EmirateC18. HAAD will regulate to align planned supply with demand
through below 3 recommendations:
1)
To control over-supply, future land is to be allocated only via
the UPC in accordance with planned residential developments
and the healthcare needs as determined by HAAD planning.
2)
Upon review of projects with allocated land in already oversupplied locations HAAD to consider, on a case by case basis,
reallocating existing land to the under-supplied locations as
determined by HAAD Capacity Masterplan.
3)
Pre-approval for highly specialised and regionally required
services be obtained via HAAD planning section prior to
issuance of preliminary licence for hospitals.

HAAD recommendations for urban planners and developers aim to


ensure building of healthcare facilities occurs when and where
demand exists, not years in anticipationC43.

Service capacity balance by location

Al Ain

Western

C18
64

182
86
31
37
10
1
1

4.3
3.5
0.6
1.8
0.6
1
4.6
1
1

2.3

2
1
1

2
7
2
None
2
None
6
None
None
None
None
3
None
None
None
None
8
1
None
None
None
None
None
186
1
1
3
1
1
1
2
None
1
1
5
16
4
4
6
1
1

4
1

43.7
26.7

1.6

43.9

5
2

158
1

0.21
0.1

3.8
0.5
1.1
1.6
0.9
0.6
0.8
0.4

1
3
1
1
1
2
1

1
1
1
1
1
1

1
1
1
11
3
3
5

0.7
1.1
0.2
2.4
1.2
0.9
1.9
1.8
1.8

57,040
52,937
3,282
(313,278)
667
(223,587)
(3,403)
(8,339)
182,828
(11,304)
1,063
37,805
28,991
80,000
32,418
5,937
73,591
64,553
103,161
67,292
287,390
82,058
64,303
23,089
267,868
74,031
94,031
8,163
22,938
163,919
1,280
3,117
(29,122)
(32,460)
(1,032)
715
(1,380)
(1,330)
(1,504)
252,926
3,912
10,050
15,443
3,902
1,499
12,884
100
2,861
336
(552)
14,818
(10,864)
65,854
37,363
24,827
4,954
(4,246)

4
1
2
0
1
0

1
1
8
1

1
4
1

0
0
3
0
0

2
1
1
2
1

0
0
0

0
0
0
1

1
1
1

1M
1M
3M

1
1
1

1L
1L
1M
1M
1M
2M
1L
1L
1l
1L
2L
1L
1M
1L

1
1
1
1
1
1

1
1
1
1
1
1
1

1L
1S
1

1
1
1
1

2L
1S
1S
1

1S
1S
1S
1S
3

15

2
1
1
1

2M
1M
1S
1M
1M
1S
1L
1S
1S
1S
1L
1L
1L
1L
1L

1
1

1
1
1
1
1

1
1
1
1
1
1
1

2030
Population

need
1L
1M
1M

0
5
1
4
4
1
0

Under Process
Subject to Change

Clinics

Under
Construction

under way

need

Doctors
/1000

Population Growth

14
5
1

Hospitals

Ambulance
station

2
None
None
229
124
36
43
10
1
1
None
None
3
None
None

2030 Plan growth

under way

52,960
7,490
4,608
583,543
324,723
262,695
87,854
70,349
29,453
28,479
21,831
17,195
14,307
9,776
5,214
4,409
1,990
1,538
1,443
610
227
182
139
2,238
5,969
5,969
5,969
5,969
5,969
11,725
6,883
64,649
49,734
6,568
5,442
5,072
5,022
2,573
454,374
16,575
15,718
15,213
14,096
10,845
10,439
9,737
8,487
4,319
2,767
50,182
72,764
40,146
37,637
20,073
12,546
12,546

Nearby
hospital

Type
Rural
Rural
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural

Clinics &
Centres

Gap Now

Clinicians

Hospitals

District
Desert Villages
Al Falah
Ghantoot District
Abu Dhabi Island
CBD/Financial Centre
Musaffah
Bani Yas
Al Shahama
Shamkhah
Al Rahba
New Port City
Capital District South
Bain Al Jesrain
Khalifa City
Grand Mosque District
Inner Islands
Capital District North
Al Mina
Al Raha
Yas Island
Mohamed Bin Zayed City
Saadiyat
Airport District
Lulu Island
Capital District
Mohamed Bin Zayed Centre
South Hudayriat Island
Marina Village
Al Suwwah
Al Reem
Umm Ghaffa
Nahel
Industrial City
Al Salamat/Al Yaher
Al Dhahra
Abu Krayyah
Al Saad
Al Araad
Abu Samra
Al Ain City
Al Quaa
Al Wagan
Al Hayer
Al Dhaher
Remah
Sweihan
Al Khazna
Mezyad
Al Shwaib
Al Fagah
Liwa
Madinat Zayed
Ruwais
Mirfa
Ghayathi
Sila'a
Delma Island

Total

Region
Abu Dhabi

Facilities

Total

Population

110,000
60,427
7,890
270,265
325,390
39,108
84,451
62,010
212,281
17,175
22,894
55,000
43,298
80,000
42,194
11,151
78,000
66,543
104,699
68,735
288,000
82,285
64,485
23,228
270,106
80,000
100,000
14,132
28,907
169,888
13,005
10,000
35,527
17,274
5,536
6,157
3,692
3,692
1,069
707,300
20,487
25,768
30,656
17,998
12,344
23,323
9,837
11,348
4,655
2,215
65,000
61,900
106,000
75,000
44,900
17,500
8,300
4,223,025

Capacity Gap

Severe
Moderate
None
Supply

Undersupply/underserved
Potential over supply
L, M, S

Clinic size, large, medium, small

Source Population: SCAD, 2011 Estimate, UPC 2030 plans. Clinicians and Facilities: Licensing database. Planned Facilities ; SEHA, UPC 2030 plans, HAAD
Planning analysis.

Improving capacity management through regulating clinical


service lines

Centralised1

Regional2
(Island/Middle, Eastern
and Western)

Standard

1 HAAD

Description

Examples

Highly specialised
Strong volumebased competency
Low volume
High cost

Burn Care
Open Heart
Surgery
Oncology Surgery

Moderate
complexity
Time dependency
Some volumebased competency
Middle volume
Middle cost

Cardiac
Catheterisation
Specialist Diabetes
Care

Non-complex
High volume
Low cost

will restrict provision of these services to a few facilities


will issue licenses for these services on the basis of 1 per 250,000 population
Source: Categories maintained by HAAD with input from Providers, Payers, and other stakeholders
2 HAAD

C19
65

Basic Diabetes Care


Family Medicine
Preventive Services
General Surgery

List of Abu Dhabi clinical service lines


For Planning and Licensing purposes HAAD will designate Centralised, Regional and Standard
services for both adult and paediatric services at Diagnostic Resource Group level (DRG)
level within the following 32 clinical service lines:

C20
66

Burns

Gynecology

Orthopaedic

Cardiology - Invasive

Haematology

Plastic surgery

Cardiology - Medical

Immunology and infectious disease

Psychiatry

Cardiothoracic surgery

Neonatology

Rehabilitation

Dentistry

Nephrology

Respiratory medicine

Dermatology

Neurological surgery

Rheumatology

Endocrinology

Neurology

Transplant surgery

ENT

Obstetrics

Trauma

Gastroenterology

Obstetric - Delivery

Urology

General medicine

Oncology

Vascular surgery

General surgery

Ophthalmology

Notes

As the service lines are derived from IR-DRGs, which apply to all ages, the same classification applies to both adult and paediatric service lines but is
differentiated by age. Paediatric service lines are differentiated from adult as those applicable to services planned or provided for ages from birth and up
to 18 years old. Paediatric service lines exclude DRGs that are not applicable to paediatric categories.
All stated services line encompass all patient setting except Long Term Care (LTC).

Source

Categories maintained by HAAD with input from Providers, Payers, and other stakeholders.

Centralised, Regional and Standard services, by % total Abu


Dhabi DRG volumes
#
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

HAAD Service Line


Burns
Cardiology - Invasive
Cardiology - Medical
Cardiothoracic surgery
Dentistry
Dermatology
Endocrinology
ENT surgery
Gastroenterology
General medicine
General surgery
Gynecology
Haematology
Immunology and infectious disease
Neonatology
Nephrology
Neurological surgery
Neurology
Obstetrics
Obstetric - Delivery
Medical oncology
Ophthalmology
Orthopaedic
Plastic surgery
Psychiatric
Rehabilitation
Respiratory medicine
Rheumatology
Transplant surgery
1
Trauma
Urology
Vascular surgery

Notes

C21
67

Centralised
99.5%
5.3%
3.5%
100.0%
0.0%
0.0%
0.5%
0.5%
0.0%
5.6%
1.2%
11.1%
3.5%
0.4%
4.0%
0.0%
40.1%
0.0%
0.0%
0.0%
30.7%
0.0%
0.6%
0.0%
0.0%
0.0%
0.7%
0.0%
100.0%
100.0%
0.4%
32.5%

Regional
0.5%
82.7%
44.9%
0.0%
0.0%
8.0%
13.3%
8.3%
1.0%
26.6%
4.7%
3.7%
44.9%
0.6%
13.1%
2.8%
4.5%
34.4%
13.3%
0.0%
69.3%
81.1%
13.3%
26.8%
20.8%
100.0%
7.9%
39.6%
0.0%
0.0%
30.5%
67.5%

Standard
0.0%
12.0%
51.6%
0.0%
100.0%
92.0%
86.2%
91.3%
99.0%
67.7%
94.0%
85.2%
51.6%
99.0%
82.9%
97.2%
55.5%
65.6%
86.7%
100.0%
0.0%
18.9%
86.2%
73.1%
79.2%
0.0%
91.4%
60.4%
0.0%
0.0%
69.1%
0.0%

Centralised services may only be


provided by Providers designated by
HAAD to do so.

Regional services may only be


offered by Providers designated by
HAAD to do so. The number
regional providers that may be
designated within each region is
detailed on page C27.

