Académique Documents
Professionnel Documents
Culture Documents
2009
Health Authority Abu Dhabi
Reliable Excellence in Healthcare
www.haad.ae/statistics
Contents New
Overview Encounters
Vision 2 Encounters by type, setting and nationality 22
Statistical highlights 3 Encounters volume by diagnosis group 23
Public Health highlights 4 Encounters value by diagnosis group 24
Investor highlights 5 Top Procedures by value and diagnosis group 25
Key indicators 6 Top drugs by value and diagnosis group 26
Blood bank donors and units 27
Population
Population by age, gender and nationality 8 Providers
Population by region and nationality 9 Provider overview 29
Population density 10 Labor productivity 30
Population growth 11 Health facility locations 31
Hospitals 32
Vital Statistics Centers and Clinics 33
Births and Deaths 12 Critical care bed capacity 34
Births and Deaths time series 13 Bed occupancy 35
Leading causes of death 14 Capacity gaps 36
Leading causes of death, detail 15 Demand projections 37
Injury deaths 16 Demand projections by diagnosis group 38
Investor plan for additional bed capacity 39
Communicable diseases 17
Claims 41
Health status overview 18
Health status by age and gender 19 Payers claims share 43
Diabetes Mellitus frequency 20
Financing members by insurer 45
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. 1
Our Vision for the health system of the Emirate
In the Emirate of Abu Dhabi, everyone
has access to healthcare and freedom
to choose their provider.
The health system
finances itself
through a A system encompassing the full
mandatory health Population spectrum of health - protecting,
insurance for all promoting, sustaining and restoring
AD residents. services across the territory of the
Emirate.
2
Statistical highlights 2009
There are more • 1.9m residents, 21% Nationals
insurance • Median age 19 for Nationals and
contracts (2.3m) 30 for Expatriates
than residents • 29’068 births and 2’988 deaths
Population
• Life expectancy 74.4 for men,
74.8 for women
Payer Provider
• 5’142 physicians, 8’142 nurses
Claim and 5’630 allied health
professionals in 1’077 licensed
facilities:
– 39 hospitals (3’621 beds)
33 licensed insurers • 9.1 Million claims processed
– 572 centers and clinics
compete for members • 98.8% of claims for outpatients
– 467 pharmacies and stores
3
Public health highlights
• Population One in five residents are Nationals of whom two safety education programs are some of the actions being taken
thirds are under 30 and half under 198. Expatriates
are by government agencies. Occupational injuries are covered
overwhelmingly male and of Asian origin and predominantly directly by employers, not by health insurance.
aged between 20 and 408,9. A significant share are employed in • Communicable diseases Rates of childhood communicable
construction and accommodated in labour camps. The diseases are very low23, due to immunization programs targeting
introduction of mandatory health insurance in 2007 provided all children aged <5 years17. Expatriates are screened for
residents in Abu Dhabi access to high quality care. Residence
communicable diseases before acquiring residence status17.
status is generally contingent on being employed, so there are
very few retirement age or unemployed expatriates. The • Non-Communicable diseases The Emirate has high rates of
population has been growing rapidly in previous years, with likely chronic diseases related to life style such as obesity, diabetes,
temporary decline in 2009. and cardiovascular diseases. Cardiovascular diseases already
accounted for a quarter of deaths in 2009. Adult Nationals were
• Birth Fertility rates – the main driver of growth for Nationals – screened for cardiovascular risk factors in 2008 as a condition for
have declined for over 30 years13,14. The UAE’s Total Fertility Rate enrollment in Thiqa insurance. Early analysis of results of this
has declined from 4.4 to 2.3 per woman between 1990 and screening show obesity rates of 33% for males and 38% for
2007. Declining birth rates are attributed to urbanisation, females and high proportions of people at risk of diabetes and
delayed marriage, changing attitudes about family size, and hypertension among UAE nationals over 1519. Without major
increased education and work opportunities for women. changes, these rates are set to increase further as the young
• Death Mortality rates have also declined steadily13 over the past population ages. Individuals thought to be at high risk of
yaers. Infant mortality is now comparable with other developed cardiovascular disease are being followed up.
countries6 and the WHO recently reported a decrease in the • Cancer caused 14% of all deaths in the Emirate in 2008. Breast
under 5 mortality rate from 15 to 8 per 1’000 live births between cancer is the dominant cancer in Abu Dhabi18. Late detection of
1990 and 2007 across the UAE. In 2009, the diseases of breast cancer leads to significant increases in mortality. Female
Circulatory System caused the highest number of deaths, adult Nationals aged 40-69 are being screened for breast cancer
accounting for 24% of all death cases registered in the Abu Dhabi as part of their Thiqa insurance renewal. Education and
Emirate. External Causes of morbidity and mortality and
awareness campaigns have increased screening rates for all
Neoplasms are the second and third highest causes of death15,16. nationalities
• Injuries Abu Dhabi has one of the highest rates of injuries • Respiratory infections are the most common non-life threatening
resulting from Road traffic accidents. They account for 14% of all condition in the Emirate, accounting for over 18% of all
deaths and are the leading cause of death amongst young encounters across all healthcare facilities28. Respiratory
males16,17. Speeding fines, free provision of child seats, and traffic infections impact workforce productivity and quality of life.
4
Investor highlights
• Population The population is concentrated on or nearby Abu • Capacity gaps Although waiting times have eased somewhat
Dhabi island9,10. Areas of growth in the short to medium term are overall gaps remain, particularly in pediatrics, orthopedics,
expected to be just off the island (Khalifa City A, Mohammed Bin ophthalmology and gynaecology41. Overall bed occupancy rates
Zayed City, the islands adjacent to Abu Dhabi island) and the vary significantly by facility, but have not increased in aggregate.
oldest city Al Ain. At the end of 2009 there were 0.4m National Bed occupancy in ICU, NICU and PICU was consistently above
Thiqa members, 0.9m government-subsidised Basic members and optimal level of 75% throughout 200939.
