Academic literature on the topic 'Primary care (Medicine) United Arab Emirates'
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Journal articles on the topic "Primary care (Medicine) United Arab Emirates"
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Mirza, Deen M. "Primary care education in the United Arab Emirates." BMJ 335, no. 7632 (December 15, 2007): s220. http://dx.doi.org/10.1136/bmj.39162.543600.ce.
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Schiess, Nicoline, Halah Ibrahim, Sami Shaban, Maria Nichole Perez, and Satish Chandrasekhar Nair. "Career Choice and Primary Care in the United Arab Emirates." Journal of Graduate Medical Education 7, no. 4 (December 1, 2015): 663–66. http://dx.doi.org/10.4300/jgme-d-14-00780.1.
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ABSTRACT Background The low number of medical trainees entering primary care is contributing to the lack of access to primary care services in many countries. Despite the need for primary care physicians in the Middle East, there is limited information regarding trainees' career choices, a critical determinant in the supply of primary care physicians. Objective We analyzed the career choices of medical students in the United Arab Emirates (UAE), with a larger goal of reforming postgraduate training in the region and enhancing the focus on primary care. Methods We conducted a cross-sectional survey of applicants to a large established internal medicine residency program in the UAE. We calculated data for demographics, subspecialty choice, and factors affecting subspecialty choice, and we also reported descriptive statistics. Results Our response rate was 86% (183 of 212). Only 25% of applicants (n = 46) were interested in general internal medicine. The majority of respondents (n = 126, 69%) indicated a desire to pursue subspecialty training, and the remainder chose careers in research or administration. A majority of respondents (73%) were women, unmarried, and childless. Educational debt or lifestyle were not indicated as important factors in career choice. Conclusions Low interest in primary care was similar to that in many Western countries, despite a much higher percentage of female applicants and a reduced emphasis on lifestyle or income factors in career decisions. Reasons for the reduced interest in primary care deserve further exploration, as do tests of interventions to increase interest, such as improving the primary care clerkship experience.
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Al Hosani, H. "Health for all in the United Arab Emirates." Eastern Mediterranean Health Journal 6, no. 4 (August 15, 2000): 838–40. http://dx.doi.org/10.26719/2000.6.4.838.
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This paper reports on health for all in the United Arab Emirates. The current situation in the country regarding health for all and primary health care is described as well as the progress that has been made in this area. The main primary health care programmes and future activities are outlined
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Abdullah, L., S. Margolis, and T. Townsend. "Primary health care patients’ knowledge about diabetes in the United Arab Emirates." Eastern Mediterranean Health Journal 7, no. 4-5 (September 15, 2001): 662–70. http://dx.doi.org/10.26719/2001.7.4-5.662.
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This study defined the baseline level of knowledge about diabetes and the perceived effectiveness of sources of diabetes information in an urban primary health care centre in Al-Ain. A validated questionnaire was administered to 300 randomly chosen adult patients with diabetes. Patient knowledge about diabetes was directly related to their level of general education. Written and electronic media, and contact with a nurse or doctor were effective sources of education on diabetes while “conversation with significant others”, dietician or pharmacist were not effective. Nurse- or doctor-centred education appears to be an effective choice for future programmes to provide information to patients with diabetes.
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Osman, N. A., and F. F. El Sabban. "Infant-feeding practices in Al-Ain, United Arab Emirates." Eastern Mediterranean Health Journal 5, no. 1 (May 1, 1999): 103–10. http://dx.doi.org/10.26719/1999.5.1.103.
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A survey was conducted to study the practices of infant-feeding and the influencing factors in Al-Ain, United Arab Emirates. It involved 375 mothers of different nationalities and backgrounds and 300 healthy infants. The mothers were interviewed at four primary health care clinics in Al-Ain. Results showed that 46% of infants were breastfed for 4-6 months. The mother’s nationality and her educational status were significant influences on the mother’s decision to exclusively breast-feed the infant, for how long and when to introduce supplementary food. Fresh cow and goat milk were the most common supplements. Inclusion of baby formula as a supplement generally occurred early, perhaps because of advertising and the affluence in Al-Ain
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MARGOLIS, S. A. "Patient satisfaction with primary health care services in the United Arab Emirates." International Journal for Quality in Health Care 15, no. 3 (May 1, 2003): 241–49. http://dx.doi.org/10.1093/intqhc/mzg036.
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Barakat-Haddad, C., and A. Siddiqua. "171 Primary health care use and health care accessibility among adolescents in the United Arab Emirates." Eastern Mediterranean Health Journal 21, no. 3 (March 1, 2015): 171–84. http://dx.doi.org/10.26719/2015.21.3.171.
