Posted at 11.25.2018
Health care is vital for any overall economy regardless of its size since it immediately affects the workforce. The workforce in turn influences end result and income earned by the federal government from taxes and foreign exchange. The health good care sector should thus get a substantial percentage of the budgetary costs if the country is to accomplish high development and development levels. The UAE is one of the very most influential countries in the centre East and it shapes the financial and politics sphere in this continent. Though it is a dominating country in the Middle East, it faces many obstacles in its healthcare system which threatens to undermine its growth and development. Several interventions should be studied to ensure that nation will not lose its effect in the Middle East due to problems in medical care sector, which may affect its development and development.
This paper will show that UAE faces challenges such as limitation in the number of specialists and nurses, low skills possessed by nurses and poor remuneration of employees who be employed by government hospitals. In order to dwelling address these concerns, more healthcare professionals should learn and schools build for students who are interested in the medical field. In addition, foreign personnel in health care facilities should be carefully vetted to ensure that they have skills needed by patients. To be able to motivate employees in the health good care sector, their earnings and allowances should be increased, and their working surroundings increased through equipping nursing homes with drugs, equipment and health care specialists. This will likely increase the overall quality of health care provided in the UAE.
The healthcare sector is one of the most important sectors in any country and it straight affects the monetary expansion and development of all nations. That is due to the reason that if the population has poor health, the productivity from individual employees decreases and this subsequently reduces productivity from establishments and firms. This in turn leads to lower GDP, lower fees earned by government and lower income received from exports. Many healthcare systems across the world face challenges due to a rise in number of men and women who seek healthcare and the limitation of resources available. There's been an increase in diseases, both communicable and terminal health problems. In addition, bad lifestyles and poor eating habits have led to an increase in diseases such as diabetes, heart ailments and high blood circulation pressure, across the world. It is therefore important that different healthcare systems are evaluated and their weaknesses exposed in order to increase the quality of health care provision.
The UAE faces some obstacles in its healthcare service delivery. These weaknesses add a shortage of specialists and nurses. Others include poor of skills by nurses and low motivation levels among health care stakeholders. It has led to poor service delivery and man patients are choosing to pursue health care services overseas. Many specialists are also taking careers abroad since they perceive remuneration in UAE to be low. These factors offer an economical impact of lack of revenue by the federal government, increase in cost of health care and opportunity costs of seeking local healthcare services. This paper will analyze medical treatment industry in the United Arab Emirates. Various weaknesses inherent in the system will be talked about from an financial point of view. These weaknesses will be compared to other successful hospitals across the world in order to build up effective interventions to resolve them. Recommendations will then be produced on actions which the UAE authorities, in cooperation with the private sector and international associates, has to decide on improve the quality of healthcare provision. The incentives which should be given to change the behavior of UAE healthcare stakeholders may also be given at the end of the paper. The discussed issues will be summarized.
There are various issues which are present in the UAE health care system as before explained. These problems include insufficient distribution percentage of nurses to patients and the occurrence of low skilled nurses. These problems lead to dissatisfaction with service provision between the UAE society, and this results in many patients seeking treatment overseas. Over 70% of residents in UAE seek treatment overseas when confronted with life-threatening problems. This causes loss to both healthcare providers and the federal government, which loses a substantial income from fees. In addition, sometimes the federal government supports patients who seek treatment abroad and this increases the costs incurred by the government. For instance, in 2009 2009, the UAE authorities put in over 280 million dirham for abroad costs of 530 patients (Porter & Teisberg, 2006). This shape is even higher when armed service patients are included. When the federal government spends this sum of money on international treatment, economic deficits include opportunity costs of payment from patients to doctors, loss of duty revenue by the government and direct expenses paid for the medical cost. It is therefore essential that steps are taken up to restore the confidence which nationals of the UAE have in medical care system. This area of the newspaper will discuss individual problems in the provision of healthcare in the UAE. The answers to the problems encountered will be mentioned after discussing the problems.
The international acceptable standards in healthcare provision advocates for a bed capacity to nurses percentage of 1 1:1 in areas which are considered critical to healthcare. The current proportion present in the UAE is in fact 1:5. Which means that one nurse manages four patients concurrently. Regarding to Zain and Libo, (2008), even though internationally accepted nurse to patient ration in the ICU is 1:5, there are several clinics in Dubai which have higher nurse to patient ratios. For instance, the Al Baraha clinic has a nurse to patient percentage of 1 1:10 generally speaking wards, and in the ICU, this percentage is 1:4. Furthermore, it includes 100 doctors and 200 nurses yet it gets 13 new blessed babies, 250 disaster patients and 650 outpatients in a daily basis. This shows the condition facing the hospital so far as the lack of nurses is concerned.
