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Driving the future of value-based healthcare in the Gulf Cooperation Council

A roadmap for achieving sustainable access to specialty pharmaceuticals

Bibliographic Data

ID22082131
AuthorsAnas Hamad (0000-0001-8606-8521, National Center for Cancer Care and Research, corresponding author), Ahmed Al‐Jedai (0000-0002-4730-9086, Alfaisal University), Ahmed Al-Jedai, Rita Ojeil (0000-0001-8078-5597, University of Modern Sciences), Abdulrazaq Sheikh Al-Jazairi, Abdulrazaq S Al‐Jazairi (0000-0003-2953-3006, King Faisal Specialist Hospital & Research Centre), Adel AlAssy (Abu Dhabi Health Services), Yazed AlRuthia (0000-0002-0029-5924, Riyadh Elm University), Yazed S AlRuthia, Waiel Al Naeem (Shaikh Khalifa Medical City), Hajer Almudaiheem (0000-0002-0985-6193, Saudi Society of Dermatology and Dermatologic Surgery), Mouza Alsaadi (Dubai Health Authority), Nada AlAgil, Nada Ahmed Alagil (Shura Council), Lina Wahba (Tawam Hospital), Abdulmohsin Marghalani (King Faisal Specialist Hospital & Research Centre), Amna Al Hashar, Amna Al‐Hashar (0000-0002-7006-8997, Sultan Qaboos University), Abdullah O AlShehry (King Fahd Medical City), Sana Alblooshi (Tawam Hospital), Ibtisam Alharbi (King Fahd Armed Forces Hospital), Marleine Bejjani Moukarzel (Sheikh Shakhbout Medical City), Sara Albalushi, Sara Al-Balushi (Directorate General of Health Services), Ahmed M El-Sheashaey (Kuwait Cancer Control Center), Mohammed A Aseeri (0000-0002-3450-1693), Mohammed Aseeri (0000-0002-7180-0086, King Saud bin Abdulaziz University for Health Sciences), Farid Alenezy (Kuwait Cancer Control Center), Fathea Adheir (Qatar Airways (Qatar)), Abdulrahman Aloumi (Ministry of Health), Rehab Alnoaimi (Bahrain Center for Strategic International and Energy Studies), Khalid A Alnaqbi (0000-0001-5875-4663, Abu Dhabi Health Services)
Year2025
Volume13
Pages1667846-1667846
Publication date2025-11-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1667846
PMID41268405
OpenAlexW4415904268
LanguageEN
Citations received2
References cited129

Gulf Cooperation Council (GCC) countries are undergoing a critical transformation in their healthcare systems. This empowers them to address the rising burden of complex diseases, including rare diseases, cancer, neurological disorders, and immunological illnesses, which involve a high cost of therapy. A strategic shift from volume- to value-based healthcare (VBH) emphasizes sustainability, enhanced accessibility, and improved health outcomes through innovation. GCC’s healthcare is marked by universal coverage and a shifting landscape of public-private partnerships. Rising pharmaceutical costs, especially for specialty drugs, continue to challenge budget sustainability. VBH offers a strategy to align healthcare expenditure with patient outcomes. This framework is supported by global and regional models such as managed entry agreements (MEAs), multi-criteria decision analysis, and real-world evidence (RWE). These models provide guidance for reimbursement strategies and support decision-making regarding high-value treatments. The GCC nations are also progressing towards policy discussion, but face challenges related to infrastructure, regulation, and workforce capacity. The Department of Health (DOH) in Abu Dhabi, which is a governmental health authority in the United Arab Emirates, has officially established a dedicated HTA unit to evaluate and assess new health technologies for evidence-informed decision making. This review highlights specialty care priorities and proposes target strategies such as expanding genetic databases, implementing screening programs, and establishing risk-sharing agreements to improve affordability, particularly for rare diseases. A consensus-driven phased roadmap for GCC-wide VBH adoption is recommended. This includes a focus on MEAs and patient-reported outcome measures, mid-term harmonization of health technology assessments (HTA) and RWE development as well as long-term establishment of digital ecosystems and value-based pricing platforms. Equitable and collaborative policies will be essential to achieving sustainable and inclusive healthcare systems across the GCC

Global health · Harmonization · Health care · Health technology · Reimbursement · Specialty · Workforce · Genomics and Rare Diseases · Health Systems, Economic Evaluations, Quality of Life · Pharmaceutical Economics and Policy · Health Policy

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Unique citing works2
Citations per year2
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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