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Dubai: The Medical Sector




Middle East
Association, London, UK
December 6 2012
Dubai: Medical Sector
 1. Overview

 2. The Challenges

 3. The Opportunities
Dubai – A Global City

•   Cultural and Business Centre of the Middle East

•   Cosmopolitan population

•   Major tourist destination (also medical tourists)
Health Care Goals




World Class Medical Care for
     Domestic Patients

Centre for Medical Tourism
Government Strategy
   Implementation of
 Dubai Strategic Plan 2015

      DHA and DHCC
DHA: Dubai Health Authority

• Created 2007 replacing DOHMS

• Strategic oversight of health sector in Dubai

• Licenses hospitals and professionals
DHA: Dubai Strategic Plan 2015

• Health Services -
  Quality, Access, Integration
• Public Health Promotion
• Private Sector – enhanced engagement
DHA Facilities for Medical Care

4 Hospitals: Rashid Hospital, Dubai Hospital, Latifa
Hospital,             Hatta Hospital

10 Specialist Centres: Thalassaemia Centre etc

14 Primary Care Centres: Throughout the city
DHCC: Dubai Health Care City

• Founded in 2002

• 4.1 million square feet in centre of Dubai

• 2 Hospitals, 100+ medical outpatients centres and
       laboratories

• Employs 3000 licensed professionals
Dubai: Drivers of Health Care Demand
       1. Demographics

       2. Economics

       3. Medical Tourism
Demographics 1
         Overview




• Population recently exceeded 2 million
  (Max population growth 1985-2005)


• Population growth and ageing

• Demographically delineated groups
Demographics 2
     Population 1968-2012




•
Demographics 3
       Segments




• Emiratis: 17%
• Expats: 83% (85% of this group are Asian)
• Median age 27 years
• 77% male (expat workers living without family)
Demographics 4
  Groups and Medical Needs




         Different Demographic Groups,
             Different Medical Needs

Emiratis : Chronic Diseases, Lifestyle Diseases

Blue Collar Expat workers: Work related injuries,
                           road traffic accidents
Economics 1

• Increased GDP:    GDP per capita projected at $58,000 by
                    2015, 5.5% annual growth

• Increased Government spending on health and social care
    (CAGR 5%)
• Increased personal consumption of health care
   (part driven by insurance with low premiums)
Economics 2

• Government accounts for 70% of present health care
  spending
• Per capita spending on health in world top 20
• UAE 2nd highest spending in the GCC
• Huge potential growth in health care sector
       (public and private)
Economics 3

                    HC Expenditure per Capita $
 Qatar

   UAE

Kuwait

Bahrain                                            HC Expenditure per Capita $

   KSA

Oman

          0   500        1000     1500      2000
Economics 4

            Health Care Costs Rise 30-40%

• Rising costs of Medical Equipment and New Technology
• Complex and costly Licensing Procedures
• Low cost insurance drives over consumption of health
  care
Medical Tourism
       Overview




• Worldwide medical tourism industry worth $60 B

• Aims to be major destination for medical tourism

• Low Cost Treatments in Accredited Hospitals
Medical Tourism
        Dubai




• 25 JCIA hospitals, clinics and programmes in
      Dubai (almost 50% of UAE total)

• Treatments 50% cheaper in Dubai than in the USA

• 7.5 Million Annual Tourists to Dubai
Medical Tourism
      DHCC




  <<PatientsBeyond Borders Dubai
      Healthcare City Edition>>
Book authored by Josef Woodman and launched
        at Arabian Travel Market 2012
Medical Tourism
American Hospital Dubai




        No. 1 JCIA Hospital in the Gulf

            8% of patients non UAE
  40% of Joint Replacement Surgery non UAE

 Treats patients from more than 20 countries
Dubai: Medical Sector Headlines
       Khaleej Times Dec 2, 2012:

       Dubai Medical Sector to hit
             $10.9 by 2013

       Government and International
              Investment
Dubai: Medical Sector
   The Challenges
 Regulatory , Operational
Challenges: Regulatory




      Cost and Complexity of Regulation
              Professionals and Hospitals

Malpractice complaints dealt with by Criminal Courts and
                         Police
Challenges: Operational 1




  Staff Attraction and Retention
     Chronic shortage, high turnover
 80% physicians and 90% nurses expatriate
Emiratis not attracted to work in this sector.
Challenges: Operational 2




Quality and Standardisation of Services
         Accreditation and Staff

     Different accreditation systems
   Different Staff Training and Cultures
Challenges: Operational 3




