Dato' Dr. Sivamohan_Globalisation of Health Tourism

8/10/2019 Dato' Dr. Sivamohan_Globalisation of Health Tourism

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GLOBALISATION OF MEDICAL

TOURISM AND THE NEED FOR

CLINICAL GOVERNANCE

DATO DR. SIVAMOHAN.N DSNS DPMPFAMM MBBS FRCOG MSc FICS Fellowship (Gynae-Oncology)

CONSULTANT OBSTETRICIAN AND GYNAECOLOGIST

KPJ DAMANSARA SPECIALIST HOSPITAL/

MEDICAL DIRECTOR KPJ KLANG SPECIALIST HOSPITAL


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MEDICAL TOURISM

Emergence as a Global Medical

Business Challenging the Dominance

of Health in Developed Countries Emergence as a Threat Pushing

Health Disparities in Developing

Countries


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Era of Globalization

Healthcare Has Become A

Commodity - Production

Outsourced


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The Organized Travel Outside Ones

Natural Healthcare Jurisdiction for

the Enhancement or Restoration of

the Individual's Health ThroughMedical Intervention Using but Not

Limited to Invasive Technology

Carrera & Bridges (2006)


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GROWTH OF MEDICAL

TOURISM


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SPENDING ON MEDICAL

TOURISM


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ENABLING FACTORS FOR GROWTH

Cost and Affordability

Health Insurance Coverage

ChoiceAccess to Information Technology

Reputation of Innovative Services

Cost of Production of Services

Restrictions on Travel


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ENABLING FACTORS FOR GROWTH

Quality of CareWaiting Time


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CONCEPTUAL FRAMEWORK OF

GLOBALIZATION & MEDICAL TOURISM


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AGENDA FOR MEDICAL

TOURISM GOVERNANCE

Government May Allow Health

Insurers and Employers to ExtendTheir Coverage Abroad

Expansion of Medical Tourism

inevitable

new global economic

order


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Medical TourismAccepted Part of the

Solution for High Costs and Long

Waiting Lists

Reconciling the Aims of Economic

Growth with Equitable Health Services& Access-Challenging and Contradictory

AGENDA FOR MEDICAL

TOURISM GOVERNANCE


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MEDICAL TOURISM

Governance in Separate Domains of

Trade & Health

Trade by Definition is Internationalbut Health Systems (Financing,

Delivery & Regulation) is Nationally

Bound

The Question of Equity


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TRADE & HEALTH GOVERNANCE

1. International

World Trade Organization (WTO) & World Health

Organization (WHO)2. Regional

Association of South East Asian Nations (ASEAN)

3. National (Government Ministries)


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COMPETITION & COST

CONTAINMENT


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SAFETY OF PATIENTS TRAVELLING

ABROAD

Carrying Infectious Diseases

Violation of Human Rights-illicit

Activities Notably Organ

Transplantation, Surrogacy,

Aesthetic Surgeries


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MEDICAL GOVERNANCE BY

KEY STAKE HOLDERSA. Representatives from the Government

B. Medical Care Providers

C. Employer Group

D. Pharmaceutical Companies

E. Health InsurersF. International Medical Brokers

G. Patients


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Medical Tourism Audit

Regulations & Policy Options


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EXPERIENCE & ACHIEVEMENTS OF

MEDICAL TOURISM

Expectations from Extended Medical Tourism

Identification of Existing Problems and

Potential Obstacles of Reaching Targets

Impact of Health System of Provider

Countries

Equity of Healthcare

Clinical Governance & Regulatory Framework


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Dato' Dr. Sivamohan_Globalisation of Health Tourism