The primary health care in the emirate of Abu Dhabi: are they aligned with the chronic care model elements?

Abstract

Background: Abu Dhabi is the capital of the United Arab Emirates (UAE) and the largest of the seven emirates in terms of land mass and population. Abu Dhabi emirate has three different geographical regions: the Central Capital District, the Eastern Region, and the Western Region. The health system has been regulated by the Health Authority - Abu Dhabi (HAAD), and has been provided by the Abu Dhabi Health Services Company (SEHA), since 2007. The UAE has a high population-burden of morbidity and mortality related to chronic diseases. This paper aims to characterize the Primary Health Care (PHC) public services in Abu Dhabi using the Chronic Care Model (CCM) as a framework.

Methods: Officially published data from HAAD, SEHA and the UAE Ministry of Health and Prevention was reviewed and abstracted. The Preferred Reporting Items Systematic Reviews and Meta-Analysis (PRISMA) statement was used as a baseline to review the PHC services through the CCM approach and to identify potential opportunities for improvement.

Results: There are 38 SEHA Ambulatory Healthcare Centers (AHS) that provide PHC, from which 20 are located in the Eastern Region and the other 18 in the Central Capital District. The AHS adopted the principles of the patient-centered medical home model, aiming at providing structured, proactive and coordinated care. Implementation of the CCM elements aligns with those standards and is positively associated with the use of interventions targeting high-risk behaviors.

Conclusion: The UAE has a strong foundation in place for addressing the growing problem of chronic diseases. The CCM has been shown to have beneficial effects on clinical outcomes reinforcing the PHC procedures and processes of care and should continue to inform systematic efforts to improve the care that lead to better lives for the Abu Dhabi community.

Keywords: Abu Dhabi emirate; Ambulatory healthcare; Health care surveys; Health personnel; Health services research; Primary health care; United Arab Emirates.

Fig. 1

Geographical regions of the Abu Dhabi emirate (Adapted from Koornneef et al. BMC Health Serv Res. 2017;17(1):672. doi: 10.1186/s12913-017-2597-1.)

Fig. 2

Population pyramid in the emirate of Abu Dhabi, in Mid 2014 (data from SCAD Yearbook 2015). Title: Population estimates by age group and gender in the Abu Dhabi emirate

Fig. 3

Population by Abu Dhabi emirate region and nationality. Title: Population by region and nationality

Fig. 4

PRISMA Flow Diagram

Fig. 5

Patient-centered medical home model [17]