MEDICAL TOURISM WORD

8/7/2019 MEDICAL TOURISM WORD

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Medical Tourism

I ± Short Playby: Janina Mae Batac and William Espiritu

II ± Introduction and Description of Medical Tourism

by: Leo Paul Ligon

III ± History of Medical Tourism

by: Berjhea Debolos

IV ± Medical Tourism in the Philippines

by: Janina Mae Batac

V ± Procedure Requirements and Accreditation

by: Verna AlejonVI ± Hospital that caters Medical Tourism

1. Makati Medical Center

2. The Medical City

3. St. Luke¶s Medical Hospital

4. Manila Doctors Hospital

Will be reported by : William Espiritu

Elwis Sagum

Raymond Tuazon

Nicko Luis JuguetaVII ± Law and Protection of Patient

Legal and Ethical Issue

by: Jr. Pingol and Sheena Cortez

VIII ± Advantages and Disadvantages

by: Jeleen Montemayor



Medical Tourism

Medical tourism (also called medical travel, health tourism or global healthcare) is a term

initially coined by travel agencies and the mass media to describe the rapidly-growing practice of

traveling across international borders to obtain health care. It also refers pejoratively to the

practice of healthcare providers traveling internationally to deliver healthcare. Services typically

sought by travelers include elective procedures as well as complex specialized surgeries such

as Aesthetic procedure, cosmetic surgery, dentistry, dermatology, eye surgery & ophthalmology,

fertility treatment, general surgery, hair transplantation, weight loss surgery and stem cell

therapy.

Over 50 countries have identified medical tourism as a national industry.

However, accreditation and other measures of quality vary widely across the globe, and there

are risks and ethical issues that make this method of accessing medical care controversial Also,

some destinations may become hazardous or even dangerous for medical tourists.



Medical tourism

History of Medical tourism

Medical Tourism is also known as travel medicine or health tourism. This term is called

for the first time by the media and travel agencies to describe the rapid development and

the practice of large travel to different parts of the world to receive specialized treatment

health care. As a developing country, India also has the trend of medical tourism.

Medical Tourism in India provides countless options for all tourists to explore the

facilities of medical sciences in India.

People have been traveling to other countries for health purposes. There were the ancient

Greeks and Egyptians who went to hot springs and baths to improve their health.

18th and 19th century- Europeans and Americans who flocked to health spas and

sanitariums and even in remote places in the hope that they will get treatment for diseases

such as tuberculosis, gout, bronchitis or liver diseases.

Epidauria- a small territory in the Saronic Gulf. It was said that this small territory was

the sanctuary of Asklepios, known as the healing God. Thus, it was recorded in medical

tourism history that Epidauria is the original destination for medical tourism.

Asclepia Temples- which were erected to honor the Greek god of medicine, were some of

the world's first health centers.

Mansuri Hospital- the largest and most advanced hospital the world had ever seen. The

hospital's promise to serve anyone, regardless of race, religion, or wealth, drew health

travelers from far and wide.

Sponsored Results for: History of Medical Tourism

History is indeed full of medical travelers who made trips in various places across the

globe to seek improvement for their health. Take the case of India. India has enjoyed a

rich history of providing Yoga instruction as well as Ayurvedic healing to patients from

around the world.



However, dental surgery, cosmetic surgery and other more serious kinds of surgery

abroad is relatively a new phenomenon. It started in the 80s and 90s when patients began

looking for more affordable options other than what was offered in their homeland or

country.

What was referred to as "tooth tourism" grew quickly. Americans were then traveling to

Costa Rica or other Central American countries for dental bridges and other dental

procedures that were not usually covered by their insurance.

In the late 1980s, Cuba started programs to attract foreigners from countries like India,

Latin America and Europe for more affordable eye surgeries, heart surgery and cosmetic

procedures. In 1990 alone, it was reported that the Cuban government had around 2,000

medical tourists from various parts of the world.

Thailand also became a hot destination for plastic surgery and other routine medical

procedures in the late 1990s. On the other hand, New Zealand is getting more popular in

hip and knee replacements surgery.

Now, medical tourism is already a global phenomenon. More and more countries will

become destinations of medical tourism. But while there are advantages, there are also

risks or disadvantages. Medical tourism is a trade-off. You might be able to save a lot of

money at the same time have your much-needed vacation abroad but expect some

disadvantages along the way. Nonetheless, medical tourism is here to stay thanks to the

mass media, modern technology and hassle-free travel to other countries.

Popular medical travel worldwide destinations include: Argentina, Brunei, Cuba,

Colombia, Costa Rica, Hong Kong, Hungary, India, Jordan, Lithuania, Malaysia, The

Philippines, Singapore, South Africa, Thailand, and recently, Saudi Arabia, UAE, South

Korea, Tunisia and New Zealand.



History of Medical Tourism in the Philippines

- Philippine government only started promoting medical tourism in 2006.

- Philippine hospitals have been receiving foreign patients for over three decades now.