0.9m Enhanced members50. Daman administers Thiqa, it has • Reimbursement HAAD sets prices for the Basic product uniformly,
exclusivity for the Basic product and one third of the competitive adapted from the US-Medicare structure. Providers negotiate
Enhanced market. Daman has recently given up its direct billling
prices with Payers for Enhanced plans, generally as a multiple of
exclusivity with the public healthcare provider SEHA. Basic product rates. Thiqa is reimbursed at the level of Daman’s
• Demand for health services in the Emirate stabilised in 2009 – with most generous Enhanced plan. Price levels are weighted towards
the exception of ER encounters – following significant increases in outpatient care. In line with this, demand growth has been in ER
2007 due to the introduction of mandatory health insurance for and outpatient services whilst inpatient service levels have
Expatriates and Thiqa for Nationals in 2008 27. Significant growth in remained relatively stable from 2007-09 accounting for <2% of all
demand for services relating to chronic diseases, e.g. diabetes, is encounters22. DRGs, anticipated in 2010, will likely increase
expected, with larger volume increases in outpatient settings. It is, inpatient reimbursement.
however, estimated that there will also be aggressive growth in • Provider market Government-subsidised SEHA facilities provided
inpatient services relating to both diabetes and cancer36. 89% of all critical care bed days, treated 58% of all inpatients (4%
• Supply Despite growth in the number of doctors available to loss from 2008) and 36% of all outpatients (8% gain)27,38. The
residents, it is estimated that up to 5,000 additional doctors and largest independent groups are Al Noor with 12% and NMC with
6,500 nurses will be required by 2019. If churn rates remain at 8% of the outpatient market, respectively. Off the island, health
their 2009 level, this will require some 1,600 doctors and almost services are concentrated in larger facilities36,40. International
1,800 nurses to be recruited annually35. There are productivity providers have come to Abu Dhabi, generally on the basis of a
reserves within existing facilities, with average physician management service agreement, such as the Cleveland Clinic for
productivity in most hospitals lower than the US average37. SKMC and Johns Hopkins for Tawam.
Demand for inpatient services may require up to 2’000 additional • Payer market Mandatory eClaims for virtually all from January
beds within ten years beyond the current 3,642 beds42. 54 2010 (www.haad.ae/DataDictionary) created a market for eClaims
hospitals with temporary licenses suggests there is likely to be
software. Dimensions Healthcare and Greenrain have invested to
significant future development and investment in this area. offer free solutions. This helps mature a competitive payer market,
Regulatory price adjustment encouraged movement in the home which has seen the first full year of operation of dedicated health
care services market – Sama Abu Dhabi Home Health Care Centre insurer, Green Crescent, and entry of 3 insurers, 3 TPAs and 6
was licensed in June 2009. brokers. 5
Key indicators
Population growth, CAGR 1997-2007 Life expectancy at birth (years), 2007 Demographic indicators 2009
74 Population 1'915'903
GCC
Abu Dhabi 5 77 Life expectancy at birth (2008), male 74.4
74 Life expectancy at birth (2008), female 74.8
Abu Dhabi
GCC 3.2 75
Male
General Fertility rate /1'000 female age 15-49 78
77
USA 1 UK Crude birth rate / 1'000 population 15.2
82 Female
Notes Population assumptions were adjusted from the Department of Planning, based on health insurance data; Physicians ,nurses and beds statistics in WHO and other reports are reported
for different years ; Bed ratio calculations were adjusted, as the population in Abu Dhabi is young and is not expected to need to go to hospital as frequently as other, older population.
To enable a fair comparison the bed ratio was adjusted by mapping the population age structure of Abu Dhabi to that of Germany, using German resource consumption profiles
Sources WHO Statistical Information System/World Health Statistics 2009, Public health department, SCAD, and health facility submissions. 6
Population
Financing Encounters
7
Population by age, gender and nationality 2009
Note HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here differ and are for internal HAAD use only
Source SCAD population estimates for Nationals, additional HAAD assumptions and analysis based on raw insurance data 8
Population by region and nationality 2009
Region National Expatriate Total National Expatriate
7% 8%
19%
42%
74%
51%
National Expatriate
Abu Dhabi Al Ain Western
