Fresh blood - Opportunities for healthcare professionals in the UAE

FRESH BLOOD

OPPORTUNITIES FOR HEALTHCARE PROFESSIONALS IN THE UAE

Fresh Blood - Opportunities for Healthcare Professionals in the UAE 2

CONTENTS

INTRODUCTION ............................................................................................................................................................ 3

PROFESSIONAL DEVELOPMENT AND TRAINING OPPORTUNITIES ....................................................... 4

COUNTRY OVERVIEW ................................................................................................................................................ 6

GCC/MIDDLE EAST OVERALL ....................................................................................................................... 6

UNITED ARAB EMIRATES ............................................................................................................................... 7

SAUDI ARABIA ..................................................................................................................................................... 8

KUWAIT .................................................................................................................................................................. 8

BAHRAIN ................................................................................................................................................................ 9

OMAN ..................................................................................................................................................................... 9

HARD NUMBERS......................................................................................................................................................... 10

OPPORTUNITIES IN A NON-SATURATED MARKET ..................................................................................... 12

SPECIALITY GAPS ...................................................................................................................................................... 13

SALARY ........................................................................................................................................................................... 14

LIVING IN THE EMIRATES ...................................................................................................................................... 15

REFERENCES ............................................................................................................................................................... 17

"I think people want to come to Abu Dhabi because if they are innovators there are virtually no other opportunities like this in the world to start

something of this calibre. It is an opportunity to create something

beautiful with a relatively blank state. That is highly attractive to people."

The emirate itself is a huge draw. I think Abu Dhabi has been such a huge selling point. Once people come here to have a look around it is very easy to not only convince them to come here but to see Abu Dhabi as an

enormous plus. Location is great, lifestyle is wonderful, society is progressive. It is the perfect marriage. I think of Abu Dhabi as a

forward leaning, innovative, progressive place and I would like to think of the Cleveland Clinic in much the same light.” Dr Marc Harrison, Chief Executive, Cleveland Clinic – Abu Dhabi (Quote from The National)


INTRODUCTION

The UAE is a fast growing country and despite excessive recruitment of foreign-trained healthcare professionals, the UAE still faces severe health workforce shortages.

The potential growth for GCC healthcare spend per capita is great, considering that it’s currently much lower compared to countries with a more developed healthcare industry. Figures are expected to grow substantially due to the implementation of mandatory insurance cover and increases in both the population and lifestyle-related diseases, but also due to a high GDP with an increasing healthcare expenditure per capita and government incentives to increase investment in the healthcare sector. The overall healthcare infrastructure is also relatively underdeveloped compared to Western countries, allowing for growth, especially in the private sector.

According to McKinsey & co, the demand for hospital beds in the GCC region will double by 2025, requiring almost 162,000 beds. Despite the huge surge in healthcare infrastructure by GCC governments, with state-of-the-art hospitals and healthcare facilities cropping up at an amazing rate, one very important question still remains: Who are going to staff these hospitals? The severe shortage of healthcare professionals, coupled with a high turnover (or poor retention rates) of staff is posing sleepless nights for healthcare executives in the region. In their most recent report on healthcare in Dubai, Colliers International found that the number of physicians in Dubai (as of the end of 2014) was 2.7 per 1,000 people, and the number of nurses is 5.5 per 1,000 people. While the ratio of physicians is roughly the same as in many developed nations (e.g., the UK and the USA both have a doctor/patient ratio of around 3 per 1,000 people), the number of nurses in Dubai is considerably lower than many developed nations. For example, France has a ratio of 8 nurses per 1,000 people while the US has a ratio of around 10 nurses per 1,000 people. The UAE’s nurse/patient ratios is one of the lowest in the GCC only surpassed by Saudi Arabia where nursing is generally perceived as female occupation, severely limiting the available labour pool. Currently, 89% physicians and 90% of nurses in the UAE are expatriates, all from different cultures and educational backgrounds. The incredible amount of development in the Middle East, coupled with heavy investment by governments and private healthcare companies in the region presents a wealth of opportunities for expatriate healthcare professionals. Since the UAE is a dynamic and fast growing country, it will continue to depend on foreign trained health workers to meet current and future needs. This could be one of the most unique and exciting work experiences of your life, both professionally and personally. Let's take a closer look at this dynamic nation that ranks among the fastest growing economies in the world and preferred choice of those who wish to work abroad.

