Handling Patients Who Do Not Want to Opt-In to NABIDH


In the digital era of healthcare, the National Backbone for Integrated Dubai Health (NABIDH), as defined by the Dubai Health Authority (DHA), aims to ensure the highest quality of care for patients by providing a comprehensive and secure platform for managing their health information.

However, it is important to acknowledge that not all patients may be willing to opt into NABIDH. This article delves into the strategies and considerations for handling patients who choose not to participate in the system.

Understanding the Opt-Out Option

NABIDH recognizes the autonomy and rights of patients, referred to as the “Subject of Care,” to make decisions regarding their health information. The opt-out provision allows subjects of care to choose not to participate in NABIDH. This option respects the privacy concerns and preferences of patients, ensuring that their decisions are honoured.

Navigating the Opt-Out Procedure

For patients who decide not to opt into NABIDH, healthcare facilities should provide a clear and accessible opt-out procedure. It is essential to outline step-by-step instructions, ensuring that patients understand the process and any potential implications of opting out. Healthcare providers should be prepared to offer assistance and support to patients who require additional clarification.

Addressing Patient Concerns

Patients may have various concerns and reasons for opting out of NABIDH. Common concerns include fears of data breaches, misuse of personal information, or a desire to maintain greater control over their health records. Healthcare providers should proactively address these concerns, engaging in open and honest conversations to alleviate anxieties. By explaining the robust security measures implemented within NABIDH and emphasizing the benefits of participation, providers can help patients make more informed decisions.

Opting Back Into NABIDH

It is important to emphasize that opting out of NABIDH does not necessarily mean permanent exclusion from the system. Patients should be made aware that they have the option to opt back in at any time. This flexibility allows patients to reassess their decisions and rejoin NABIDH if they wish to benefit from the advantages it offers. Healthcare facilities should communicate the process and guidelines for opting back in, ensuring a seamless transition for patients.

Balancing Privacy and Care Quality

Maintaining the delicate balance between patient privacy and the delivery of high-quality care is of utmost importance. Healthcare facilities must navigate this balance by ensuring that opting out of NABIDH does not compromise the quality, efficiency, or safety of healthcare services. Adequate alternative systems should be in place to ensure the smooth exchange of necessary health information, enabling healthcare professionals to deliver the best possible care while respecting patient privacy preferences.

Empowering Patients with Information

Patient education and empowerment play a vital role in managing opt-out decisions. Healthcare providers should invest in educating patients about the benefits and security measures of NABIDH. By providing comprehensive and easy-to-understand information, patients can make informed choices based on accurate knowledge. Additionally, offering channels for patients to seek clarification or express concerns can contribute to their sense of empowerment and involvement in their healthcare journey.

Compliance with NABIDH Regulations

Healthcare facilities has a responsibility to comply with the regulations and guidelines set forth by NABIDH and the DHA. Compliance ensures the seamless functioning of the system and facilitates the exchange of health information among authorized entities. By adhering to these regulations, healthcare facilities demonstrate their commitment to patient privacy, data security, and overall healthcare quality.

Typically these requirements are handled by the NABIDH complaint EMRs. Healthcare facilities may choose from one of these EMRs to ensure the NABIDH compliance related to opt-out procedure by patients (subject of care) is handled right.

Handling Complaints and Disputes

In any system, concerns or complaints may arise, even among patients who have chosen to opt into NABIDH. It is essential to establish clear procedures for addressing complaints related to NABIDH and promptly resolving any disputes. By providing a transparent and accessible process, healthcare facilities can demonstrate their dedication to patient satisfaction and the ethical management of patient data.

Training and Communication

Healthcare professionals play a crucial role in managing opt-out requests and supporting patients through the decision-making process. Adequate training should be provided to ensure that healthcare providers are knowledgeable about NABIDH, its opt-out procedures, and the rationale behind patient decisions. Effective communication strategies, including active listening and empathy, should be employed to foster a supportive and understanding environment for patients.


Handling patients who choose not to opt into NABIDH requires a delicate balance between respecting patient privacy preferences and delivering high-quality healthcare services. By understanding and addressing patient concerns, providing clear opt-out procedures, empowering patients with information, and maintaining compliance with NABIDH regulations, healthcare facilities can ensure patient-centric care while upholding the principles of privacy and confidentiality.

Note: Healthcare facilities needing help on how to handle patients who do not want to opt into NABIDH, please reach out to us any time and the Airtabat NABIDH experts will be happy to guide you on this.

FAQs (Frequently Asked Questions)

Can patients change their opt-out decision at a later time?

Yes, patients have the option to opt back in to NABIDH if they choose to do so. The process for opting back in should be communicated by healthcare facilities.

What measures are in place to protect the privacy of patients who opt out of NABIDH?

Healthcare facilities have the responsibility to establish robust protocols and systems to ensure the privacy and confidentiality of opt-out patients. These measures include secure storage, limited access to information, and strict adherence to privacy regulations.

What should healthcare providers do if a patient expresses concerns about opting in to NABIDH?

Healthcare providers should engage in open and honest conversations with patients, addressing their concerns, and providing accurate information about the security measures and benefits of NABIDH. The goal is to empower patients to make informed decisions based on reliable knowledge.

Are there any penalties for healthcare facilities that mishandle opt-out requests?

While specific penalties may vary based on regulations and jurisdiction, healthcare facilities should prioritize compliance with NABIDH regulations and the DHA’s guidelines to avoid potential legal and reputational consequences.

Healthcare facilities should establish alternative systems and channels for the secure exchange of health information, enabling healthcare professionals to access relevant patient data and deliver effective care while respecting patient privacy preferences.