Note HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here differ and are for internal HAAD use only
Source SCAD population estimates for Nationals and Western region, additional HAAD assumptions and analysis based on raw insurance data 9
Population density
3.5
High National Expatriate
3.0 Year Low High
Low
2010 411'385 1'420'994 1'517'395
Population (millions)
Note HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here are for internal HAAD use only
Source SCAD population estimates; additional HAAD assumptions and analysis based on raw insurance data` 11
Births and Deaths 2009
Total By Region Rates By Nationality and gender
Number % Number Per 1000 population National Expatriate NA
Abu Dhabi
Abu Dhabi
Western
Western
National
Eastern
Eastern
Female
Female
Female
Males
2008
2009
Male
Male
Male
Total
NA
NA
NA
Live births 28'456 29'068 46% 51% 17'559 10'439 1'070 15.2 13.3 23.2 7.5 6'964 6'512 3 7'968 7'590 7 10 14
Deaths 2'949 2'988 33% 75% 1'836 953 199 1.6 1.4 2.1 1.4 617 366 1'606 383 1 10 5
Still births 185 182 35% 49% 95 77 10 6.3 5.4 7.4 9.3 29 34 1 61 54 3
Neonatal mortality 146 139 42% 65% 86 48 5 4.8 4.9 4.6 4.7 39 19 51 30
Infant mortality 248 256 41% 61% 179 69 8 8.8 10.2 6.6 7.5 58 47 94 54 3
Child mortality (1-4) 74 78 63% 58% 41 34 3 2.7 2.3 3.3 2.8 28 21 17 11 1
Deaths
2009 29'068 13,479 33.1 15,565 10.3 46%
%
4.0 Year Total National Rate Expatriate Rate Nationals
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%
3.0 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%
2.0
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%
1.0 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%
0.0 2007 2'750 990 2.6 1'760 1.5 36%
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
Injury, poisoning
and certain Endocrine, Causes 2009 2008 2007 2006 2005 2004 2003 2002 2001
other nutritional and
consequences of metabolic diseases Diseases of the circulatory system 726 697 506 378 424 413 624 778 622
external causes 7%
2% Congenital
malformations, External causes of morbidity and mortality 645 464
deformations and 621 503 565 563 574 614 600
chromosomal Injury, poisoning and certain
abnormalities 61 85
other consequences of external causes
Other causes 7%
25%
Neoplasms 399 360 370 315 294 298 276 289 252
Endocrine, nutritional and metabolic diseases 212 79 201 130 133 126 103 73 65
Neoplasms
13%
Congenital malformations, deformations and
Diseases of the External causes of
208 120 177 131 156 146 152 199 190
chromosomal abnormalities
circulatory system morbidity and
24% mortality
22%
Other 737 1'144 867 993 874 943 763 664 845
Total 2'988 2'949 2'742 2'450 2'446 2'489 2'492 2'617 2'574
Total Death 2'988 616 367 61 48 36 49 261 1'606 383 1 527 1 66 120 224 223 10 5 146 2 1208 1 1
Note Classification according to ICD 10; top three leading causes of death are highlighted as: First, Second and Third most frequent
Source HAAD Death notification data complemented by investigation into the causes of injury using medical records and police reports - Public Health and
Policy; Health Statistics Analysis 15
Injury deaths 2009
Home 2009 2008 2007
Occupational Injuiries
Injury 8%
12% Total National Total National Total National
Suicide
Road Traffic Injury (RTI) 430 27% 422 28% 427 28%
8% Occupational Injury 82 4% 68 3% 66 5%
Road Traffic
Injury (RTI) Home Injuries 57 23% 34 24% 10 20%
63% Occupational Suicide 51 0% 66 2% 39 3%
RTI
4% Occupational RTI 26 0% 8 13% 34 6%
Other Other Injuries 21 24% 12 25% 23 39%
Injuiries
3% Drowning 13 31% 13 38% 22 36%
Drowning 18 1
2%
0.91 0.9
200
0.79 0.8
12 0.7
0.66
150
0.6
9 0.5
0.47
100 0.42 0.42 Male
0.4
Female
0.33 Rate per 1000
1 0.3
0.22
50 16 0.2
9
0.16
1 0.1
1 26 30 218 146 103 60 20 7 1
0 0
NA 0-09 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+
Source HAAD Death notification data complemented by investigation into the causes of injury using medical records and police reports - Public Health and
Policy; Health Statistics Analysis 16
Communicable diseases 2009
Preventable
Disease 0-14 15-34 35-54 55-64 65+ NA 0-14 15-34 35-54 55-64 65+
n Chickenpox 7'219 2'762 351 43 1 4 1'617 1'931 493 14 3
Malaria 1'393 1 3 1 1 63 827 448 45 4
n Seasonal Influenza 951 275 394 92 17 12 49 60 44 6 2
n n Viral Hepatitis B 518 1 101 22 7 7 16 3 201 131 27 2
Scabies 495 61 35 13 5 5 43 213 109 10 1
Viral Hepatitis C 479 22 21 7 8 51 5 111 205 37 12
Other Food Poisoning 309 32 28 4 1 32 146 60 5 1
Salmonella 205 13 5 2 2 18 110 54 1
n Mumps 200 60 18 5 62 38 17
n Pulmonary Tuberculosis 192 7 14 10 2 5 1 2 100 40 7 4
n Viral Hepatitis A 181 49 9 1 1 60 47 12 1 1
Scarlet Fever 175 81 4 85 5
n Syphilis 145 2 12 7 1 30 1 56 35 1
Typhoid Fever 133 9 6 1 23 74 18 2
Bacterial Dysentery 123 12 10 1 31 40 25 4
Extra Pulmonary Tuberculosis 79 4 7 3 1 1 46 16 1
Other STD 65 17 10 33 5