Currently, 89% physicians and 90% of nurses in the UAE are expatriates, all from different cultures and educational

backgrounds


PROFESSIONAL DEVELOPMENT AND TRAINING OPPORTUNITIES

SEHA, in conjunction with HAAD, Abu Dhabi Tawteen Council (ADTC) and Higher Colleges of Technology (HCT) have signed a Memorandum of Understanding to create a skilled and professional local work force train jobseekers for work within the Abu Dhabi healthcare industry. Each entity plays its own vital role in the agreement and reaffirms their commitment to meeting the needs of the community with qualified, medical professionals. Students participating in the programme will qualify for positions within the SEHA HealthSystem hospitals and clinics in fields such as nursing, screening, laboratory and pharmacy.

The UAE Ministry of Health wants to establish a structure for employees working in the government medical sector to improve their professional skills and attract more to the medical field and set up unified national standards for all UAE hospitals. “Such decisions not only enrich the health sector but are a vital element for the development and progress of this sector,” said Dr Aisha Al Mutawa, Director of Strategy and Institutional Excellence at the MoH. Existing medical education is now being extended and strengthened by collaboration with European and US medical schools, such as Cornell’s undergraduate medical education program in Qatar and the Royal College of Surgeons of Ireland’s postgraduate facilities in Bahrain. But the numbers of new medical graduates becoming available in the foreseeable future will not keep pace with the GCC’s population increase. Hence reliance on imported physicians and nurses will continue for some time to come. Number three on HAADs list of seven priorities for healthcare sector improvement, is the promise to encourage research, innovation, education/training.1

In a major move for the advancement of the healthcare sector, unified medical licences will now be recognised across the UAE with effect from October 12 2014, paving the way for medical professionals to work across the country. Doctors, nurses and other healthcare professionals will not need to sit for exams or send their papers for primary verification once they have already been certified as practitioners in Dubai or another emirate. Their licence will be recognised throughout the country. In case of certain super specialities, there are only a limited number of doctors available in the country. Now these doctors will have better mobility and can travel from one emirate to another for medical consultation. Doctors will only have to now take permission from the health authorities of the emirate in which they wish to practise. Essa Al Maidour, Director-General of DHA, said that this move seeks to unify medical practice and streamline the professional medical licensing process.

“At a policy level, career advancement opportunities should be implemented to increase specialisation. To produce high-calibre, competent medical specialists, maintenance of existing skills and development of new skills should be encouraged” Dr Amer Ahmad Sharif, Managing Director of Dubai Healthcare City Source: Gulfnews.com


For the time being, all professionals graduating from accredited local programmes within the UAE will be exempted from experience requirement so that they can begin practice in their field of medicine or nursing after completion of the medical programme and internship. For the first two years, they will work under supervision in a secondary or tertiary hospital. Al Maidour also said that for certain certificate holders, the number of years required for a specialist physician/dentist to be a consultant has been reduced from eight to five years as a means to provide growth opportunities to medical professionals. American- and Canadian Board physicians and Certificate of Completion of Specialist Training (CCST) certificate holders from UK would be eligible to be consultants directly.2 At present, the GCC is unable to produce sufficient numbers of clinical staff to provide healthcare for its population. As a result, foreign workers can comprise up to 80% of physicians in some countries. Existing medical education is now being extended and strengthened by collaboration with European and US medical schools, such as Cornell’s undergraduate medical education programme in Qatar and the Royal College of Surgeons of Ireland’s postgraduate facilities in Bahrain. But the numbers of new medical graduates becoming available in the foreseeable future will not keep pace with the GCC’s population increase. Hence reliance on imported physicians and nurses will continue for some time to come. Given the high demand growth of the healthcare sector—and therefore the increasing need for professionals, particularly nurses — policymakers should explore investing in creating vocational training programmes for nurses and allied staff and should partner with relevant international training providers.3


