The Role of Zero Bureaucracy in Improving Healthcare Service Deliver: Case Study of Fujairah Hospital
DOI:
https://doi.org/10.47604/ijsm.3751Keywords:
Zero Bureaucracy, Healthcare Service Delivery, Fujairah Hospital, Administrative Burden, Digital Transformation, Telemedicine, Artificial Intelligence, Sustainability, Public-Sector Innovation, Patient ExperienceAbstract
Purpose: The concept of zero bureaucracy, as the slogan for redesigning health services, is analyzed in the research paper. It considers Fujairah Hospital a case of concern. It places the institution within a more rigid framework within the broader digital health and public-sector innovation ecosystem of the United Arab Emirates.
Methodology: As the post-implementation reviews, conducted by peer review and hospital-specific, are relatively small, the study does not claim to measure Fujairah Hospital's performance directly. Instead, it incorporates peer-reviewed articles on administrative burden, documentation workload, digital transformation, telemedicine, public-sector innovation, sustainability, and artificial intelligence to clarify the processes by which bureaucratic simplification can be used to improve care delivery.
Findings: The analysis develops a conceptual framework of the relationship between zero-bureaucracy practices and service outcomes through five mediating pathways: process simplification, information integration, time reallocation, patient navigation, and learning feedback. It then contextualizes Fujairah Hospital within the existing evidence in international and UAE telemedicine literature, synthesizing quantitative evidence, sustainability analysis, AI-enabled redesign, and a critical discussion of trade-offs. The paper also argues that zero bureaucracy is most warranted when it reduces low-value administration, traceability, clinical governance, and equity. Simplification in this context does not mean removing supervision; rather, it involves restructuring the administrative system so that staff are working and patients' time is spent on clinically meaningful interactions.
Unique Contribution to Theory, Practice and Policy: The final recommendations include standardized measurement, interoperable digital infrastructure, documentation reform, human-centered implementation, and enhanced evaluation capabilities.
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