Medical Tourism: Global Context & The Economic ...eimin.lrv.lt/uploads/eimin/documents/files/Turizmas... · Medical Tourism 101 – Renee Marie Stephano – Medical Tourism Association

Medical Tourism 101 – Renee Marie Stephano – Medical Tourism Association

Medical Tourism: Global Context &

The Economic Justification for Lithuania

Renee-Marie Stephano, JD

President Medical Tourism Association

Editor Medical Tourism Magazine

Editor Health Tourism Magazine

MedicalTourismAssociation.com | MedicalTourismMag.com | HealthTourismMagazine.com


Medical Tourism Defined

Affordability, Accessibility, Availability

Quality

Perception of Tourism

Value

People traveling from one country or city to another country or city for medical and/or wellness services.


Medical Tourism Destinations

• Antigua

• Argentina

• Australia

• Bahamas

• Barbados

• Belgium

• Brazil

• Brunei

• Bulgaria

• Cayman Islands

• China

• Colombia

• Costa Rica

• Croatia

• Cuba

• Cyprus • Czech Rep. • Dominica • Dominican Republic • Egypt • El Salvador • Finland • France • Germany • Great Britain • Greece • Guatemala • Hong Kong • Hungary

India Iran Israel Italy Jordan Latvia Lithuania Malaysia Malta México New Zealand Panama Philippines Poland Saudi Arabia

Singapore South Africa South Korea Spain St. Marten Syria Taiwan Thailand Tunisia Turkey United States Venezuela Vietnam (Gahlinger, 2008; Horowtiz, 2008; MTA, 2012)


What Services they Seek?

• Hips, Knees, Back and Spine Orthopedics

• Diagnostics, Cyberknife, Stem Cell Cancer Treatment

• Angioplasty, Bypasses, Valve Replacements, Stem Cell Heart Procedures

• Liver, Kidney, Lung Transplants

• Implants, Veneers, Crowns Dental Treatment

• Lap Band, Gastric Bypass, Gastric Sleeve Bariatric Surgery

• Acupuncture, Preventative, Homeopathy, Indigenous Alternative

• Alzheimer's, ALS, Parkinson's, Paralysis, Heart Stem Cell Treatments

• Face Lifts, Breast Implants, Corrective Cosmetic Surgery

• IVF, Fertility, Hormonal Disorders Infertility Treatments

• Acute and Chronic Conditions, Geriatric Care Rehabilitation & Geriatric


Factors and Drivers

Medical Tourism

Affordability

Availability

Accessibility Quality of

Care

Additional Benefits

Increased Global Access, Affordable

Transport

Globalization of Workforces &

Medical Training

Acceptance by Employers & Health

Plans

Global Establishment of

Quality Standards

Increased Demand for Cosmetic and

Dental Procedures

Trade Liberalization GATTS/EU Cross Border Medical


Factors and Drivers

Medical Tourism

Affordability

Availability

Accessibility Quality of

Care

Additional Benefits

Educated Healthcare

Consumerism Silver Tsunami Baby Boomers

Foreign Investment

Facilitators Growth

Clusterization Others Involved


Worldwide Trends


Global Struggling Healthcare

US •High Cost •Uninsured Population

Canada •High waiting time •Shortage of healthcare resources

Russia & CIS •Aging Population •Improve Quality

UK •Lack of Private Participation •High waiting time

China/ Japan •Baby Boomers •Over Hospital Stay •Capacity

Africa • Lack of Appropriate Healthcare Services • Lack of Quality HealthCare Services

GCC/Middle East/MENA •Population Growth •Chronic and Affluent Disorder •Genetic Disorders •Security

Europe •Aging Population •Shrinking Revenue

Latin America/Caribbean •Aging Population •Lack Quality & Capacity


Know your Challenges

High Quality

Healthcare

Perception of The

Destination

Tourism Benefits

Affordable Healthcare

Lithuanian Medical Tourism Opportunity


Successful Model

High Quality Healthcare?

Perception of The

Destination?

Tourism Benefits?

Affordable Healthcare ?

