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The Healthcare Fragmentation Problem in the GCC

The Healthcare Fragmentation Problem in the GCC
Research
NewsResearch
June 11, 2024· 6 min read

The average GCC patient sees 4.3 healthcare providers per year. Across those providers, they accumulate blood test results, imaging reports, prescription records, specialist letters, discharge summaries and vaccination records. Almost none of it is connected. Each provider sees only the slice of the patient's history that was generated within their own system.

The scale of the problem

In a 2024 survey of 3,000 GCC patients conducted by a regional health policy institute, 68% reported that a provider had ordered a test that they were confident had already been done recently at another facility. 54% reported that a provider was not aware of a medication prescribed by another provider. 41% reported carrying a physical copy of at least one health document 'just in case' they needed to show it.

These are not edge cases. They are the experience of the average patient, every year.

Why it persists

Healthcare record fragmentation persists in the GCC for three reinforcing reasons: the absence of a national health identifier that follows patients across providers, institutional reluctance to share data due to competitive concerns and data governance uncertainty, and the absence of a patient-held record system that allows patients to be the connective tissue between their providers.

Government health information exchange projects address the first two. Patient-held records address all three — and they don't require government infrastructure to work.

The cost

Duplicated tests, medication errors from incomplete drug histories, delayed diagnoses from missing imaging — the direct and indirect costs of healthcare fragmentation in the GCC are estimated at over $3 billion annually. Beyond the financial cost, the human cost — in unnecessary suffering, delayed treatment and lost confidence in the healthcare system — is harder to quantify and more important.