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Metta, Vinod, Huzaifa Ibrahim, Tom Loney, Hani T. S. Benamer, Ali Alhawai, Dananir Almuhairi, Abdulla Al Shamsi, et al. "First Two-Year Observational Exploratory Real Life Clinical Phenotyping, and Societal Impact Study of Parkinson’s Disease in Emiratis and Expatriate Population of United Arab Emirates 2019–2021: The EmPark Study." Journal of Personalized Medicine 12, no. 8 (August 9, 2022): 1300. http://dx.doi.org/10.3390/jpm12081300.
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Background: Phenotypic differences in Parkinson’s Disease (PD) among locals (Emiratis) and Expatriates (Expats) living in United Arab Emirates have not been described and could be important to unravel local aspects of clinical heterogenicity of PD pointing towards genetic and epigenetic variations. Objective: To investigate the range and nature of motor and nonmotor clinical presentations of PD and its impact on time to diagnosis, local service provisions, and quality of life in Emiratis and Expats in UAE, as well as address the presence of current unmet needs on relation to care and etiopathogenesis of PD related to possible genetic and epigenetic factors. Methods: a cross-sectional one point in time prospective, observational real-life study of 171 patients recruited from PD and Neurology clinics across United Arab Emirates from 2019–2021. Primary outcomes were sociodemographic data, motor and nonmotor symptoms (NMS), including cognition and sleep, and quality of life (QOL) assessments, Results: A total of 171 PD patients (52 Emiratis 119 Expats) were included with mean age (Emiratis 48.5 (13.1) Expats 64.15 (13.1)) and mean disease duration (Emiratis 4.8 (3.2) Expats 6.1 (2.9)). In the Emiratis, there was a significant mean delay in initiating treatment after diagnosis (Emiratis 1.2 (0.9) Expats 1.6 (1.1)), while from a clinical phenotyping aspect, there is a high percentage of akinesia 25 (48.1) or tremor dominant (22 (42.3)) phenotypes as opposed to mixed subtype 67 (56.3) in Expat cohorts; double tremor dominant, especially Emirati females (25%), had a predominant lower limb onset PD. Both Emirati (27.9 (24.0)) and Expat 29.4 (15.6) showed moderate NMS burden and the NMS profile is dominated by Sleep, Fatigue, Mood, Emotional well-being 3.0 (1.1) and Social Stigma 3.5 (0.9) aspects of PDQ8 SI measurements are predicted worse QOL in Emiratis, while lack of social support 2.3 (1.3) impaired QOL in Expat population. Awareness for advanced therapies was low and only 25% of Emiratis were aware of deep brain surgery (DBS), compared to 69% Expats. Only 2% of Emiratis, compared to 32% of Expats, heard of Apomorphine infusion (CSAI), and no (0%) Emiratis were aware of intrajejunal levodopa infusion (IJLI), compared to 13% of expats. Conclusion: Our pilot data suggest clinical phenotypic differences in presentation of PD in Emiratis population of UAE compared to expats. Worryingly, the data also show delayed treatment initiation, as well as widespread lack of knowledge of advanced therapies in the Emirati population.
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Al-Shamsi, Saif, Romona Devi Govender, and Elpidoforos S. Soteriades. "Mortality and potential years of life lost attributable to non-optimal glycaemic control in men and women with diabetes in the United Arab Emirates: a population-based retrospective cohort study." BMJ Open 9, no. 9 (September 2019): e032654. http://dx.doi.org/10.1136/bmjopen-2019-032654.
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ObjectivesNumerous studies reported that achieving near-normal glycated haemoglobin (HbA1c) levels in patients with diabetes may delay or even prevent vascular complications. However, information regarding the impact of non-optimal HbA1c control on adverse health outcomes in an Arab population is unknown. The aim of this study was to estimate the fraction of deaths and potential years of life lost (PYLL) attributable to non-optimal HbA1c control among Emirati men and women with diabetes in the United Arab Emirates (UAE).DesignA retrospective cohort study.SettingThis study was conducted in outpatient clinics at a tertiary care centre in Al Ain, UAE, between April 2008 and September 2018.ParticipantsThe sample comprised of 583 adult UAE nationals, aged≥18 years, with diabetes. Overall, 57% (n=332) of the study participants were men and 43% (n=251) were women.ExposureNon-optimal HbA1c control, defined as HbA1c≥6.5%.Primary outcome measureAll-cause mortality, defined as death from any cause.ResultsAt the end of the 9-year follow-up period, 86 (14.8%) participants died. Overall, up to 33% (95% CI 2% to 63%) of deaths were attributable to non-optimal HbA1c control among patients with diabetes mellitus (DM). Stratified by sex, the adjusted fraction of avoidable mortality was 17% (95% CI −23% to 57%) for men and 50% (95% CI 3% to 98%) for women. Both deaths and PYLL attributable to non-optimal HbA1c control were higher in women compared with men.ConclusionsUp to one-third of all deaths in adult UAE nationals with DM could be attributed to non-optimal HbA1c control. Effective sex-specific interventions and healthcare quality‐improvement programmes should urgently be implemented.