COUNTRY OVERVIEW

GCC/MIDDLE EAST OVERALL

The GCC countries, especially the UAE and Qatar, have one of the highest growth rates of healthcare costs due to the advent of new medical technologies and longer length of stay, along with better healthcare facilities. However a closer look at healthcare in the GCC reveals that the availability of medical doctors to cater to the existing population is below the levels in developed nations. The physician density in GCC is lower than that in the Americas and far lower than that in Europe. Many industry observers cite the lack of a sufficient number of medical graduates to serve the ever-growing needs of a rising population. Also, with more hospitals being opened in the region, the shortage of medical talent could further increase.4 With demand for healthcare professionals in the GCC set to soar 240% in 20 years, healthcare leaders are facing significant shortages. McKinsey & Co. estimates that by 2025 the demand for hospital beds in the GCC region will at least double, with Saudi Arabia and UAE registering the greatest increase. According to a report by research firm Colliers International, the UAE alone will need an additional 5,188 beds by 2020. The problem with this increase in demand is that Dubai, and indeed the whole UAE, will need more medical professionals. Physician/patient numbers indicate that Dubai is lagging behind other countries when it comes to healthcare providers, which when combined with population growth rates and ageing population, as well as increased treatment availability, you see that demand is set to increase exponentially.5 When Abu Dhabi introduced employer-funded healthcare insurance in 2007, demand increased by 40% virtually overnight. Once private health insurance takes hold, it is expected that patient volumes for private providers will rapidly increase as patients are allowed to pursue reimbursed care at private institutions. The increasing demand for quality healthcare has a direct impact on medical staffing requirement.6

A GROWING MARKET:

By 2050, to maintain current

care levels, the GCC will require a total of:

138,965 Hospital beds 140,334 Physicians 227,079 Nurses This means that by 2020, the GCC may require in excess of 25,000 additional beds.

Source: HAAD


UNITED ARAB EMIRATES

The first quarter of 2015 has been an interesting one when it comes to healthcare in the Emirates. With the long-anticipated opening of the Cleveland Medical Center in Abu Dhabi in March to the announcement that Dubai’s Landmark Hospitality group will open 20 iCARE clinics in the next three years. These two announcements alone highlight a strong trend of improving healthcare options and availability in the region.7 ……………………………

The UAE government plans to improve its healthcare infrastructure to ensure that adequate medical services are provided in the Emirates. While many UAE residents have traditionally sought medical care overseas, the UAE government hopes to ultimately reverse this flow, turning the UAE into a medical tourism destination.8

…………………………..

The UAE’s Ministry of Labour has announced new statistics for the number of new jobs

created in the country. According to data published by the Ministry, the year-on-year

increase in the rate of employment in the UAE stood at 10%, a rate not seen in the labour

market in 44 years.

The health sector leads the list of the top three fastest growing sectors in job-creation during the previous year, with the number of people employed in the sector growing by a whopping 25.4% during last year. This is a clear indication of the UAE’s move towards becoming a knowledge-based economy.9 Considering the capacity master plans developed by each emirate of the UAE, the need for additional physicians to meet the healthcare requirements of the increasing population is expected to be significant. In this regard, low and high estimates have been prepared to estimate the annual growth in the number of physicians required to sustain healthcare services in the UAE. Low estimates project the number of physicians to grow by 3.4% CAGR over the next decade. High estimates project the number of physicians to grow by 9% CAGR over the next decade.10

Abu Dhabi needs an additional 3,100 doctors by 2020, according to the Health Authority-Abu Dhabi.

According to the newly unveiled 10-year healthcare plan of Dubai in 2015 the emirate will need 8,000 more beds, 7,323 more doctors and

8,510 nurses in the next decade.

Living in the Emirates

The UAE is one of the most peaceful and economically stable countries in the world. As one of the largest exporters of oil and gas, the economy of the UAE

has experienced tremendous growth over the last 40 years Read more on page 15


SAUDI ARABIA

The Saudi healthcare sector remains the largest in the Near East North Africa region. Total spending on healthcare is estimated at US$20 billion per year, with the Ministry of Health accounting for about 60%, other government entities at 19% and the private sector representing the balance. The 2014 budget allocated to the healthcare sector increased 8%, from US$15.18 billion in 2013 to US$16.5 billion in 2014. The budget included the construction of new primary care centres, 11 new hospitals, two medical cities and about 20 medical centres and polyclinics. In 2013, the Ministry completed the construction of 16 new hospitals with a capacity of more than 3,700 beds. The latest figures suggest that the MoH bed capacity will almost double to 73,768 beds by 2020, the private sector will add 13,875 beds raising its capacity to 26,000 by 2020, while other government organisations will total 20,000 beds in 2020. As of 2012, Saudi Arabia had 2.2 hospital beds per 1,000 residents, lower than the global average of 3, which mirrors the government drive to reform the sector.

