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CountryFocus: Healthcare, Regulatory and Reimbursement Landscape - United Arab Emirates

Summary

In 2015, the UAE population was approximately at 9.6 million. The government of the UAE has been making continuous efforts to strengthen the economy to ensure long-term growth, and the pharmaceutical market is seen as a key industry for the country’s future growth. To support this industry, the government has improved regulatory guidelines and initiatives to develop the domestic pharmaceutical market. The UAE pharmaceutical market is the second-largest pharmaceutical market in the Gulf Cooperation Council (GCC) after Saudi Arabia. The Pharmaceutical market was estimated to be worth $3.05 billion in 2015 and expected to reach $5.71 billion by 2020. The market grew nominally at a Compound Annual Growth Rate (CAGR) of 13.4% over the 2008-2020 period. The medical device market was valued at $664m in 2008 and is expected to reach approximately $810m by 2020, at a projected CAGR of 4.1%.

These positive trends can primarily be attributed to -
- Growing medical tourism, healthcare infrastructure, expanding health insurance and increasing health expenditure
- Increasing awareness in the medical community and the general population regarding early disease detection and diagnosis, leading to higher rates of adoption of treatments and healthcare

Scope

The report provides information on the healthcare, regulatory, and reimbursement landscape in the UAE, and includes -
- An overview of the pharmaceutical and medical device markets, comprising market size, segmentation, and key drivers and barriers
- Profiles and SWOT analyses of the major players in the pharmaceutical market (Julphar, Neopharma, Pfizer, GlaxoSmithKline, Novartis)
- An insightful review of the reimbursement and regulatory landscape, of which analysis includes details of the healthcare reimbursement process, the regulatory agencies and the approval processes for new drugs and medical devices
- Detailed analysis of the political and economic environment, covering economic indicators, demographics, healthcare infrastructure and healthcare expenditure
- An overview of the opportunities for and challenges to growth in the UAE healthcare market

Reasons to buy

This report will enhance your decision-making capability by allowing you to -
- Develop business strategies by understanding the trends shaping and driving the UAE healthcare market
- Drive revenues by understanding the key trends, reimbursement and regulatory policies, pharmaceutical market segments, and companies likely to impact the healthcare market in the future
- Formulate effective sales and marketing strategies by understanding the competitive landscape and analyzing the performance of various competitors
- Organize your sales and marketing efforts by identifying the market categories and segments that present the most opportunities for consolidation, investment, and strategic partnership
- Identify, understand, and capitalize on the opportunities and challenges in the UAE healthcare market

Table Of Contents

CountryFocus: Healthcare, Regulatory and Reimbursement Landscape - United Arab Emirates
1 Table of Contents
1 Table of Contents 6
1.1 List of Tables 9
1.2 List of Figures 13
2 Introduction 17
2.1 GlobalData Report Guidance 17
3 Overview of Pharmaceutical and Medical Device Markets 18
3.1 Pharmaceutical Market 18
3.1.1 Market Overview 18
3.1.2 Pharmaceutical Imports and Exports 24
3.1.3 Supply Channels 24
3.1.4 Market Segments 25
3.1.5 Major Therapeutic Areas 29
3.1.6 Major Players 32
3.2 Medical Device Market 68
3.2.1 Market Overview 68
3.2.2 Overview of the Top Five Segments 69
3.2.3 Major Players 81
3.3 Market Drivers and Barriers 116
3.3.1 Drivers 116
3.3.2 Barriers 118
4 Market Access 120
4.1 Reimbursement and Payer Landscape 120
4.1.1 Overview of Healthcare System 120
4.1.2 Reimbursement Process 121
4.1.3 Overview of Insurance Providers 125
4.1.4 Patient Share of Healthcare Expenditure 127
4.1.5 Healthcare Price Trends 128
4.1.6 Pricing Policies 129
4.2 Regulatory Landscape 131
4.2.1 Overview of Regulatory Agencies 131
4.2.2 Market Authorization Procedure for Pharmaceutical Products 135
4.2.3 New Medical Device Approval Process 138
4.2.4 Licensing Process for Pharmaceutical and Medical Device Manufacturing 140
4.2.5 Licensing Process for Pharmaceutical Exports and Imports 142
4.2.6 Intellectual Property Rights 143
4.2.7 Clinical Trial Regulations 147
4.2.8 Pharmaceutical Advertising Regulations 149
4.2.9 Pharmacy Regulations 150
4.2.10 Labeling and Packaging Regulations 151
5 Country Analysis 153
5.1 Political Environment 153
5.1.1 Political Structure 153
5.1.2 Analysis of the Current Political Environment 154
5.1.3 Healthcare Policy Initiatives 156
5.2 Economic Landscape 160
5.3 Economic Indicators 164
5.3.1 Gross Domestic Product 164
5.3.2 Gross National Income 169
5.3.3 Inflation 170
5.3.4 Currency Exchange Rate 172
5.3.5 Foreign Direct Investment 173
5.3.6 Foreign Exchange Reserves 174
5.3.7 Trade Balance 175
5.3.8 Government Net Debt 177
5.3.9 Major Industries 178
5.4 Demographics 180
5.4.1 Population 180
5.4.2 Education and Literacy 197
5.4.3 Employment 200
5.4.4 Disease Burden 202
5.5 Healthcare Infrastructure 204
5.5.1 Healthcare Facilities 204
5.5.2 Healthcare Parameters 210
5.5.3 Environmental Health 212
5.5.4 Healthcare Personnel 218
5.6 Healthcare Expenditure 219
5.6.1 Overview of Healthcare Expenditure 219
5.6.2 Major Components of Healthcare Expenditure 221
5.6.3 Public and Private Sector Share 222
5.6.4 Spending in Pharmaceutical RandD 223
5.7 Trade Associations 223
5.7.1 Arab Union of Producers of Drugs and Medical Supplies 223
5.7.2 Emirates Medical Association 223
5.7.3 Pharmaceutical Research and Manufacturers Association Gulf 223
5.7.4 Gulf Pharmaceutical Industries Association 223
5.7.5 Middle East Medical Devices and Diagnostics Trade Association 224
5.8 Trade Fairs 224
6 Opportunities and Challenges 225
6.1 Opportunities 225
6.2 Challenges 226
7 Appendix 228
7.1 Abbreviations 228
7.2 Bibliography 230
7.3 Research Methodology 248
7.3.1 Coverage 248
7.3.2 Secondary Research 249
7.3.3 Forecasts 250
7.3.4 Expert Panel 250
7.4 Disclaimer 250