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Alzubaidi, Hamzah Tareq, Subhash Chandir, Sanah Hasan, Kevin McNamara, Rachele Cox, and Ines Krass. "Diabetes and cardiovascular disease risk screening model in community pharmacies in a developing primary healthcare system: a feasibility study." BMJ Open 9, no. 11 (November 2019): e031246. http://dx.doi.org/10.1136/bmjopen-2019-031246.
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ObjectivesThis study aimed to develop an evidence-based community pharmacist-delivered screening model for diabetes and cardiovascular disease (CVD), and assess its feasibility to identify and refer patients with elevated risk.DesignA feasibility study.SettingA purposive sample of 12 community pharmacies in three cities in the United Arab Emirates (UAE).ParticipantsAdults 40 years of age and above who have not been previously diagnosed with either diabetes or CVD.InterventionPharmacist screening of adults visiting pharmacies involved history, demographics, anthropometric measurements, blood pressure and point-of-care testing including glycated haemoglobin (HbA1c) levels and lipid panel. Participants with a 10-year CVD risk ≥7.5%, HbA1c level ≥5.7% or American Diabetes Association (ADA) risk score ≥5 points were advised to visit their physician.Primary and secondary outcome measuresThe primary outcomes were (1) development of UAE pharmacist-delivered screening model, (2) the proportion of screened participants identified as having high CVD risk (atherosclerotic CVD 10-year risk defined as ≥7.5%) and (3) the proportion of participants identified as having elevated blood glucose (high HbA1c level ≥5.7% (38.8 mmol/mol)) or high self-reported diabetes risk (ADA risk score ≥5 points). Secondary outcome is participants’ satisfaction with the screening.ResultsThe first UAE pharmacist-delivered screening model was developed and implemented. A total of 115 participants were screened, and 92.3% of the entire screening process was completed during a single visit to pharmacy. The mean duration of the complete screening process was 27 min. At-risk individuals (57.4%) were referred to their physicians for further testing, while 94.5% of participants were at least satisfied with their screening experience.ConclusionsThe community pharmacist-delivered screening of diabetes and CVD risk is feasible in the UAE. The model offers a platform to increase screening capacity within primary care and provides an opportunity for early detection and treatment. However, pathways for the integration of the pharmacist-delivered screening service with physicians in primary care are yet to be explored.
Dissertations / Theses on the topic "Primary care (Medicine) United Arab Emirates"
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Al, Ahbabi Abdulhadi A. "The evaluation and development of a model for primary health care in the United Arab Emirates." Thesis, University of Aberdeen, 2003. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU173912.
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The results of the literature review and survey show that tremendous changes have taken place in the United Arab Emirates both in its economic as well as in the provision of health care, since its independence in 1971. The country has extensive primary health care services that are easily accessible. The range of services provided includes health promotion, preventive, curative and maternity and child health services. However, the philosophy of primary health care is not generally accepted and the emphasis remains on providing a curative service and the use of high technology medicine. There are many other difficulties with the current system including a shortage of manpower; poor co-ordination between primary care and hospital based services; rising cost of health care provision; inadequate provision of health education programmes; inadequately or inappropriately resourced primary health centres; and the lack of reliable and good quality data on primary health care. Several recommendations are made: 1. Creating a task force dedicated to primary health care and involving all stakeholders in order to identify gaps and deficiencies, make recommendations for improvement and ensure that the recommendations are being implemented. 2. Emphasising the importance of primary health care in the overall provision of health care. 3. Establishing a correct balance and a better co-ordination between primary, secondary and tertiary levels of care. This should include an improvement in the referral and feedback system between primary care and hospitals. 4. Ensuring the establishment of an effective health education programme aimed at emphasising the value of primary health care, simple low-cost technology, health promotion and prevention services so minimising the dependence on the use of hospitals and high technology medicine. This should take into account the different cultural, religious and social backgrounds of both the expatriate community as well as local inhabitants. 5. Improving the provision of maternal child health care, screening, health promotion, prevention services and the availability of equipment, facilities and resources to enable primary care health professionals to carry out the assessment and management of most common and treatable conditions. 6. Producing doctors, nurses and other health professionals who will promote health for all people and meet the needs of the society they serve. This will require a greater collaboration and partnership between medical schools and the Ministry of Health. 7. Developing a system of continuing professional development with staff training programmes for health professionals, to ensure the maintenance of their competence. 8. Forming a professional organisation, such as a College or Institute of general practice, in order to identify the professional needs of general practitioners, to represent the specialty on professional matters and on all relevant medical decision making bodies, and to promote professional development at both national and international levels.