Costa Rica Medical Tourism Opportunity


Quality of Care Circle

Quality of Care

The First Response

The Decision

Transition to

Treatment

Delivery of Promise

Recovery & Post Op

Care

Recovery & Long Term Outcome

Monitoring

Communication of Risk & Informed

Consent

Transfer of Medical Records

Diagnostic Assessment & Pre Op Testing

Confirmation of Nature & Scope of Treatment

Continuum of Care Post-Operative


Role of Facilitator

Travel

• Airline

• Local Transport

Healthcare

• Identification

• Price Negotiation

• Monitoring Quality of Care

Tourism / Concierge

• Translators

• Personalized Services

• Representative

• Tourism related arrangements

Documentation

• Legal Documents

• Patient Records

• Reports

• Claim Submission and Reimbursements


Role of Hotels

Package

• Transparent Pricing

• Services

Modifications

• Dietary / Menu

• Privacy

• Nursing Support

• Entertainment

Tourism / Concierge

• Translators

• Personalized Services

• Appropriate Tourism

• Transportation

Communication

• Sensitizing Staff

• Communication Training

• Coordinated Emergency Response


Why would they go?

International Accreditation


Importance of Accreditation

ISQua - www.isqua.org

JCI - www.jointcommissioninternational.org

Trent - www.trentaccreditationscheme.org

Canadian Accreditation - www.accreditation-canada.ca

Australian Accreditation - www.qhc.com.au

Healthcare Accreditation Council - www.hcac.jo

ICONTEC - www.icontec.org.co

http://www.jointcommissioninternational.org/

http://www.isqua.org/welcome.html

http://www.1stor.co.uk/trentaccreditationscheme.org/index.html

http://www.qhc.com.au/

http://www.hcac.jo/Default.aspx?tabid=36

http://www.icontec.org/Home.asp


Importance of MTA Certification

Mission: To not only assure patient

safety and quality through

accreditation, but to add value to

international patients by:

• Putting protocols and best practices in place to

streamline patient flow , effectuate a good

continuum of care, and ensure high patient

satisfaction rates.

• Premised upon Transparency, Education and

Communication


What's Impact of Inbound &

Outbound Medical Tourism

• Impact towards – Global

Healthcare, Economy, Social &

Environmental Sector


Innovation in Healthcare

Inbound

• New Technology Development

• More Research funding and enhanced target market

Outbound

• New technology access

• Access to better researched services and participation in learning process


Enhancement of

Healthcare Delivery

Inbound

• State of the Art Centers

• Development of Centers of Excellence

Outbound

• Excess to advanced healthcare

• Learning opportunities from healthcare developed market


International Healthcare

Standards

Inbound

• Adoptions of International Standards

• Learning cultural, ethical & legal issues

• Unification of international standards

Outbound

• Access or extension of healthcare standards

• Informed consumer / aware consumer


Where is the Competitive Advantage?

• Through a SWAT Analysis, where

does Lithuania stand?


Quality of Care Circle

Quality of Care

The First Response

The Decision

Transition to

Treatment

Delivery of Promise

Recovery & Post Op

Care

Recovery & Long Term Outcome

Monitoring

Communication of Risk & Informed

Consent

Transfer of Medical Records

Diagnostic Assessment & Pre Op Testing

Confirmation of Nature & Scope of Treatment

Continuum of Care Post-Operative


Value Proposition ~ Lithuania

2.2 Million Visitors

- Russia, Latvia, Poland & Belarus

(Germany, Finland, Italy & UK

secondary)

- Cultural Epicenter

- Tourism - Vilnius, Trakai,

Palanga, Nida, etc.

- 3 International Airports

- Cardiology, Cosmetic, Dentistry,

Stem Cell, Oncology, Wellness,

Spa & Recovery

- Agreement for joint purchasing

of drugs reduces prices 2012


Challenges

Brain Drain

- Germany hiring without

experience requisite

- Need for more language

skills offered free

- Need better salaries

- Better work schedules

- Social Assurance

- Reduced Red Tape

- BUT Gross Earnings

Increased 2.8% end 2011


Medical Tourism Product


It’s About the Patient Experience


Thank You Ačiū

[email protected]

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