     Poor Perceptions, Lack of Confidence
                   YouGov Survey 2011
70% of residents and 57% of Emiratis would seek overseas
                treatment for serious illness
             OUTBOUND MEDICAL TOURISM
Challenges: Operational 4




            Low Insurance Premiums
            Strategy to attract high market share
                             BUT
Lack of investment in advanced technology and treatments
 Over consumption of Out Patient services & Medications
Dubai: Medical Sector
    Opportunities
Opportunities 1:
 Specialised Centres




Specialist Hospitals and Clinics
           CHRONIC DISEASE
          LIFESTYLE DISEASES
          GENETIC DISORDERS
               TRAUMA
              ONCOLOGY
Opportunities 2:
In Bound Medical Tourism




     Medical Tourist Services
         MINOR PLASTIC SURGERY
        DENTAL AND ORAL SURGERY
                ONCOLOGY
       JOINT REPLACEMENT SURGERY
Opportunities 3:
 Long Term Care




Long Term Care for Disability
              ELDERLY
 ALZHEIMER’S DISEASE AND DEMENTIA
          REHABILITATION
Opportunities 4:
  Home Care




   AMBULATORY CARE
FOR ELDERLY AND CHRONIC ILLNESSES

  REDUCES COSTS OF HEALTHCARE
Opportunities 5:
       PPP




 Private Public Partnership
TECHNOLOGY AND KNOWLEDGE TRANSFER
   ACCESS TO SPECIALIST TREATMENTS
Opportunities 6:
  Insurance




  Health Care Insurance
POSSIBLE COMPULSORY INSURANCE?

     Increasing Market Size
 Demand for Specialist Treatments
Opportunities 7:
   Recruitment




Health Care Staff Recruitment
  High Staff Turnover and High Demand
Opportunities 8:
  Alternative Medicine




      Demand for Alternative
        Therapies Increasing
   60,000 patients in Dubai treated in 2011.
ACUPUNCTURE, HOMEOPATHY, AYURVEDA, CHIN
                 ESE MEDICINE
Dubai: Business Culture
Good Infrastructure, transport, hotels

                 Safe

Easiest place to do business in the Gulf
Challenges




Decision Making can be slow
 Sudden Changes of Plans
     Regulatory Delays
         Red Tape
Solutions



Persevere and Visit Often.........
Medical (Health Care) Sector Dubai, UAE - Challenges and Opportunities. December 2012

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Medical (Health Care) Sector Dubai, UAE - Challenges and Opportunities. December 2012

