Abstract
Background: The United Arab Emirates is one of the countries in the world that adopted Primary Health Care (PHC) after the Alma Ata declaration on PHC in 1978 and started introducing the services in 1984. There was a notable transition as health centers replaced clinics, becoming the principal providers of essential medical care. This study investigated the challenges faced in implementing PHC by the different health authorities in delivering health services to diverse communities.
Approach: This study aimed to assess the implementation of Primary Health Care (PHC) based on selected process indicators and provide evidence-based policy recommendations. An integrated methodological approach employing both qualitative and quantitative techniques have been used. It was a facility based exploratory study. Both the providers and user’s perspectives were considered.
Results: The implementation of Primary Health Care (PHC) services in the United Arab Emirates (UAE) has demonstrated significant success in terms of accessibility, utilization, and quality of care, particularly for insured individuals. Over 66.0 % of the population benefiting from either national or private insurance, this comprehensive coverage has substantially enhanced access to healthcare services, mitigating financial barriers and fostering a more equitable distribution of healthcare resources. The primary healthcare centres are optimally accessible for most of the patients (75.2%), where they can reach within 10-20 minutes. The cost of services is perceived as affordable by 87.3% of respondents. The integration of advanced telehealth services, including virtual consultations, remote monitoring, and digital prescriptions, has markedly increased convenience and decreased wait times, this cohesive framework of accessibility, affordability, and telehealth services has culminated in consistently high levels of patient satisfaction.
Implication: This study is the first of its kind in UAE provided in-depth insight about success and challenges encounter in delivering health care at the primary health care level. Finding provided the different level of successful implementation among three Emirates. Despite remarkable success, study identified some areas still needs to be addressed. Specifically, need to initiate policy to ensure services for uninsured population, active community participation in organising and delivering services, exploring subsidized care options for low-income patients etc. .