This is not acceptable, especially in critical areas of health care. That is due to the reason that increasing the workload of nurses has negative impacts on health care provision. These include increasing risk of spread of illness as nurses urgently make an effort to complete responsibilities, increasing risk of error scheduled to fatigue, increasing occupational accidents due to rush to complete duties, increasing threat of error when filling event studies and increasing turnover rate due to abnormal work and few campaigns. This might eventually reduce the overall quality of health care, which adversely influences the health of the population and workforce. This would in turn reduce production and economic expansion and development in the UAE. Furthermore, inadequate staff may make patients lose self-assurance in medical care provision and seek choice health options such as over-the-counter medication, herbal medicine and others. A few of these methods may further worsen their illnesses.
In order to resolve this issue, the UAE federal government should increase its investment in health care. The current proportion of budget allocated to healthcare in the UAE is roughly 9%. For any sector that includes a huge impact on a countrys expansion and development, UAE spends too little on health. It should increase this proportion to over 15% to be able to cater for the needs of selecting new nurses and growing healthcare infrastructure. THE UNITED STATES, which is a larger economy, spent 17% of its GDP in 2009 2009 on healthcare. More nurses should be employed to increase the nurse to patient ratio. In addition, more medical institutions would be built to train more health care practitioners who would appeal to the expanding healthcare needs. This will reduce the risks previously discussed and enhance the overall quality of health care in the UAE.
Many nurses who work in the UAE are either under trained or in possession of little experience, which affects their health care provision. That is triggered by many factors and one of them is the scarcity of nurses and the unfavorable nurse to patient proportion. Because of this scarcity, cheap labor is wanted from foreign countries such as Philippines and India. When this happens, it is difficult to totally ascertain the degrees of skills held by these specialists, and most end up having low medical skills. In addition, little if any professional trained in nursing is given to such healthcare professionals. Because of this, the few nurses present in the UAE do not own the skills necessary to deal with the many health care needs of the populace. This contributes to provision of poor and low quality health care, which makes the population detrimental. Nurses with poor professional skills tend to be prone to problems, which might even conclude being fatal to patients.
In order to deal with the problem of low skills among nurses, several interventions ought to be taken. The first is an assessment of skills and experience possessed by nurses who result from overseas to work in the UAE. Their educational qualifications and experience should be corroborated, and the quality of health care organizations they did the trick for assessed before they are employed in UAE private hospitals. In order to develop superior medical skills among UAE residents, the federal government must increase its budgetary allocation to medical care sector to be able to make more nursing organizations which would develop more nurses (Oxford Business Group, 2008). The private sector and international partners should collaborate when building these nursing schools and training new nurses for increase the quality of skills possessed by nurses. Matching to City data website (2010), this plan has already became successful in Bangkok. Due to investment in training of nurses and use of technology, the health health care delivery has better which has translated into immediate benefits to the people. The life span expectancy has increased by over 10 years during the last three generations.
This is another problem which faces the UAE healthcare industry. A couple of a large amount of basic doctors but few specialists between the population. Most large clinics have over 100 doctors but the variety of specialists is usually significantly less than 10. This limits the effectiveness of healthcare provision since many patients nowadays require specialised healthcare needs. The increase in persistent diseases such as tumor, heart problems and brain disorders has made it necessary to raise the number of specialists in these areas. In the current circumstance, where there are few specialists, the specialist to patient ratio is large. This might cause similar problems triggered by overburdening nurses with obligations. Furthermore, it increases the costs of treating ailments which require specific care since the few specialists may charge high prices because of the high demand. The overall effect of having few specialists is upsurge in cost of healthcare, inability of the populace to access professional care and upsurge in errors created by specialists anticipated to high work insert. All these factors undermine the UAE healthcare provision industry.
In order to resolve this problem, training of specialists is necessary, so that they may offer their services to patients who require them. The government should collaborate with international lovers and the private sector to develop more institutions where health care specialists are trained. These medical universities should be well prepared in order to ensure that specialists have skills and knowledge needed to perform their duties effectively (Crichton, 2000). Since the price of training health care specialists is high, the federal government should subsidize the expenses of chasing education on certain areas of health care. The population should be encouraged to go after knowledge on certain areas which have hardly any specialists such as neurology.