- Philippine hospitals were considered the best in the region, with people from as far as the US

seeking medical treatment here.

-Imelda Marcos put up the Philippine Heart Center in 1975

- it became an important center for cardiac care in the Asia-Pacific region because of its foreign-

trained medical personnel, state-of-the-art facilities, and advanced medical care and research.

-The Heart Center was at the forefront of developing bio-prosthetic valves and prototype medical

equipment. It was a trailblazer in coronary angioplasty in the region.



Medical Tourism in the Philippines

- Foreign Nationals have been coming to the Philippines for medical treatment as early as the

1970s.

- Medical Tourism as a government program only took off in 2006 when the Departments of

Health, Tourism, Foreign Affairs, and Trade and Industry identified the Health and Wellness

Services Program as one of their flagship programs.

-The Philippine Medical Tourism Program has four domains: full hospital care and treatment;

specialty clinics (e.g., eye, dental, and cosmetic services); wellness and spa centers; and

retirement and long-term care for the elderly.

-According to the Philippine Institute for Development Studies, cataract surgery costs, $1,424 in

the Philippines, Liposuction in the Philippines costs $1,400; Total knee replacement surgery is

more expensive in the Philippines at $5,639.

-Philippine medical professionals are also fluent in English, which reduces the possibility of

error and misunderstanding between doctor and foreign patient. Medical professionals in the

country, particularly the nurses, are known for their hospitality, skills, and excellent patient care,

which make them in demand in foreign hospitals abroad.



STEP BY STEP PROCESS OF MEDICAL TOURISM IN THE PHILIPPINES

PRE-DEPARTURE OF CLIENT

STEP 1

Client will choose a medical health provider in the Phil.

*client should allow at least 30 days from the time she/he begin the process

-she will receive information packet, information packages, hotel and airline rates and

information on doctors.

STEP 2

Medical Health provider will send the ff:1. Medical questionnaire and price quotation for the procedure, airfare and hotel.

2. Confirmation on the procedure, flight, hotel hospital doctor and ground transportation

3. Will assign a personal assistant and will send travel info and itinerary.

STEP 3

Client will do the ff:1. Email his or her information¶s

2. Sends transcripts, MRI, X-ray and photos

3. Submit medical questionnaires and can even have conference with the doctor if needed

4. Choose hotel

5. Passport, visa requirements

6. Payment



Makati Medical Center

When your life is on the line, our experience matters.When bad times come, and you find out that you need to undergo a major surgery or medical

procedure, rest assured that you can put your life in our hands.

Makati Medical Center is proud to offer you, our international patients, our 39 years of service.

For all your medical needs²whether these come from life-threatening conditions or are cosmetic

procedures you desire, we can boldly claim that Makati Med is the best place to come to.

Our hospital is not flashy or glamorous, but you can be assured that we offer state-of-the-art

diagnostic, therapeutic and intensive care facilities in a one-stop medical center that is

internationally accredited.

Our doctors and nurses count among the best in the world. Many of them trained in prestigious

hospitals in the United States, Australia and Europe.

We are a multi-specialty hospital, with over 600 beds and a

growing number of centers of excellence.

Our medical expertise is found against the perfect backdrop:

a country with a long tradition of healing, a multiplicity of

exotic and soothing places to savor, and a people who are being

deeply caring, good-humored and hospitable.

Only at Makati Med can you obtain world-class medical care,

plus all that, at a small fraction of what it will cost you in the



United States or Europe.

International Patients

Makati Medical Center is ready to open its doors to the global

community.

Our International Medical Services is ready to meet your needs

and requirements as International Patients.

y We make your medical appointments. When you come to

Makati Med, we assess your condition, and then recommend

the medical specialists who will personally attend to you,

and make the best arrangements for you so that you can save

yourself from the hassle. We can even do this for you by

email and phone.

y We assist you in your admission and discharge. We help plan your stay, and assist you all

the way from your admission to your discharge.

y We plan your travel. We help you find the best, most cost-effective arrangements for your

stay. We can provide logistical support for your travel requirements, from airline ticketing,

land transportation, to room reservations.

y We help you go home. We assist in the smooth and safe medical evacuation and repatriation

of patients.

y We help you get around. From the time you arrive at the airport, we can provide transfer

services to and from Makati Medical Center via limousine, ambulance or taxi.

y Business Center. At our business center, you can avail of a suite of services: we have

interpreters who are fluent in various languages. We can provide you with secretarial services,

and other related business services such as courier, Flat-Screen Desktop PC with Internet and

WIFI connection, fax and photocopying services.

y Concierge Service. We can coordinate your tours, change your currency, pay your bills, mail

your letters and run a host of other concierge services for you.