Standard services may be offered


by all HAAD Licensed Providers.

Note: Emergency cases presenting


to any HAAD Licensed Facilities
should be treated (in accordance
with HAAD Regulations). In case the
DRG falls under Centralised or
Regional service line, the case
should be transferred to Providers
Licensed for those service lines
when clinically appropriate.

Percentage figures are % by volume of all DRGs within each clinical service line; Details to be published on HAAD website (www.haad.ae)
1Trauma Service Line contains only 3 DRGs related to Head Trauma.

Source Categories maintained by HAAD with input from Providers, Payers, and other stakeholders.

Centralised, Regional and Standard services, by % total Abu


Dhabi DRG volumes (Paediatric)
# HAAD Paediatric Service Line
1 Paediatric Burns
2 Gynecological Surg
3 Neonatology
4 Obstetrics
5 Obstetrics/Delivery
6 Paediatric Cardiology - Invasive
7 Paediatric Cardiology - Medical
8 Paediatric Cardiology - Open Heart Surgery
9 Paediatric Dental
10 Paediatric Dermatology
11 Paediatric Endocrinology
12 Paediatric ENT Surgery
13 Paediatric Gastroenterology
14 Paediatric General Medicine
15 Paediatric General Surgery
16 Paediatric Haematology
17 Paediatric Infectious Disease
18 Paediatric Nephrology
19 Paediatric Neurological surgery
20 Paediatric Neurology
21 Paediatric Oncology
22 Paediatric Ophthalmology
23 Paediatric Orthopedic Surgery
24 Paediatric Plastic Surgery
25 Paediatric Rehabilitation
26 Paediatric Respiratory
27 Paediatric Rheumatology
28 Paediatric Vascular Surgery
29 Paeditric Urology
30 Psychiatry
31 Paediatric Transplant Surgery
32 Paediatric Trauma
Grand Total

Notes

C22
68

Centralised
96.6%
24.1%
2.2%
0.0%
0.0%
100.0%
53.6%
100.0%
0.0%
0.0%
0.0%
0.5%
0.6%
6.9%
0.5%
2.2%
0.0%
0.0%
58.1%
0.0%
53.0%
46.7%
2.6%
0.5%
0.0%
0.2%
0.0%
3.1%
6.7%
1.4%
100.0%
9.4%
2.9%

Regional
3.4%
1.2%
2.8%
13.3%
0.0%
0.0%
27.0%
0.0%
0.0%
47.7%
1.5%
0.6%
2.8%
4.0%
3.5%
49.2%
16.7%
7.4%
39.5%
17.6%
46.8%
0.0%
26.6%
31.6%
100.0%
0.4%
7.8%
96.9%
49.9%
95.7%
0.0%
11.3%
6.0%

Standard
0.0%
72.3%
95.0%
86.7%
100.0%
0.0%
19.4%
0.0%
100.0%
52.3%
98.4%
98.9%
96.5%
89.2%
96.0%
48.6%
83.3%
92.6%
0.0%
82.4%
0.0%
53.3%
70.9%
67.8%
0.0%
99.4%
92.2%
0.0%
43.4%
2.9%
0.0%
79.2%
90.7%

Centralised services may only be


provided by Providers designated by
HAAD to do so.

Regional services may only be


offered by Providers designated by
HAAD to do so. The number
regional providers that may be
designated within each region is
detailed on page C27.

Standard services may be offered


by all HAAD Licensed Providers.

Note: Emergency cases presenting


to any HAAD Licensed Facilities
should be treated (in accordance
with HAAD Regulations). In case the
DRG falls under Centralised or
Regional service line, the case
should be transferred to Providers
Licensed for those service lines
when clinically appropriate.

Percentage figures are % by volume of all DRGs within each clinical service line; Details to be published on HAAD website (www.haad.ae).
Paediatric age is defined to be inclusive of ages from birth and up to 18 years old.

Source Categories maintained by HAAD with input from Providers, Payers, and other stakeholders.

Paediatric DRG coverage in Abu Dhabi Emirate


Non
Count of
Available
# HAAD Paediatric Service Line
Total DRGs
DRG
1 Paediatric Burns
9
1
2 Gynecological Surg
27
18
3 Neonatology
51
17
4 Obstetrics
15
7
5 Obstetrics/Delivery
12
4
6 Paediatric Cardiology - Invasive
15
7
7 Paediatric Cardiology - Medical
45
13
8 Paediatric Cardiology - Open Heart Surgery
24
18
9 Paediatric Dental
3
3
10 Paediatric Dermatology
12
0
11 Paediatric Endocrinology
15
5
12 Paediatric ENT Surgery
33
4
13 Paediatric Gastroenterology
30
5
14 Paediatric General Medicine
24
1
15 Paediatric General Surgery
48
12
16 Paediatric Haematology
18
1
17 Paediatric Infectious Disease
18
5
18 Paediatric Nephrology
18
0
19 Paediatric Neurological surgery
18
9
20 Paediatric Neurology
42
6
21 Paediatric Oncology
48
20
22 Paediatric Ophthalmology
15
2
23 Paediatric Orthopedic Surgery
69
21
24 Paediatric Plastic Surgery
15
4
25 Paediatric Rehabilitation
3
0
26 Paediatric Respiratory
48
11
27 Paediatric Rheumatology
12
0
28 Paediatric Vascular Surgery
15
9
29 Paeditric Urology
30
11
30 Psychiatry
45
24
31 Paediatric Transplant Surgery
9
9
32 Paediatric Trauma
3
3
Grand Total
789
249

Note

C23
69

Percent of
coverage
89%
33%
67%
53%
67%
53%
71%
13%
100%
100%
67%
88%
83%
96%
75%
94%
72%
100%
50%
86%
58%
87%
70%
60%
100%
77%
100%
40%
63%
47%
0%
0%
68%

SEHA Market
Share %

Capacity Gap
Severe
Moderate
None

Percentage figures are % by volume of all DRGs within each clinical service line; Details to be published on HAAD website (www.haad.ae. Paediatric age
is defined to be inclusive of ages from birth and up to 18 years old.

Source HAAD Strategy department, health statistics, planning analysis.

Coverage of Regionally required DRGs in


Abu Dhabi Emirate
Abu Dhabi Region

HAAD Service Line

Burns* (Transferred DRG)


Cardiology - Invasive
Cardiology - Medical
Dermatology
Endocrinology
ENT Surgery
Gastroenterology
General Medicine
General Surgery
Gynecological Surg
Hematology
Infectious Disease
Neonatology
Nephrology
Neurological surgery
Neurology
Obstetrics
Oncology
Ophthalmology
Orthopedic Surgery
Plastic Surgery
Psychiatry
Rehabilitation
Respiratory
Rheumatology
Trauma
Urology
Vascular Surgery
Grand Total

C24
70

Source
Note

Number of
Non
Available
Regional
DRGs
2
0
0
0
0
1
1
0
0
1
0
0
9
0
0
1
0
2
0
2
2
10
0
3
0
0
1
1
36

Count of
Regional
DRGs
2
14
23
5
2
6
5
2
6
1
15
3
26
3
3
25
3
25
6
22
11
24
3
15
2
2
17
11
282

Severe Gap/Coverage of <= 55


Moderate Gap/ Coverage of >= 65
No gap/Coverage of >= 75
Low Volume of DRGs < 15%
Moderate Volume of DRGs >= 15 %
High Volume of DRGs >= 40%

Eastern Region
% of
Regional
Coverage
0%
100%
100%
100%
100%
83%
80%
100%
100%
0%
100%
100%
65%
100%
100%
96%
100%
92%
100%
91%
82%
58%
100%
80%
100%
100%
94%
91%
87%

SEHA
Market
Share %

HAAD Service Line

Burns* (Transferred DRG)


Cardiology - Invasive
Cardiology - Medical
Dermatology
Endocrinology
ENT Surgery
Gastroenterology
General Medicine
General Surgery
Gynecological Surg
Hematology
Infectious Disease
Neonatology
Nephrology
Neurological surgery
Neurology
Obstetrics
Oncology
Ophthalmology
Orthopedic Surgery
Plastic Surgery
Psychiatry
Rehabilitation
Respiratory
Rheumatology
Trauma
Urology
Vascular Surgery
Grand Total

Number of
Non
Count of
Available Regional
Regional
DRGs
DRGs
0
2
5
14
0
23
0
5
0
2
3
6
1
5
0
2
2
6
1
1
1
15
1
3
12
26
0
3
0
3
1
25
0
3
0
25
0
6
2
22
3
11
8
24
0
3
3
15
0
2
0
2
2
17
3
11
48
282

Western Region
% of
Regional
Coverage
100%
64%
100%
100%
100%
50%
80%
100%
67%
0%
93%
67%
54%
100%
100%
96%
100%
100%
100%
91%
73%
67%
100%
80%
100%
100%
88%
73%
83%

SEHA
Market
Share %

HAAD Service Line

Burns* (Transferred DRG)


Cardiology - Invasive
Cardiology - Medical
Dermatology
Endocrinology
ENT Surgery
Gastroenterology
General Medicine
General Surgery
Gynecological Surg
Hematology
Infectious Disease
Neonatology
Nephrology
Neurological surgery
Neurology
Obstetrics
Oncology
Ophthalmology
Orthopedic Surgery
Plastic Surgery
Psychiatry
Rehabilitation
Respiratory
Rheumatology
Trauma
Urology
Vascular Surgery
Grand Total

Number of
Non
Count of
Available Regional
Regional
DRGs
DRGs
1
2
14
14
5
23
1
5
0
2
4
6
2
5
0
2
3
6
1
1
7
15
3
3
19
26
1
3
3
3
10
25
1
3
19
25
3
6
10
22
11
11
23
24
3
3
7
15
1
2
0
2
11
17
11
11
174
282

% of
Regional
Coverage
50%
0%
78%
80%
100%
33%
60%
100%
50%
0%
53%
0%
27%
67%
0%
60%
67%
24%
50%
55%
0%
4%
0%
53%
50%
100%
35%
0%
38%

HAAD Strategy Department analysis based on 18 months of DRGs claims data.


