dr hemani thukral - mymedicalchoices - the need for a systematic and integrated approach to develop...

Reference (apr02) Reference (apr02)

Globalization and Medical Tourism – Leveraging the strengths while addressing the challenges!

© Dr Hemani Thukral MMC: Enabling a patient centric model that focuses on improving consumer (patient) experience/satisfaction and outcomes for patient seeking overseas treatment.

Medical Tourism

Presented by

Dr Hemani Thukral

MBBS (MAMC) Delhi, India

Acting Masters HSM – Clinical Leadership, Sydney, Australia

Founder, MyMedicalChoices Sydney, Australia

Director, Medical Tourism AITTC, Sydney, Australia

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A systematic and integrated approach to develop medical tourism




OUTLINE Interesting facts

Benefits

Framework

Role of facilitators

Conclusion

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A systematic and integrated approach to develop medical tourism/travel




Medical tourism is growing world wide and the traditional model of care (bounded by geographical boundaries) is not applicable anymore

Advanced technology is available at lower cost in countries like India, Thailand

Quality of care is at international standards in some of the overseas hospitals

Consumers cannot afford the high cost of treatment (out-of-pocket cost)

Waiting time is unacceptable to the consumers as it impacts their quality of life

Some treatment are unavailable in Australia, for example surrogacy

Medical tourism is an unregulated industry in its current state

Healthcare is becoming increasing expensive and appears unsustainable in its current delivery (AIHW, Productivity commission)

Individual out-of-pocket costs have increased over time (AIHW)

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Change is imminent…..Globalisation is changing the way medicine is practiced today but the principles in medicine remain the same wherever best practices is

followed.

INTERESTING FACTS





Benefits

Framework


Conclusion

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Quality of care

Ethical

Legal Information

Collaboration

International

State, national

Organisation

Team

Clinician

Patient

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Benefits of systematic and integrated approach to develop medical tourism/travel

1. Unresolved issues can be addressed!




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2. Cost benefits can be potentially realised at different levels

Consumer

Health System ?

Society ?

? What minimum savings would represent superior value to the Australian health system..

? What minimum savings would represent superior value to the society..

? What’s the incentive for the pt. to go overseas for medical travel..

$




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Enhanced

delivery of care

3. Enable performance monitoring of the medical travel system

Supporting health

system to achieve

sustainability

Builds trust

relationship




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Making a systematic change through collaboration!

As a society & from health system perspective, we have to make a

choice……

- to accept and implement the change in a systematic manner

- or doing nothing and having an ad hoc approach to the increasing trend of

medical tourism. .

A case for reflective improvement....





Benefits

Framework


Conclusion

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Strong Governance in medical tourism is essential to drive the system by adopting a systematic and integrated approach through collaboration.

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National governing body for medical tourism with a strategic direction and clear funded policies to is key to implement the change.

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0

Process

Procedures

Collaboration

Tools

Policies

Standards

Medical Tourism Framework Medical Tourism Architecture Framework




PHC - Integrated

care process

Pre-established procedure

Bilateral relationship

PCEHR

Tele-health

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Input from key stakeholders is must to develop the medical travel system.

Policies

Standards

Medical Tourism Architecture Framework

Consumer

Clinical

Commission

HTA

Insurance industry

Policy maker

Decision maker

Legal

Health care professional bodies

Trade commission

Healthcare provider organisations

Medical tourism professional bodies

Medical tourism organisations

Professional bodies fostering bilateral relationship

Tourism industry

The role of bilateral trade agreement especially in healthcare services is crucial in developing the medical travel system.





Benefits

Framework


Conclusion

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Facilitators have an important role to play in enhancing consumer experience and influencing outcome. However they have limitations.




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Limitations to facilitators role while there are no ‘system’ level policies for medical travel

Consumer

Cost

Access

Too many choices

Logistics

Insurance

Follow up care

Safety

Quality of treatment

LIMITATIONS

Knowledge & professional expertise

PHC willingness to collaborate

Transparency in quality and outcomes

Insurance

Malpractice jurisdiction

Medical travel authorization process

CONSUMER PERSPECTIVE





Benefits

Framework


Conclusion

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A case for systematic change through reflective improvement to provide greater choices to the consumers and support sustainability of the Australian health system (through cost savings). It is complex but can be done through bilateral collaboration!

Standards Medical tourism is a win-win

situation through collaboration

The change is imminent

Consumer (patient) is at the heart of the medical travel system.

Collaboration is must.

It is complex but can be done!




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dr hemani thukral - mymedicalchoices - the need for a systematic and integrated approach to develop...

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