Medical Services

y Heart Center

y Neurosciences

y Acute Stroke Unit

y Brain & Spine Unit

y Radio surgery

y Transplants

y Heart, Lung & Heart-Lung Transplants

y Kidney & Pancreas Transplantation

y Liver Transplantationy Blood Marrow Transplants

y Cancer Center

y Breast Clinic

y Gastrointestinal (Digestive) Cancers

y Liver Cancer

y Leukemia & Hematologic Malignancies

y Prostate Cancer y Radiation Therapy

y Surgical Services

y Transplants. We offer the full range of transplant programs.

y Cancer Center

y Diagnostic and Therapeutic Procedures at the Radiology

Department

y Diagnostic and Therapeutic Procedures at the Breast Clinic



A heart-valve replacement - that would cost US$200,000 or more in the U.S., for example, goes

for about $10,000²and you can even include in that the round-trip airfare and a brief vacation

package.

A knee replacement - with us that includes a week of physical therapy costs about one-fifth of

what it would in the States.

For Lasik eye surgery - we charge about $730, about a fourth of what it would cost²$3,700²in

the U.S.

A metal-free dental bridge - worth $5,500 in the U.S. would cost only $200 at the Makati Med.

Full facelift - that could cost $20,000 in the U.S., we charge about $2,700.



The Medical City (TMC) is a private, tertiary care hospital now on its fourth decade of existence.

It is located on a 1.5 hectare property along Ortigas Avenue in Pasig City. This massive structure

is composed of two towers joined by a Podium and bridge ways. The 15-storey Nursing Tower is

currently fitted for 500 beds and a future second Nursing Tower provides capacity for an

additional 300 beds. The 18 floors of the Medical Arts Tower house 280 doctor's clinics and

selected commercial spaces. Within the 6-floor Podium are located diagnostic and intervention

facilities, as well as support and administrative offices. The 3-basement level parking

accommodates over a thousand vehicles for clients and staff.

TMC offers diagnostic and treat services that address a broad range of diseases utilizing state-of-

the-art technology such as computed tomography, magnetic resonance imaging and cardiac

catheterization and interventional services among others. This is made possible through the

Clinical Departments (including their various subspecialties) of Medicine, Surgery,

Anesthesiology, Pediatrics, Obstetrics-Gynecology, Ophthalmology, Otolaryngology, Psychiatry

and Rehabilitation Medicine, as well as diagnostic and intervention units such as Clinical

Laboratories, Diagnostic Radiology and Radiotherapy, Nuclear Medicine, Acute Stroke Unit and

Intensive Care Unit.

The foundation of TMC's services capabilities is its distinguished regular medical staff of 350

physicians, all of whom are experienced, recognized and established experts in their various

fields of specialization. They are complemented by 610 visiting consultants. This core of



professionals is supported and assisted by a 1,400 strong human resource complement composed

of administrative, finance and support service staff that have grown and honed their expertise in

and long years of loyal service to the institution.

Orthopedics

TRAUMA - Orthopedic trauma accounts for the majority of emergency room cases seen at The

Medical City and majority of patients treated by the department. As the "bread and butter" of

orthopedic practice, trauma care has been organized as a subspecialty to further improve the

quality of orthopedic management. The Orthopedic Trauma Unit handles mainly fractures,

dislocations and soft-tissue injuries of the extremities. Common treatment modalities consist of

surgical fracture fixation, joint reduction and non-surgical manipulation and immobilization.

ARTHRITIS & JOINT REPLACEMENT - The Arthritis and Joint Replacement Unit provides

the highest-quality medical and surgical care for patients with chronic joint disorders. The Unit

has on staff some of the best joint reconstructive specialists in the country today. Working

closely with other specialty fields, the Unit empowers patients and their caregivers with

knowledge and understanding of their disease. It provides competent, state-of-the-art surgical

care for chronic joint disorders, mainly hip and knee replacement, which is the current mainstay

of joint reconstruction.

SPORTS MEDICINE & ARTHROSCOPY - Sports-related injuries account for a significant

portion of emergency room and outpatient consultations in The Medical City. The Sports

Medicine and Arthroscopy Unit aims to address problems pertaining to these injuries, most

commonly involving the knees, ankle, shoulder, elbow, and foot. The Unit is defined by its

expertise in the utilization of arthroscopy in the diagnosis and treatment of such condition. It is

secondarily involved in the management of the degenerative conditions that may be treated in a

minimally invasive manner. It also employs a multidisciplinary approach in the holistic care of

athletes, working closely with allied specialties like rehabilitation medicine, nutrition, and sports

physiology.



PEDIATRIC ORTHOPEDIC - The Unit oversees the diagnosis and management of the common

orthopedic congenital and developmental problems of the extremities, including clubfoot

deformities, developmental hip dysplasia, bone and joint infections and neglected traumatic

injuries. The most common surgical procedures are: correction of limb deformities and limb

length discrepancies, clubfoot surgery, tendon transfers and other soft tissue procedures from

paralytic deformities, non-arthroplastic joint reconstruction, and treatment of bone and joint

infections in children. The pediatric Unit will also establish its own database for pediatric

orthopedic condition and conduct research

on important pediatric orthopedic problems. Patient and family education programs as well as

cooperation with allied specialties, such as general pediatrics, will also be instituted.

