Evidence from the national health account: the case of Dubai

Figures & data

Table 1 Dubai health account summary indicators in 2012

Health account summary indicators	THE	CHE
1. HE % GDP	3.4	3.10
2. General government expenditure on health as % of GDP	1.10	1.00
3. General government expenditure on health as % of general government expenditure	9.70	10.80
4. General government expenditure on health as % of HE	32.10	32.60
5. Private expenditure on health as % of HE	67.90	67.40
6. Out-of-pocket expenditure as % of private expenditure on health	29.30	32.20
7. Out-of-pocket expenditure as % of HE	19.90	21.70
8. Private insurance as % of private expenditure on health	49.10	53.90
9. Private insurance as % of HE	33.40	36.30
10. Expenditure on inpatient care as % of HE	7.6	30
11. Government expenditure on inpatient care as % of general government expenditure on health	45.2	48.40
12. Prevention and public health services as % of HE	5.10	5.50
13. Medical goods as % of HE	18.50	20.20
14. HE per capita at exchange rate (NCU per US$)	941	866
15. HE per capita at PPP (NCU per US$)	934	859
16. General government expenditure on health per capita at exchange rate (NCU per US$)	302	282
17. General government expenditure on health per capita at PPP (NCU per US$)	300	280
18. Out-of-pocket expenditure per capita at exchange rate (NCU per US$)	187	187

Note: Data from Dubai Health Authority. Health Accounts System of Dubai 2012 Report. A Baseline for a New Era. Dubai: Dubai Health Authority; 2012. Available from: http://www.isahd.ae/content/docs/HASD%20English%202012.pdf. Accessed September 3, 2014.⁸

Abbreviations: CHE, current health expenditure; GDP, gross domestic product; HE, health expenditure; NCU, national currency units; PPP, purchasing power parity; THE, total health expenditure.

Figure 1 Current and capital health expenditure for selected countries in 2012.

Note: Data from Qatar Supreme Council of Health,⁹ Eurostat,¹⁰ and Dubai Health Authority. Health Accounts System of Dubai 2012 Report. A Baseline for a New Era. Dubai: Dubai Health Authority; 2012. Available from: http://www.isahd.ae/content/docs/HASD%20English%202012.pdf. Accessed September 3, 2014.⁸

Table 2 Provider structure by financing schemes in Dubai in 2012 (%)

HF schemes	Hospitals	Prov of ambulatory health care	Prov of ancillary services	Retailers and other prov of medical goods	Prov of preventive care	Prov of health care system administration	Rest of the world (outside Dubai)	All HP	Total (AED million)
Govt schemes and compulsory contributory HF schemes	54	27	4	0	1	3	11	100	3,740
Central govt schemes	63	29	0	0	0	8	0	100	283
Local govt schemes	54	27	4	0	1	2	12	100	3,457
Voluntary health care payment schemes	44	17	1	6	0	6	25	100	4,042
Household OOP payments	43	24	8	24	0	1	0	100	2,152
All HF	48	22	4	7	0	4	14	100	9,934

Note: Data from Dubai Health Authority. Health Accounts System of Dubai 2012 Report. A Baseline for a New Era. Dubai: Dubai Health Authority; 2012. Available from: http://www.isahd.ae/content/docs/HASD%20English%202012.pdf. Accessed September 3, 2014.⁸

Abbreviations: DHA, Dubai Health Authority; govt, government; HASD, Health Accounts System of Dubai; HF, health care financing; HP, health providers; OOP, out-of-pocket; prov, providers; AED, United Arab Emirates Dirham.

Table 3 Percentage contribution of different financing schemes to health functions (%)

HC functions	Curative care	Inpt curative care	Day curative care	Outpt curative care	Rehabilitative care	Long-term care (health)	Ancillary services	Laboratory services	Imaging services	Patient transportation	Pharmacy and medical goods	Preventive care	Governance	Other HC services	All HC
Govt and compulsory contributory HC financing schemes	63	42	2	19	1	0	9	3	2	4	11	13	3	0	100
Central govt schemes	51	19	0	32	0	0	17	12	4	0	24	0	8	0	100
Local govt schemes	64	44	2	18	1	0	8	2	2	4	10	14	2	0	100
Voluntary HC payment schemes	48	25	3	20	0	0	19	13	6	0	24	1	6	1	100
Household OOP payments	56	18	3	35	0	0	13	8	5	0	27	2	1	1	100
All HC functions	55	30	2	23	1	0	14	8	4	2	20	6	4	0	100

Note: Data from Dubai Health Authority. Health Accounts System of Dubai 2012 Report. A Baseline for a New Era. Dubai: Dubai Health Authority; 2012. Available from: http://www.isahd.ae/content/docs/HASD%20English%202012.pdf. Accessed September 3, 2014.⁸

Abbreviations: govt, government; HC, health care; inpt, inpatient; OOP, out-of-pocket, outpt, outpatient.

