Hospital Holidays


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  • Hospital Holidays

    1. 1. Hospital Holidays: A Travelers’ Guide to Medical Tourism Leslie Pirtle, April 5, 2008 STEP 1: Choose Topic
    2. 2. STEP 2: MIND MAP THE TRAVELER’S GUIDE TO MEDICAL TOURISM WHO <ul><li>Who seeks overseas treatment? </li></ul><ul><li>Who are the doctors? </li></ul>HOW Submit NOW 8/31 Begin WHEN ! <ul><li>Interviews </li></ul><ul><li>Review and expand existing research </li></ul><ul><li>Advertisements </li></ul><ul><li>Participate? </li></ul>WHERE <ul><li>From where do patients originate? </li></ul><ul><li>Which countries do they visit for treatment? </li></ul>Examine costs and benefits of global outsourcing of Health Care WHAT WHY <ul><li>What motivates </li></ul><ul><li>doctors/patients to offer/seek it? </li></ul>
    3. 3. STEP 3: ILP Proposal <ul><li>Problem Statement: </li></ul><ul><ul><li>Reliable medical treatment is becoming increasingly available overseas. While this trend promises hope to many Americans in need of affordable, quality care, it also gives rise to a myriad of choices for the prospective medical tourist. </li></ul></ul><ul><li>Rationale and goals for project: </li></ul><ul><ul><li>There is a need for clear, concise and unbiased information and decision- making criteria for Americans considering going abroad for health care. </li></ul></ul>
    4. 4. STEP 3: ILP Proposal, cont’d <ul><li>Describe the methods you will use and what population your ILP addresses </li></ul><ul><ul><li>Primary (surveys, interviews) and secondary data, accounts of anecdotes and of interviews. </li></ul></ul><ul><ul><li>Targeted to potential US patients— anyone is a potential patient </li></ul></ul>
    5. 5. STEP 3: ILP Proposal: Timeline <ul><li>April 30: </li></ul><ul><ul><li>Introduction is complete </li></ul></ul><ul><ul><li>Literature review complete </li></ul></ul><ul><ul><li>Preliminary bibliography complete </li></ul></ul><ul><li>May 15: </li></ul><ul><ul><li>Bulk of reading is complete </li></ul></ul><ul><li>May 30: </li></ul><ul><ul><li>Interviews complete </li></ul></ul><ul><li>May June 1: </li></ul><ul><ul><li>First draft complete </li></ul></ul><ul><li>June 15 </li></ul><ul><ul><li>Summary, discussion and conclusions complete </li></ul></ul><ul><ul><li>Abstract complete </li></ul></ul><ul><li>June 30 </li></ul><ul><ul><li>Submit draft for final review </li></ul></ul><ul><li>July 15 </li></ul><ul><ul><li>Hand in final copy </li></ul></ul>
    6. 6. STEP 4 First Draft/Introductory Pages <ul><li>Title page and copyright page: done </li></ul><ul><li>Excerpt of Introduction: </li></ul><ul><ul><li>The unrestrained costs of health care in the U.S. have put treatments out of reach for many of the over 45 million U.S. citizens who lack health insurance. There seem to be so few workable, readily applicable solutions. Medical tourism offers “…cost savings as high as 90%, depending on the procedure and the country in which it is performed, and virtually no wait times.” </li></ul></ul><ul><ul><li>The option of medical tourism is a tremendously empowering opportunity that allows US patients to “vote with their feet” and receive care and far acceptable costs. </li></ul></ul><ul><ul><li>This report will help the prospective medical tourist to become well-versed in medical travel and will empower him to make informed decisions when choosing such care. </li></ul></ul><ul><ul><li>While it is to be a road map, the ultimate destination—or even whether to take the journey---is left to the prospective medical traveler. </li></ul></ul><ul><li>Draft first version of your ILP: </li></ul><ul><ul><li>In process </li></ul></ul>
    7. 7. STEP 5 Problem Statement <ul><li>The numbers of United States patients traveling abroad to receive medical care has rapidly risen over the past three years. With this entire global medical community readily available in the internet, this has resulted in an information overload. The need exists for creation of a “road map” to guide the potential medical tourist through this plethora of decisions and choices and arrive at an informed decision. </li></ul>