ORTHOPEDIC TUMOR - The Unit aims to make The Medical City the premiere referral center

for the treatment of musculoskeletal tumors. It is part of both the Department of Orthopedics and

The Medical City Cancer Center. Since musculoskeletal oncology is multidisciplinary in nature,

the Unit works closely with medical oncology, pathology, and radiation oncology, as well as

different support units and specialists to provide comprehensive care to our patients. The target

populations of the Unit are patients with primary bone and soft tissue tumors and those with

metastatic bone disease. Procedures done include limb salvage surgeries, all varieties of

amputations, adjuvant and neoadjuvant chemotherapy and radiotherapy, and bone and soft tissue

reconstructions. The Unit is likewise a rich source of research in the field of musculoskeletal

tumors.

HAND & MICROSURGERY - Traumatic hand injuries account for a significant number of

emergency room consults, and their frequently industrial nature lends even more applicability to

The Medical City. The Hand Unit oversees the treatment of all common hand conditions aside

from those of a traumatic nature, including infections, acquired or congenital deformities,

degenerative conditions and peripheral nerve disorders. It also offers micro-vascular replacement

and reconstruction for severed digits and hand and following limb salvage procedures, having at

its disposal the necessary equipment to deliver this specialized level of orthopedic care.



SPINE SURGERY - Because of the often-debilitating nature of spinal cord injuries, a specialized

level of surgical expertise and care is prerequisite in dealing with spine conditions. The Unit

oversees the treatment of common spine conditions including traumatic injuries, congenital

anomalies, deformities (such as scoliosis), infections and tumors. The Unit foresees a working

relationship with its colleagues in the Neurosciences from intra-operative monitoring to working

alongside neurosurgeons in complex spine cases. It will also establish its own databse for

research purposes.

TMC also serves as a hub of a network of satellite clinical facilities delivering a full range of

diagnostic and therapeutic services to ambulatory patients. Currently, Satellite Clinics are

operational in Antipolo City, Pasig City, Fairview, Cainta, Marikina and Congressional Road in

Quezon City and Lipa City. More satellite will be added as the hospital pursues its commitment

to expand its network and bring its brand of health services into the very communities of its

patient for their easy access. Additionally, Homecare services are offered whenever appropriate,

particularly to patients after discharge from confinement.

The employees, professional staff and shareholders of TMC draw from their experience of 4

decades to truly live out the organization's mission of "putting patients on center stage and

delivering service of greater worth," and in the process exert its leadership in shaping how

Filipinos should think, feel and behave about health.

With a renewed commitment towards providing superior healthcare to individual patients, even

as it offers itself as a national resource, to be engaged in the pursuit of social reform and

equitable development, The Medical City proves that it is the country¶s Capital of Health , the

center of all that is new and true about health.

Opthalmology

The Medical City Eye Center is the eight-room-out-patient diagnostic and Laser treatment

facility that houses all the state-of-the-art ophthalmic equipment. The center is staffed by well-

trained, dedicated and pleasant ophthalmic personnel (manager, receptionist, nurses and

technicians) who work closely with the residents and consultants to deliver the highest quality

eye care.



The Medical City Operating Suites have 10 operating rooms, 2 of which are presently being used

for eye surgery, In addition, the Ophthalmology service maintains a team of 8 surgical nurses

who have all undergone specialized training for Ophthalmic surgery assisting. These nurses are

assigned exclusively to eye surgeries only to ensure specialized, appropriate and high quality

care of our patients.

Otolaryngology

At present, the Department of Otolaryngology - Head and Neck Surgery is located at the 2nd

floor of the hospital complex Podium. Its Ear, Nose, Throat - Head and Neck Surgery Center

integrates the Outpatient Clinic, Hearing and Dizziness Unit, Voice and Swallowing Laboratory

and Speech Therapy. The ENT-HNS Outpatient Clinic has expanded to include a consultation

room and three separate examination rooms for patients. The Hearing and Dizziness Unit headed

by Dr. Rina Reyes-Quintos is fully operational with modern facilities for evaluating hearing and

balance disorders including pure tone audiometry, speech testing, tympanometry, auditory

brainstem response, otoacoustic emissions and videonystagmography among others. The section

is now in the process of acquiring upgraded facilities for Pediatric Audiometry. The Voice and

Swallowing Laboratory, the first laboratory for voice and swallowing in the country, continues to

be the premier referral center for diagnosing voice and swallowing disorders in the Philippines.To date, it has the largest number patients seen on file. Included in equipment upgrade is the

installation of the new digital strobe, DIGISTROBE, and acquisition of updated swallowing

evaluation devices for its Swallowing Clinic. The Center for Snoring and Sleep Disorders is a

multidisciplinary center where the Department of ORL-HNS is also involved in. Established in

2002, it is headed by Program Director Dr. Daniel M. Alonzo and Unit Head Dr. Michael

Alexius A. Sarte. The Sleep Center gathers authorities from the departments of Medicine,

Pediatrics, Otolaryngology, Psychiatry, Anesthesiology as well as Dentists and Sleep

Technologists in diagnosing and managing sleep disorders. The Center is continuing its

expansion by involving more specialists concerned in the comprehensive management of these

patients. In order to facilitate temporal bone dissection of the residents, a Micro-Surgery Skills

Laboratory has been especially integrated in the center built with the necessary instruments such

its own operating room lights and microscope. Work is now underway to putting up two new



sections, th Nose Clinic and the Prosthetics Laboratory.

