The Satisfaction with the Healthcare Services provided in

the Emirate of Dubai among Dubai Residents. Dubai

Household Survey - 2014: Inpatient Admission
Wafa Alnakhi, DrPH1, Altijani Hussin, MSc2
Johns Hopkins Bloomberg School of Public Health
Health Policy and Management
Stata Conference 2018
Overview
• Background
• Healthcare Services in Dubai
• Methods
• List of Commands
• Descriptive Statistics
• Question and Variables
• Analysis
• Conclusion
• References
Background
• Dubai is one of 7 Emirates in the United Arab Emirates
• The population of Dubai is 2.8 Million
• Dubai Health Authority (DHA) is the government entity that oversee
healthcare in Dubai only (regulator and provider)
• In November 2013, Health Insurance (MHI) Law 11 was passed ,
which states that all residents and visitors to Dubai must have a
minimum of basic healthcare coverage. The implementation took
effect across Dubai in stages and reached 99% universal coverage by
end of 2017
Healthcare Services in Dubai
• The health sector is comprised of government facilities, private
facilities, and a free zone
• DHA owns 4 hospitals, and 14 Primary Healthcare Centers (PHC)
• Ministry of Health owns 2 hospitals, and 9 PHCs in Dubai
• The private sector comprises of 22 hospitals, and over 1000
outpatient clinics and polyclinics
• Total bed capacity in Dubai 2 beds per 1000 population
Methods: Source of Data
• Collaborative work between Dubai Health Authority and Dubai Statistics
Center
• Complex stratified (geographic area), multistage probability sampling
• The survey is conducted every 4 years to identify the health status of the
population: mortality, health expenditure, access to health services,
health-related behaviors, etc
• The design and methodology of the survey were adapted from those
used in the World Bank’s Living Standards Measurement Surveys (LSMS),
the World Health Organization’s World Health Surveys (WHS) and the US
Centers for Disease Control’s National Health Interview Surveys (NHIS)
Methods: Sampling Design
• The sample frame is the residents of Dubai. The Emirate of Dubai was
divided into nine main sectors covering the entire area of ​the Emirate
of Dubai. Each sector is divided to areas, and each areas is divided to
blocks that each block is given a number
Target population:

 UAE Nationals (2000 Household) – over sampled

 Non-UAE nationals (2000 Household and collective family)
 Blue collar 700 (18 years old and above)
List of Commands in Do-File

clear gsort svy

set more off list svyset
set mem 500m merge corr
set linesize 255 gen regress
log rename ologit
use label vif
replace tab mfx/margins
sort sum save
Descriptive Statistics
Education Level indv. 15+ years
Gender

Illetrate
Female &
28% Primary
Universit
Education
y Level
Undergra 7%
duate &
Graduate
level
33%
School
Level &
Male Below
72% Universit
y Level
61%
 Descriptive Statistics
Insurance Coverage Type Nationality
*Other TypeMultiple
of Insurance
Insurance Coverage No Coverage
Coverage
[PERCENTAGE] 4% 1% ****Western*****Other **GCC &
Countries Countries UAE Arab
[PERCENTA [PERCENTA NationalsCountries
GE] GE] 8% [PERCENTA
Government Insurance GE]
Coverage
39%

Private Insurance
Coverage
56%

***Asian
Countries
[PERCENTA
GE]
S ati sfacti on Lev el of Heal thcare Prov ide d in t he Odd Rati o P-val ue Confide nce Inte rv al
E mir ate of Dubai
Chroni c Conditi on
No C hr onic Co ndi tio n 1 .0 0 - -
Wit h Chr onic Conditi on 1 .0 0 0 .98 (0 .7 2,1 .3 9 )
Gender
M ale 1 .0 0 - -
F em ale 1 .0 0 0 .96 (0.8 5 ,1 .18 )
Ins urance Ty pe
Pr iv ate Ins urance 1 .0 0 - -
Gov er nment Ty pe 0 .6 5 0 .00 0 (0 .5 2,0 .8 2 )
M ulti pl e Ins urance 0 .6 1 0 .000 (0 .4 7,0 .7 9 )
O the r Type of ins ur ance* 3 .1 9 0 .11 (0 .7 6,1 3.38 )
No Cove ra ge 0 .5 5 0 .09 (0 .2 7,1 .1 0 )
Nati onali ty
UAE Nati onals 1 .0 0 - -
GCC & Ara b Countr ies ** 1 .6 2 0 .00 3 (1 .1 7,2 .2 4 )
As ian Count ri es* ** 1 .8 1 0 .00 0 (1 .4 8,2 .2 0 )
We ste rn Count ri es** ** 1 .5 1 0 .03 3 (1 .0 33 ,2.20 )
O the r Co unt ri es* *** * 0 .8 7 0 .58 (0 .5 3,1 .4 3 )
Inpatie nt adm iss ion
In pati ent admis sion in t he gov ernme nt 1 .0 0 - -
In pati ent admis sion in t he pri vat e 3 .4 9 0 .05 (0 .9 9,1 2.33 )
In pati ent admis sion in othe r emi rate s and 2 .5 8 0 .22 (0 .5 7,1 1.73 )
ov er se as
No t be ing admitt ed as inpatie nt 3 .2 6 0 .03 (1 .1 1,9 .5 9 )
*Not empl oye r or pe rs onal i ns urance
** The Gulf Coope rati on Council countri es and al l Middl e East Countr ies t ha t sp e ak s in Arabi c
** *In the conti ne nt of As ia and not part of O ECD co unt ri es
** * Or ganiz ation for Eco nomi c Co -o pe ra tion a nd D ev el opment (O ECD ) countie s
** *** Afr ican Countr ie s (Sout h Afri ca who do n’t s peak in A rabic)
 Descriptive Statistics
Suffering from A Chronic Disease Chronic Diseases Types
With Chronic Disease
7% Multiple
Chronic Arthritis
Disease 3%
18%
Disability
Other Chronic
Cancerous
(Physical, Diabetes
Disease
Tumors
Mental, Visual, 37%
5%
0%
Hearing..etc)
1%