*Burns DRGs in this analysis are 2 DRGS relating to medical treatment received by a patient while transferring from one facility to another
facility. They do not refer to the full treatment of burns which is a centralised service.

SEHA
Market
Share

Remote
support

Outpatient
Clinic

Screening

Ambulance

Check-up

Urgent Care
Centre

Disease
management

Emergency
Admission .

ER

Emergency

Severe
Moderate
None

Including diagnostics

Current and projected demand, by Episodes and beds


2021

2026

2031

184,102

223,539

276,589

332,040

3,289

3,992

5,223

6,769

7,061

3.5

3,308

4,328

5,609

5,850

3.0

Population (millions)

High

32

5,873
2,377
18
23,400
715
655
702
139
286
100,298
4,912
3,330
2,570
7,325
683
713
1,071
3,809
1,546
378
661
6,785
1,270
3,676
3,898
2,139

1,284
539
68
73
24

6.2
5.2
2.2
7.8
2.6

8.1
6.5
1.1
3.4
1.2

1
1

325

89

0.7

33
78

42
74

10
17

17
75

3.9
20.7

4.3
14.7

5.5
13.9

1
1
4
1

2
426
87
41

4
792
103
42

36
25
9

302
62
12

3.6
8.4
37.4

0.7
179.7
81.3
49.6

1.4
334.0
96.3
50.8

3.0

6.1

11

11

81.6

112.2

8.6

21.2

1
1
1

3
10
1

1
1

5
1

148
1

1
3
1
1
1
2

14
3

5
1

1,733
8
17
25
13
6
8
4

2,864
13
29
34
20
9
11
13

3
3
8
175
50
32
38
22
23

4
3
17
256
100
61
63
39
25

1
6

318
1
1
4
3

968
3
4
3
4
2
1

1
1

1.0
0.3

0.3
0.1

0.1
0.0

4.5
0.8
0.8
2.6
0.9
1.2
1.3
2.7

5.1
0.6
1.4
2.2
1.2
0.7
1.0
0.5

8.3
1.0
2.4
3.0
1.9
1.1
1.4
1.8

3.1
4.8
1.0
4.5
2.5
2.7
7.5
2.0
2.0

0.9
1.4
0.4
6.0
3.1
2.1
4.8
4.4
4.6

1.2
1.4
0.9
8.8
6.3
4.1
7.9
7.8
5.0

1
2
1
1
1
1
1

1
1
1
11
3
3
5

5
23
7
3
5
2
2

32
107
14
17
18
10
10

81,520
95,972
97,522
111,191
15,375
(41,268)
22,755
72,169
114,161
94,685
138,260
45,753
17,306
64,683
114,743
17,196
67,629
98,930
119,173
99,224
49,672
119,878
49,902
19,925
240,000
80,000
100,000
5,000
30,000
200,000
3,049
4,804
30,937
36,456
1,042
892
1,171
209
558
364,298
10,488
18,135
20,516
3,709
1,313
32,120
1,650
1,993
2,240
1,411
45,000
11,000
114,000
60,000
7,000
65,000
5,000

Clinics

Hospitals

Projects under way

Clinics

Clinic
required

2030 planned

1
1
1

110,000
100,000
100,000
425,000
190,000
100,000
70,000
110,000
130,000
110,000
150,000
55,000
25,000
70,000
120,000
20,000
70,000
100,000
120,000
100,000
50,000
120,000
50,000
20,000
240,000
80,000
100,000
5,000
30,000
200,000
11,900
10,000
79,740
74,000
6,000
5,000
5,000
4,000
2,500
707,300
23,000
30,000
32,000
14,350
9,500
40,000
9,000
8,400
5,500
3,500
65,000
40,000
130,000
75,000
15,000
70,000
10,000

1
1

1
1
1
2

1
1
1
1

3
4
1

1
1
6
1

1
3

1
1
1

1
1
2
1
1
1

1
1
1
1
1

1
1
1
1

1
1
1
2
1
1
1
1
1
8

3
1
1
1
1
1
1
1
1
1

1
1
2
1
1
2
1
1
1
1

1
1

2030
Population

2030 requirements

Hospitals
required

Population Growth

12.4
9.5
1.4
2.2
1.2

Hospitals

2030 Plan growth

Doctors
/1000

132

430
241
21
57
14

Nurses
/1000

Nurses
3,878
1,663
194
106
47

Other

Dentists

Ratios

2,529
1,131
161
162
45

Facilities
/10000

Hospitals

Clinics

Nearby
hospital

182
86
31
37
10

Doctors

Total

% National

Total
2
7
2
None
2
None
6
None
None
None
None
3
None
None
None
None
8
1
None
None
None
None
None
186
1
1
3
1
1
1
2
None
1
1
5
16
4
4
6
1
1

Clinicians

13
5

1
1
1

4,619

4,818

N/A

3,216

4,233

5,461

6,738

224

342

438

449

525

ICU beds

146

175

209

245

281

0.5

Emergency Bays

N/A

789

987

1,182

1,379

0.0

National

1.5

1.0

411'200
416'150
422'200
429'400
437'800
445'800
453'600
460'500
467'600
473'600

Expatriate
Low
1'945'000
1'970'000
2'060'000
2'130'000
2'175'000
2'250'000
2'310'000
2'360'000
2'400'000
2'475'000

Clinics2

High
2'045'000
2'190'000
2'350'000
2'505'000
2'675'000
2'850'000
3'045'000
3'240'000
3'400'000
3'575'000

Hospitals5

Ambulance
Stations

Notes

Land provision options

Parking
(spaces)

Minimum service
requirement

Estimated
Resources

Transient1

Land area
(m 000s)

4-5

12-15

?3

2.5

25

2 Physicians

8-12

24-36

?3

30

Primary care
Pharmacy services (on-site or
within 10 min walk)
Laboratory service

12-30

36-90

8.5

?3

3.5

35

30-40

90-120

12

?3

4.5

45

60-80

180-240

80

n/a

n/a

3/bed

90-110

270-330

100

n/a

n/a

10-16

30-48

?7

16-40

48-120

?7

OR

Population growth, Scenarios

Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020

2.0

DRAFT

For planning purposes, land must be available for hospitals, clinics and ambulance stations
to serve anticipated population as per the following guidelines:

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

C25
71

None
None
None
229
124
36
43
10
None
1
None
None
3
11
None

Land requirements Guidelines for urban planners

As at 31 December 2010 Draft

Low

2.5

3,564

Notes :Sub Acute beds include: Rehabilitation, Palliative care, Maintenance, Older Persons and Psychogeriatric care; ICU beds exclude
Paediatrics, NICU, CCU, etc. Acute Overnight beds exclude day case beds. Sub acute numbers of beds adjusted
Source: TAHPI, Health Facility briefing system, reference data is based on data extracted from the Australian Institute of Health and Welfare,
supplemented by data from the USA inpatient sample and UK Hospital Episode Statistics Online (HES)
Assumptions
Projected bed numbers from 2016 onwards are based on International Average ALOS and 75% occupancy for ICU beds.
Population growth based on: Abu Dhabi Urban Planning Council
2030 Plan projections, Advantaged socio-economic class
and with life expectancy >77years. Expatriate utilisation increases from 45% of UAE National utilisation to 55% of UAE
National utilisation. Sub acute number of beds adjusted to meet international benchmark

Facilities

10,963
1,996
44,004
14,141
2,256
27,267
16,361
10,674
13,038
4,565
33
4,927
2,703
1,837
480
2,121
53
397
1
95

Note: Abu Dhabi and Al Gharbia populations based on SCAD 2005 census. Al Ain population based on 2008 UPC estimate.
Source: Population: SCAD, UPC 2030 plans. Clinicians and Facilities: Licensing database. Planned Facilities ; SEHA, UPC 2030 plans, HAAD Planning analysis.

Residential

4.0

2,724

Sub Acute Overnight


Episodes
Sub Acute Overnight
Beds

8,851
5,196
48,803
37,544
4,958
4,108
3,829
3,791
1,942
343,002
12,512
11,865
11,484
10,641
8,187
7,880
7,350
6,407
3,260
2,089
20,000
29,000
16,000
15,000
8,000
5,000
5,000

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Population
(000s people)

2016

122,345

Target (85%)

28,480
4,028
2,478
313,809
174,625
141,268
47,245
37,831
15,839
15,315
11,740
9,247
7,694
5,317
5,257
2,804
2,371
1,070
827
776
328
122
98
75

Recommendations

Population growth, scenarios

2011 Actual

Intermediate (70%)

Type
Rural
Rural
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural

11

Assumptions

Demand & Supply


Projections
Acute Overnight Beds Current (58%)

Gap now

Capacity Gap

Institute of Medicine 2001 Crossing the Quality Chasm, Bodenheimer et al 2002 JAMA, Department of Health UK 2001 Reforming Emergency Care, Picker Institute, Strategy analysis

Bed Occupancy

Population

Region
District
Abu Dhabi Desert Villages
Al Falah
Ghantoot District
Abu Dhabi Island
CBD/Financial Centre
Musaffah
Bani Yas
Al Shahama
Shamkhah
Al Rahba
New Port City
Capital District South
Bain Al Jesrain
Khalifa City A
Grand Mosque District
Inner Islands
Capital District North
Al Mina
Al Raha
Yas Island
Mohamed Bin Zayed City
Saadiyat
Airport District
Lulu Island
Capital District
Mohamed Bin Zayed Centre
South Hudayriat Island
Marina Village
Al Suwwah
Al Reem
Al Ain
Umm Ghaffa
Nahel
Industrial City
Al Salamat/Al Yaher
Al Dhahra
Abu Krayyah
Al Saad
Al Araad
Abu Samra
Al Ain City
Al Quaa
Al Wagan
Al Hayer
Al Dhaher
Remah
Sweihan
Al Khazna
Mezyad
Al Shwaib
Al Fagah
Western Liwa
Madinat Zayed
Ruwais
Mirfa
Ghayathi
Sila'a
Delma Island

