The CEO-Hospitals Services with the Dubai Health Authority said staffing of hospitals with qualified nurses and doctors still remains a challenge today.
Dubai: Diabetes, the killer disease, would come under control in the country in the future with better knowledge and better understanding by people as to how it attacks and ravages the body, a senior official has said.
In his first interview with an English-language newspaper, Dr Mohammad Al Olama, CEO-Hospitals Services with the Dubai Health Authority, spoke to Gulf News on how Dubai is giving private operators a bigger role in the health care sector.
The CEO said staffing of hospitals with qualified nurses and doctors still remains a challenge today and aggressive recruiting is going on to provide the best manpower for the treatment and care of people.
Following are excerpts from the interview:
Gulf News: Can you give us an idea of the hospital services provided to the people? With the increase in population, people say there are not enough hospital beds.
DR MOHAMMAD AL OLAMA: In the beginning of 2002, government hospitals provided the majority, about 90 per cent, of the [medical] services to Dubai residents. The Department of Health Services then formulated a strategic plan to allow the private sector to take a bigger share of the market.
We are expanding and building new hospitals. But we want the private sector to be a partner in providing services. [The private sector owns 57 per cent of hospitals today and offers 54 per cent of outpatient facilities in Dubai. The aim of the DHA by 2015 is that the private sector will operate 70 per cent of the hospitals in the emirate].
The Dubai Hospital in Deira, which is a multi-speciality one including ENT and Ophthalmology, will start accepting trauma cases. If a worker falls or there is a car accident, the victim has to be brought all the way to Rashid Hospital.
The 550-bed hospital will initially accept non-car accident cases and later, the major trauma cases. [A trauma section, equipped with state-of-the-art lifesaving devices and a specialist trauma team will be set up. Presently the hospital receives 250 to 300 emergency cases every day and this number is expected to rise once the hospital begins taking trauma cases also].
Two projects that will be operational soon are the Hatta Hospital. It has 93 beds and besides emergency services it will have paediatric and obstetric units for Hatta and the surrounding rural areas. We are recruiting doctors at the moment.
The 30-bed Dubai Rehabilitation Centre in Al Safa will take in cases of Parkinson’s disease, MS [multi-scelorosis] and stroke patients. The 30 beds are equally divided for men and women. The Centre is ready, but not yet started.
The existing facilities include the Rashid Hospital, a 620-bed hospital which caters to 20 specialties, and the Trauma Centre. The Trauma Centre is the most sophisticated one in the whole region and covers the Northern Emirates. [A burns unit was also recently opened at Rashid Hospital].
The other government Hospital is Al Wasl [400 beds]. It has paediatric and obstetric gynaecology units. It is well known and many patients prefer to go there. It performs 7,000 deliveries a year.
We have three specialty centres. The Thalassaemia Centre, Dubai Fertlity Centre in the Dubai Healthcare City and Joslin Diabetic Centre at Al Wasl Hospital. The last offers full services from podiatrics to nutrition. There is high demand and the wait list is building up.
Diabetes is a huge problem in this country. Do we need more doctors and nurses to handle this?
About 20 to 30 per cent of the residents of Dubai have diabetes. The treatment is available. But we want people to stop becoming diabetic. It is only possible with health education at schools and work places.
Our lifestyle has changed dramatically. When we were small we would go outside and play soccer or basketball. I look at my children and other children today and they never go out [of their homes]. They sit and play computer games, watch movies and eat junk food. The problem is exacerbated because obesity is the main cause of Type 2 diabetes. It is not just about blood sugar. It [diabetes] hits all the systems of the body: eyes, brain, heart, kidney, nerves, everything. The treatment is a burden and costly for any health department.
Is education helping?
We are trying all we can to stop this chronic disease. We are conducting various campaigns. The DHA is partnering with the private sector to help provide education, training [of nurses and doctors]. There will be an international conference on diabetes in Dubai in 2011.
I will give you an example why we are optimistic. Because of education, I can say new cases of thalaessemia are non-existant among nationals [Emiratis] in Dubai. We conduct pre-marital screening. People are accepting to be screened. They know what happens if they are carriers.
We can be as efficient with diabetes. The first line is education and to know how difficult it is once you are affected. If we are successful, hopefully the rates will go down.
It is said there is not enough staff to run the hospitals, there is a lack of professional doctors or nurses.
The nursing shortage is worldwide. It is said our nurses come here only for transit. They migrate to Canada. It has been going on for years. The doctors, when they become successful and famous get better offers in the country or outside. The challenges are always present, but we have learned to live with it and manage.
We are recruiting from around the world. We have tie ups with recruiting companies in India. We get nurses from the Philippines, junior doctors, also senior doctors from North America and Europe. The difficulty is that if the doctor is successful he doesn’t need to move [here]. The constant challenge is staffing. We are dealing with health issues. We have to get the best. You cannot compromise when dealing with people’s lives.
A nursing council has been set up to help train Emirati women. How easy will it be to recruit Emirati women into the profession?
Presently, only one per cent of nurses are locals [Emiratis]. The DHA sponsors women studying nursing in Sharjah University. We take care of their expenses and even give them a salary while they are studying. We are encouraging nationals to go into this field.
People say the cost of medical treatment in the country is high.
Our hospital charges for almost all services are the lowest. Emergency services are free. I am not talking about life-saving procedures. Even a fractured finger is treated free. There are not many places in the world where such service is offered free. Of course, you pay for the follow-up.
But the health care costs are increasing. Do you know 20 per cent of the GDP of the US is health care cost? I remember this when studying health economics in the US. The health care sector does not follow demand and supply. You increase the supply, the demand will be still high. It’s not like real estate. The solution is a universal insurance scheme. The government is working on that.
Is there is a campaign to cut down traffic accident deaths?
This requires involvement of several government departments, like the DHA, the Roads and Transport Authority, the police. We are trying small broadcasts such as on foggy days. But it needs all departments to work together. It is very tragic that lives are being lost. The locals [Emiratis] are very limited in number and they are dying due to this.
What about quality?
Let me tell you how important quality is. It takes just one unsatisfied customer to keep away 11 potential customers. It needs four satisfied customers to get one potential customer. It is natural to talk about our negative experience. You are paying money and find that the doctor is not good.
All government hospitals are JCI [Joint Commission International, a non-profit organisation in the US that provides accreditation and consultation services] accredited. This is a tool to improve quality and patient safety.
One important programme is the verification of certificates, license and experiences of doctors, nurses and other health care providers. This programme will cover more than 4,500 health care providers. This is to ensure that no doctor is practising in Dubai using fake credentials.
We also promote a proactive risk management programme to prevent medical errors from happening.
“About 20 to 30 per cent of the residents of Dubai have diabetes. The treatment is available. But we want people to stop becoming diabetic. It is only possible with health education at schools and workplaces..” said Dr Mohammad Al Olama, CEO-Hospitals Services with the Dubai Health Authority (DHA).