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"Hospitals Business management United Arab Emirates"
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Knowledge, Attitude and Practices of Diabetic Patients in the United Arab Emirates
Diabetes self-management education is a cornerstone of diabetes care. However, many diabetics in the United Arab Emirates (UAE) lack sufficient knowledge about their disease due to illiteracy. Thus, before considering any possible intervention it was imperative to assess present knowledge, attitudes, and practices of patients towards the management of diabetes.
A random sample of 575 DM patients was selected from diabetes outpatient's clinics of Tawam and Al-Ain hospitals in Al-Ain city (UAE) during 2006-2007, and their knowledge attitude and practice assessed using a questionnaire modified from the Michigan Diabetes Research Training Center instrument.
Thirty-one percent of patients had poor knowledge of diabetes. Seventy-two had negative attitudes towards having the disease and 57% had HbA(1c) levels reflecting poor glycemic control. Only seventeen percent reported having adequate blood sugar control, while 10% admitted non-compliance with their medications. Knowledge, practice and attitude scores were all statistically significantly positively, but rather weakly, associated, but none of these scores was significantly correlated with HbA(1c).
The study showed low levels of diabetes awareness but positive attitudes towards the importance of DM care and satisfactory diabetes practices in the UAE. Programs to increase patients' awareness about DM are essential for all diabetics in the UAE in order to improve their understanding, compliance and management and, thereby, their ability to cope with the disease.
Journal Article
Conceptualization of CSR Among Muslim Consumers in Dubai: Evolving from Philanthropy to Ethical and Economic Orientations
Many existing studies postulate that in developing economies philanthropy tends to dominate in the CSR orientation delivered by organizations and expected by local populations. To assess this in the emerging economy of Dubai in the United Arab Emirates, we conducted a preliminary investigation of how locals are responding to the growing number of CSR initiatives that are being implemented in the Emirate. Moreover, given that scholars have argued that Islamic principles of philanthropy should guide CSR initiatives in Muslim countries, we also consider if our Emirati respondents connect CSR with Islamic philanthropy. Results from our survey of 267 local Muslim consumers in Dubai indicate that CSR is not typically equated with philanthropy. In addition, respondents displayed an appreciation of the economic benefits that CSR can generate. The implication is that organizations in Dubai no longer need to base their CSR on the platform of Islamic philanthropy as many scholars have argued. Our findings are significant for the wider Gulf region in that they suggest that in wealthy emerging nations, CSR may not be predominantly interpreted as the corporate philanthropy which is needed in poorer developing economies for the provision of infrastructure, schools, hospitals, and housing, and which in some Muslim contexts is also implemented because of local religious values.
Journal Article
The mediating role of the extensiveness of strategic planning on the relationship between slack resources and organizational performance
Purpose
– The purpose of this paper is to improve the understanding of the mediating role of the extensiveness of strategic planning on the relationship between slack resources and organizational performance.
Design/methodology/approach
– The study uses empirical data gathered from 102 usable replies from private and also public hospitals in the United Arab Emirates (UAE).
Findings
– The findings indicate the existence of a positive relationship between slack resources and organizational performance and show that the extensiveness of strategic planning plays a mediating role in this relationship.
Research limitations/implications
– The authors highlight the exploratory nature of the study considering its unusual setting, namely, the UAE’s health care sector.
Practical implications
– Several implications of the findings for managerial and policy practices in the UAE health care sector are discussed.
Originality/value
– This study contributes to the existing literature on management, health care, and developing countries by examining the role of the extensiveness of strategic planning in mediating the relationship between slack resources and organizational performance in the health care industry of a developing country.
Journal Article
Practices and resilience of dieticians during the COVID-19 pandemic: a national survey in the United Arab Emirates
Background
The COVID-19 pandemic impacted the practices and resilience of most healthcare workers, including dieticians. In addition to offering critical care to COVID-19 patients, dieticians play a major role in preventing and managing conditions known to affect COVID-19, such as obesity and metabolic disorders. The objective of this study was to examine the conditions and changes in the work environment as well as resilience and its correlates among dieticians during the COVID-19 pandemic in the United Arab Emirates (UAE).
