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医疗保健服务差距分析:2018年与2022年迪拜临床服务能力报告趋势数据对比

Healthcare Service Gap Analysis: A Comparison of Trend Data from 2018 and 2022 Dubai Clinical Services Capacity Reports.

作者信息

Monsef Nahed, Ashkar Elham, Soni Meenu

机构信息

Strategy and Governance Department, Dubai Health Authority, Dubai P.O. Box 4545, United Arab Emirates.

Health Economics & Insurance Policies Department, Dubai Health Authority, Dubai P.O. Box 4545, United Arab Emirates.

出版信息

Healthcare (Basel). 2025 Aug 27;13(17):2127. doi: 10.3390/healthcare13172127.

DOI:10.3390/healthcare13172127
PMID:40941479
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12427659/
Abstract

Dubai's healthcare system is designed to meet the growing needs of its population while maintaining high standards of accessibility, quality, equity, and responsiveness. The Dubai Health Authority (DHA) uses planning tools to assess residents' health requirements and implement effective regulatory strategies. This study compares trend data from the 2018 and 2022 Dubai Clinical Services Capacity Plan (DCSCP) reports to understand how population changes have impacted healthcare demand and to identify service gaps addressed over four years with particular focus on key medical specialties in high demand. This study retained the methodologies used in the 2018 and 2022 Dubai Clinical Services Capacity Plan (DCSCP) reports, capturing healthcare supply through a census of licensed facilities in Dubai and estimating demand using a need-based approach aligned with diagnosis-related groups (IR-DGRs). The data is categorized into eight key health-planning units (KPUs) to highlight gaps across major service categories and assess whether these gaps have been resolved in a rapidly evolving healthcare system. Between 2018 and 2022, there were clear improvements across several key planning units. The shortage of acute overnight beds was resolved, moving from a deficit of 239 beds to a surplus of 1728 beds, an overall gain of 1967 beds. Outpatient consultation rooms also saw major growth, shifting from a gap of 1769 rooms in 2018 to a surplus of 4707 rooms in 2022, a net increase to 6476 rooms. In addition, emergency department capacity increased, and the number of ICU beds also rose from 484 to 691, an overall growth of 43%. These changes represent measurable improvements in acute care and outpatient service capacity. However, despite the addition of 76 beds, long-term care continues to show a shortfall of 138 beds, indicating that this remains a significant gap in Dubai's healthcare system. Dubai has made significant progress in expanding its healthcare infrastructure between 2018 and 2022, addressing many capacity shortfalls, particularly in critical care and outpatient services. However, challenges in non-acute and long-term care remain, requiring ongoing strategic planning to meet future healthcare needs.

摘要

迪拜的医疗保健系统旨在满足其人口不断增长的需求,同时保持高水准的可及性、质量、公平性和响应能力。迪拜卫生局(DHA)使用规划工具来评估居民的健康需求,并实施有效的监管策略。本研究比较了2018年和2022年迪拜临床服务能力计划(DCSCP)报告中的趋势数据,以了解人口变化如何影响医疗保健需求,并确定四年来解决的服务差距,特别关注高需求的关键医学专科。本研究沿用了2018年和2022年迪拜临床服务能力计划(DCSCP)报告中使用的方法,通过对迪拜持牌医疗机构进行普查来获取医疗保健供应情况,并采用与诊断相关组(IR-DGRs)一致的基于需求的方法来估计需求。数据被分类为八个关键健康规划单元(KPU),以突出主要服务类别的差距,并评估这些差距在快速发展的医疗保健系统中是否得到解决。2018年至2022年期间,几个关键规划单元有明显改善。急性过夜床位短缺问题得到解决,从短缺239张床位变为盈余1728张床位,总体增加了1967张床位。门诊咨询室也有大幅增长,从2018年的缺口1769间变为2022年的盈余4707间,净增加到6476间。此外,急诊科能力增强,重症监护病房床位数量也从484张增加到691张,总体增长了43%。这些变化表明急性护理和门诊服务能力有了可衡量的改善。然而,尽管增加了76张床位,长期护理仍短缺138张床位,这表明这仍是迪拜医疗保健系统中的一个重大差距。2018年至2022年期间,迪拜在扩大其医疗保健基础设施方面取得了重大进展,解决了许多能力短缺问题,特别是在重症监护和门诊服务方面。然而,非急性和长期护理方面的挑战仍然存在,需要持续进行战略规划以满足未来的医疗保健需求。

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