insights and opportunities for the philippine medical student in the asean community
TRANSCRIPT
Insights and Opportunities for the Philippine Medical Student in the ASEAN CommunityAlbert Francis E. Domingo, MD, MSc5 Feb 2016 | San Beda College Mendiola
Outline
1. Trade and HealthChanges in the market for health
servicesGlobal interactions and local
effects2. ASEAN Economic Cooperation
Politics, economics, and cultureRegional Trade Agreements
3. Implications and InsightsWhat to expectWhat to do
1.TRADE AND HEALTH
At the interface of two national interests
Changes in the marketfor health services
From: GBD 2013 Risk Factors Collaborators (2015)
From: WHO (2015)
Framework Agreements for Regional Trade Agreements
▷Market access and national treatment
▷Investment▷Integration of labour markets▷Government procurement▷Reciprocal recognition of
foreign licenses and qualifications
Trade in health-related services
1. Cross-border supplyTelemedicine, e-Health
2. Consumption abroadForeign patients
3. Commercial presenceForeign service provider (e.g.
hospital)4. Movement of natural persons
Health care professionals temporarily work abroad
“Countries are allowed to make legally binding commitments
pertaining to trade and investment in health services
and to formulate such commitments in accordance with domestic health policy
objectives.
2.ASEAN ECONOMIC
COOPERATIONEasier said that done, but it’s happening
From: www.mb.com.ph
From: asean101forjuan.wordpress.com
Recent Timeline
▷1995: ASEAN Framework Agreement on Trade in Services
▷2012: Eight packages of commitments, including some coverage of health care
▷2015: Integration
Process
▷Liberalization commitments are complemented by:
Mutual recognition agreementsCooperative mechanisms
▷Is there real and concrete mutual recognition to facilitate the movements of patients and/or health professionals?
3.IMPLICATIONS AND
INSIGHTWhat to expect; what to do
“As the global movements of
goods, services, capital, people and ideas grow, what
will the impact on health systems and population
health be?
Increased trade in services
▷Historically the focus of trade has been on goods, not people
▷Technology (e.g. Internet) and travel has allowed for cross-border movement of patients and health professionals
“Health policy-makers need
to pay attention to the respective negotiation and implementation processes with a view to achieving health policy objectives.
“Benefits are not automatic, and liberalization needs to
be properly paced and sequenced within the
development of an adequate regulatory, institutional and
policy framework.
From: gov.ph
“Services liberalization is
considered to be more easily negotiated at the regional level, as opposed to the
multilateral level, as RTAs often include countries with
geographic proximity, cultural ties, and similar levels of economic development.
Trade in health-related services
1. Cross-border supplyTelemedicine, e-Health
2. Consumption abroadForeign patients
3. Commercial presenceForeign service provider (e.g.
hospital)4. Movement of natural persons
Health care professionals temporarily work abroad
Main ReferenceWHO. (2015) Trade and Health: Towards building a National Strategy. Geneva: World Health Organization.
Thanks!Any questions?You can find me at:@AlbertDomingoFacebook.com/aedomingoAlbertDomingo.com
Credits
Special thanks to all the people who made and released these awesome resources for free:▷ Presentation template by
SlidesCarnival▷ Photographs by Unsplash