In addition to the Ministry of Health projects, other government organizations also have plans to build new hospitals and/or expand existing ones, including:

The Ministry of Higher Education plans to build 20 teaching hospitals

The Ministry of Interior plans to build two 1400-bed medical cities/complexes in Riyadh and Jeddah11

KUW AIT

In 2012, the Kuwaiti Ministry of Health and the Ministry of Public Works announced a US$4.42 billion project to replace and/or expand nine operating hospitals (five general hospitals and four specialised hospitals), which will add an additional 5,400 beds, 150 operating rooms, and 500 outpatient clinics. In addition, the US$1.1 billion Sheikh Jaber Al Ahmed Al Sabah Hospital, expected to be completed by the end of 2014, will add another 1,200 beds. Between 1995 and 2013, Kuwait’s Ministry of Health operating budget has increased from US$ 895 million to US$4.5 billion. In addition, during the same period, the Ministry of Health per capita expenditure has increased from US$456 to US$1,175. Approximately 50% of Kuwait’s Ministry of Health operating budget is geared towards salaries and benefits. If the CAGR stabilised at 7%, Kuwait’s Ministry of Health operating budget would reach about USD 18 billion, by 2030.12 In Kuwait, it is estimated that 4,000 doctors and 10,000 nurses will be needed to staff new hospitals by 2016.13


BAHRAIN

The government of Bahrain’s expenditures for healthcare products, medicines, and medical machines peaked to USD 172.3 million in 2013, an increase of 6.7% compared to 2012, the highest level in several years. In October 2013, the Ministry of Health announced that US$716.2 million would be allocated from the GCC Marshall Plan to the Ministry of Health in the next 10 years. The funding will be used for eight major projects, including construction of new hospitals in central governorates, clinics, upgrading medical appliances, and other services.14

OMAN

The Omani healthcare infrastructure now boasts around 65 modern hospitals with almost 6,000 beds, a ratio of 2.1 beds for every 1,000 citizens, in addition to more than 242 health centres and close to 1,000 private clinics throughout the Sultanate. A new medical city, to be located in Muscat, is approved by the cabinet to begin construction in 2013 with a budget of US$ 1.8billion. The MOH also has plans to build 30 hospitals and health centres around the country in projects worth US$ 1 billion. The MOH will require support from specialised companies and international expertise as its Planning Division has only 11 employees and lacks the capacity to design and manage large-scale projects. The MOH has outlined other requirements including a full-fledged EMS/ambulance system, innovative health insurance solutions for the 1.3 million expat population (and eventually for citizens, currently covered by the government), customised patient catering plans, and help with recruitment to address Oman’s severe shortage of doctors. Oman’s Minister of Health, Dr Ahmed bin Mohammed bin Obaid al-Saidi, announced early this year that the Sultanate will face a shortage of around 8,900 doctors and nurses by 2015, with 3,288 positions currently vacant.15


HARD NUMBERS

Major ongoing healthcare projects in the GCC

Project Country Value US$bn

Sheikh Khalifa Medical City UAE 4.0

Dilmunia Health Island Bahrain 1.6

King Fahad Medical City Expansion KSA 1.3

King Khalid Medical City KSA 1.2

KHAC Hospital Project Kuwait 1.2

Al Farwaniyah Hospital Expansion Kuwait 1.0

King Faisal Medical City KSA 1.0

Al Jahraa Hospital Expansion Kuwait 1.0

Sabah Al Salem Cancer Centre Kuwait 0.8

Al Ain Hospital UAE 0.7

New Al Sabah Hospital Kuwait 0.7

New Mafraq Hospital UAE 0.6

Prince Mohammad Bin Abdulaziz Medical City KSA 0.5

King Abdullah Medical City KSA 0.5

Hail Specialized Hospitals KSA 0.3

Damam University Hospital KSA 0.1

Source: Zawya Projects Summary:


GCC market size forecast (US$bn) 2013E 2014E 2016E 2018E

Inpatient 8.3 9.3 11.7 14.8

Outpatient 31.1 34.9 43.7 54.6

Total: 39.4 44.2 55.4 69.4

Healthcare market within GCC per country (%) 2013E 2014E 2016E 2018E

KSA 46.5 46.3 45.8 45.4

UAE 25.5 25.5 25.9 26.8

Qatar 11.7 12.0 12.6 13.0

Oman 5.5 5.6 5.7 5.4

Kuwait 8.8 8.6 8.2 7.8

Bahrain 2.1 2.0 1.7 1.6

GCC projection of demand for hospital beds 2013E 2014E 2016E 2018E

Number of beds 104,303 106,869 111,529 115,544


OPPORTUNITIES IN A NON-SATURATED MARKET

The health sector is a robust one, being generally immune to the trends and fads that affect other industries, and particularly extractive ones. In short, everyone needs healthcare and it is a largely recession-proof sector.16 Firstly, being a recession-proof industry, doctors did not see redundancies or job cuts. Secondly, the country is faced with a shortage of doctors and could easily absorb many healthcare professionals in the country. Going back to the basics of demand and supply, this translates into bigger salary and pay packages for doctors in the UAE.17

With more medical facilities opening up and customers seeking healthcare, nurses are becoming in demand. The latest Monster Employment Index released on in March 2015 showed healthcare practitioners belong to the ‘top growth occupations’ in the UAE, with online vacancies in the medical field increasing by 8% in February 2015 from a year ago.