Elective
Admission

Triage

Preventative

Acute Overnight
Episodes

Capacity Masterplan

DRAFT

Non-emergency/elective

Patient self-care

Nationals

Model of care How health services should be used

Source

Capacity
Management

Capacity Gaps

Model of Care

Co-location

GFA4
OR (m2 000s)

OR

4-6 Physicians
7-14
Physicians
15-20
Physicians
180-240
Beds6

3/bed

Emergency services
Laboratory services
Radiology services
Stand-alone building

n/a

10

Ambulance service (land /air)

1 Ambulance

n/a

15

Ambulance service (land /air)

2 Ambulances

270-330
beds6

1Transient

population includes staff and other non-residential visitors


Clinics, Centers and Polyclinics
3Appropriate facilities for co-location with Clinics include Hospitals, Ambulance Stations, Mosques, Neighbourhood Commercial Centres, Sport
Facilities, Community/Cultural Centres, Pharmacies, Schools and Post Offices,
4Clinic GFA may be provided within larger commercial centre with adequate transport options and shared parking
5 If residential population is less than 60,000 or transient population is less than 180,000, land provision for a hospital facility needs to be made on a
site-based analysis which considers the accesibility of existing hospital facilities
6Optimal hospital size is 200-600 beds
7Appropriate facilities for co-location with Ambulance Stations include Clinics, Hospitals, Civil Defense Stations, Police Stations and Municipal Offices
Source HAAD Health Facility Community Guidelines 2009, Strategy analysis
2Clinics collectively refers to

C17

Note

HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here are for internal HAAD use only
Projections for Nationals are rounded to the nearest 2.5% variance between high and low, and those for Expatriates at 5%.
Source SCAD population estimates; additional HAAD assumptions and analysis based on raw insurance data`

73

Inpatient current supply and projected demand, by number of


beds (Acute, Subacute and Intensive Care) plus Emergency bays
Demand
Beds / Service Types Current Supply

Based
on Bed Occupancy

2030

8,767

11,365

5,264

6,517

7,890

10,217

60%

4,942

6,116

7,402

9,046

70%

4,298

5,314

6,428

7,858

50%

5,408

6,734

8,186

10,710

4,828

6,012

7,308

9,562

60%

4,506

5,611

6,821

8,404

70%

3,863

4,810

5,847

7,203

3,617 56% (current)

C26
72

2025

7,238

3,864 56% (current)

Acute Overnight Beds

2020

5,843

50%

Total Beds

2015

Subacute Overnight
Beds

247

70%

435

505

581

655

Intensive Care Beds

183

75%

211

243

277

335

Emergency Bays

273

491

576

694

837

Assumptions

Projected bed numbers from 2015 onwards are based on International Average ALOS. Rate of population growth based on: Abu Dhabi Urban Planning
Council 2030 Plan projections, Advantaged socio-economic class and with life expectancy >77years. Expatriate utilisation increases from 45% of UAE
National utilisation to 55% of UAE National utilisation.

Notes

Subacute beds include: Rehabilitation, Palliative care, Maintenance, Older Persons and Psychogeriatric care; ICU beds exclude Paediatrics, NICU, CCU,
etc.; Acute Overnight beds exclude day case beds. Demand projections are subject to further review and change as new reference data & methodology
becomes available.

Sources

Current supply: HAAD Operations Centre Bed Census, HAAD Planning analysis of New Facility Applications (NFAs), SEHA.
Demand Projections: TAHPI, Health Facility Briefing System, reference data is based on data extracted from the Australian Institute of Health and
Welfare, supplemented by data from the USA inpatient sample and UK Hospital Episode Statistics Online (HES).

Projected demand by Abu Dhabi planning region


Number of Regional Providers

From 2013 Regional inpatient services may only be provided by providers designated by HAAD to do so.
HAAD has determined the current and future maximum number of Regional facilities for each region:
2015
Abu Dhabi and Middle Region population
Regional Providers (Abu Dhabi and Middle Region)

2020

2025

2030

1,498,000 1,723,000 1,930,549 2,276,464 2,622,379


6

Al-Ain (Eastern) Region population

652,000

715,000

781,338

Regional Providers (Al Ain Region)

236,016

264,526

290,851

334,725

378,600

Regional Providers (Al Gharbia Region)

Total Regional Facilities in Abu Dhabi

10

11

12

14

16

Al Gharbia (Western) Region population

Methodology
Note

C27
73

2017

Based on UPC Plan 2030 projected population and derived compound annual growth rate 20122030
HAAD may vary the number of Regional facilities depending on demand and supply factors.

10

891,902 1,002,466

Projected inpatient demand by Abu Dhabi planning region, by number


of beds (Acute, Subacute and Intensive Care) plus Emergency bays
Region

Bed/Service Type

Curent Supply

Projected Demand
Beds Required By Year
2015

Actual 2013

2020

2025

2030

Bed Occupancy

Abu Dhabi & Middle

Total Beds
2,379

Acute Overnight
2,194

Al Ain

5,762

60%

2,814

3,461

4,177

5,105

70%

2,446

3,008

3,630

4,435

50%

3,092

3,801

4,602

6,021

56% (current)

2,761

3,394

4,109

5,376

60%

2,577

3,168

3,835

4,725

70%

2,209

2,715

3,287

4,050

293

342

386

Intensive Care Beds

135

75%

119

139

157

190

Emergency Bays

142

271

317

394

475

50%

2,057

2,593

3,163

4,133

56% (current)

1,855

2,334

2,846

3,718

60%

1,742

2,190

2,669

3,262

70%

1,528

1,941

2,370

2,896

50%

1,885

2,414

2,965

3,879

56% (current)

1,683

2,155

2,647

3,463

60%

1,571

2,012

2,471

3,044

70%

1,347

1,724

2,118

2,609

Total Beds

Subacute

62

70%

171

179

199

254

Intensive Care Beds

41

75%

77

87

100

121

Emergency Bays

77

181

217

252

304

50%

457

551

659

861

56% (current)

411

496

593

774

60%

386

465

556

679

70%

346

412

490

599

50%

430

519

619

810

56% (current)

384

463

553

723

60%

358

432

516

635

70%

307

370

442

545

70%

27

33

40

51

75%

15

18

20

24

38

42

48

58

Total Beds

Acute Overnight
Subacute
Intensive Care Beds
Emergency Bays

Sources

6,407

4,451

237

246

C28
74

4,944

3,687

70%

1,177

Notes

4,094

2,998

185

Acute Overnight

Assumptions

3,329

Subacute

1,239

Western

50%
56% (current)

246
7
54

Rate of population growth based on: Abu Dhabi Urban Planning Council 2030 Plan projections, Advantaged socio- economic class and with life expectancy >77years.
Expatriate utilisation increases from 45% of UAE National utilisation to 55% of UAE National utilisation.
Subacute beds include: Rehabilitation, Palliative care, Maintenance, Older Persons and Psychogeriatric care; ICU beds exclude Paediatrics, NICU, CCU, etc. Acute
Overnight beds exclude day case beds.
Current supply: HAAD Operations Centre Bed Census, HAAD Planning analysis of New Facility Applications (NFAs), SEHA.
Demand Projections: TAHPI, Health Facility briefing system, reference data is based on data extracted from the Australian Institute of Health and Welfare,
supplemented by data from the USA inpatient sample and UK Hospital Episode Statistics Online (HES)

Current health facility locations


H

Al

C29
75

Source HAAD Licensing database, GPS survey; not all Centre and Clinic locations shown.