Bacillary Dysentery 52 24 4 1 3 11 8 1
n Rubella 48 4 1 2 5 33 3
Brucellosis 45 4 3 4 4 2 1 18 8 1
n Whooping Cough 40 28 12
Schistosomiasis 36 7 25 4
Giardia Lambia 36 5 1 2 6 16 6
n Measles 34 5 1 9 16 3
Viral Meningitis 33 11 2 12 6 2
Paratyphoid Fever 30 1 3 6 11 8 1
Gonorrhoea 27 11 3 1 1 7 4
Bacterial Meningitis 24 3 1 1 7 8 4
Other Viral Hepatitis 12 2 1 1 8
Acute Flaccid Paralysis 11 3 8
Acute Encephalitis 10 1 2 3 3 1
n Tetanus 3 2 1
Other 52 10 4 1 5 21 10 1
Note Preventable: Diseases preventable by vaccination, Screened: Adult expatriates are screened on application or renewal of residence visa
Source HAAD infectious diseases notification data - Public Health and Policy (full list of notifiable diseases can be found on www.haad.ae); Health Statistics
Analysis 17
Selected cardiovascular indicators overview Preliminary
Hypertension
High lipids
Diabetes
Smoking
Obesity
Female
Female
Male
Male
Total
Total
Obesity 36% 33% 38% 20% 17% 31%
Hypertension 17% 24% 12% 35% 33% 41%
Diabetes 21% 22% 20% 18% 18% 17%
High lipids 36% 50% 26% 18% 19% 15%
Smoking 11% 24% 0.8% 24% 29% 6.6%
Less More People who are obese are more
likely likely likely to have high blood pressure,
highl lipids and diabetes, but are as
likely to be smokers as those who
aren't obese
Source 1Preliminary analysis of Weqaya sample of 112’301 UAE Nationals in the Emirate screened in 2008-9, Public Health and Policy; Definitions:
Obesity: body-mass index ≥ 30; Hypertension: systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure > 90 mm Hg; High lipids: LDL >4.1 mmol/l or HDL <1
mmol/l; Diabetes: HbA1c ≥ 6.1%; Smoking: at least one cigarette per day, 1 cigar/pipe per week or one shisha per month
2Preliminary analysis of Weqaya sample1, Public Health and Policy; Indicators used in correlation analysis: Obesity: body-mass index; Hypertension: systolic blood
cholesterol >200 mg/dl; Hypertension: self-reported history of hypertension, and/or systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure > 90 mm Hg;
Obesity: body-mass index > 30; Diabetes: self-reported diabetes or fasting glucose over 126 mg/dl; where only random glucose was available, diabetes status was
imputed using a logistic model; Smoking: self-reported smoking; UAE University and Health Statistics analysis
18
Selected cardiovascular indicators by age group and gender Preliminary
Female Male
Nationality Indicator 20-29 30-39 40-49 50-59 60-69 70-79 80+ 20-29 30-39 40-49 50-59 60-69 70-79 80+
National Obesity 25% 41% 57% 65% 55% 45% 37% 29% 37% 37% 36% 30% 25% 23%
High lipids 20% 26% 34% 37% 38% 36% 35% 44% 56% 57% 55% 49% 51% 50%
Hypertension 5% 8% 18% 34% 44% 50% 47% 18% 20% 28% 42% 47% 49% 46%
Diabetes 8% 14% 34% 57% 61% 59% 57% 8% 17% 34% 55% 64% 62% 50% 1
Physical exercise 25% 27% 25% 20% 13% 5% 6% 43% 40% 35% 33% 27% 19% 24%
Expatriate Obesity 21% 32% 42% 51% 49% 30% 67% 12% 18% 21% 23% 30% 21% 18%
High lipids 29% 37% 61% 66% 60% N/A N/A 16% 37% 48% 52% 52% 51% 50%
Hypertension 3% 9% 28% 45% 65% 61% 58% 9% 16% 30% 46% 58% 53% 33% 2
Diabetes 5% 13% 32% 46% 61% 44% 33% 5% 15% 35% 46% 53% 47% 33%
Smoking 6% 7% 9% 6% 5% 10% 0% 33% 29% 25% 21% 21% 14% 21%
Physical exercise 21% 23% 27% 29% 23% 9% 8% 32% 31% 34% 37% 36% 24% 36%
Source 1Preliminary analysis of Weqaya sample of 112’301 UAE Nationals in the Emirate screened in 2008-9, Public Health and Policy; Definitions:
Obesity: body-mass index ≥ 30; Hypertension: systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure > 90 mm Hg; High lipids: LDL >4.1 mmol/l or HDL <1
mmol/l; Diabetes: HbA1c ≥ 6.1%; Smoking: at least one cigarette per day, 1 cigar/pipe per week or one shisha per month
2Extrapolation based on a survey of 76,070 residents in the Emirate in 2005; Definitions: High lipids: self-reported history of high cholesterol and/or total serum
cholesterol >200 mg/dl; Hypertension: self-reported history of hypertension, and/or systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure > 90 mm Hg;
Obesity: body-mass index > 30; Diabetes: self-reported diabetes or fasting glucose over 126 mg/dl; where only random glucose was available, diabetes status was
imputed using a logistic model; Smoking: self-reported smoking; Physical exercise: self-reported physical exercise; UAE University and Health Statistics analysis 19
Frequency of Diabetes Mellitus by age group
% At risk of diabetes
Average
Population
70% 80,000
70,000
60%
60,000
50%
50,000
40%
40,000
30%
30,000
20% 21%
20,000
10%
10,000
0% 0
20-29 30-39 40-49 50-59 60-69 70-79 80+
Source 1Preliminary analysis of Weqaya sample of 112’301 UAE Nationals in the Emirate screened in 2008-9, Health Statistics
Risk of diabetes is defined as HbA1c ≥ 6.1% 20
Population
Financing Encounters