1.1 List of Tables
Table 1: Pharmaceutical Market, UAE, Revenue ($bn), 2008-2015 22
Table 2: Pharmaceutical Market, UAE, Revenue Forecast ($bn), 2016-2020 23
Table 3: Pharmaceutical Market, UAE, Imports and Exports ($m), 2008-2014 24
Table 4: Pharmaceutical Market, Julphar, Global, Major Products, 2016 33
Table 5: Pharmaceutical Market, Neopharma, Global, Major Products, 2016 39
Table 6: Pfizer, Global, Major Products, Revenue ($bn) and Annual Growth (%), 2015 43
Table 7: Pharmaceutical Market, Pfizer, Late-Stage Pipeline, 2016 43
Table 8: GlaxoSmithKline, Global, Major Products Revenue ($m) and Annual Growth (%), 2015 51
Table 9: Pharmaceutical Market, GlaxoSmithKline, Late-Stage Pipeline, 2016 52
Table 10: Novartis, Global, Major Products, Revenue ($bn) and Annual Growth (%), 2015 59
Table 11: Pharmaceutical Market, Novartis, Planned Filings, 2014-2018 60
Table 12: Medical Device Market, UAE, Revenue ($m), 2008-2015 68
Table 13: Medical Device Market, UAE, Revenue ($m), 2016-2020 69
Table 14: Medical Device Market, UAE, Revenue by Segment ($m), 2015 70
Table 15: Medical Device Market, UAE, In Vitro Diagnostics Market, Revenue ($m), 2008-2015 72
Table 16: Medical Device Market, UAE, In Vitro Diagnostics Market, Sales Trend for Major Players, 2012 72
Table 17: Medical Device Market, UAE, Ophthalmic Devices Market, Revenue ($m), 2008-2015 73
Table 18: Medical Device Market, UAE, Ophthalmic Devices Market, Sales Trend for Major Players, 2012 74
Table 19: Medical Device Market, UAE, Orthopedic Devices Market, Revenue ($m), 2008-2015 75
Table 20: Medical Device Market, UAE, Orthopedic Devices Market, Sales Trend for Major Players, 2015 76
Table 21: Medical Device Market, UAE, Drug Delivery Devices Market, Revenue ($m), 2008-2015 77
Table 22: Medical Device Market, UAE, Drug Delivery Devices Market, Sales Trend for Major Players, 2012 78
Table 23: Medical Device Market, UAE, Wound Care Management, Revenue ($m), 2008-2015 79
Table 24: Medical Device Market, UAE Wound Care Management, Sales Trends for Major Players*, 2012 80
Table 25: Medical Device Market, UAE, Major Medical Device Companies, Revenue, 2012 81
Table 26: Medical Device Market, Medtronic, Global, Major Products, Revenue ($bn), 2015 83
Table 27: Siemens Healthcare, Global, Major Products, 2015 90
Table 28: Roche, Global, Major Products, 2016 96
Table 29: Medical Device Market, Roche, Global, Late-Stage Pipeline, 2016 97
Table 30: Abbott Laboratories, Global, Major Products, 2016 104
Table 31: Medical Device Market, Boston Scientific, Global, Major Products, Revenue ($bn), 2016 110
Table 32: Market Access, UAE, Patient Share of Healthcare Expenditure (%), 2008-2014 127
Table 33: Market Access, UAE, Healthcare Inflation (%), 2009-2015 128
Table 34: Economic Indicators, UAE, Gross Domestic Product per Capita ($), 2008-2015 165
Table 35: Economic Indicators, UAE, Gross Domestic Product per Capita ($), Forecast, 2016-2020 166
Table 36: Economic Indicators, UAE, Gross Domestic Product Annual Growth (%), 2008-2015 167
Table 37: Economic Indicators, UAE, Gross Domestic Product Annual Growth (%), 2016-2020 168
Table 38: Economic Indicators, UAE, Gross National Income per Capita ($), 2008-2015 169
Table 39: Economic Indicators, UAE, Average Consumer Price Index, 2008-2015 170
Table 40: Economic Indicators, UAE, Average Consumer Price Index, Annual Change (%), 2008-2015 171
Table 41: Economic Indicators, UAE, Currency Exchange Rate (AED/$), 2008-2015 172
Table 42: Economic Indicators, UAE, Foreign Direct Investment ($bn), 2008-2015 173