Hospital
Centre
Clinic
Pharmacy

Supply projections
Region
Total Hospital Beds With
Preliminary license

No. of Beds For Hospital


>50% Construction

Total

11764

3106

383

8275

Abu Dhabi & Middle

9241

2318

310

6613

Districts

No. of Beds For Hospital No Construction


<50% Construction
Status

Hospital Sub Type

No. of
Beds

Construction
Status

Completion
Date

Land

Public/
Private

Districts

Hospital Sub Type

No. of
Beds

Construction
Status

Completion
Date

Land

Public/
Private

General Hospital

141

>50%

2015

Private

General Hospital

400

Planned

Private

Specialised Hospital

88

>50%

2015

Private

Rehabilitation Hospital

140

Planned

Private

Al Karama

Specialised Hospital

825

Planned

2019

Public

Rehabilitation Hospital

90

Planned

Private

Al Shamkha

General Hospital

125

Planned

Public

General Hospital

125

Planned

Private

Al Maryah Island

General Hospital

364

>50%

2015

Public

General Hospital

50

Planned

Private

Bain Al Jesrain

General Hospital

300

<50%

2015

Private

General Hospital

100

Planned

Private

Bani Yas

General Hospital

25

Planned

Private

General Hospital

25

Planned

Private

General Hospital

100

Planned

Private

General Hospital

150

Planned

Private

General Hospital

120

Planned

Private

General Hospital

50

Planned

Private

General Hospital

150

Planned

Private

General Hospital

118

Planned

Private

General Hospital

150

Planned

Private

General Hospital

90

Planned

Private

General Hospital

50

Planned

Private

Nursing Home

72

Planned

Private

General Hospital

50

Planned

Private

General Hospital

100

>50%

Private

General Hospital

72

Planned

Private

General Hospital

150

>50%

Private

General Hospital

140

Planned

Private

Specialised Hospital

100

Planned

Private

General Hospital

150

Planned

Private

General Hospital

10

<50%

Private

General Hospital

100

Planned

Private

General Hospital

250

>50%

Private

General Hospital

100

Planned

Private

Specialised Hospital

100

Planned

Private

General Hospital

50

Planned

Private

General Hospital

52

>50%

Private

General Hospital

54

Planned

Private

General Hospital

52

Planned

Private

Rehabilitation Hospital

140

Planned

Private

General Hospital

99

Planned

Private

General Hospital

180

Planned

Private

Nursing Home

72

>50%

Private

Specialised Hospital

53

Planned

Private

General Hospital

100

Planned

Private

General Hospital

100

Planned

Private

Mafraq

General Hospital

732

>50%

Public

General Hospital

50

Planned

Private

Mohamed Bin Zayed City

General Hospital

37

Planned

Private

Rehabilitation Hospital

40

Planned

Private

General Hospital

50

>50%

Private

General Hospital

300

Planned

Private

General Hospital

300

Planned

Private

General Hospital

300

Planned

Private

General Hospital

250

Planned

Private

General Hospital

210

Planned

Private

General Hospital

235

Planned

Private

General Hospital

100

Planned

Private

General Hospital

28

Planned

Private

General Hospital

35

Planned

Private

General Hospital

100

Planned

Private

General Hospital

100

>50%

2014

Private

Shahama

General Hospital

100

>50%

Private

General Hospital

119

>50%

2014

Private

Zaied Militarism City

Specialised Hospital

20

Planned

Private

Abu Dhabi Island

Grand Mosque District

Shakbhout City

Mussafah

Notes

C30
76

2015

2014

2016
2014

Completion likelihood from Land and Project State List (Maintained by HAAD Health Facility Licensing).
Mafraq & Al Ain Hospital existing beds numbers are additional planned beds over and above the existing bed numbers.

Source Preliminary licensed facilities, HAAD Licensing and Strategy analysis.

Supply projections
Region

Eastern

Total Hospital Beds


With Preliminary
license

No. of Beds For


Hospital >50%
Construction

No. of Beds For


Hospital <50%
Construction

No
Construction
Status

2289

788

50

1451

Districts

Hospital Sub Type

No. of
Beds

Total

Al Ain City

Al Hili
Al Jimi
Al Khabasi
Al Towaya
Al Yahar
Al Jimi
Falej Hazza

Specialised Hospital
General Hospital
Rehabilitation Hospital
General Hospital
General Hospital
General Hospital
General Hospital
General Hospital
One Day Surgry
General Hospital
General Hospital
General Hospital
General Hospital
General Hospital
General Hospital
General Hospital
General Hospital
General Hospital
Specialised Hospital
Specialised Hospital
General Hospital
Rehabilitation Hospital
General Hospital
General Hospital
General Hospital
Rehabilitation Hospital
General Hospital

713
50
25
36
112
30
100
100
6
54
100
60
30
46
40
126
50
60
71
70
50
32
50
50
96
32
100

Construction Completion
Status
date
<50%
>50%
>50%
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
Planned
<50%
Planned
Planned
Planned

2019
2015
2015

2015

Land

Public/
Private

Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
Y
N
N
Y

Public
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private

Land

Public/
Private

Y
Y
N
N
N
Y

Public
Private
Private
Private
Private
Public

Region

Western

No. of Beds For


Hospital >50%
Construction

234

23

Districts

Hospital Sub Type

No. of
Beds

Total

Gayathi
Madinat Zayed

Sila

Notes

C31
77

No. of Beds For


Hospital <50%
Construction

Total Hospital Beds


With Preliminary
license

General Hospital
General Hospital
Specialized Hospital
General Hospital
General Hospital
General Hospital

50
54
23
50
30
36

No
Construction
Status
211
Construction Completion
Status
date
Planned
Planned
<50%
Planned
Planned
Planned

2015

2015

Completion likelihood from Land and Project State List (Maintained by HAAD Health Facility Licensing).
Mafraq & Al Ain Hospital existing beds numbers are additional planned beds over and above the existing bed numbers.
Source

Preliminary licensed facilities, HAAD Licensing and Strategy analysis.

Inpatient current and projected supply by number of beds


(Acute, Subacute and Intensive Care) plus Emergency Bays
Provider

Bed/Service Type

Current Supply Planned Supply


2013

SEHA

2019

2020

2025

2030

3,079

3,079

3,079

3,641

3,826

3,876

3,876

Acute Overnight

2,444

2,444

2,471

3,034

3,210

3,210

3,596

3,781

3,831

3,831

45

45

45

45

45

45

45

45

45

Intensive Care Beds

120

120

134

168

202

202

228

228

228

228

Emergency Bays

232

232

232

275

275

275

299

314

314

314

Total Beds

80

80

230

330

444

444

444

570

570

570

Acute Overnight

80

80

230

330

444

444

444

570

570

570

45

27

39

75

75

75

59

107

107

16

16

16

16

16

16

16

16

Total Beds

1,295

1,814

2,660

2,760

2,860

2,960

3,060

3,160

3,660

4,160

Acute Overnight

1,093

1,612

2,391

2,491

2,573

2,655

2,737

2,819

3,319

3,819

202

202

269

269

287

305

323

341

431

521

Intensive Care Beds

60

70

97

124

134

144

154

164

214

264

Emergency Bays

41

41

249

274

299

324

349

374

399

424

Total Beds

3,864

4,383

5,406

6,169

6,383

6,483

7,145

7,556

8,106

8,606

Acute Overnight

3,617

4,136

5,092

5,855

6,227

6,309

6,777

7,170

7,720

8,220

Subacute

247

247

314

314

332

350

368

386

476

566

Intensive Care Beds

183

193

258

331

411

421

457

451

549

599

Emergency Bays

273

273

497

565

590

615

664

704

729

845

Subacute

C32
78

2018

2,516

Emergency Bays

Notes

2017

2,489

Intensive Care Beds

Emirate

2016

2,489

Subacute

Private

2015

Total Beds

Subacute 1

Mubadala

2014

Under-supply
Potential over-supply
Adequate supply

Subacute Beds include: rehabilitation, palliative care, maintenance, older persons and psychogeriatric care but exclude behavioral science beds; Intensive Care Beds
are a subset of Acute Overnight Beds and exclude PICU, NICU, CCU, etc.; Acute Overnight beds exclude day case beds. Analysis excludes military beds. Demand
projections are subject to further review and change as new reference data & methodology becomes available. 1Both existing Mafraq and Al Ain hospitals have been
identified to be re-used for subacute care, mental health care and isolation facilities once the new SEHA hospitals are operational. These beds are not included in the
above supply projections as the exact usage has yet to be determined.

Sources Supply projections: Private providers planned supply based on HAAD HFL database; SEHA planned supply based on SEHA communication to HAAD dated 8/10/2014;
Mubadala projections based on HAAD HFL database and Mubadala communication to HAAD dated 24/10/2013. Current supply: HAAD Operations Centre Bed
Census, HAAD Planning analysis of New Facility Applications (NFAs), SEHA.

Remote
support

Outpatient
Clinic

Screening

Ambulance

Check-up

Urgent Care
Centre

Disease
management

Emergency
Admission .

ER

Emergency

Severe
Moderate
None

Including diagnostics

Current and projected demand, by Episodes and beds


2021

2026

2031

184,102

223,539

276,589

332,040

3,289

3,992

5,223

6,769

7,061

3.5

3,308

4,328

5,609

5,850

3.0

Population (millions)

High

32

5,873
2,377
18
23,400
715
655
702
139
286
100,298
4,912
3,330
2,570
7,325
683
713
1,071
3,809
1,546
378
661
6,785
1,270
3,676
3,898
2,139

1,284
539
68
73
24

6.2
5.2
2.2
7.8
2.6

8.1
6.5
1.1
3.4
1.2

1
1

325

89

0.7

33
78

42
74

10
17

17
75

3.9
20.7

4.3
14.7

5.5
13.9

1
1
4
1

2
426
87
41

4
792
103
42

36
25
9

302
62
12

3.6
8.4
37.4

0.7
179.7
81.3
49.6

1.4
334.0
96.3
50.8

3.0

6.1

11

11

81.6

112.2

8.6

21.2

1
1
1

3
10
1

1
1

5
1

148
1

1
3
1
1
1
2

14
3

5
1

1,733
8
17
25
13
6
8
4

2,864
13
29
34
20
9
11
13

3
3
8
175
50
32
38
22
23

4
3
17
256
100
61
63
39
25

1
6

318
1
1
4
3

968
3
4
3
4
2
1

1
1

1.0
0.3

0.3
0.1

0.1
0.0

4.5
0.8
0.8
2.6
0.9
1.2
1.3
2.7

5.1
0.6
1.4
2.2
1.2
0.7
1.0
0.5

8.3
1.0
2.4
3.0
1.9
1.1
1.4
1.8

3.1
4.8
1.0
4.5
2.5
2.7
7.5
2.0
2.0

0.9
1.4
0.4
6.0
3.1
2.1
4.8
4.4
4.6

1.2
1.4
0.9
8.8
6.3
4.1
7.9
7.8
5.0

1
2
1
1
1
1
1

1
1
1
11
3
3
5

5
23
7
3
5
2
2

32
107
14
17
18
10
10

81,520
95,972
97,522
111,191
15,375
(41,268)
22,755
72,169
114,161
94,685
138,260
45,753
17,306
64,683
114,743
17,196
67,629
98,930
119,173
99,224
49,672
119,878
49,902
19,925
240,000
80,000
100,000
5,000
30,000
200,000
3,049
4,804
30,937
36,456
1,042
892
1,171
209
558
364,298
10,488
18,135
20,516
3,709
1,313
32,120
1,650
1,993
2,240
1,411
45,000
11,000
114,000
60,000
7,000
65,000
5,000

Clinics

Hospitals

Projects under way

Clinics

Clinic
required

2030 planned

1
1
1

110,000
100,000
100,000
425,000
190,000
100,000
70,000
110,000
130,000
110,000
150,000
55,000
25,000
70,000
120,000
20,000
70,000
100,000
120,000
100,000
50,000
120,000
50,000
20,000
240,000
80,000
100,000
5,000
30,000
200,000
11,900
10,000
79,740
74,000
6,000
5,000
5,000
4,000
2,500
707,300
23,000
30,000
32,000
14,350
9,500
40,000
9,000
8,400
5,500
3,500
65,000
40,000
130,000
75,000
15,000
70,000
10,000