Note 2009 data used, where available; otherwise 2008 data or extrapolations, estimates used. Inpatients include International patient care data;
growth rates indicative only.
Source Health Facility submissions ; Health Statistics Analysis
22
Encounters by diagnosis group, % of volume
Total Outpatient ER Inpatient
% of Total Encounters 100 94 4 2
Non-disease conditions 18.6 17.9 36.5 20.6
Respiratory infections 18.3 18.7 15.2 7.5
Musculoskeletal diseases 7.2 7.3 6.0 3.4
Digestive diseases 5.7 5.6 6.3 8.6
Oral conditions 5.4 5.7 1.2 1.3
Skin diseases 5.4 5.6 2.7 2.5
Cardiovascular diseases 5.3 5.3 2.8 6.8
Respiratory diseases 5.0 4.9 4.7 5.8
Sense organ diseases 4.9 5.1 2.5 2.7
Genitourinary diseases 4.8 4.8 3.2 6.0
Endocrine disorders 4.2 4.2 1.8 4.6
Diabetes mellitus 4.0 4.1 1.9 3.3
Infectious and parasitic diseases 3.7 3.7 2.8 3.8
Maternal and Perinatal conditions 2.8 2.4 4.9 15.0
Neuropsychiatric conditions 1.8 1.8 1.8 2.1
Nutritional deficiencies 1.5 1.6 0.4 1.4
Cancer 0.6 0.6 0.2 2.2
Injuries 0.5 0.3 4.8 1.2
Congenital anomalies 0.3 0.3 1.0
RTA 0.05 0.4 0.4
Source Health Statistics analysis based on a sample of 3,971,975 Encounters from data submissions in 2009; categorization based on WHO classification of
ICD diagnoses 23
Encounters by diagnosis group, % of value
Total Outpatient Inpatient
77.7% 22.3%
Break down Break down
Services Procedures Drugs Supplies Services Procedures Drugs Supplies
% of Total value 100 100 27.7 47.1 23.9 1.3 100 40.6 50.6 5.8 3.0
Non-disease conditions 18.7 18.5 4.7 10.8 2.7 19.3 7.4 10.5 0.8 0.5
Cardiovascular diseases 8.7 8.8 2.3 3.1 3.2 0.2 8.3 3.9 3.6 0.4 0.4
Respiratory infections 7.8 8.4 3.1 2.6 2.6 5.7 2.6 2.6 0.3
Endocrine disorders 6.4 6.6 1.4 2.8 2.3 5.8 1.8 3.0 0.5 0.6
Musculoskeletal diseases 6.3 6.4 1.7 3.0 1.6 5.9 2.8 2.8 0.2
Digestive diseases 6.2 5.8 1.7 2.5 1.6 7.5 3.5 3.5 0.4
Maternal and Perinatal conditions 6.2 4.7 2.2 2.3 0.2 11.4 4.1 7.0 0.2
Oral conditions 6.2 7.5 1.2 6.0 0.3 1.4 0.4 0.8
Genitourinary diseases 5.6 5.2 1.4 2.7 1.0 7.1 2.9 3.0 1.0
Diabetes mellitus 5.4 5.9 1.3 1.8 2.7 3.6 1.3 1.9 0.2
Respiratory diseases 4.6 4.2 1.3 1.5 1.4 6.2 2.3 3.3 0.3
Infectious and parasitic diseases 3.3 3.5 1.1 1.5 0.8 2.8 1.2 1.3 0.2
Skin diseases 3.2 3.6 1.2 1.4 1.0 2.2 0.9 1.1
Sense organ diseases 3.2 3.3 1.2 1.4 0.6 2.9 1.1 1.5
Neuropsychiatric conditions 2.7 2.7 0.7 1.1 0.8 2.8 1.4 1.1
Cancer 1.9 1.5 0.4 0.7 0.4 3.2 1.5 1.4 0.3
Nutritional deficiencies 1.8 2.0 0.4 1.1 0.5 1.1 0.4 0.6
Injuries 0.7 0.6 0.3 1.2 0.4 0.7
Congenital anomalies 0.7 0.5 0.3 1.4 0.6 0.7
RTA 0.2 0.4
Source Health Statistics analysis based on a sample of 3,971,975 encounters from data submissions in 2009; categorization based on WHO classification of
ICD diagnoses 24
Top drugs by value and diagnosis group,%
Diagnosis group Overall Top 5* 1st 2nd 3rd 4th 5th
Cardiovascular diseases 13.4 26.3 Lipitor Plavix Norvasc Crestor Cozaar
Respiratory diseases 5.9 22.3 Singulair Seretide Diskus Symbicort Turbuhler Singulair Paediatric Augmentin
Infectious and parasitic diseases 3.5 14.4 Pegasys Copegus Duphaston Ciprobay Baraclude
Sense organ diseases 2.5 15.5 Lipitor Augmentin Cosopt Emadine Zaditen
Nutritional deficiencies 2.0 21.1 Lipitor Humira Januvia Crestor Lantus Solostar
Maternal and Perinatal conditions 1.0 19.0 Duphaston Panadol Clexane Rocephin Augmentin
Non-disease conditions 21.6 12.7 Complete CBC With Auto Diff WBC Vaginal Delivery Only OB US >/= 14 wks, Singl Fetus Echo Exam Of Heart Us Exam, Abdom, Complete
Maternal and Perinatal conditions 7.2 58.5 Vaginal Delivery Only C Delivery Only Vaginal Delivery Postpartum Care OB US >/= 14 wks, Singl Fetus C Delivery Only W/Postartum Care
Cardiovascular diseases 7.2 17.0 Echo Exam Of Heart Lipid Panel Glycosylated Hemoglobin Test Cath Placement, Angiography Left Heart Catheterization
Musculoskeletal diseases 7.0 16.7 MRI Lumbar Spine w/o Dye Knee Arthroscopy/Surgery MRI Joint Of lwr Extrem w/o Dye MRI Neck Spine w/o Dye Complete CBC With Auto Diff WBC
Digestive diseases 6.7 16.8 Ther/Proph/Diag Inj, iv Push US Exam, Abdom, Complete Upper GI Endoscopy, Biopsy Laparoscopic Cholecystectomy Complete CBC With Auto Diff WBC
Endocrine disorders 6.7 19.1 Gastroplasty w/o V-Band Lipid Panel Free Assay (Ft-3) Assay Of Serum Albumin Glycosylated Hemoglobin Test
Genitourinary diseases 6.5 16.2 US Exam, Pelvic, Complete Transvaginal US, Non-OB US Exam, Abdom, Complete US Exam Abdo Back Wall, Comp Complete CBC With Auto Diff WBC
Diabetes mellitus 6.0 24.9 Lipid Panel Glycosylated Hemoglobin Test Assay Of Serum Albumin Hepatic Function Panel Assay, Glucose, Blood Quant
Oral conditions 6.0 25.5 Installment For Treatment In Progress Crown, Porcelain/Ceranic/Polymer Glass + L Appliance,Maxillary + L Three Canals Two Surfaces