  • 1. Dubai: The Medical Sector Middle East Association, London, UK December 6 2012
  • 2. Dubai: Medical Sector 1. Overview 2. The Challenges 3. The Opportunities
  • 3. Dubai – A Global City • Cultural and Business Centre of the Middle East • Cosmopolitan population • Major tourist destination (also medical tourists)
  • 4. Health Care Goals World Class Medical Care for Domestic Patients Centre for Medical Tourism
  • 5. Government Strategy Implementation of Dubai Strategic Plan 2015 DHA and DHCC
  • 6. DHA: Dubai Health Authority • Created 2007 replacing DOHMS • Strategic oversight of health sector in Dubai • Licenses hospitals and professionals
  • 7. DHA: Dubai Strategic Plan 2015 • Health Services - Quality, Access, Integration • Public Health Promotion • Private Sector – enhanced engagement
  • 8. DHA Facilities for Medical Care 4 Hospitals: Rashid Hospital, Dubai Hospital, Latifa Hospital, Hatta Hospital 10 Specialist Centres: Thalassaemia Centre etc 14 Primary Care Centres: Throughout the city
  • 9. DHCC: Dubai Health Care City • Founded in 2002 • 4.1 million square feet in centre of Dubai • 2 Hospitals, 100+ medical outpatients centres and laboratories • Employs 3000 licensed professionals
  • 10. Dubai: Drivers of Health Care Demand 1. Demographics 2. Economics 3. Medical Tourism
  • 11. Demographics 1 Overview • Population recently exceeded 2 million (Max population growth 1985-2005) • Population growth and ageing • Demographically delineated groups
  • 12. Demographics 2 Population 1968-2012 •
  • 13. Demographics 3 Segments • Emiratis: 17% • Expats: 83% (85% of this group are Asian) • Median age 27 years • 77% male (expat workers living without family)
  • 14. Demographics 4 Groups and Medical Needs Different Demographic Groups, Different Medical Needs Emiratis : Chronic Diseases, Lifestyle Diseases Blue Collar Expat workers: Work related injuries, road traffic accidents
  • 15. Economics 1 • Increased GDP: GDP per capita projected at $58,000 by 2015, 5.5% annual growth • Increased Government spending on health and social care (CAGR 5%) • Increased personal consumption of health care (part driven by insurance with low premiums)
  • 16. Economics 2 • Government accounts for 70% of present health care spending • Per capita spending on health in world top 20 • UAE 2nd highest spending in the GCC • Huge potential growth in health care sector (public and private)
  • 17. Economics 3 HC Expenditure per Capita $ Qatar UAE Kuwait Bahrain HC Expenditure per Capita $ KSA Oman 0 500 1000 1500 2000
  • 18. Economics 4 Health Care Costs Rise 30-40% • Rising costs of Medical Equipment and New Technology • Complex and costly Licensing Procedures • Low cost insurance drives over consumption of health care
  • 19. Medical Tourism Overview • Worldwide medical tourism industry worth $60 B • Aims to be major destination for medical tourism • Low Cost Treatments in Accredited Hospitals
  • 20. Medical Tourism Dubai • 25 JCIA hospitals, clinics and programmes in Dubai (almost 50% of UAE total) • Treatments 50% cheaper in Dubai than in the USA • 7.5 Million Annual Tourists to Dubai
  • 21. Medical Tourism DHCC <<PatientsBeyond Borders Dubai Healthcare City Edition>> Book authored by Josef Woodman and launched at Arabian Travel Market 2012
  • 22. Medical Tourism American Hospital Dubai No. 1 JCIA Hospital in the Gulf 8% of patients non UAE 40% of Joint Replacement Surgery non UAE Treats patients from more than 20 countries
  • 23. Dubai: Medical Sector Headlines Khaleej Times Dec 2, 2012: Dubai Medical Sector to hit $10.9 by 2013 Government and International Investment
  • 24. Dubai: Medical Sector The Challenges Regulatory , Operational
  • 25. Challenges: Regulatory Cost and Complexity of Regulation Professionals and Hospitals Malpractice complaints dealt with by Criminal Courts and Police
  • 26. Challenges: Operational 1 Staff Attraction and Retention Chronic shortage, high turnover 80% physicians and 90% nurses expatriate Emiratis not attracted to work in this sector.
  • 27. Challenges: Operational 2 Quality and Standardisation of Services Accreditation and Staff Different accreditation systems Different Staff Training and Cultures
  • 28. Challenges: Operational 3 Poor Perceptions, Lack of Confidence YouGov Survey 2011 70% of residents and 57% of Emiratis would seek overseas treatment for serious illness OUTBOUND MEDICAL TOURISM
  • 29. Challenges: Operational 4 Low Insurance Premiums Strategy to attract high market share BUT Lack of investment in advanced technology and treatments Over consumption of Out Patient services & Medications
  • 30. Dubai: Medical Sector Opportunities
  • 31. Opportunities 1: Specialised Centres Specialist Hospitals and Clinics CHRONIC DISEASE LIFESTYLE DISEASES GENETIC DISORDERS TRAUMA ONCOLOGY
  • 32. Opportunities 2: In Bound Medical Tourism Medical Tourist Services MINOR PLASTIC SURGERY DENTAL AND ORAL SURGERY ONCOLOGY JOINT REPLACEMENT SURGERY
  • 33. Opportunities 3: Long Term Care Long Term Care for Disability ELDERLY ALZHEIMER’S DISEASE AND DEMENTIA REHABILITATION
  • 34. Opportunities 4: Home Care AMBULATORY CARE FOR ELDERLY AND CHRONIC ILLNESSES REDUCES COSTS OF HEALTHCARE
  • 35. Opportunities 5: PPP Private Public Partnership TECHNOLOGY AND KNOWLEDGE TRANSFER ACCESS TO SPECIALIST TREATMENTS
  • 36. Opportunities 6: Insurance Health Care Insurance POSSIBLE COMPULSORY INSURANCE? Increasing Market Size Demand for Specialist Treatments
  • 37. Opportunities 7: Recruitment Health Care Staff Recruitment High Staff Turnover and High Demand
  • 38. Opportunities 8: Alternative Medicine Demand for Alternative Therapies Increasing 60,000 patients in Dubai treated in 2011. ACUPUNCTURE, HOMEOPATHY, AYURVEDA, CHIN ESE MEDICINE
  • 39. Dubai: Business Culture Good Infrastructure, transport, hotels Safe Easiest place to do business in the Gulf
  • 40. Challenges Decision Making can be slow Sudden Changes of Plans Regulatory Delays Red Tape