Figure 2 Share of household out-of-pocket payments as percentage of current health expenditure.

Note: Data Eurostat, 2013¹⁰ and Dubai Health Authority. Health Accounts System of Dubai 2012 Report. A Baseline for a New Era. Dubai: Dubai Health Authority; 2012. Available from: http://www.isahd.ae/content/docs/HASD%20English%202012.pdf. Accessed September 3, 2014.⁸

Figure 3 Flow of money in the Dubai health system per provider in 2012.

Note: Data from Dubai Health Authority. Health Accounts System of Dubai 2012 Report. A Baseline for a New Era. Dubai: Dubai Health Authority; 2012. Available from: http://www.isahd.ae/content/docs/HASD%20English%202012.pdf. Accessed September 3, 2014.⁸
Abbreviations: mAED, million United Arab Emirates Dirham; DHA, Dubai Health Authority; MOH, Ministry of Health.

Figure 4 Provider structure for selected countries (2011), Qatar (2012) and for Dubai (2012).

Note: Data from Eurostat¹⁰ and Dubai Health Authority. Health Accounts System of Dubai 2012 Report. A Baseline for a New Era. Dubai: Dubai Health Authority; 2012. Available from: http://www.isahd.ae/content/docs/HASD%20English%202012.pdf. Accessed September 3, 2014.⁸

Table 4 Provider structure of spending by financing agent (%)

Health financing schemes	Hospitals	Prov of ambulatory HC	Prov of ancillary services	Retailers and other prov of medical goods	Prov of preventive care	Prov of HC system administration	Rest of the world (outside Dubai)
Govt and compulsory contributory HC financing schemes	43	45	41	0	100	27	29
Central govt schemes	4	4	0	0	0	6	0
Local govt schemes	39	41	41	0	100	21	29
Voluntary HC payment schemes	38	31	13	32	0	68	71
Household OOP payments	20	24	46	68	0	5	0
All HC financing	100	100	100	100	100	100	100

Note: Data from Dubai Health Authority. Health Accounts System of Dubai 2012 Report. A Baseline for a New Era. Dubai: Dubai Health Authority; 2012. Available from: http://www.isahd.ae/content/docs/HASD%20English%202012.pdf. Accessed September 3, 2014.⁸

Abbreviations: DHA, Dubai Health Authority; govt, government; HASD, Health Accounts System of Dubai; HC, health care; OOP, out-of-pocket; prov, providers.

Table 5 Provider structure by function (%)

Services	Curative care	Inpt curative care	Day curative care	Outpt curative care	Rehabilitative care	Long-term care (health)	Ancillary services	Laboratory services	Imaging services	Patient transportation	Medical goods	Pharmaceuticals and other medical goods	Therapeutic appliances and other	Preventive care	Governance	Other health services	All HC
Hospitals	74.5	48.9	4.1	21.5	0.8	0.0	10.3	6.0	4.3	0.0	13.7	13.2	0.5	0.4	0.0	0.3	100.0
Prov of ambulatory HC	48.8	0.0	0.5	48.3	0.5	0.0	14.9	11.1	3.8	0.0	12.9	12.0	0.9	22.1	0.0	0.7	100.0
Prov of ancillary services	0.0	0.0	0.0	0.0	0.0	0.0	98.9	37.2	20.9	40.8	1.1	1.1	0.0	0.0	0.0	0.0	100.0
Retailers and other prov of medical goods	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	100.0	100.0	0.0	0.0	0.0	0.0	100.0
Prov of preventive care	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	100.0	0.0	0.0	100.0
Prov of HC system administration and financing	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0	99.5	0.3	100.0
Rest of the world (outside Dubai)	61.5	45.6	2.0	13.9	0.1	0.0	14.9	10.0	4.9	0.0	22.0	21.0	1.0	0.5	0.0	0.9	100.0
All health providers	55	30	2	23	1	0	14	8	4	2	20	20	1	6	4	0

Note: Data from Dubai Health Authority. Health Accounts System of Dubai 2012 Report. A Baseline for a New Era. Dubai: Dubai Health Authority; 2012. Available from: http://www.isahd.ae/content/docs/HASD%20English%202012.pdf. Accessed September 3, 2014.⁸

Abbreviations: HC, health care; inpt, inpatient; OOP, out-of-pocket; outpt, outpatient; prov, providers.

Dubai Health AuthorityHealth Accounts System of Dubai 2012 Report. A Baseline for a New EraDubaiDubai Health Authority2012 Available from: http://www.isahd.ae/content/docs/HASD%20English%202012.pdfAccessed September 3, 2014

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Qatar Supreme Council of HealthQatar National Health Accounts Report – 2012QatarPolicy Affairs Directorate2012 Available from: http://www.nhsq.info/app/media/1296Accessed September 3, 2014

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EurostatHealth care Available from: http://epp.eurostat.ec.europa.eu/portal/page/portal/health/health_careAccessed September 3, 2014

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