Methods
A cross-sectional national survey was conducted among dieticians practicing in the UAE (
n
= 371), using a web-based questionnaire. The questionnaire addressed, in addition to the sociodemographic information, the practice-related characteristics and resilience of participants. For the latter the Connor–Davidson Resilience Scale© was used. Descriptive statistics as well as simple and multiple linear regressions were used in the statistical analysis.
Results
Of participants, 26.4% reported not having access to personal protective equipment and 50% indicated being concerned for their safety and health. Furthermore, considerable proportions of participants were not satisfied (45%) with the support nor with the appreciation (37.7%) they received during the pandemic. One in four dieticians considered quitting his/her job. While 65.8% of participants reported counseling COVID-19 patients, a third did not use any online platform for counseling. The most cited challenge to dietetic practice during the pandemic was ‘maintaining work-life balance’ (43.1%). The mean CD-RISC score was 72.0 ± 14.0. After adjustment, working in a hospital or public clinic (as opposed to private clinic), having a condition preventing face-to-face counseling, considering quitting job and feeling neutral or dissatisfied with the appreciation were associated with lower resilience scores, while counseling COVID-19 patients was associated with higher scores.
Conclusions
Despite the fairly high resilience among dieticians practicing in the UAE during the COVID-19 pandemic, the findings of this study highlighted a few challenges, mainly related to safe practice environment, support for online counseling, and maintaining work-life balance. Concerted efforts of policy and decision makers ought to develop targeted programs for dieticians to ensure their retention and wellbeing during the COVID-19 pandemic.
Journal Article
How do we strengthen the health workforce in a rapidly developing high-income country? A case study of Abu Dhabi's health system in the United Arab Emirates
Background
The United Arab Emirates (UAE) is a rapidly developing high-income country that was formed from the union of seven emirates in 1971. The UAE has experienced unprecedented population growth coupled with increased rates of chronic diseases over the past few decades. Healthcare workers are the core foundation of the health system, especially for chronic care conditions, and the UAE health workforce needs to be fully prepared for the increased rates of chronic diseases in the adult population. Abu Dhabi is the largest emirate in terms of land mass and population size, and the purpose of this paper was to assess how the health system has been using the Chronic Care Model to improve its capacity to reach out to all patients in the population.
Case presentation
The Abu Dhabi health workforce has twice the number of doctors (52.4 vs. 23.2 per 10 000 population) and nurses (134.7 vs. 50.4 per 10 000 population) compared to the entire UAE health workforce. In addition to an overreliance on expatriate workers, there is an excess of some specializations such as general medicine and gynecology and a severe undersupply of other specialties including trauma and injury, and medical oncology. The digital infrastructure and skills of the health workforce need to be improved to minimize the proportion of the appointment time required to complete administrative tasks for a health insurance system and maximize the doctor-patient face-to-face interaction time for consultation and lifestyle counseling.
Conclusions
A greater emphasis needs to be placed on developing self-management support strategies using a combination of nurse health educators and community-based patient-led health programs. The UAE Vision 2021 includes developing a world-class healthcare system, and full implementation of the Chronic Care Model seems to facilitate the detailed planning and preparation of healthcare services and workers required to achieve this goal.
Journal Article
Is there a financial incentive to immigrate? Examining of the health worker salary gap between India and popular destination countries
Background
International migration is one of the factors resulting in the shortage of Human Resources for Health (HRH) in India. Literature suggests that migration is fuelled by the prospect of higher salaries available abroad. The extent of these salary differentials are unknown, and this study seeks to examine the salaries of selected HRH in India and four popular destination countries (United States of America, United Kingdom, Canada and the United Arab Emirates), whilst accounting for the in-country cost of living. This study will therefore determine truer financial incentives for Indian HRH to migrate abroad.