There are various bonuses which should be given to doctors and nurses in order to increase their determination levels. These bonuses enable these to be well encouraged and also to increase their output so far as caring for patients can be involved. These bonuses will be mentioned below;
There have been claims from many health care practitioners in the UAE that the wages and benefits they get aren't commensurate to the efforts they put in their projects. As is common in many countries, many authorities doctors have complained that pros working in private practice are making significantly higher earnings and benefits than them. This lowers their morale and efficiency since in line with the expectancy theory by Vroom, employees only work harder when they are sure their anticipations regarding remuneration and other needs, will be noticed (Beach, 2007). This can be seen by the large number of healthcare specialists who are moving to the united states and Europe to provide their services to these countries. In order to increase their drive levels, their salaries and benefits should be increased and matched to prospects of specialists in private practice. This can ensure that health care professionals are determined and they will improve the quality of services they provide.
In order for doctors and nurses to have the ability to work effectively, they must be provided with the latest equipment, drugs and training. This permits those to provide high quality health care to the population. The federal government should ensure that hospitals have enough staff in order to improve the nurse to patient percentage. There also needs to be adequate specialists and equipment and drugs utilized by patients. In virtually any corporation, organizational culture is important in motivating employees (Murray, 2005). The organizational culture should be therefore conducive for employees, since this will motivate them into increasing their productivity. The management should ensure that employees are involved in decision making, receive independence when working and they are encouraged to work as a team. There must be an uninterrupted move of information between the lower level employees and the management. The management should use the democratic management style since this is the most reliable in achieving staff drive (Bratton, et. al. , 2004). This style includes employees in making decisions which have an impact on their obligations. Finally, there should be conflict quality mechanisms that may avoid workplace conflicts. This may ensure that the grade of service provision boosts.
It has been discussed that due to the challenges which the healthcare sector in the UAE faces, many patients are starting to lose self-confidence in the health care system. Hence, it is necessary to provide certain incentives which will reestablish confidence in the health acre system. One way of doing this is bettering the individual to nurse proportion. This has been discussed at length above when interacting with problems in the UAE health care industry. Increasing the number of nurses will ensure that patients acquire better quality of health acre and this will reestablish their trust in the system. Another motivation is the increase in quality of skills possessed by nurses. This may allow nurses to provide better services to patients, which is achieved through re-training them and vetting them before they are used. Finally, patients should discover score cards which disclose their satisfaction with service provision in hospitals. This measure will enable nursing homes to acquire opinions using their company patients and they will have the ability to improve after areas that they are believed to be poor (Carver & Scheier, 2001). It has shown to be successful in many clinics in Thailand which is bound to be similarly successful in the UAE. This solution will raise the quality of healthcare provided.
There are various areas of the UAE healthcare system which were discussed in the newspaper. UAE has been seen to possess challenges such as few range of specialists, low nurse to patient percentage, lower remuneration of healthcare stakeholders and poor skills by nurses. These effects have been discussed to lower the desire of employees and for that reason, they will probably make errors or perform low quality assignments. Therefore makes patient lose confidence in local health care provision and some seek healthcare services overseas. Some health care specialists also look for job overseas as a result. At these times, the UAE authorities loses tax income. It also ends up paying for patients overseas treatment which brings about economic deficits such as lost opportunity costs of payment from patients to doctors, loss of taxes revenue by the federal government and direct bills payed for the medical cost.
In order to solve these problems that are affecting the UAE healthcare service provision, several steps should be taken by the UAE federal in cooperation with the private sector and international associates. The first involves better remuneration of employees in medical health care industry. The stakeholders in the health care and attention industry should place new remuneration which complements that from the private practice. The next step entails building of medical schools and spending money on educational needs of students to permit them pursue various medical areas. This will improve the skills and volume of health car experts, which really is a major problem in UAE. The third intervention is testing all health care professionals from overseas countries before they start employed in the UAE to be able to ensure that they have adequate skills.
Although these interventions are important in improving the overall quality of medical provision in the UAE, it is in the same way beneficial to provide incentives to stakeholders in the health care sector to be able to boost service provision. Health care employees should acquire higher remuneration in order to increase drive. Their work place should also be conducive and the organizational culture should feature teamwork, independence, communication, issue resolution and other critical indicators (Mugisho, 2007). Patients on the other side can be encouraged through improving the skills and increasing amount of nurses and specialists since this will encourage them to trust the health good care system. Feedback should be sourced through credit score credit cards, where patients rate service provided to them. This can allow the management improve the weaknesses of the techniques. These interventions will encourage patients to get local health services which will increase federal income and tax revenue thereby resulting in higher economic development and development.