High Blood
Pressure Asthma
30% 7%
Without Chronic
Disease
93%
Descriptive Statistics
Satisfaction Level with the Healthcare Services in
Severity of Chronic Diseases the Emirate of Dubai
Dissatisfied
5% Neither
8%
Three Chronic
Diseases and
Two Chronic more
Diseases 2%
16%

One Chronic
Disease Satisfied
82% 87%
Question & Variables
• The satisfaction level of healthcare services provided in the Emirate of Dubai with
inpatient admission during the last 12 months
Dependent Variable:
• Satisfaction level (ordinal)
Independent Variables:
• Chronic Condition (binary)
• Age (continuous)
• Gender (binary)
• Insurance Type (categorical)
• Nationality (categorical)
• Inpatient Admission during last 12 months (categorical)
Ordered Logit Regression Model
Satisfaction Level Odds Ratio Std. Err. t P>t [95% Conf. Interval]

CHRONIC
With Chronic Disease 1.004 0.167 0.02 0.981 0.725 1.390
Age 1.004 0.003 1.51 0.132 0.999 1.010

Gender
Female 1.004 0.083 0.05 0.963 0.853 1.181

INSURANCE TYPE
Gov. Insurance 0.651 0.076 -3.67 0.000 0.517 0.818
Other Insurance 3.19 2.334 1.59 0.112 0.763 13.38
Multiple Insurance 0.608 0.080 -3.79 0.000 0.470 0.786
No Coverage 0.550 0.195 -1.69 0.092 0.274 1.101
Order Logit Regression Model
Satisfaction Level Odds Ratio Std. Err. t P>t [95% Conf. Interval]

NATIONALITY
GCC & Arab Countries 1.619 0.266 2.93 0.003 1.172 2.236
Asian Countries 1.807 0.181 5.90 0.000 1.484 2.200
Western Countries 1.507 0.290 2.13 0.033 1.033 2.199
Other Countries 0.868 0.220 -0.56 0.578 0.5277 1.428

Inpatient Admission Type

Private in Dubai 3.489 2.246 1.94 0.052 0.988 12.327
Other Emirates & Abroad 2.575 1.992 1.22 0.221 0.565 11.731
Not Being inpatient 3.255 1.793 2.14 0.032 1.105 9.586

/cut1 -1.286 0.565 -2.27 0.023 -2.394 -.1776

/cut2 -.2957 0.559 -0.53 0.597 -1.393 0.802
Marginal Effect for Satisfaction Level
Dissatisfaction Neither Satisfied Nor Satisfied P>|z|
Dissatisfied
Insurance Type
Gov. Insurance <0.05
Other Insurance
Multiple Insurance <0.05
No coverage

Nationality 
GCC & Arab Nationality <0.05
Asian Nationality
Western Nationality <0.05
Other Nationality

Inpatient Admission Type

Private in Dubai <0.05
Other Emirates & Abroad
Not Being Inpatient
Conclusion
• Strengths
• Administrative strengths:
• Representation
• High response rate
• Sections for Utilization of healthcare Services: In patients, Outpatients
• Limitations
• Administrative Limitations:
• Not representative to the UAE
• Languages
• Analysis Limitations:
• Education Level (2 variables)
• Satisfaction at individual and not the household
• Future recommendations:
• Framework, demographic variables and model fitness
• Sensitivity Analysis
• Possibility of interaction to control for
References
• Hussin, A.H., Ali, F.M., Reka, H. and Gjebrea, O., 2015. Tracking access,
utilization and health system responsiveness to inform evidence-
based health care policy: The case of Qatar. Journal of Local and
Global Health Perspectives, p.2.
• http://www.isahd.ae/Home/Reports: 1st Report - Health Accounts
System of Dubai 2012 Report (EN)
 THANK YOU
wkalnakhi@gmail.com
wkalnakh1@jhu.edu