Respiratory infections 5.9 9.3 Complete CBC With Auto Diff WBC Nasal Endoscopy, dx Ther/Proph/Diag Inj, sc/im Airway Inhalation Treatment Chest X-Ray
Respiratory diseases 3.5 20.5 Repair Of Nasal Septum Remove Tonsils And Adenoids Nasal Endoscopy, dx CT Maxillofacial w/o Dye Airway Inhalation Treatment
Skin diseases 3.2 11.4 Complete CBC With Auto Diff WBC Ther/Proph/Diag Inj, iv Push Drainage Of Skin Abscess Drainage Of Skin Abscess Hepatic Function Panel
Sense organ diseases 3.0 16.9 Cataract Surg W/Iol, 1 Stage Remove Impacted Ear Wax Revision Of Cornea Drain External Ear Lesion Treatment Of Retinal Lesion
Infectious and parasitic diseases 3.0 14.6 Destruct B9 Lesion, 1-14 US Exam, Pelvic, Complete Complete CBC With Auto Diff WBC Transvaginal US, Non-OB US Exam, Abdom, Complete
Neuropsychiatric conditions 2.0 22.5 Medication Management Psytx, Off, 20-30 Min W/E&M MRI Brain w/o Dye Psytx, Hosp, 20-30 Min W/E&M Complete CBC With Auto Diff WBC
Nutritional deficiencies 2.0 19.9 Free Assay (Ft-3) Assay Of Parathormone Assay Of Serum Albumin Assay Of Vitamin D Lipid Panel
Cancer 1.5 17.0 Chemo, iv Infussion, 1 hr Total Hysterectomy Pet Image w/CT, Full Body Partial Removal Of Kidney THER/PROPH/DIAG IV INF, INIT
Injuries 0.5 20.3 Ther/Proph/Diag Inj, sc/im Repair Superficial Wound(S) Immunohistochemistry Dressing Change Not For Burn Hydration iv Infussion, Init
Congenital anomalies 0.5 12.4 Echo Exam Of Heart Echo Transthoracic Transcath iv Stent, Percut Complete CBC With Auto Diff WBC Pet Image w/CT, Full Body
RTA 0.1 43.5 Ther/Proph/Diag Inj, iv Push Ther/Prop/Diag Inj/Inf Proc Ther/Proph/Dg Iv Inf, Add-On Assay Of Serum Albumin Ther/Proph/Diag Inj, Sc/Im
100
Financing Encounters
28
Providers end 2009
Hospital
4%
Store Facilities Clinicians
6% Total SEHA Abu Dhabi Eastern Western Total Physicians SEHA Dentists SEHA Nurses SEHA Male AHPs* SEHA
Total 1'077 11% 726 310 41 18'914 4'327 815 8'142 5'630
Hospital 39 32% 23 10 6 13'701 3'354 54% 196 32% 7'136 82% 14% 3'015 87%
Center Center 365 15% 260 95 10 3'217 869 38% 530 26% 935 66% 7% 883 60%
Pharmacy 34% Clinic 207 5% 134 68 5 276 104 4% 89 0% 71 28% 1% 12 8%
37% Pharmacy 405 9% 255 130 20 1'720 1'720 44%
Store 61 0% 54 7
Breakdown by region
Abu Dhabi 2'993 41% 575 19% 5'058 74% 12% 3'271 72%
Eastern 1'146 68% 214 25% 2'662 87% 10% 2'033 90%
Clinic
Western 188 87% 26 73% 422 97% 18% 326 96%
19%
Simplified Definitions
Hospital a healthcare facility that has patient beds
Center a healthcare facility that has multiple clinics
Clinic a health care facility that consists of only one clinic, staffed by at least one doctor
* Allied Health Professionals, including pharmacists
Source Health Facility Licensing database; Clinician Licensing database as of 31st December 2009 29
Labour Indicators Indicative
30 25 20 15 10 5 5 10 15 20
Note Productivity defined as number of weighted encounters per day. An outpatient counts as one encounter; an ER counts as 3; and an inpatient counts as
average length of stay for each hospital plus 6. Data not available for all hospitals
Source Hospital data submissions 2009; HAAD licensing database; Operations Center data for 2009; Health Statistics analysis, Medical Group Management
Association Survey 30
Health Facility locations
H Hospital
General Medical Center
National Al Salama
Clinic
Al Corniche
Maghrabi Pharmacy
Emirates French
Al Noor Al Reef
Al Ahalia Al Mazroui
Life line Dar Al Shifa
NMC
SKMC Obagi
Zayed Military
New Al Noor
Delma Al Rahba
Emirates International
Al Mafraq Al Ain
Al Noor
Oasis
Tawam
Al Sila Al Rewaise Specialized Medical Care
Al Mirfa
Ghyathi
Madinat Zayed
Al Wagan
Liwa
Source GPS survey; not all Center and Clinic locations shown 31
Hospitals Draft
Administrators
% Consultants
Bed capacity
Critical beds
% Specialist
Outpatients
Paramedics
Occupancy
Physicians
Inpatients
%Change
%Change
%Change
Dentists
Nurses
Royal
% GP
ALOS
Total
Bed
VIP
ER
Regi on Hos pi ta l
Total 177.4 3% 829.5 16% 4'839.9 16% 18'540 196 3'354 22% 47% 32% 7'136 3'015 4'839 3'621 575 103 22 100
Seha 105.1 -1% 586.5 -8% 1'331.9 -3% 14'152 62 1'822 23% 41% 36% 5'846 2'615 3'807 2'439 425 55 14 54
Ea s tern Ta wa m 20.6 7% 103.6 4% 337.7 -7% 3270 5 413 28% 38% 34% 1'267 626 959 441 82 20 2 77% 6.0 8
Mi ddl e Al Ma fra q 18.0 -8% 89.8 -1% 182.9 -14% 1811 3 298 24% 45% 31% 824 334 352 364 54 8 2 74% 5.5 6
Is l a nd SKMC 16.1 -3% 91.4 -32% 209.7 7% 4208 28 533 33% 39% 28% 1'751 733 1'163 571 143 10 4 72% 9.4 13
Ea s tern Al Ai n 17.0 -12% 102.4 8% 179.3 -8% 2056 1 216 17% 37% 46% 770 528 541 395 54 6 2 65% 5.5 5
Is l a nd Al Corni che 16.4 -1% 28.8 -23% 140.1 3% 1098 2 106 15% 35% 50% 461 85 444 285 50 8 3 60% 3.8 2
Mi ddl e Al Ra hba 8.3 35% 69.5 14% 58.7 39% 746 3 95 9% 52% 39% 354 103 191 117 30 3 1 78% 4.0 4