Table 43: Economic Indicators, UAE, Foreign Exchange Reserves ($bn), 2008-2015 174
Table 44: Economic Indicators, UAE, Imports of Goods and Services ($bn), 2008-2015 175
Table 45: Economic Indicators, UAE, Exports of Goods and Services ($bn), 2008-2015 176
Table 46: Economic Indicators, UAE, General Government Net Debt ($bn), 2008-2015 177
Table 47: Economic Indicators, UAE, Major Industries by Gross Domestic Product (%), 2014 and 2015 179
Table 48: Demographics, UAE, Population (million), 2008-2015 180
Table 49: Demographics, UAE, Population (million), 2016-2020 181
Table 50: Demographics, UAE, Urban-Rural Population Share (%), 2008-2015 182
Table 51: Demographics, UAE, Urban-Rural Population Share (%),2016-2020 183
Table 52: Demographics, UAE, Population Distribution by Age Group (%), 2008-2015 184
Table 53: Demographics, UAE, Population Distribution by Age Group (%), 2016-2020 185
Table 54: Demographics, UAE Births (per 1,000 Population), 2008-2014 186
Table 55: Demographics, UAE, Mortality (per 1,000 population), 2008-2014 187
Table 56: Demographics, UAE, Major Causes of Mortality (Registered Deaths), 2012 189
Table 57: Demographics, UAE, Children Table 58: Demographics, UAE, Immunization Rate (%), 2008-2014 191
Table 59: Demographics, UAE, Major Causes of Male Mortality (Registered Deaths), 2012 192
Table 60: Demographics, UAE, Major Causes of Female Mortality, 2012 193
Table 61: Demographics, UAE, Gender Ratio (M/F), 2008-2015 195
Table 62: Demographics, UAE, Life Expectancy at Birth (years), 2008-2015 196
Table 63: Demographics, UAE, Life Expectancy at Birth (years), 2016-2020 197
Table 64: Demographics, UAE, Levels of Higher Education, Student Enrollment, 2014 199
Table 65: Demographics, UAE, Graduate Education, Student Enrollment, 2014 200
Table 66: Demographics, UAE, Unemployment (%), 2008-2015 201
Table 67: Demographics, UAE, Major Diseases (number of cases), 2012 202
Table 68: Demographics, UAE, Disability-Adjusted Life Years (per 1,000 population), 2012 204
Table 69: Healthcare Infrastructure, UAE, Number of Hospitals, 2008-2014 205
Table 70: Healthcare Infrastructure, UAE, Public and Private Hospitals, 2008-2014 206
Table 71: Healthcare Infrastructure, UAE, Beds by Specialty, 2013 207
Table 72: Healthcare Infrastructure, UAE, Diagnostic Facilities by Ownership, 2008 209
Table 73: Healthcare Infrastructure, UAE, Diagnostic Facilities by Ownership, 2008 210
Table 74: Healthcare Infrastructure, UAE, Beds (per 100,000 population), 2008-2014 211
Table 75: Healthcare Infrastructure, UAE, Doctors (per 100,000 population), 2008-2014 211
Table 76: Environmental Health, UAE, CO2 Emissions (million metric tons), 2008-2014 213
Table 77: Environmental Health, UAE, PM2.5 Emissions (µg per m3), 2008-2014 214
Table 78: Environmental Health, UAE, Distribution of Treated Wastewater by Emirate (%), 2014 216
Table 79: Environmental Health, UAE, Non-hazardous Waste Handling (%), 2014 217
Table 80: Environmental Health, UAE, Hazardous Waste Handling (%), 2014 217
Table 81: Healthcare Personnel, UAE, Nurses (per 100,000 population), 2008-2014 218
Table 82: Healthcare Personnel, UAE, Dentists (per 100,000 population), 2008-2014 219
Table 83: Healthcare Expenditure, UAE, Healthcare Expenditure as a Percentage of GDP (%), 2008-2014 220
Table 84: Healthcare Expenditure, UAE, Major Components (%), 2014 221
Table 85: Healthcare Expenditure, UAE, Distribution (%), 2008-2014 222
Table 86: Trade Fairs, UAE, Major Healthcare Trade Fairs, 2016-2017 224

