A systematic and integrated approach to develop medical tourism. Medical Tourism. Presented by. Dr Hemani Thukral

Transcription

1 A systematic and integrated approach to develop medical tourism 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 1

2 A systematic and integrated approach to develop medical tourism/travel OUTLINE Interesting facts Benefits Framework Role of facilitators Conclusion 2

3 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 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) 3

4 A systematic and integrated approach to develop medical tourism/travel OUTLINE Interesting facts Benefits Framework Role of facilitators Conclusion 4

5 Benefits of systematic and integrated approach to develop medical tourism/travel 1. Unresolved issues can be addressed! Quality of care International Ethical State, national Organisation Collaboration Team Clinician Legal Patient Information 5

6 Benefits of systematic and integrated approach to develop medical tourism/travel 2. Cost benefits can be potentially realised at different levels Consumer Society? $ Health System?? 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.. 6

7 Benefits of systematic and integrated approach to develop medical tourism/travel 3. Enable performance monitoring of the medical travel system Enhanced delivery of care Supporting health system to achieve sustainability Builds trust relationship 7

8 Making a systematic change through collaboration! A case for reflective improvement... 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.. 8

9 A systematic and integrated approach to develop medical tourism/travel OUTLINE Interesting facts Benefits Framework Role of facilitators Conclusion 9

10 National governing body for medical tourism with a strategic direction and clear funded policies to is key to implement the change. Strong Governance in medical tourism is essential to drive the system by adopting a systematic and integrated approach through collaboration. Policies Standards Process Collaboration Procedures Tools Medical Tourism Framework Medical Tourism Architecture Framework 10

11 Input from key stakeholders is must to develop the medical travel system. The role of bilateral trade agreement especially in healthcare services is crucial in developing the medical travel system. Preestablished procedure Policies Standards PHC - Integrated care process Bilateral relationship PCEHR Tele-health 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 11

12 A systematic and integrated approach to develop medical tourism/travel OUTLINE Interesting facts Benefits Framework Role of facilitators Conclusion 12

13 Facilitators have an important role to play in enhancing consumer experience and influencing outcome. However they have limitations. 13

14 Limitations to facilitators role while there are no system level policies for medical travel Cost LIMITATIONS Safety Quality of treatment Follow up care Consumer Insurance Access Logistics Too many choices Knowledge & professional expertise PHC willingness to collaborate Transparency in quality and outcomes Insurance Malpractice jurisdiction Medical travel authorization process CONSUMER PERSPECTIVE 14

15 A systematic and integrated approach to develop medical tourism/travel OUTLINE Interesting facts Benefits Framework Role of facilitators Conclusion 15

16 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! 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! Standards 16

17 17