    8. 8. STEP 6: Research <ul><li>Reading thus far: </li></ul><ul><ul><li>2 Books </li></ul></ul><ul><ul><ul><li>1 First-hand account of a medical tourism experience </li></ul></ul></ul><ul><ul><ul><li>1 study of economics of global medicine </li></ul></ul></ul><ul><ul><li>52 Scholarly articles </li></ul></ul><ul><ul><ul><li>Human resources journals </li></ul></ul></ul><ul><ul><ul><li>Medical journals </li></ul></ul></ul><ul><ul><ul><li>Medical tourism trade journals </li></ul></ul></ul><ul><ul><ul><li>National/international newspapers </li></ul></ul></ul><ul><li>Still to do: </li></ul><ul><ul><li>Interviews/surveys </li></ul></ul><ul><ul><li>Much more to read </li></ul></ul><ul><ul><li>Two more books to read </li></ul></ul>
    9. 9. STEP 7: Literature Review <ul><li>In progress </li></ul>
    10. 10. STEP 8: Body of ILP <ul><li>What is Medical Tourism? </li></ul><ul><li>Brief History of Medical Tourism </li></ul><ul><li>What is driving the demand for outsourced care? </li></ul><ul><li>Most Common Procedures </li></ul><ul><li>Considerations </li></ul><ul><li>Industry Players </li></ul><ul><li>Making an informed choice </li></ul><ul><li>Outcomes </li></ul><ul><li>The Future of Medical Tourism </li></ul>
    11. 11. Medical Tourism: Various Definitions <ul><li>Only cosmetic and non essential surgeries </li></ul><ul><li>Only surgeries where a “tourism” component is involved </li></ul><ul><li>For the purpose of this paper, a wider definition: </li></ul><ul><ul><li>“ Medical Tourism is the act of traveling abroad to receive medical, dental and cosmetic care.” </li></ul></ul><ul><ul><li> </li></ul></ul>
    12. 12. Brief History of Medical Tourism <ul><li>Greeks traveled to Epidauria </li></ul><ul><li>British TB patients traveled to sanatoriums Swiss Alps </li></ul>
    13. 13. Demand Drivers <ul><li>High cost in home country </li></ul><ul><li>Long wait in public health care countries </li></ul><ul><li>Unapproved procedures </li></ul><ul><li>Tourism aspect </li></ul><ul><li>Favorable Exchange Rates </li></ul>
    14. 14. Most Common Procedures <ul><li>Heart Surgery </li></ul><ul><li>Transplants </li></ul><ul><li>Cosmetic </li></ul><ul><li>Dental </li></ul><ul><li>Lasix eye </li></ul>
    15. 15. Precautionaries <ul><li>Ethical Questions </li></ul><ul><li>Legal Issues </li></ul><ul><li>Quality of Care Concerns </li></ul>
    16. 16. Major Industry Players <ul><li>Hospitals </li></ul><ul><ul><li>Public and For profits </li></ul></ul><ul><li>Agents </li></ul><ul><li>Governments </li></ul><ul><li>Travel industry </li></ul><ul><li>Insurance (Emerging) </li></ul><ul><li>Employers (Emerging) </li></ul>
    17. 17. Major Hospitals <ul><li>Bumrungrad (Bahm-roong-RAHT), Thailand </li></ul><ul><li>Escorts Heart Institute, India </li></ul><ul><li>Wockhardt Hospitals India (Harvard) </li></ul><ul><li>Apollo Hospitals (Johns Hopkins) </li></ul><ul><li>Max Health Care India </li></ul>
    18. 18. Hospital Ammenities
    19. 19. Making an Informed Choice <ul><li>Do thorough credential and accreditation check </li></ul><ul><li>Consider costs – and opportunity costs </li></ul><ul><li>Understand how the exchange rate works </li></ul><ul><li>Know yourself-how you will handle culture shock </li></ul>
    20. 20. Joint Commission International <ul><li>Joint Commission International </li></ul><ul><ul><li>About 140 hospitals in 26 countries. </li></ul></ul><ul><ul><li>Approximately 300 standards and 1200 measurable elements </li></ul></ul><ul><li>International Standards Organization </li></ul><ul><ul><li>ISO is a network of the national standards institutes of 157 countries </li></ul></ul><ul><ul><li>Devices </li></ul></ul><ul><ul><li>Management Practices </li></ul></ul>
    21. 21. The Future of Medical Tourism <ul><li>Impact on US Healthcare Economy </li></ul><ul><li>Involvement of insurance companies </li></ul><ul><li>Incentives from employers </li></ul>