In March of 2005, two of the department's residents were able to participate in a 5-day surgical

mission conducted in Semirara Island in Caluya, Antique. Surgical cases involved cleft lip and

palate repair, septoplasties, thyroid surgeries and other neck operations. The department has

successfully been coordinating with its consultant staff and private organizations with regard to

involvement in surgical missions. in June 2005, the department again volunteered its services in

CFC's Medical-Surgical Mission in San Pablo, Laguna.

The department welcomed 2005 by re-establishing relationships with various government and

private institutions as well as establishing new ones, the latest of which is the department's tie-up

with the Philippine Band of Mercy. The Philippine Band of Mercy (PBM) is the lead provider of

comprehensive craniofacial health services for the less privileged.

Also through the help of the Philippine Foundation for Health and Development, Inc. and the

Philippine Charity Sweepstakes Office, the department continues to offer free professional

services to its charity patients through the Divine Mercy Program. Together with the PBM and

the Divine Mercy Program, our department will hopefully be able to develop a more extensivecharity program so that more health services could be rendered to the indigents for less cost. The

most recent endeavor of the department with PBM is the surgical mission in Valenzuela early

March 2006.



ST. LUKES HOSPITAL

St. Luke's is a special place for healing and a hub of holistic healthcare, providing patients with

the best quality healthcare by combining the most advanced medical equipment and technology

available with the expertise of the best trained, skilled and experienced doctors and

professionals. But its service goes well beyond the dedication of these vital resources.

The well-being of the patient and his family is an important concern to St. Luke's. Thus, a wide

range of support services is available to cover every possible need that may arise in search of

care and healing for body, mind and soul.

Accommodations

When it comes to accommodations for patients, their families and guests, foremost to St. Luke's

are comfort, convenience, and freedom of choice. From the most basic rooms to fully-furnished

suites, all patient accommodations are provided with the best available equipment in its class. In

most cases, St. Luke's has taken and applied the best practices in the field of hospitality in its

premises, providing services and amenities such as a selective menu, private butler service, and

cable television. St. Luke's believes that comfort and a positive experience are vital in the quest

for health and recovery.



St. Luke's has a total of 650 beds, which include 342 private suites, one presidential suite, one

ambassador suite and a newly-inaugurated Birthing Room. These rooms are designed to meet

practically every conceivable need, thus making them some of the most sought-after choices

when confined at the hospital.

A range of accommodations to suit different needs and budgets is available at St. Luke's. More

affordably-priced semi-private rooms and wards are also wise choices. To St. Luke's, what is

essential is an uncompromising standard of excellent service at any level.

Admission Procedures

y In the absence of the doctor's admission order sheet or a doctor known to them, a

walk-in patient may be admitted through the Emergency Room.

y Fill out a Patient Information Sheet. Information requested will be needed by the

attending physician and the medical center.

y Indicate the accommodation of choice (suite, private room, semi-private - 2

patients per room, or ward - 4 to 6 patients per room).

y Sign consent forms for hospital care, exclusive supply of medicines, limitation

on outside diagnostic reports, release of information to insurance companies

and/or patient's employer, and waiver of responsibility on loss of valuables.

While your admission is being processed and your room is being prepared, you will be asked to

wait in the Admission Waiting Lounge. As soon as the room is ready, patients will be escorted to

the Nursing Unit by the admission aide. All patients are given an ID band to be worn around the

wrist for the duration of their stay at the medical center.

Emergency Admissions

Patients are referred to the Emergency Room (ER) if they do not have an admission order sheetfrom their attending physician. In such cases, the ER consultant will ask the patient for the name

of their physician. The ER consultant may only assign an attending physician to their case if

they do not have a personal physician of choice.

Reservation Procedures



The Admission Department accepts room reservations. However, if the patient fails to arrive

within the indicated time of arrival, the room reservation shall be assigned to other patients. The

hospital also reserves the right to cancel reservations to give way to emergency and critical cases.

Centers of Excellence

The delivery of exceptional healthcare at St. Luke's rests on its Centers of Excellence which

dedicate the most appropriate facilities, services, and specialists to specific health and medical

concerns.

These Centers of Excellence are designed to provide the best and most up-to-date treatment

modalities from its specialists who have rigorously trained, and continue to train, with the most

respected medical and educational institutions in the Philippines and abroad. At their disposal are

the most modern medical equipment to use for the diagnosis, treatment and care of their

patients.