Wes tern Ma di na t Za yed 4.6 -1% 32.2 -17% 94.8 -9% 455 11 86 1% 49% 50% 213 107 38 130 12 40% 4.2 6
Wes tern Gha ya thi 1.4 -5% 20.4 -28% 36.3 28% 123 2 19 58% 42% 49 26 27 34 38% 3.4 3
Wes tern Al Mi rfa .8 10% 18.8 3% 16.6 -26% 120 2 19 58% 42% 51 26 22 28 18% 2.4 3
Wes tern Al Si l l a .8 -5% 15.0 -15% 17.0 -14% 91 2 12 67% 33% 42 15 20 36 15% 2.6 3
Ea s tern Al Wa ga n .8 13% 3.5 26% 42.4 -6% 116 1 12 33% 67% 41 21 41 15 NA NA NA 0.0
Wes tern Del ma .4 -23% 11.0 9% 16.3 9% 58 2 13 62% 38% 23 11 9 23 16% 3.0 1
Military 480 44 436 388 35 18 1
Is l a nd Za yed Mi l i ta ry NA NA NA 480 44 436 44% 19% 37% NA NA NA 328 35 18 1 40% NA NA
Ea s tern Al Ai n Mi l i ta ry NA NA NA NA NA NA NA NA NA 60 NA NA NA NA NA NA
Other 72.3 10% 243.0 3'508.0 3908 90 1'096 18% 56% 25% 1'290 400 1'032 581 115 30 7 46
Is l a nd Al Noor 13.3 9% 649.6 15% 452 10 160 25% 50% 25% 198 84 85 11 3 48% 1.1 2
Ea s tern Oa s i s 10.1 0% 154.1 13% 412 50 28% 48% 24% 115 22 225 44 14 90% 1.4 9
Is l a nd N M C Speci a l ty - Ll c 8.0 -34% 3.3 50% 525.8 -36% 810 21 145 5% 72% 23% 237 59 348 87 7 4 76% 3.0 1
Ea s tern Al Noor -Al Ai n 6.5 26% 29.5 275.7 -16% 228 4 93 23% 42% 35% 87 33 11 47 8 1 48% 1.3 1
Is l a nd Al Aha l i a 6.4 28% 50.7 23% 375.1 2% 187 5 84 4% 70% 26% 53 15 30 40 8 57% 1.3 4
Is l a nd Al Noor - Ai rport Roa d 6.0 129% 17.7 275.1 156% 310 8 102 24% 45% 31% 168 32 96 39 6 2 19% 1.1
Is l a nd Al Sa l a ma 5.3 0% 12.3 0% 219.9 0% 118 4 49 20% 69% 10% 49 16 19 2 60% 0.8 6
Is l a nd Li fe Li ne- Ll c 3.4 169% 22.9 192.3 59% 188 5 56 9% 63% 29% 81 21 25 25 7 2 51% 1.4 2
Is l a nd Da r Al Shi fa a 2.8 -30% 32.4 46% 121.9 2% 86 2 28 18% 57% 25% 35 9 12 17 2 3 1 32% 0.7 7
Ea s tern Emi ra tes Interna ti ona l 2.1 17% 59.5 86.4 -31% 79 42 21% 52% 26% 18 9 10 25 7 6 35% 1.5 1
Is l a nd Emi ra tes French 2.2 -15% 48.4 -34% 140 1 18 33% 44% 22% 11 7 103 10 2 2 1 31% 0.5 1
Is l a nd Al Reef Interna i ona l 1.7 41% 4.9 21.4 -9% 35 1 11 36% 55% 9% 7 5 11 2 1.5
Is l a nd Gul f Di a gnos ti c Center 1.5 2.9 364 6 76 34% 32% 34% 47 29 206 8 47% 0.9 1
Is l a nd Al Ra ha 1.1 325% .2 41.2 191% 43 4 18 17% 61% 22% 9 4 8 15 4 2 16% 0.8 2
Ea s tern Speci a l i zed Medi ca l Ca re .7 2% 65.1 88% 57 3 20 15% 70% 15% 11 4 19 23 2 1 3 8% 1.0 1
Ea s tern N M C Speci a l ty - Ll c .6 6.6 102.0 410% 152 3 49 8% 71% 20% 78 20 2 20 NA NA NA NA NA NA
Ea s tern Al Ha ya t NA NA NA 1 1 NA NA NA NA NA NA NA NA NA NA NA NA NA
Notes * Total Operational beds include 88 and 125 beds for SKMC Rehabilitation Center and Behavioral Science Pavilion as of 31st December 09,
Staff as of December 09, Activities : SEHA and other hospitals 09 except Al Salama 08, Al Hayat, Al Rewaise, Zayed Military Hospital
Source Hospital submissions, Operation Center, Clinician Licensing Database 32
Centers & Clinics
SEHA Other
Physicians
Physicians
Dentists
Dentists
Nurse
Nurses
AHP
Region Facility Encounters
AHP
Region Facility Encountes Total 3'503'078 664 449 367 368
Total 2'196'942 309 170 639 527 Other 2'032'400 320 352 155 240
Other 44'669 7 10 6 Island American European Medical Center 89'415 13 1 21 8
Prince Specialized Medical Centre 76'939 16 4 10 7
Island Al Bateen 81'721 10 29 19
Amrita Midical Centre 25'150 15 3 7 6
Al Ettehad 56'535 4 16 15 Advance Cure Diagnostic Centre 54'065 17 1 5 3
Khalidiya Urgent Care Center 49'625 9 38 10 Ibn Al Nafis Medical Centre 49'906 13 1 4 6
Al Madina City 44'320 1 9 10 Imperial College London Diabetes Centre 47'756 24 24 15
Al Zafarana 40'093 12 1 12 8 Taha Medical Centre 45'747 8 6 6 2
Abu Dhabi Knee And Sports Medicine Center 43'668 5 12 4
Al Khaleej 39'530 15 1 15 9
Al Rafa Medical Center 39'509 9 1 5 4
Al Manhal 26'806 7 8 9 Al Hendawy Medical Centre 31'191 9 1 4 1
Al Mushrif 17'477 2 1 6 5 Etihad Airways Medical Center 22'876 4 9
Al Rowda 4'541 2 4 15 Dr. Ahmed Hassan Fikri Medical Centre 27'033 9 1 2 1
Abu Dhabi City Dental Center 43'088 44 25 18 Well Health Medical Center 24'953 6 3 1 2
Al Kamal Medicdal Poly Clinics 65 6 3 3
Al Zafra Dental Center 16'348 14 14 7
Al Hosn Medical Centre 9'080 6 4
Middle Baniyas 188'506 34 2 34 22 Maher Medical Centre 20'794 5 3 2
Shahama 155'722 14 4 24 24 American Crescent Health Care Centre 18'532 4 1 5
Khalifa A 105'114 17 8 39 34 Middle East Specialized Medical Centre 20'794 5 1 2 2
BG 91'004 10 23 19 Consultant Medical Centre 20'794 7 1 2
Al Reyada Medical Centre 18'715 6 1 1 1
Samha 44'226 5 5 16 12
Canadian Medical Center 18'715 2 2 2 3
Al Nahda 41'162 5 2 7 6 Ultra Care Medical Center 18'715 3 3 3
Musaffah 35'816 2 17 4 Golden Sand Medical Centre 18'715 5 1 3
Al Khatim 15'979 6 1 10 8 Al Rawdah German Medical Center 468 4 2 3
Airport 9'713 4 20 1 Nadia Medical Center 16'635 5 1 2
Well Care Medical Center 16'635 6 2
Al Mafraq Dental Center 81'658 27 8 36