Methods
A purchasing power parity (PPP) ratio is employed to equalise the international price of buying a representative basket of commonly bought goods (including food, entertainment, fuel and utilities). Using the PPP index, real differences in salaries are directly compared for selected work categories and different levels of work experience in the four respective countries.
Results
Nurses in the USA can earn up to 82.7% more than their Indian counterparts. Nurses in Canada and the UAE reveal more modest salary differentials, yet still significant better off by up to 28 and 20% respectively. Only nurses in the UK are potentially materially worse off than nurses working in India. We observe significant potential PPP gains of up to 57.4, 99.1 and 94.4% for medical doctors in the USA, Canada and the UAE respectively. Medical specialists potentially experience the greatest income disparities with anaesthetists potentially earning up to 600% more than their counterparts in India. Radiologists operating in the UK and general surgeons working in the USA can potentially earn more than double that of their counterparts working in India. We observe more modest positive or negligible PPP gains in other selected countries for health specialists.
Conclusion
Even when considering the differences in the cost of living, the financial incentive for selected cadres of Indian HRH to seek work abroad remains strong. The migration of Indian HRH to countries offering superior salaries makes it difficult for India to retain experienced health personal and compromises government efforts to render health care more accessible across the country.
Journal Article
Evaluation of Enterprise Risk Management (ERM) in Dubai: An Emerging Economy
This paper evaluates the current status of enterprise risk management (ERM) in business organizations in Dubai. Primary data are collected from 92 busi executives in Dubai belonging to various industry sectors viz., Finance, Banking, Insurance, Islamic Finance, Trade, Manufacturing, Hospitals, and other services through a survey. The survey questions encompass the five components of COSO framework: control environment of the businesses, risk assessment, control activities, information and communication, and monitoring. The study findings indicate that there is need for a more comprehensive awareness about ERM across all categories of businesses in Dubai. While Finance & Banking institutions to a greater extent implemented various risk tools for managing their risks, other businesses were not even aware of the concepts of risk and its management. The study outlines five-step systematic process that helps businesses in Dubai to make well-informed decisions for managing enterprise risk.
Journal Article
Practice Summaries: Designing Disease Prevention and Screening Centers in Abu Dhabi
Abu Dhabi Health Services (SEHA) has established Disease Prevention and Screening Centers (DPSCs) to provide health screening for third-country national (TCN) workers. In anticipation of increases in the number of TCN workers who will require health screening, SEHA is building new centers to accommodate the increased requirements. As part of the design process, we used queuing and simulation models to model (1) the current DPSC configuration, (2) a configuration based on individual lanes, and (3) a configuration based on pooled lanes. We then used these models to analyze the effects of design decisions on capacity and customer flow through the centers.
Journal Article
Foreign ventures help academic systems boost brand, revenue
Launching services in foreign countries also presents challenges, requiring robust amounts of investment, planning and manpower to execute successfully. [...]the international arena is still largely the domain of prestigious, multibillion-dollar academic health systems. Cleveland Clinic has been a player on the international scene for well over a decade and its success is largely influenced by the status it holds in the U.S. Most of its foreign partners want to learn from the best, and the clinic has trademarked itself as one of them. The majority of citizens don't have the financial means to travel and need better access to services close to their home. Since opening two years ago, the Abu Dhabi hospital has become a preferred destination for people across the Middle East, Glass said. Under the agreement, UCLA Health will provide a business plan to Chinese developer R&F Properties that outlines the design of the building, best practices in hiring physicians and staff, and quality policies. A team of about 30 UCLA staff members, including the chief medical officer and chief nursing officer, are also weighing in on the plan. THE TAKEAWAY Big academic medical centers have found partnerships overseas allow them to enhance their brand awareness and provide an added source of revenue.
Magazine Article