With the earnest pledge to excellence and the best quality of care from its doctors, nurses,

technology teams, support staff and management experts, these Centers of Excellence have

propelled St. Luke's as an industry leader and highly respected medical institution worldwide.

Departments

St. Luke's eight (8) departments assemble traditional medical services into specialties, imparting

dedicated medical expertise and support facilities to the areas it cover.

The individual departments are the leading choices for primary health services among Philippine

hospitals. St. Luke's operates the Departments in Medicine, Nuclear Medicine, Obstetrics and

Gynecology, Surgery, Otorhinolaryngology, Pediatrics, Anesthesiology, Physical Medicine and

Rehabilitation, Emergency Medicine, Out-Patient Care, Legal Medicine and Jurisprudence, and

Dentistry and Oral Surgery.

Each of these departments boasts of the most advanced equipment, unmatched by any local



hospital, new or old. Further, its comprehensive array of services is supported with continuous

training and research to improve the quality of its care.

Wellness Program Packages

y Package A (In-patient)

y Package A1 (In-patient)

y Package B (In-patient)

Package A (In-patient)

o Room and Board (overnight)

o Admission Kito Complete Physical Examination

LABORATORY STUDIES

HEMATOLOGY

Complete Blood Count

- Hemoglobin

- Hematocrit

- Red Blood Cells

- White Blood Cells

- Platelet Count

CHEMISTRY

Blood Chemistry (CHEM 12)

- Glucose

- Creatinine

- Uric Acid

- Cholesterol

- Blood Urea Nitrogen

- Triglycerides



- HDL

- LDL/VLDL

- SGPT/ALT

- Total Bilirubin

- Alkaline Phosphatase

- Total Protein

SEROLOGY

Anti-HCV

Hepatitis B Screening

- HBsAg

- Anti HBc (Total)

MICROSCOPY

Urinalysis

Routine Stool

- Ova & Parasites

- Amoeba

X-RAY STUDIES

o Chest X-ray (PA & Lateral)

o Upper Gastro Intestinal Series

o Mammography (Female Only)

ULTRASONIC EXAMINATIONS

o Liver

o Gall Bladder

o Spleen

o Pancreas



o Kidney

o Breast (for Female)

o Prostate (for Male)

o Transrectal (for single women) OR

Transvaginal (for married women)

CARDIAC EXAMINATIONS

o Resting Electrocardiogram

o Treadmill Exercise Test

ENDOSCOPY

o Fibersigmoidoscopy

PULMONARY

o Spirometry

Package A1 (In-patient)

o Room and Board (Overnight)

o Admission Kit

o Complete Physical Examination

LABORATORY STUDIES

HEMATOLOGY

Complete Blood Count

- Hemoglobin

- Hematocrit

- Red Blood Cells

- White Blood Cells

- Platelet Count



CHEMISTRY

Blood Chemistry (CHEM 12)

- Glucose

- Creatinine

- Uric Acid

- Cholesterol

- Blood Urea Nitrogen

- Triglycerides

- HDL

- LDL/VLDL

- SGPT/ALT

- Total Bilirubin

- Alkaline Phosphatase

- Total Protein

SEROLOGY

Anti-HCV

Hepatitis B Screening

- HBsAg

- Anti HBc (Total)

MICROSCOPY

Urinalysis

Routine Stool

- Ova & Parasites- Amoeba

X-RAY STUDIES

o Chest X-ray (PA & Lateral)



o Mammography (Female Only)


o Liver

o Gall Bladder

o Spleen

o Pancreas

o Kidney

o Breast (for Female)

o Prostate (for Male)

o Transrectal (for single women) OR Transvaginal (for married women)


o Resting Electrocardiogram

o Treadmill Exercise Test

ENDOSCOPY

o Gastroscopy

o Colonoscopy

PULMONARY

o Spirometry

(In-patient)

Package B (In-patient)

y Room and Board (Overnight)

y Admission Kit





MICROSCOPY

y Urinalysis

y Routine Stool

o Ova & Parasites

o Amoeba

X-RAY STUDIES

y Chest X-ray (PA & Lateral)

y Upper Gastro Intestinal Series or Barium Enema

y Mammography (Female Only)


y Gall Bladder

y Liver

y Kidney

y Breast

y Prostate (for Male)

y Transrectal (for single women) OR Transvaginal (for married women)


y Resting Electrocardiogram

y Treadmill Exercise Test

ENDOSCOPY

Fibersigmoidoscopy

Discharge Procedures



The cut-off time for discharge is 11:00 a.m.. An additional half (1/2) day rate will be charged for

room and board after 11:00 a.m. and one (1) day will be charged for room and board after 5:00

p.m..

A written discharge order must be secured from your attending physician. You must secure

discharge orders from ALL doctors consulted during your hospitalization.

Once discharge orders are secured, your nurse on duty will issue a Discharge Notice Slip with an

initial print-out of your itemized Statement of Account. Please check the items in your bill before

paying at the Cashier. Kindly inform your nurse on duty about any concerns you may have

regarding your bill.

