Co-Producing Health Quality Management Improvements in Cardiovascular Disease, Diabetes, and Obesity Care in UAE: A Multi-Phase Study Protocol

Cardiovascular disease (CVD), diabetes, and obesity pose major public health challenges in the United Arab Emirates (UAE), contributing substantially to morbidity, mortality, and healthcare expenditure. Despite progress in expanding access and service delivery, Health Quality Management (HQM) practices remain constrained. This study represents one of the first comprehensive, co-productive efforts to evaluate and strengthen HQM for CVD, diabetes and obesity in the UAE. Using a sequential, multi-phase design, it integrates evidence synthesis with the active engagement of interest groups to bridge gaps between research, policy, and practice. Phase 1 involves a scoping review to establish an evidence base on existing HQM practices and system-level challenges. Phase 2 conducts mapping and interviews with health professionals, policymakers, and patients to capture contextual insights. Phase 3 synthesizes findings to identify critical gaps, opportunities, and emerging research questions that can guide future inquiry. Phase 4 convenes consultative and consensus-building workshops to co-produce actionable recommendations and facilitate knowledge translation and exchange among health authorities, academic institutions, and other interest groups. Guided by the Institute of Medicine's quality domains, the Donabedian model, and WHO quality indicators, this study situates HQM within the UAE's ongoing shift toward value-based healthcare. The expected outcomes include the identification of key barriers to and facilitators of effective HQM, the formulation of context-specific recommendations to strengthen performance and coordination, production of knowledge translation outputs and the generation of new research priorities, thus contributing to achieving UAE Vision 2031 and global NCD targets.