In a new survey conducted by a UAE-based job listing website, it was found that six in 10 healthcare companies (63%) in the UAE are keen on hiring additional medical staff in the next three months to meet the growing demand for healthcare services. Companies are looking for applicants with medical experience (56%) and managerial ability (31%). Jobseekers with good communication skills in both English and Arabic are being sought after by 62% of healthcare employers, while 54% prefer a team player and 51% want an individual with good leadership skills.

In general, there is a positive outlook for hiring in the UAE with 59% of employers looking to hire in the next three months, and 59% looking to hire for either mid-level or junior-level roles.18 HAAD is working on a comprehensive plan to attract, train and retain healthcare professionals with the focus on increasing the number of Emirati work force:

“Health and education are at the forefront of the Abu Dhabi Government’s strategic priorities. Both of these sectors play an important role in building a healthy community that is able to keep abreast of developments in all areas. The integration between health and education is pivotal in creating a sustainable system to develop knowledgeable and skilled manpower within Abu Dhabi.” H.E Dr Mugheer Khamis Al Khaili, Acting CEO, HAAD Source: HAAD, November 2014

The number of new nurses hired rose from 8,221 in 2010 to 10,504 in 2011, and that up to 5,900 extra nurses will be needed by 2021

Source: HAAD


SPECIALITY GAPS

While strides have been made to plug gaps in all but one of the 35 medical specialities across Abu Dhabi, there is still a desperate need for more physicians, especially those in critical, psychiatric and neonatal care. A report by HAAD also shows that critical gaps still exist in intensive and critical care medicine, emergency care, neonatology, paediatrics, oncology, orthopaedics, rehabilitation and psychiatry, while sub-speciality gaps also exist in paediatric surgery. There was a marked reduction of existing service gaps during 2013, according to the report: 20% growth in the number of emergency physicians 41% growth in neonatologists 21% increase in paediatric and orthopaedic doctors, respectively Critical doctors have grown by 14%. Obstetrics and gynaecology doctors have grown by 30%. Overall, there was a 22% growth in the number of licensed physicians and dentists, according to the report.

The number of facilities offering healthcare had also grown, by 11% to 1,626. The Health Statistics 2013 report said private hospitals and clinics were mainly responsible for closing the gaps. There were now 6,864 physicians, 1,220 dentists, 14,235 nurses, 5,332 allied health professionals and 2,396 pharmacists across the emirate.

Specialised facilities with integrated accommodation will also increase the appeal of the UAE as a health tourism destination, so that people from throughout the region will come here for treatment and keep money circulating through the local economy rather than going to medical centres in Europe or elsewhere.19 The Dubai Health Authority lists the following as attractive investment opportunities and areas with service shortages:

High-quality specialised oncology hospitals

Long-term medical healthcare facilities

Trauma

Residential accommodation for the elderly and people with special needs

Fertility clinics

Diabetes clinics

Paediatrics clinics in residential areas

Acute rehabilitation centres with inpatient and outpatient services

Primary healthcare centres catering to low-income patients

High-quality home care programmes

Genetic disorders

Internal medicine, general surgery, anaesthesiology and radiology are likely to be the key growth fields within the distribution of physicians in the UAE


SALARY

Most big hospitals promise to offer an outstanding expatriate benefit packages, which includes tax-free salaries, free malpractice insurance, free medical insurance, 24-month renewable contracts, accompanied contracts for physicians/managers (spouse and two children), educational support for children for physicians and those in managerial category, unaccompanied contracts, housing, free utilities, transportation, shipping allowances and several other facilities. Monthly salaries The salary paid depends on the years of experience in the region and the Qualification. A western educated doctor will be paid 20-25% more salary from the value mentioned below. The following salaries are exclusive of the incentive package.