1
1

1
1
1
2

1
1
1
1

3
4
1

1
1
6
1

1
3

1
1
1

1
1
2
1
1
1

1
1
1
1
1

1
1
1
1

1
1
1
2
1
1
1
1
1
8

3
1
1
1
1
1
1
1
1
1

1
1
2
1
1
2
1
1
1
1

1
1

2030
Population

2030 requirements

Hospitals
required

Population Growth

12.4
9.5
1.4
2.2
1.2

Hospitals

2030 Plan growth

Doctors
/1000

132

430
241
21
57
14

Nurses
/1000

Nurses
3,878
1,663
194
106
47

Other

Dentists

Ratios

2,529
1,131
161
162
45

Facilities
/10000

Hospitals

Clinics

Nearby
hospital

182
86
31
37
10

Doctors

Total

% National

Total
2
7
2
None
2
None
6
None
None
None
None
3
None
None
None
None
8
1
None
None
None
None
None
186
1
1
3
1
1
1
2
None
1
1
5
16
4
4
6
1
1

Clinicians

13
5

1
1
1

4,619

4,818

N/A

3,216

4,233

5,461

6,738

224

342

438

449

525

ICU beds

146

175

209

245

281

0.5

Emergency Bays

N/A

789

987

1,182

1,379

0.0

National

1.5

1.0

411'200
416'150
422'200
429'400
437'800
445'800
453'600
460'500
467'600
473'600

Expatriate
Low
1'945'000
1'970'000
2'060'000
2'130'000
2'175'000
2'250'000
2'310'000
2'360'000
2'400'000
2'475'000

Clinics2

High
2'045'000
2'190'000
2'350'000
2'505'000
2'675'000
2'850'000
3'045'000
3'240'000
3'400'000
3'575'000

Hospitals5

Ambulance
Stations

Notes

Land provision options

Parking
(spaces)

Minimum service
requirement

Estimated
Resources

Transient1

Land area
(m 000s)

4-5

12-15

?3

2.5

25

2 Physicians

8-12

24-36

?3

30

Primary care
Pharmacy services (on-site or
within 10 min walk)
Laboratory service

12-30

36-90

8.5

?3

3.5

35

30-40

90-120

12

?3

4.5

45

60-80

180-240

80

n/a

n/a

3/bed

90-110

270-330

100

n/a

n/a

10-16

30-48

?7

16-40

48-120

?7

OR

Population growth, Scenarios

Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020

2.0

DRAFT

For planning purposes, land must be available for hospitals, clinics and ambulance stations
to serve anticipated population as per the following guidelines:

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

C33
79

None
None
None
229
124
36
43
10
None
1
None
None
3
11
None

Land requirements Guidelines for urban planners

As at 31 December 2010 Draft

Low

2.5

3,564

Notes :Sub Acute beds include: Rehabilitation, Palliative care, Maintenance, Older Persons and Psychogeriatric care; ICU beds exclude
Paediatrics, NICU, CCU, etc. Acute Overnight beds exclude day case beds. Sub acute numbers of beds adjusted
Source: TAHPI, Health Facility briefing system, reference data is based on data extracted from the Australian Institute of Health and Welfare,
supplemented by data from the USA inpatient sample and UK Hospital Episode Statistics Online (HES)
Assumptions
Projected bed numbers from 2016 onwards are based on International Average ALOS and 75% occupancy for ICU beds.
Population growth based on: Abu Dhabi Urban Planning Council
2030 Plan projections, Advantaged socio-economic class
and with life expectancy >77years. Expatriate utilisation increases from 45% of UAE National utilisation to 55% of UAE
National utilisation. Sub acute number of beds adjusted to meet international benchmark

Facilities

10,963
1,996
44,004
14,141
2,256
27,267
16,361
10,674
13,038
4,565
33
4,927
2,703
1,837
480
2,121
53
397
1
95

Note: Abu Dhabi and Al Gharbia populations based on SCAD 2005 census. Al Ain population based on 2008 UPC estimate.
Source: Population: SCAD, UPC 2030 plans. Clinicians and Facilities: Licensing database. Planned Facilities ; SEHA, UPC 2030 plans, HAAD Planning analysis.

Residential

4.0

2,724

Sub Acute Overnight


Episodes
Sub Acute Overnight
Beds

8,851
5,196
48,803
37,544
4,958
4,108
3,829
3,791
1,942
343,002
12,512
11,865
11,484
10,641
8,187
7,880
7,350
6,407
3,260
2,089
20,000
29,000
16,000
15,000
8,000
5,000
5,000

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Population
(000s people)

2016

122,345

Target (85%)

28,480
4,028
2,478
313,809
174,625
141,268
47,245
37,831
15,839
15,315
11,740
9,247
7,694
5,317
5,257
2,804
2,371
1,070
827
776
328
122
98
75

Recommendations

Population growth, scenarios

2011 Actual

Intermediate (70%)

Type
Rural
Rural
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural

11

Assumptions

Demand & Supply


Projections
Acute Overnight Beds Current (58%)

Gap now

Capacity Gap

Institute of Medicine 2001 Crossing the Quality Chasm, Bodenheimer et al 2002 JAMA, Department of Health UK 2001 Reforming Emergency Care, Picker Institute, Strategy analysis

Bed Occupancy

Population

Region
District
Abu Dhabi Desert Villages
Al Falah
Ghantoot District
Abu Dhabi Island
CBD/Financial Centre
Musaffah
Bani Yas
Al Shahama
Shamkhah
Al Rahba
New Port City
Capital District South
Bain Al Jesrain
Khalifa City A
Grand Mosque District
Inner Islands
Capital District North
Al Mina
Al Raha
Yas Island
Mohamed Bin Zayed City
Saadiyat
Airport District
Lulu Island
Capital District
Mohamed Bin Zayed Centre
South Hudayriat Island
Marina Village
Al Suwwah
Al Reem
Al Ain
Umm Ghaffa
Nahel
Industrial City
Al Salamat/Al Yaher
Al Dhahra
Abu Krayyah
Al Saad
Al Araad
Abu Samra
Al Ain City
Al Quaa
Al Wagan
Al Hayer
Al Dhaher
Remah
Sweihan
Al Khazna
Mezyad
Al Shwaib
Al Fagah
Western Liwa
Madinat Zayed
Ruwais
Mirfa
Ghayathi
Sila'a
Delma Island

Elective
Admission

Triage

Preventative

Acute Overnight
Episodes

Capacity Masterplan

DRAFT

Non-emergency/elective

Patient self-care

Nationals

Model of care How health services should be used

Source

Capacity
Management

Capacity Gaps

Model of Care

Co-location

GFA4
OR (m2 000s)

OR

4-6 Physicians
7-14
Physicians
15-20
Physicians
180-240
Beds6

3/bed

Emergency services
Laboratory services
Radiology services
Stand-alone building

n/a

10

Ambulance service (land /air)

1 Ambulance

n/a

15

Ambulance service (land /air)

2 Ambulances

270-330
beds6

1Transient

population includes staff and other non-residential visitors


Clinics, Centers and Polyclinics
3Appropriate facilities for co-location with Clinics include Hospitals, Ambulance Stations, Mosques, Neighbourhood Commercial Centres, Sport
Facilities, Community/Cultural Centres, Pharmacies, Schools and Post Offices,
4Clinic GFA may be provided within larger commercial centre with adequate transport options and shared parking
5 If residential population is less than 60,000 or transient population is less than 180,000, land provision for a hospital facility needs to be made on a
site-based analysis which considers the accesibility of existing hospital facilities
6Optimal hospital size is 200-600 beds
7Appropriate facilities for co-location with Ambulance Stations include Clinics, Hospitals, Civil Defense Stations, Police Stations and Municipal Offices
Source HAAD Health Facility Community Guidelines 2009, Strategy analysis
2Clinics collectively refers to

C17

Note

HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here are for internal HAAD use only
Projections for Nationals are rounded to the nearest 2.5% variance between high and low, and those for Expatriates at 5%.
Source SCAD population estimates; additional HAAD assumptions and analysis based on raw insurance data`

73

Population density

C34
80

Source

Department of Planning and Economy (2005 Census), Strategy Analysis.

Population growth, scenarios

Population (millions)

5.0

Population growth, scenarios

4.5

Low

4.0

High

3.5
3.0

2.5
2.0
1.5

1.0
0.5
0.0

2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023

Note

C35
81

Source

National
Year
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023

491'300
505'600
519'600
533'200
546'500
560'000
572'500
585'000
597'500
609'000
620'500

Expatriate
Low
2'117'000
2'128'500
2'140'000
2'150'500
2'160'500
2'170'000
2'179'000
2'187'000
2'195'000
2'201'000
2'206'000

HAAD and SCAD are collaborating to align figures with official SCAD estimates; estimates presented here are for internal HAAD use only.
Projections for Nationals are rounded to the nearest 2.5% variance between high and low, and those for Expatriates at 5%.
2012 2022: SCAD population estimates; additional HAAD assumptions and analysis based on raw insurance data; 2030: UPC 2030 Plan.

High
2'233'500
2'279'500
2'341'500
2'407'500
2'466'500
2'520'000
2'570'000
2'617'000
2'660'000
2'701'000
2'739'000

Demand projections
Doctors and Nurses
Under Process
Subject to Change

Additional capacity needs


2022
Low
Doctors not including Dentists
Nurses

Notes

CAGR
High

Low

Absolute
High

Annualised

Low

High

C36
82

High Low

High

7,100 10,300

2.5

6.4

1,600

4,800

140

350

1,200

1,700

17,500 25,400

3.5

7.4

5,100 13,000

430

920

2,000

2,900

These projections present 2 alternative scenarios based on high and low population estimates. Numbers have been rounded for clarity. This
page is under process and subject to change.
CARG Compound Annual Growth Rate.
The actual number needed each year changes is compounded- and this is a mid-period figure.

