By demanding better services, patients can improve hospitals



Anyone who has lived in Abu Dhabi for the past several years has no doubt witnessed the dramatic improvement in healthcare standards here.

Medical procedures that typically required trips abroad and exhausting bureaucracy can now be done in private-sector hospitals locally. Until the 1990s, patients suffered from a range of avoidable ailments, from oversized scars to severe medical problems, due to inadequate equipment or medical care.

Today, the UAE can pride itself on having some of the best medical facilities and expertise in the world after a relatively short period. In fact health care is improving nationwide and the number of private hospitals is steadily increasing.

But the high demand for medical services in a rapidly growing population has moved the challenge from a lack of facilities and expertise to an issue of supply and demand that has led some private hospitals in Abu Dhabi to decrease the quality of their services.

Often referred to as "factory lines", private-sector hospitals in the capital are being forced to treat patients quickly and sometimes insufficiently to get their next customer through the door. The queues in many private clinics, particularly paediatric clinics, spill into corridors and into other clinics, with the waiting period often exceeding six hours. Waiting times for surgery and emergency-room visits are increasing, too. Increasingly people complain of declining standards in management, customer service and response time at private hospitals despite Government efforts to ensure a high standard of patient care in all medical centres in the city. The more patients arrive, the lower the quality of service becomes.

Hospitals recognise that customers will most likely wait the full six hours since most major private hospitals in the capital will have the same wait time. As a patient, there is nowhere to go and seemingly no one to help, no matter how many times one submits complaints to hospital administration. So, patients swallow their pride, frustration and anger to get treatment.

When some of the major private hospitals in Abu Dhabi decided to expand years ago, there was hope for improvement. But hope was quashed after only a few months, when the situation went back to normal - except in nicer, more modern buildings.

Part of the problem is that healthcare providers compare themselves to each other, benchmarking their quality of services with the hospital down the road, not with best-in-class hospitals. Some of the blame rests with patients, many of whom remember Abu Dhabi's medical services offered over a decade ago, and base their expectations either on previous experiences or on other hospitals in the city whose standards have always been unacceptable.

Standards in private hospitals will remain low unless we adopt not only medical personnel and equipment but, just as importantly, management and customer service from other successful healthcare providers from around the globe that have a proven successful track record.

Until that time comes, there is another possible solution that can be provided by Emiratis and residents alike. The Health Authority of Abu Dhabi (HAAD) has worked vigorously to improve healthcare standards over the years but it cannot succeed in this task alone. Public opinion is vital for HAAD to identify the root causes of these issues.

Yet after waiting for hours in line for doctors and pharmacists, the majority of patients can't wait to leave and rush back to work or home to recover from the miserable experience. And though many consider submitting complaints, exhaustion gets the better of us and we leave it to the next man or woman to take the trouble.

If enough patients who have negative experiences in Abu Dhabi's hospitals lodge their suggestions and complaints, that will enable HAAD to take stronger actions against providers whose standards are below international standards.

In the end, all private hospitals have to earn a profit by providing a service to their customers. The customer, in other words, is always right, so by demanding better services patients can contribute to improving the standard of private health care in Abu Dhabi.

Taryam Al Subaihi is a political and social commentator who specialises in corporate communications

On Twitter: @TaryamAlSubaihi

Sustainable Development Goals

1. End poverty in all its forms everywhere

2. End hunger, achieve food security and improved nutrition and promote sustainable agriculture

3. Ensure healthy lives and promote well-being for all at all ages

4. Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all

5. Achieve gender equality and empower all women and girls

6. Ensure availability and sustainable management of water and sanitation for all

7. Ensure access to affordable, reliable, sustainable and modern energy for all

8. Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all

9. Build resilient infrastructure, promote inclusive and sustainable industrialisation and foster innovation

10. Reduce inequality  within and among countries

11. Make cities and human settlements inclusive, safe, resilient and sustainable

12. Ensure sustainable consumption and production patterns

13. Take urgent action to combat climate change and its effects

14. Conserve and sustainably use the oceans, seas and marine resources for sustainable development

15. Protect, restore and promote sustainable use of terrestrial ecosystems, sustainably manage forests, combat desertification, and halt and reverse land degradation and halt biodiversity loss

16. Promote peaceful and inclusive societies for sustainable development, provide access to justice for all and build effective, accountable and inclusive institutions at all levels

17. Strengthen the means of implementation and revitalise the global partnership for sustainable development

WHAT FANS WILL LOVE ABOUT RUSSIA

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Editor Ze’ev Rosenkranz
​​​​​​​Princeton

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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

Game Changer

Director: Shankar 

Stars: Ram Charan, Kiara Advani, Anjali, S J Suryah, Jayaram

Rating: 2/5

Key facilities
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COMPANY PROFILE

Company: Bidzi

● Started: 2024

● Founders: Akshay Dosaj and Asif Rashid

● Based: Dubai, UAE

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● No of employees: Nine

Match info

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Engine: 77.4kW all-wheel-drive dual motor
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Joe Root (captain), Moeen Ali, Jimmy Anderson, Jofra Archer, Jonny Bairstow, Stuart Broad, Rory Burns, Jos Buttler, Sam Curran, Joe Denly, Jason Roy, Ben Stokes, Olly Stone, Chris Woakes. 

The bio

Favourite food: Japanese

Favourite car: Lamborghini

Favourite hobby: Football

Favourite quote: If your dreams don’t scare you, they are not big enough

Favourite country: UAE

Dubai Bling season three

Cast: Loujain Adada, Zeina Khoury, Farhana Bodi, Ebraheem Al Samadi, Mona Kattan, and couples Safa & Fahad Siddiqui and DJ Bliss & Danya Mohammed 

Rating: 1/5