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Al, Alwadhi Fahimah Kamil M. R. "Upper respiratory tract infection : implementation of multiple interventions on antibiotic prescribing for patients with upper respiratory tract infection in primary health care settings in United Arab Emirates." Thesis, University of Aberdeen, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.440096.
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Part I. Aims: The aims of part I of this research programme were to: measure the prevalence of antibiotic prescription for U.R.T.I. in Primary Health Care Centres in the United Arab Emirates; understand the rational behind antibiotic prescription; Evaluate the effect of different patient characteristics such as self treatment, age, education, occupation and gender; evaluate the effect of physician characteristics such as gender, communication and practice location; and to evaluate the degree of patient compliance and satisfaction with treatment. Main Conclusions: U.R.T.I. is one of the main reasons for patient visits and antibiotic prescription; physicians’ advice to patients regarding dosage and duration of the prescribed medication was limited; a significant association existed between patients’ expectation from practitioners and practitioners’ perception of patients’ expectations; poor compliance is strongly correlated with poor patient-doctor interaction; diagnoses were typically based on clinical findings; patient satisfaction is strongly linked to the level of communication. Part II. Aims: To measure the influence of introducing guidelines to doctors and educational leaflets to patients on reducing the level of prescribed antibiotics; and to investigate the effect of factors such as socio-demographic characteristics, signs, symptoms and patient self management. Main Results: The total number of antibiotic prescriptions for patients suffering from U.R.T.I. including sore throat was significantly reduced in the intervention group. Conclusions: A multi-dimensional interventional approach for reducing antibiotic prescription in U.A.E. clinics resulted in a significant positive outcome; and the significant reduction in antibiotic prescriptions indicates the willingness of physicians to follow guidelines and the willingness of patients to respond to educational information. Main Recommendations: Clinical guidelines are most effective if implemented as part of a systemic strategy, involving dissemination of guidelines by departmental heads and utilisation of computer generated reminders; physicians should be involved as part of the working group to develop guidelines; ongoing educational programmes for physicians; and a public educational campaign on the problem of over use of antibiotics is essential.
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Alzubaidi, Abdulhakeem. "The attitudes and beliefs of primary health care physicians toward electronic medical records : the impact of using electronic medical records on the care of patients seen in a diabetes mini-clinic in the United Arab Emirates." Thesis, University of Aberdeen, 2006. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU494611.
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Many studies have been conducted in the USA and Europe to explore the attitudes and beliefs of physicians toward the use of Electronic Medical Record (EMR) systems and to examine the impact of using EMR in the management of diabetes mellitus. However, no such study has been conducted in the United Arab Emirates (UAE). This study was designed to fill this gap. The study consists of two parts. The first examines the Primary Health care (PHC) physicians’ attitudes and beliefs towards the implementation of EMR and the second, examines the impact of EMR on the management of diabetes in a diabetes mini-clinic in a PHC health centre. The overall finding was that non-users of EMR had higher expectations of what computers could achieve than did users. The majority of EMR users and non-users believed that (1) physicians should computerise their medical records; (2) EMR were a useful tool for physicians; and (3) using EMR will improve the quality of healthcare in the health centre and in the UAE overall. A significantly higher proportion of non-users than EMR users believed that using EMR would enable them to accomplish tasks more quickly and reduce their risk of making medical errors. The intervention part of the study found that the introduction of an EMR system has significantly improved documentation and the performance of processes of care for diabetic patients. However, its impact on outcomes was limited. A significant improvement in the proportion of patients with blood pressure <140/80 mm Hg and a significant reduction in the proportion of patients with blood pressure >160/95 mm Hg was found. An improvement in the proportion of patients with LDL-C<100 mg/dl was also found. The limitations of the study should be considered before generalising these results.