1.2 List of Figures
Figure 1: Pharmaceutical Market, UAE, Revenue ($bn), 2008-2015 22
Figure 2: Pharmaceutical Market, UAE, Revenue Forecast ($bn), 2016-2020 23
Figure 3: Pharmaceutical Market, UAE, Imports and Exports ($m), 2008-2014 24
Figure 4: Medical Device Market, UAE, Revenue ($m), 2008-2015 68
Figure 5: Medical Device Market, UAE, Revenue ($m), 2016-2020 69
Figure 6: Medical Device Market, UAE, Revenue by Segment ($m), 2015 70
Figure 7: Medical Device Market, UAE, In Vitro Diagnostics Market, Revenue ($m), 2008-2015 71
Figure 8: Medical Device Market, UAE, In Vitro Diagnostics Market, Sales Trend for Major Players (%), 2012 72
Figure 9: Medical Device Market, UAE, Ophthalmic Devices Market, Revenue ($m), 2008-2015 73
Figure 10: Medical Device Market, UAE, Ophthalmic Devices Market, Sales Trend for Major Players (%), 2012 74
Figure 11: Medical Device Market, UAE, Orthopedic Devices Market, Revenue ($m), 2008-2015 75
Figure 12: Medical Device Market, UAE, Orthopedic Devices Market, Sales Trend for Major Players (%), 2015 76
Figure 13: Medical Device Market, UAE, Drug Delivery Devices Market, Revenue ($m), 2008-2015 77
Figure 14: Medical Device Market, UAE, Drug Delivery Devices Market, Sales Trend for Major Players (%), 2012 78
Figure 15: Medical Device Market, UAE, Wound Care Management, Revenue ($m), 2008-2015 79
Figure 16: Medical Device Market, UAE, Wound Care Management, Sales Trends for Major Players* (%), 2012 80
Figure 17: Medical Device Market, UAE, Major Medical Device Companies, Revenue ($m), 2012 81
Figure 18: Healthcare Market, UAE, Drivers and Barriers, 2014 119
Figure 19: Market Access, UAE, Drug Formulary Procedure, 2014 125
Figure 20: Market Access, UAE, Patient Share of Healthcare Expenditure (%), 2008-2014 127
Figure 21: Market Access, UAE, Healthcare Inflation (%), 2009-2015 128
Figure 22: Market Access, UAE, Structure of Ministry of Health, 2016 134
Figure 23: Market Access, UAE, Structure of the Health Authority Abu-Dhabi, 2016 135
Figure 24: Market Access, UAE, New Drug Market Authorization Process, 2016 136
Figure 25: Market Access, UAE, Medical Device Approval Process, 2014 140
Figure 26: Market Access, UAE, Patent Approval Process, 2014 145
Figure 27: Market Access, UAE, Clinical Trial Regulation Process, 2014 149
Figure 28: Economic Indicators, UAE, Gross Domestic Product per Capita ($), 2008-2015 165
Figure 29: Economic Indicators, UAE, Gross Domestic Product per Capita ($),2016-2020 166
Figure 30: Economic Indicators, UAE, Gross Domestic Product Annual Growth (%), 2008-2015 167
Figure 31: Economic Indicators, UAE, Gross Domestic Product Annual Growth (%),2016-2020 168
Figure 32: Economic Indicators, UAE, Gross National Income per Capita ($), 2008-2015 169
Figure 33: Economic Indicators, UAE, Consumer Price Index, 2008-2015 170
Figure 34: Economic Indicators, UAE, Average Consumer Price Index, Annual Change (%), 2008-2015 171
Figure 35: Economic Indicators, UAE, Currency Exchange Rate (AED/$), 2008-2015 172
Figure 36: Economic Indicators, UAE, Foreign Direct Investment ($bn), 2008-2015 173
Figure 37: Economic Indicators, UAE, Foreign Exchange Reserves ($bn), 2008-2015 174
Figure 38: Economic Indicators, UAE, Imports of Goods and Services ($bn), 2008-2015 175
Figure 39: Economic Indicators, UAE, Exports of Goods and Services ($bn), 2008-2015 176