Profession Salary (per month)

GP AED 17k to 25K

Obs/Gyne AED 40k to 85k+

Paediatrics AED 30k to 75k

Cardiology AED 45k to 100k

Interventional Cardiology AED 60k to 130k+

Source: Colliers International

The salaries of doctors in the UAE have risen by 5-10% and that of nurses by 3-5% over the past couple of years. Source: Colliers International


LIVING IN THE EMIRATES

The UAE has a fantastic year-round climate that rarely drops below 20°C. Topped with beautiful sandy beaches and lukewarm water, it provides dream-like weather for many north of the hemisphere. The UAE is also perfectly placed for those that like to travel.

The UAE is ranked the No. 1 Middle Eastern country on the 2012

Prosperity Index and 29th globally.

It was also ranked #1 as the country with the best quality of life in the

MENA region, and 15th in the world out of 160 countries.

In addition to its strong infrastructure of telecommunications, roads and airports, the UAE received its ranking based on its numerous consumer and recreational facilities, public infrastructure, safety and virtually crime-free, tolerant society. The experience will change your outlook, widen your horizons and help scale new peaks as a professional. Professionals also have the benefit of tax-free income, high standard of living and a secure environment. Living in Dubai is becoming more affordable, according to the 2013 Worldwide Cost Of Living survey. The emirate is ranked number 96 in the index – published by the Economist Intelligence Unit (EIU) – falling two places since 2012.

EXPLORE THE DESERT


BRINGING THE FAMILY

Bringing your family out to the UAE or starting one while you’re here, can be a fantastic experience. There’s plenty of help, great education facilities and a whole range of activities for the kids. Most expats who settle with families find that they can offer their children more freedom and also expose them to some unique attractions and educational and entertaining weekly activities. 10 reasons to move to the UAE

1. It’s ready-made for outdoor living

2. High standard of living

3. Money. Competitive, tax-free salary, expat packages including housing & education

4. Very low crime rate

5. It’s a melting pot of old and new

6. Access to world-class education

7. Developing arts and cultural centres

8. Meet and work with many nationalities

9. You’re at the centre of everything. 5-7 hour flight will take you to Asia, Africa and Europe.

10. It’s the future. Forward-thinking companies, fast developing landscape. Growing economy

Source: Askexplorer.com Top 10 reasons to work in healthcare in the UAE

1. The healthcare industry is booming. It’s a young country with huge opportunities for healthcare workers

2. Tax free salary and expat packages including education, housing, flights

3. Government strategy to develop training opportunities, personal development and professional experience

4. Shortage of specialists – abundant employment opportunities

5. Working in state-of-the art facilities and technology

6. Time for research and other entrepreneurial ventures/prospects

7. More focus on patient care

8. Increased quality of life in a safe, economically stable country

9. Location

10. Positive and challenging working environment, continued professional development and work-life balance


This report was compiled by Informa Life Sciences, organisers of a healthcare portfolio including 22 exhibitions and more than 100 conferences yearly covering African, Middle Eastern, European and Asian markets. If you are looking for a new career in healthcare within the Middle East – we have two options for your complete job search solution:

For more information visit the above websites, email [email protected] or call +971 4 336 7334

REFERENCES

1 HAAD

2 Gulf News, October 2014

3 Gulf Cooperation Council Health Care: Challenges and Opportunities, McKinsey & co

4 GCC Healthcare sector 22 April 2014, Alpen

5 Source: http://www.uae-medical-insurance.com/news/2015/03/30/will-a-healthcare-professional-shortage-influence-individual-

medical-insurance-in-dubai/#sthash.UDDayolN.dpuf 6 Source: Alpen Capital 2009 GCC Healthcare Industry Report

7 Source: http://www.uae-medical-insurance.com/news/2015/03/30/will-a-healthcare-professional-shortage-influence-individual-

medical-insurance-in-dubai/#sthash.UDDayolN.dpuf 8 Source: U.S. Commercial Service Healthcare Technologies Resource Guide 2015

9 Source: www.emirates247.com

10 Source: Colliers International Healthcare overview 2013

11 Source: U.S. Commercial Service Healthcare Technologies Resource Guide 2015

12 Source: U.S. Commercial Service Healthcare Technologies Resource Guide 2015

13 Source: Alpen Capital

14 Source: U.S Commercial Service Healthcare Technologies Resource Guide 2015

15 Source: U.S Commercial Service Healthcare Technologies Resource Guide 2015

16 Source: The National

17 Source: Emirates 24/7

18 Source: WAM

19 The National

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