When you are ready to pay your bill, you may then proceed to the Main Cashier or at Annex II

2nd floor Cashier. Suite room patients may request for a cashier to collect payment in their room.

Once your account is settled, the cashier will give your Official Statement of Account, Official

Receipt, and Discharge Clearance.

Upon submission of the Discharge Clearance to your nurse on duty, you will be issued a Gate

Pass after you have physically vacated your room.

A nursing aide will escort you as you leave the hospital. The Gate Pass must be surrendered to

the guard at the main lobby for clearance of your personal belongings.



201. Laparascopic Gastric Banding

$9,404 $10,4259:58:21-

219:

(Approximate Cost of Procedure in the US: $17,000)

y 2 day hospital stay

y Laboratory tests

y Medicines pertaining to surgery

y Consultation and Professional fees

y Pre and post procedure consultationsInclusions:

- Roundtrip Airport Transfers - with assistance given right at the arrival gate

- Transportation Services - chauffeur-driven transportation to all consults

and procedure

- Personal Assistant - accompanies the patient to all doctor and hospital

visits and to assist with a whole range of services

- Mobile Phone for local use

- Complimentary massage upon arrival

- 4-star Hotel Accommodations for 9 days/8 nights with breakfast

2. Metabolic surgery

$13,510


A gastrointestinal operation to directly treat type 2 diabetes

y 5 day hospital stay

y Laboratory testsy Medicines pertaining to surgery


y Pre and post procedure consultations

Inclusions:





and procedure




- Complimentary massage upon arrival


3. LASIK (both eyes) 102,000

$2,170


A quick and effective way of achieving clear vision and finally doing away with glasses or contact lenses

y Refractive Screening

y LASIK procedure


Inclusions:



and procedure




- Complimentary massage


4.ExecutiveHealth check up

(Overnight)

A full range of screening tests for early detection and prevention of serious medical problems

y Consultations with Gastroenterologist, Gynecologist/Urologist, Cardiologist

y Tests for all except 2D Echocardiogram, Renal Sonogram and Vascular Work-up

Inclusions:



and procedure









7.Coronary Artery Bypass Grafting (CABG)

$19,340

(Approximate Cost of Procedure in the US: $130,000+)

y All Consultation and Professional fees (Surgeon, Anesthesiologist, Perfusionist,Intensivist)

y Medicines pertaining to surgery

y 8 units of blood

y Blood work-up of donor

y 7 days stay in a small, private room

y All consultation fees

y Operating Room Fees

Inclusions:



and procedure





- Accommodations for 14 days/13 nights in a condo hotel for patient and one (1) companion

8.TotalHip or Knee Replacement 12,000

$10,894


y Professional Fees of Surgeon, Anesthesiologist and Internist

y Rehabilitation Fees

y Laboratory tests

y Implant

y Maximum of 7 days hospital stay in a single, private room

y Pre and Post procedure consults


Inclusions:



and procedure








9. Abdominoplasty(full tummy tuck) with liposuction 89,500

$6,160

(Approximate Cost of Procedure in the US: 9,000)

For a firm and smooth abdomen that countless years of diet and exercise could not achieve

y All consultation and Professional fees


y Laboratory tests

y Take-home medication

y Overnight stay in their modern facility

Inclusions:



and procedure








Legal Issues:

1. Receiving medical care abroad may subject medical tourist to unfamiliar legal issues. The

limited nature of litigation in various countries is one reason for the lower cost of care

overseas. Should problems arise, patients might not be covered by adequate personal

insurance or might be unable to seek compensation via malpractice lawsuits. Hospitals

and/or doctors in some countries may be unable to pay the financial damages awarded by

a court to a patient who has sued them, owing to the hospital and/or the doctor not

possessing appropriate insurance cover and/or medical loss. However new insurance

products are available that protect the patient should an alleged medical malpractice

occur overseas. The down-side is, in most cases, these polices are not cheap.

2. A patient who is injured through negligent care has very limited options in obtaining

justice and compensation. With different laws in other nations, the legal alternatives for

patients are few. There is a minimal legal recourse. Many international hospitals require

a medical tourism patient to sign a legal waiver stating that if they do bring a lawsuit over

the surgery the lawsuit must be brought in the country where the medical procedure was

performed. This means that there is very limited legal recourse when you travel for



medical tourism as legal judgments internationally are significantly less than in the US,

Canada or the United Kingdom.

GOOD NEWS: A new insurance product available is intended to address medical negligence

affecting patients who travel abroad for elective surgery. The ³Patient Medical Malpractice

Insurance´ is considered ³first-person´ insurance because the patient purchases the policy before

traveling. Claims are handled without attorneys in accordance with U.S. laws and customs and

are paid in U.S. dollars. This coverage may benefit medical tourists who are concerned about

their options if a bad outcome occurs due to medical negligence

3. Issues on Rights if there is a complication happened: Most hospitals, wherever they are

located, will not cover the cost of medical complications. So its better to ask questions

and get everything in writing first ± before your procedure.