Gulf International Cancer Center 16'635 4 3 1
Eastern Muweiji 188'753 9 6 13 13
Medical Speciality Centre 16'635 5 2 1
Al Yahar 105'701 8 2 14 10 Dar Alshifa Medical Center 16'635 3 1 4
Mezyed 105'417 12 2 18 14 Al Wahda Medical Centre 16'635 4 1 3
Neima 91'628 28 2 27 19 American Center For Psychiatry & Neurology 16'635 5 1 2
Al Jahili 87'991 24 2 31 14 Dr.Munir Silwadi Dentall Centre 10'526 7 1 6
Merhi Dental & Orthodontic Center 27'033 7 6
Al Maqam 74'398 3 8 11
Middle New National Medical Centre 138'252 19 1 14 7
Niyadat 44'830 6 19 7 Al Noor Hospital Clinics - Al Mussaffah 72'780 16 2 10 7
Hili 44'462 7 1 15 5 Al Musaffah Al Alhli Medical Centre 35'350 9 1 5 2
Al Qua'a 36'746 6 1 16 13 Top Care Medical Centre 33'876 7 5 2
Zakher 23'590 7 11 5 Al Bustan Medical Center 27'033 6 4 2 1
Al Mafraq Medical Centre 18'715 4 2 1 2
Swaihan 18'918 5 1 15 7
Al Amal Medical Centre 18'715 6 1 1 1
Remah 16'693 5 1 14 5 Eastern Al Sultan Advanced Medical Poly Clinics 35'641 11 3 3 1
Al Hayer 15'991 3 9 8 Morani Orthodontic Center & General Medical 27'033 5 8
Showaib 5'874 3 7 1 Fine Care Specialized Medical Centre 20'794 2 5 1 2
Al Faqah 3'682 4 11 3 Mubarak Midical Center 13'885 5 2 2 1
Sultan Medical Centre 18'715 4 4 1
Tawam Dental Center 73'387 1 42 1 78
Al Madar Medical Center 16'635 1 6 1
Western Liwa 17'556 8 18 17 Cosmesurge & Emirates Polyclinic 16'635 3 5
Madinat Zayed Center 7'672 4 8 Western Al- Noor Hospital Clinics - Madinat Zayed 39'509 8 1 3 7
Adma Operating Company Clinic 20'794 10
Note Values in italics are extrapolations Alnoor Hospital Speciality Clinics 18'715 5 1 3
Source Extrapolation and Facility submissions, Professionals licensing database 33
Critical care bed capacity
CCU/
Medical
Grand Total ICU NICU SCBU Isolation CCU CICU Stepdown PICU Burns Other
Total 575 141 107 66 54 43 31 27 17 10 79
Seha 425 88 100 30 54 31 24 10 17 10 61
SKMC 143 29 22 10 10 10 11 51
Tawam 82 20 20 10 8 8 6 10
Mafraq 54 16 14 14 10
Al Ain 54 11 6 16 12 9
Corniche 50 50
Al Rahba 30 8 10 12
Madinat Zayed 12 4 4 4
Zayed Military Hospital 35 8 12 3 12
Other 115 45 7 36 4 5 18
Al Noor (Airport Road) 39 10 15 14
Oasis 14 10 4
Al Noor 11 4 4 3
Ahalia 8 6 2
Al Noor Alain 8 3 2
Emirates International 7 6 1
Lifeline 7 4 3
New Medical Center 7 5 2
Al Raha 4 2 2
Franco Emirates 2 1 1
Specialised Medical Care 2 2
Al Reef 2 2
Al Salama 2 2
Dar Al Shifaa 2 2
Bed occupancy 20
Seha 2009
Private 2009
Average 2009
2008 Occupancy above optimal level
0
Notes Physician numbers as at 8 December 2009. Numbers do not include physicians with specialties unrelated to categories shown
*Significant additional supply is anticipated in the future **Family medicine requirement is for Physicians with appropriate postgraduate training
SourceClinician & Expert Interviews, Licensing database, TPA analysis, Strategy analysis 36
Demand projections As at 31 December 2009
0 10 20 30 40 50 60
2009 2019 Low 2019 High
Inpatients CAGR Outpatients CAGR
Low High Low High
Deliveries 29 2.0 4.2 .0 0.0 0.0
Non-disease conditions 27 2.1 5.6 2.1 0.0 3.3
Digestive diseases 18 3.3 6.0 .5 6.2 8.8
Maternal & Perinatal conditions 16 2.7 5.4 .2 3.8 6.3
Respiratory infections 15 2.7 5.5 2.2 3.6 6.2
Cardiovascular diseases 11 3.8 6.3 .4 7.6 10.1
Genitourinary diseases 11 3.9 6.6 .4 6.8 9.4
Respiratory diseases 11 3.0 6.2 .5 6.1 9.1
Cancer 4 7.2 9.9 .1 7.8 10.4
Musculoskeletal diseases 6 3.5 6.2 .7 6.4 9.0
Skin diseases 4 3.6 6.2 .5 6.5 9.0
Infectious & parasitic diseases 5 0.8 5.4 .3 3.8 8.3
Endocrine disorders 4 2.3 5.3 .2 5.3 8.2
Sense organ diseases 5 1.7 4.4 .5 6.5 9.1
Diabetes mellitus 2 5.5 8.2 .4 10.9 13.6
Neuropsychiatric conditions 3 1.8 5.2 .1 6.0 9.3
RTA 3 0.4 3.6 .2 0.5 3.4
Other Injuries 2 3.2 6.2 .0 3.3 6.1
Occupational Injuries 2 1.6 4.6 .4 1.8 4.6
Oral conditions 2 1.3 5.0 .7 6.6 10.3
Congenital anomalies 1 3.4 7.0 .0 5.5 9.0
Nutritional deficiencies 1 3.1 5.9 .1 6.1 8.9
Financing Encounters
40
Claims 2009 Indicative
Claims Claims/Member
247% 2009 2008 2009 2008
Thiqa
Inpatient 146'631 70'246 0.06 0.05
286%
Basic 25'393 24'830 0.03 0.06
Enhanced 49'768 45'416 0.05 0.05
89%
Enhanced Thiqa 71'470 0.18
80% Outpatient 10'442'717 4'003'871 4.52 3.01
Basic 2'106'961 1'294'995 2.25 3.37
50% Enhanced 3'931'648 2'708'876 4.00 2.87
Basic Thiqa 4'404'108 11.16
43% Utilisation for
Population (100%) Total 10'589'348 4'074'117 4.58 3.07
Note Average utilisation for population is set to 100% to allow comparison across inpatient and outpatient claims
Source Payer submissions; Summary data not available from Arabian Scandinavian, AXA, Qatar, Al Hilal Takaful, Methaq Takaful, Sharjah Insurance
41
Population
Financing Encounters
42
Payer claims share 2009 Indicative
Financing Encounters
44
Members by insurer 2009 Indicative