ABU DHABI // Doctors will soon be able to issue repeat prescriptions for up to a year to save thousands of patients costly and time-consuming hospital visits.
Patients with a long-term reliance on medication for conditions such as diabetes and hypertension have to visit a doctor every time they need a prescription.
But health chiefs are now in the final stages of implementing a refill policy, so that chronic patients whose condition is stable will have to visit a doctor only once a year to renew their prescription.
Then they can go straight to pharmacists to get repeat medication for the next 12 months.
The measure, expected to be in force within months, will also reduce patient waiting times and cut the unnecessary costs to health insurers of laboratory tests and hospital visits, said Sahar Fahmy, the section head of drugs and medical products regulation at the Health Authority Abu Dhabi.
“If a physician wants to write a prescription for medicine, it will be in one visit. At the moment, chronic patients have to go back again and again to see a physician.
“This refill policy will allow the physician to write a prescription for a duration of up to one year.”
Thousands of patients with long-term but manageable conditions are forced to make unnecessary hospital visits, she said.
Diabetes and hypertension, or elevated blood pressure, are two of the most common chronic conditions in the UAE.
According to figures released by the International Diabetes Federation last November, there are 745,940 diabetics in the UAE.
While not all of these live in Abu Dhabi or are categorised as in a stable condition, a significant proportion will benefit from the new rules.
A Sudanese expatriate, Alaa Elhag, is one of those patients who needs constant trips to a doctor to obtain medication to treat her type one diabetes.
“I basically visit the doctor every three months for blood tests and check ups and for the prescription. However, sometimes I need the prescription before the blood tests are due, so I have to go to the doctor in between the blood tests,” said Ms Elhag, 30, an executive secretary at a diplomatic mission in Abu Dhabi.
She welcomed the new policy, which has taken more than a year to shape but is now in its final stages.
Often a patient is in a stable condition and the trip to the doctor is purely for a repeat prescription, said Ms Fahmy.
This is not only time-wasting for the patient and the doctor but has a knock-on effect for other patients with a genuine health concern waiting to see a doctor.
“It is a multiple benefit – for insurance, for patients, for pharmacists, doctors, for businesses.”
“It is in the last stage of consultation,” said Ms Fahmy.
“This will be a huge benefit to patients with chronic long-standing conditions, stable ones,” she said.
The health authority first announced a repeat-prescription system in October 2012. At the time, they said they expected it to be in operation by the end of that year.
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Started: January 2018
Co-founders: Fouad Jeryes and Sinan Taifour
Based: Jordan
Sector: FinTech
Total transactions: over $800,000 since January, 2018
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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.”
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Female 49kg: Mayssa Bastos (BRA) bt Thamires Aquino (BRA); points 0-0 (advantage points points 1-0).
Female 55kg: Bianca Basilio (BRA) bt Amal Amjahid (BEL); points 4-2.
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Female 70kg: Thamara Silva (BRA) bt Alessandra Moss (AUS); submission.
Female 90kg: Gabreili Passanha (BRA) bt Claire-France Thevenon (FRA); submission.
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Male 69kg: Paulo Miyao (BRA) bt Isaac Doederlein (USA); 2-2 (2-2) Ref decision.
Male 77kg: Tommy Langarkar (NOR) by Oliver Lovell (GBR); submission.
Male 85kg: Rudson Mateus Teles (BRA) bt Faisal Al Ketbi (UAE); 2-2 (1-1) Ref decision.
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