4. Money Issues: What if the patient decides not to have my surgery, will he/she be able to

get his/her money back?

It depend on the policy of the hospital you have chosen, as well as when you cancel your

procedure. Make sure to have the answer to this question in writing. However, most

international hospitals I have spoken to will refund a majority if not all of the money you

have paid.



Ethics:

1. Potential Impact on Patients Engaged in Medical Tourism:

* Patients usually have no idea about the potential for infectious and noninfectious

complications from medical tourism, and there is little reliable data available regarding

destination countries.

* Patients rarely understand the tradeoff between saving money on medical expenses

and obtaining potentially life-prolonging medical care that the patient could otherwise not

afford, and sacrificing potential legal remedies should medical negligence occur. Currently,

³there are no reliable, comprehensive sources for patients to learn about legal recourse for

malpractice committed in [foreign] jurisdictions.´

2.

Potential Impact on Tourists¶ Home Countries and Their Health Systems

* Patients may be offered procedures and techniques in foreign countries that are illegal

in the patients¶ home countries (e.g., abortion and euthanasia)



* Patients may return from medical tourism in foreign countries with serious medical

complications that create both an economic and an ethical burden for the physicians in their

home countries,

* There is an increased risk of a ³global market of privatized, commercial health care

delivery´ that threatens the future of public healthcare systems.

3. Possible political risks in terms of sovereign (foreign policy) relationships:

For example, of medical tourism involving US patients traveling to other countries was to

³severely impact the comparative advantage for the US in the hospital business. . . .It can

cause a loss of reputation and prestige for the US health care system.

4. Potential Impact on Healthcare in Destination Countries

These countries sacrificing their public health sectors, particularly in terms of access by

rural/provincial and indigent populations, in favor of attracting foreign medical tourists

with attractive currencies while using public funds to facilitate that trade-off.

Governments have argued that increased revenues from foreign tourists actually

strengthen public healthcare, or that hospitals receiving public subsidies must provide a

certain percentage of care to the poor and indigent citizens of the host country.

5. Other Ethical Criticism:

*Medical treatment with Vacation packages:

These surgery packages have been criticized as:

(1) potentially subjecting patients to procedures in private clinics that are not accredited

and by surgeons who may or may not be skilled and qualified to do the procedure, thus

subjecting the patients to undisclosed potential post-operative complications,

unsatisfactory results, and risks to their general health;



(2) increasing those risks by enticing the patients into vacation-related activities after

surgery followed by long flights home that increase the risk of developing pulmonary

embolism or blood clots that can be fatal or life-threatening;

(3) Providing only limited follow-up care and monitoring with no continuity of care if

complications arise and revision surgery is required²the costs for which may not be

covered by health insurance in the patient¶s home country

Advantages and Disadvantages of MEDICAL TOURISM

ADVANTAGES

� 1. Medical Vacations CanBe Affordable

- For many procedures, it's often more expensive to receive treatment at home than it is to

purchase a plane ticket, book a hotel, and pay for all medical expenses out of pocket in a

foreign country.

� 2. Medical Tourism Provides You withOptions



- With medical tourism, you can travel to parts of the world where hospitals specialize in

the aforementioned procedures. And you won't necessarily have to break the bank either.

Equally important, wait times tend to be considerably less if you plan your medical

vacation accordingly.

� 3. Medical Vacations CanBe Fun

- F or many people, a medical vacation is exactly that... a medical "vacation."

DISADVANTAGES

� 1. Medical Malpractice Suits

- Although most medical tourism facilities (hospitals, dental clinics, etc.) will have medical

malpractice insurance to cover any unforeseen events, seeking damages can sometimes be

difficult in cases of negligence, misdiagnoses, or incompetence.

� 2. InsuranceLaws May Vary

- Depending on the type of insurance you have, and depending on the type of procedure

you need, you might not be fully covered if you travel abroad. You'll want to check with

your insurance carrier and see what portion of the final bill they're willing to cover.

� 3. Postoperative Treatments

- For many procedures, it's customary to check in with your physician or dentist from time

to time as you recuperate. However, by receiving treatment abroad, it becomes

prohibitively expensive to consult with whatever doctor or dentist provided you with

primary care.

� 4. It'sBest Not to Travel Alone

- Anytime you have major surgery done, it's always good to have a friend or family

member present both during and after the procedure. When flying abroad to receive

medical treatment, it's strongly recommended that you take someone with you.



MEDICAL TOURISM

Group II:

Leader: Leo paul Ligon

Members:

Vernalyn Alejon

Janina mae Batac

Sheena Cortez

Berjea DebolosWilliam Espiritu

Nicko luis Jugueta

Jeleene Montemayor

Jay-ar Pingol

Elwis Sagum

SUBMITTED TO:

FER NANDO P. URRUTIA R NMAN













MEDICAL TOURISM WORD

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