Figure 40: Economic Indicators, UAE, General Government Net Debt ($bn), 2008-2015 177
Figure 41: Economic Indicators, UAE, Major Industries by Gross Domestic Product (%), 2014 and 2015 178
Figure 42: Demographics, UAE, Population (million), 2008-2015 180
Figure 43: Demographics, UAE, Population (million), Forecast, 2016-2020 181
Figure 44: Demographics, UAE, Urban-Rural Population Share (%), 2008-2015 182
Figure 45: Demographics, UAE, Urban-Rural Population Share (%), 2016-2020 183
Figure 46: Demographics, UAE, Population Distribution by Age Group (%), 2008-2015 184
Figure 47: Demographics, UAE, Population Distribution by Age Group (%), 2016-2020 185
Figure 48: Demographics, UAE, Births (per 1,000 Population), 2008-2014 186
Figure 49: Demographics, UAE, Mortality (per 1,000 population), 2008-2014 187
Figure 50: Demographics, UAE, Major Causes of Mortality (registered deaths), 2012 188
Figure 51: Demographics, UAE, Children Figure 52: Demographics, UAE, Immunization Rate (%), 2008-2014 191
Figure 53: Demographics, UAE, Major Causes of Male Mortality (Registered Deaths), 2012 192
Figure 54: Demographics, UAE, Major Causes of Female Mortality (Registered Deaths), 2012 193
Figure 55: Demographics, UAE, Gender Ratio (M/F), 2008-2015 195
Figure 56: Demographics, UAE, Life Expectancy at Birth (years), 2008-2015 196
Figure 57: Demographics, UAE, Life Expectancy at Birth (years), 2016-2020 197
Figure 58: Demographics, UAE, Levels of Higher Education, Student Enrolment, 2014 198
Figure 59: Demographics, UAE, Graduate Education, Student Enrollment, 2014 199
Figure 60: Demographics, UAE, Unemployment (%), 2008-2015 201
Figure 61: Demographics, UAE, Major Diseases (number of cases), 2012 202
Figure 62: Demographics, UAE, Disability-Adjusted Life Years (per 1,000 population), 2012 203
Figure 63: Healthcare Infrastructure, UAE, Number of Hospitals, 2008-2014 205
Figure 64: Healthcare Infrastructure, UAE, Public and Private Hospitals, 2008-2014 206
Figure 65: Healthcare Infrastructure, UAE, Beds by Specialty, 2013 207
Figure 66: Healthcare Infrastructure, UAE, Diagnostic Facilities by Ownership, 2008 208
Figure 67: Healthcare Infrastructure, Diagnostic Facilities by Ownership, 2008 209
Figure 68: Healthcare Infrastructure, UAE, Beds (per 100,000 population), 2008-2013 210
Figure 69: Healthcare Infrastructure, UAE, Doctors (per 100,000 population), 2008-2014 211
Figure 70: Environmental Health, UAE, CO2 Emissions (million metric tons), 2008-2014 213
Figure 71: Environmental Health, UAE, PM2.5 Emissions (µg per m3), 2008-2014 214
Figure 72: Environmental Health, UAE, Distribution of Treated Wastewater by Emirate (%), 2014 215
Figure 73: Environmental Health, UAE, Non-hazardous Waste Handling (%), 2014 216
Figure 74: Environmental Health, UAE, Hazardous Waste Handling (%), 2014 217
Figure 75: Healthcare Personnel, UAE, Nurses (per 100,000 population), 2008-2014 218
Figure 76: Healthcare Personnel, UAE, Dentists (per 100,000 population), 2008-2014 219
Figure 77: Healthcare Expenditure, UAE, Healthcare Expenditure as a Percentage of GDP (%), 2008-2014 220
Figure 78: Healthcare Expenditure, UAE, Major Components (%), 2014 221
Figure 79: Healthcare Expenditure, UAE, Distribution (%), 2008-2014 222
Figure 80: Healthcare Market, UAE, Opportunities and Challenges, 2014 227

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