Assumptions Churn (staff turnover) will remain at the 2011 rate of 17% for doctors and 11% for nurses.
Source

Low

Including churn

HAAD Demand Model 2012, HAAD Licensing Database.

Demand projections based on WHO disease


classification
10

20

30

2012
Inpatients (Thousands)
Deliveries
27
Signs, symptoms & ill-defined
20
Maternal & Perinatal conditions
18
Digestive diseases
12
Cardiovascular diseases
2 4
10
Respiratory infections
9 1 5
Respiratory diseases
Genitourinary diseases 7 2 7
Endocrine disorders 6 1 2
Infectious & parasitic diseases 6 1 3
Occupational Injuries 5 1 3
Musculoskeletal diseases 5 1 4
Neuropsychiatric conditions 5 4 4
Other Injuries 4 1 3
Cancer 3 3 5
Skin diseases -02 1
Diabetes mellitus 21 2
Sense organ diseases 102
Congenital anomalies 100
Oral conditions 0
Nutritional deficiencies 00
RTA -

34

10
6

2 2

3
12

10
28

CAGR
Low
High
2.6
3.7
2.0
4.6
1.0
2.0
1.5
5.5
7.1 15.7
1.5
4.3
1.6
5.7
2.8
8.6
1.1
4.2
2.0
5.9
1.3
5.4
2.3
7.8
7.0 11.1
2.0
6.1
7.6 14.2
-0.1
3.8
4.6 12.1
1.5
9.4
3.1
4.9
1.7
4.9
1.8
7.4
0.0
0.0

40

2022 Low

Outpatients (Millions)

1.9

.3

.3 .1.0
.6

.3 .3

.4

.5

1.0

1.9

.0

.5

.3 .3

.5

.3

.4

.4

.3 .2 .3
.4 .1.1
.5 .0.1
.9

.5

.7

.2 .2 .1
.0
.0
.1.1
.0

.6

.2 .2

.4

.9

.5

.3

.5

.2 .2

.0
.0

.2.1.1
.3 .1.1

1.2
.5

.8

50

2022 High
CAGR
Low
High
0.0
0.0
1.5
4.8
3.2
4.1
4.2
7.3
9.0 17.1
-0.1
2.1
4.3
7.2
4.5
8.5
5.3 10.1
1.8
4.2
0.7
3.3
4.7
9.1
7.7 11.3
1.4
4.0
8.3 15.8
3.1
6.0
11.4 18.8
4.9
9.5
3.9
6.3
3.2
5.9
4.2
7.6
2.9
5.3

Definition CAGR = Compound Annual Growth Rate 2012-2022


Notes
This page is under process and subject to change.

C37
83

Source

HAAD Demand Model 2012, Categorization based on WHO classification of diagnoses ICD 9, modified to specify deliveries and RTAs

60

Demand projections for doctors by specialty

C38
84

Remote
support

Outpatient
Clinic

Screening

Ambulance

Check-up

Urgent Care
Centre

Disease
management

Emergency
Admission .

ER

Emergency

Severe
Moderate
None

Including diagnostics

Current and projected demand, by Episodes and beds


2021

2026

2031

184,102

223,539

276,589

332,040

3,289

3,992

5,223

6,769

7,061

3.5

3,308

4,328

5,609

5,850

3.0

Population (millions)

High

32

5,873
2,377
18
23,400
715
655
702
139
286
100,298
4,912
3,330
2,570
7,325
683
713
1,071
3,809
1,546
378
661
6,785
1,270
3,676
3,898
2,139

1,284
539
68
73
24

6.2
5.2
2.2
7.8
2.6

8.1
6.5
1.1
3.4
1.2

1
1

325

89

0.7

33
78

42
74

10
17

17
75

3.9
20.7

4.3
14.7

5.5
13.9

1
1
4
1

2
426
87
41

4
792
103
42

36
25
9

302
62
12

3.6
8.4
37.4

0.7
179.7
81.3
49.6

1.4
334.0
96.3
50.8

3.0

6.1

11

11

81.6

112.2

8.6

21.2

1
1
1

3
10
1

1
1

5
1

148
1

1
3
1
1
1
2

14
3

5
1

1,733
8
17
25
13
6
8
4

2,864
13
29
34
20
9
11
13

3
3
8
175
50
32
38
22
23

4
3
17
256
100
61
63
39
25

1
6

318
1
1
4
3

968
3
4
3
4
2
1

1
1

1.0
0.3

0.3
0.1

0.1
0.0

4.5
0.8
0.8
2.6
0.9
1.2
1.3
2.7

5.1
0.6
1.4
2.2
1.2
0.7
1.0
0.5

8.3
1.0
2.4
3.0
1.9
1.1
1.4
1.8

3.1
4.8
1.0
4.5
2.5
2.7
7.5
2.0
2.0

0.9
1.4
0.4
6.0
3.1
2.1
4.8
4.4
4.6

1.2
1.4
0.9
8.8
6.3
4.1
7.9
7.8
5.0

1
2
1
1
1
1
1

1
1
1
11
3
3
5

5
23
7
3
5
2
2

32
107
14
17
18
10
10

81,520
95,972
97,522
111,191
15,375
(41,268)
22,755
72,169
114,161
94,685
138,260
45,753
17,306
64,683
114,743
17,196
67,629
98,930
119,173
99,224
49,672
119,878
49,902
19,925
240,000
80,000
100,000
5,000
30,000
200,000
3,049
4,804
30,937
36,456
1,042
892
1,171
209
558
364,298
10,488
18,135
20,516
3,709
1,313
32,120
1,650
1,993
2,240
1,411
45,000
11,000
114,000
60,000
7,000
65,000
5,000

Clinics

Hospitals

Projects under way

Clinics

Clinic
required

2030 planned

1
1
1

110,000
100,000
100,000
425,000
190,000
100,000
70,000
110,000
130,000
110,000
150,000
55,000
25,000
70,000
120,000
20,000
70,000
100,000
120,000
100,000
50,000
120,000
50,000
20,000
240,000
80,000
100,000
5,000
30,000
200,000
11,900
10,000
79,740
74,000
6,000
5,000
5,000
4,000
2,500
707,300
23,000
30,000
32,000
14,350
9,500
40,000
9,000
8,400
5,500
3,500
65,000
40,000
130,000
75,000
15,000
70,000
10,000

1
1

1
1
1
2

1
1
1
1

3
4
1

1
1
6
1

1
3

1
1
1

1
1
2
1
1
1

1
1
1
1
1

1
1
1
1

1
1
1
2
1
1
1
1
1
8

3
1
1
1
1
1
1
1
1
1

1
1
2
1
1
2
1
1
1
1

1
1

2030
Population

2030 requirements

Hospitals
required

Population Growth

12.4
9.5
1.4
2.2
1.2

Hospitals

2030 Plan growth

Doctors
/1000

132

430
241
21
57
14

Nurses
/1000

Nurses
3,878
1,663
194
106
47

Other

Dentists

Ratios

2,529
1,131
161
162
45

Facilities
/10000

Hospitals

Clinics

Nearby
hospital

182
86
31
37
10

Doctors

Total

% National

Total
2
7
2
None
2
None
6
None
None
None
None
3
None
None
None
None
8
1
None
None
None
None
None
186
1
1
3
1
1
1
2
None
1
1
5
16
4
4
6
1
1

Clinicians

13
5

1
1
1

4,619

4,818

N/A

3,216

4,233

5,461

6,738

224

342

438

449

525

ICU beds

146

175

209

245

281

0.5

Emergency Bays

N/A

789

987

1,182

1,379

0.0

National

1.5

1.0

411'200
416'150
422'200
429'400
437'800
445'800
453'600
460'500
467'600
473'600

Expatriate
Low
1'945'000
1'970'000
2'060'000
2'130'000
2'175'000
2'250'000
2'310'000
2'360'000
2'400'000
2'475'000

Clinics2

High
2'045'000
2'190'000
2'350'000
2'505'000
2'675'000
2'850'000
3'045'000
3'240'000
3'400'000
3'575'000

Hospitals5

Ambulance
Stations

Notes

Land provision options

Parking
(spaces)

Minimum service
requirement

Estimated
Resources

Transient1

Land area
(m 000s)

4-5

12-15

?3

2.5

25

2 Physicians

8-12

24-36

?3

30

Primary care
Pharmacy services (on-site or
within 10 min walk)
Laboratory service

12-30

36-90

8.5

?3

3.5

35

30-40

90-120

12

?3

4.5

45

60-80

180-240

80

n/a

n/a

3/bed

90-110

270-330

100

n/a

n/a

10-16

30-48

?7

16-40

48-120

?7

OR

Population growth, Scenarios

Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020

2.0

DRAFT

For planning purposes, land must be available for hospitals, clinics and ambulance stations
to serve anticipated population as per the following guidelines:

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

C39
85

None
None
None
229
124
36
43
10
None
1
None
None
3
11
None

Land requirements Guidelines for urban planners

As at 31 December 2010 Draft

Low

2.5

3,564

Notes :Sub Acute beds include: Rehabilitation, Palliative care, Maintenance, Older Persons and Psychogeriatric care; ICU beds exclude
Paediatrics, NICU, CCU, etc. Acute Overnight beds exclude day case beds. Sub acute numbers of beds adjusted
Source: TAHPI, Health Facility briefing system, reference data is based on data extracted from the Australian Institute of Health and Welfare,
supplemented by data from the USA inpatient sample and UK Hospital Episode Statistics Online (HES)
Assumptions
Projected bed numbers from 2016 onwards are based on International Average ALOS and 75% occupancy for ICU beds.
Population growth based on: Abu Dhabi Urban Planning Council
2030 Plan projections, Advantaged socio-economic class
and with life expectancy >77years. Expatriate utilisation increases from 45% of UAE National utilisation to 55% of UAE
National utilisation. Sub acute number of beds adjusted to meet international benchmark

Facilities

10,963
1,996
44,004
14,141
2,256
27,267
16,361
10,674
13,038
4,565
33
4,927
2,703
1,837
480
2,121
53
397
1
95

Note: Abu Dhabi and Al Gharbia populations based on SCAD 2005 census. Al Ain population based on 2008 UPC estimate.
Source: Population: SCAD, UPC 2030 plans. Clinicians and Facilities: Licensing database. Planned Facilities ; SEHA, UPC 2030 plans, HAAD Planning analysis.

Residential

4.0

2,724

Sub Acute Overnight


Episodes
Sub Acute Overnight
Beds

8,851
5,196
48,803
37,544
4,958
4,108
3,829
3,791
1,942
343,002
12,512
11,865
11,484
10,641
8,187
7,880
7,350
6,407
3,260
2,089
20,000
29,000
16,000
15,000
8,000
5,000
5,000

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Population
(000s people)

2016

122,345

Target (85%)

28,480
4,028
2,478
313,809
174,625
141,268
47,245
37,831
15,839
15,315
11,740
9,247
7,694
5,317
5,257
2,804
2,371
1,070
827
776
328
122
98
75

Recommendations

Population growth, scenarios

2011 Actual

Intermediate (70%)

Type
Rural
Rural
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Urban
Rural
Urban
Urban
Urban
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Urban
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural
Rural

11

Assumptions

Demand & Supply


Projections
Acute Overnight Beds Current (58%)

Gap now

Capacity Gap

Institute of Medicine 2001 Crossing the Quality Chasm, Bodenheimer et al 2002 JAMA, Department of Health UK 2001 Reforming Emergency Care, Picker Institute, Strategy analysis

Bed Occupancy

Population

Region
District
Abu Dhabi Desert Villages
Al Falah
Ghantoot District
Abu Dhabi Island
CBD/Financial Centre
Musaffah
Bani Yas
Al Shahama
Shamkhah
Al Rahba
New Port City
Capital District South
Bain Al Jesrain
Khalifa City A
Grand Mosque District
Inner Islands
Capital District North
Al Mina
Al Raha
Yas Island
Mohamed Bin Zayed City
Saadiyat
Airport District
Lulu Island
Capital District
Mohamed Bin Zayed Centre
South Hudayriat Island
Marina Village
Al Suwwah
Al Reem
Al Ain
Umm Ghaffa
Nahel
Industrial City
Al Salamat/Al Yaher
Al Dhahra
Abu Krayyah
Al Saad
Al Araad
Abu Samra
Al Ain City
Al Quaa
Al Wagan
Al Hayer
Al Dhaher
Remah
Sweihan
Al Khazna
Mezyad
Al Shwaib
Al Fagah
Western Liwa
Madinat Zayed
Ruwais
Mirfa
Ghayathi
Sila'a
Delma Island

Elective
Admission

Triage

Preventative

Acute Overnight
Episodes

Capacity Masterplan

DRAFT

Non-emergency/elective

Patient self-care

Nationals

Model of care How health services should be used

Source

Capacity
Management

Capacity Gaps

Model of Care

Co-location

GFA4
OR (m2 000s)

OR

4-6 Physicians
7-14
Physicians
15-20
Physicians
180-240
Beds6

3/bed

Emergency services
Laboratory services
Radiology services
Stand-alone building

n/a

10

Ambulance service (land /air)

1 Ambulance

n/a

15

Ambulance service (land /air)

2 Ambulances

270-330
beds6

1Transient

population includes staff and other non-residential visitors


Clinics, Centers and Polyclinics
3Appropriate facilities for co-location with Clinics include Hospitals, Ambulance Stations, Mosques, Neighbourhood Commercial Centres, Sport
Facilities, Community/Cultural Centres, Pharmacies, Schools and Post Offices,
4Clinic GFA may be provided within larger commercial centre with adequate transport options and shared parking
5 If residential population is less than 60,000 or transient population is less than 180,000, land provision for a hospital facility needs to be made on a
site-based analysis which considers the accesibility of existing hospital facilities
6Optimal hospital size is 200-600 beds
7Appropriate facilities for co-location with Ambulance Stations include Clinics, Hospitals, Civil Defense Stations, Police Stations and Municipal Offices
Source HAAD Health Facility Community Guidelines 2009, Strategy analysis
2Clinics collectively refers to

C17

Note

HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here are for internal HAAD use only
Projections for Nationals are rounded to the nearest 2.5% variance between high and low, and those for Expatriates at 5%.
Source SCAD population estimates; additional HAAD assumptions and analysis based on raw insurance data`

73

Planning recommendations
Summary
The rapid population growth and development in the Emirate of Abu Dhabi requires careful attention to ensure
the availability of suitable healthcare services for the population. This plan accordingly includes guidelines and
recommendations for parties who play a key role in ensuring appropriate, quality healthcare services are
available to the population in a timely manner:

Urban planners high level indications of health facility requirements for anticipated populations to ensure
that appropriate land is made available for these facilities at the planning phase.
Developers a requirement for healthcare facility developers and operators to be engaged before
developments are approved to ensure the new population will have access to appropriate, quality
healthcare services in a timely manner.
Healthcare investors to support investors with information regarding health service use, supply and
demand and to meet regulatory requirements.
Centralised services* For some clinical services centralisation of patient volumes results in better quality
and/or cost-efficiency; such services are typically complex, with low volume. HAAD will designate facilities
that will provide such Centralised services.
Regional services* For certain moderately complex and time-dependent clinical services it is required that
these are provided within each Abu Dhabi region. HAAD will limit licenses for such Regional services as
detailed on page C27.
Standard services* - The majority of clinical services may be offered by any suitable facility in line with HAAD
competency framework (set out in the Abu Dhabi Healthcare Regulations).

Notes *Clinical services are specified at the level of DRGs; In emergency situations services designated as Regional or Centralised may be offered by any facility.

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86

Facility recommendations for developers, investors, and


healthcare providers

Health facility developments must:

Meet HAAD licensing requirements (available at www.haad.ae).


Ensure any designated minimum service requirements set out in the Land
Requirements Guidelines for Urban Planners are met.

From 2013 providers intending to provide inpatient services, at DRG level, categorised
as Centralised or Regional by HAAD must obtain HAAD approval and (re)licence1 prior to
establishing services.

Additional guidance regarding healthcare capacity and demand projections are available
within this document, HAADs Health Statistics.

HAAD has amended its Licensing process to require submission and approval of all intended services specified at DRG level.

C41
87

Service recommendations for investors and


developers
Developers for projects with intended residential populations in excess of 4,000
(rural) or 6,000 (suburban and urban) must have engaged a developer and
operator for the healthcare facilities within the development.

Developers should notify the Executive Councils Social Development SubCommittee of their intended plans (copying UPC) in the context of
combining/sharing healthcare facilities with other social infrastructure, e.g.,
community centres.

Services must be designed and operated in accordance with HAAD Regulations


(available at www.haad.ae).

C42
88

Requirements for allocation of land and service


provision
These requirements have been established in partnership with Abu Dhabi Urban Planning Council (UPC)
and comprise the healthcare element of the UPC Community Facility Planning Standards. For new
residential developments land and facilities must be provided as per the following:
Population

Land provision options

Urban

Suburban

Urban

Minimum
Land area

Rural

Minimum
Including if
Co-located
GFA3,6

Clinic2 (Village)

NA

NA

4-6

(spaces)

(m 000s)
Transient1

Residential

Facility Type

Car parking

(000s people)

12-15

NA

NA

Suburban

Rural

Minimum
Minimum Including if
Land area Co-located
GFA3,6

Minimum
Minimum Including if
Land area Co-located
GFA3,6

NA

NA

Minimum service requirement

25

Estimated
Resources per
facility

2 Physicians
Primary care

Clinic (Small)

6-10

6-10

6-10

24-36

30

Clinic (Medium)

12-29

12-29

12-29

36-90

35

Pharmacy services (on-site or within 10 min


walk)

7-14 Physicians

Clinic (Large)

30-40

30-40

30-40

90-120

10

10

10

45

Laboratory service

15-20 Physicians

180-240

40

NA

40

NA

80

NA

3/bed

270-330

50

NA

80

NA

NA

NA

3/bed

60-90
Hospitals4
90-110

Notes

NA

1Transient

Emergency services
Radiology services
Laboratory services
Stand-alone building

180-270 Beds5

270-330 Beds5

population includes staff and other non-residential visitors.


collectively refers to Clinics, Centres and Polyclinics.
3Clinics may be co-located with other facilities including Mosques, Neighbourhood Commercial Centres, Sport Facilities, Community/Cultural Centres, Pharmacies,
Schools and Post Offices.
Where facilities are co-located, adequate transport options and shared parking must be made available.
4 Evaluation of the need for provision of a healthcare facility will be carried out on a case by case basis which considers the accessibility of existing and planned
facilities close to the new development.
5Optimal hospital size is 200-600 beds
6GFA Ground Floor Area.
2Clinics

C43
89

4-6 Physicians

Sources Strategy analysis, UPC Community Facility Planning Standards.

Access requirements
Healthcare services should be provided to meet the following access requirements in
relation to routine/elective services and emergency services:

Routine/Elective

Emergency services

Urban

Primary care services within 20 minutes


drive at maximum speed of 60 km/h

Ambulance access within 15 minutes, if via


land driving at maximum speed of 60 km/h

Rural

Primary care services within 20 minutes


drive at maximum speed of 120 km/h

Ambulance access within 19 minutes, if via


land driving at maximum speed of 120 km/h

Note

Source

C44
90

Alternative solutions such as air ambulance should be utilised to achieve emergency service access requirements in rural and/or densely
populated urban areas.
Department of Health UK, Strategy analysis.