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Global Medicine within a Universal and Transperant Healthcare System
International Conference on Ethical Issues in Medical TourismVancouver June 24th , 25th 2010
Jana AlexandrovaMarketing DirectorAsiser Servicios Integrales de Salud
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Introduction
1. Overview on the Spanish Private/Public Healthcare Systems
2. Role of Asisa Group
3. Asiser – spin off health service company of Asisa Group
4. Asiser ethical model of healthcare
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PRIVATE
• Insurance
• Private medicine
PUBLIC
• Universal access
• Equality
Healthcare Sytem in Spain: dual and complementing
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Public expenditure Private expenditure
Spain allocates about 8,5 % of its GDP to health.
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Source: OECD Health Data 2009, OECD (http://www.oecd.org/health/healthdata).
Public/Private Health Expenditure
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Public Healthcare Sytem in Spain
Source: OECD Health Data 2009, OECD (http://www.oecd.org/health/healthdata).
advantages challenges
Sustainability
Aging population
Managing patients with chronical
deseases
Implementation of new technology and treatments raises the
costs.
One of the highest life expectancy in
Europe
Clinical results are among the highest
levels in Europe
Universal access for everyone.
Relatively low costs in compare to EU 15
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client
Private healthcare
Private medical services are meant as an addition to already existing public
health model
Insurance modelInsurance companies provide the volume of
patients to private hospitals
Private Healthcare Sytem in Spain
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PATIENTS
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Brief description Asisa Group
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ASISA was founded in 1971 as a health insurance company created by LAVINIA MEDICAL COOPERATIVE.
With a current market share of 13%, after 32 years of operations it has maintained its positions among the three leading health insurance providers in Spain.
Over 1.5 million of policy holders
30.000 physicians and specialists
48 Branches y 55 local offices in Spain
14 Asisa owned hospitals and more than 600 partner hospitals.
web: www.asisa.es
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Asisa Group – Integrated Delivery System
primary care
specialty care
emergency assistance
hospital
lab
dental
insurance
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Hospital ASISA
Medical Center ASISA
SPAIN
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Asiser – integrated healthcare services
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Asiser is a spin-off company, 100%property of Asisa Group.
It was created in 2006 as a privatemedical service company, providingquality and affordable healthcaresolutions.
The health program we offer is notinsurance and it is designed tocomplement any health service modelwith no contract limitations on thebasis of age, pathology or currenthealth status.
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Individual clients
Physicians
Hospitals
Wellbeing
Associations and other large
organizations
Immigrants and health tourists
Employees
Mutual insurances
No access age limits. No exclusions.No waiting periods.Preferential costs Total control of the costs. Guided access
Asiser – integrated healthcare service model
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Asiser - foreign patients’ medical facilitator
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Call center 24h, 365 days
• Customer service and case management
• The client is advised and directed to the most appropriate medical assistance source.
Primary medical assistance, home/hotel medical assistance
•No need for unnecessary transfer
• Clients better convenience
Network of hospitals throughout Spain
• Previously established prices
•Uniformity of medical processes
• Control of patients and cost control
TRACEABILITY &
COST CONTROL
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Ethical issues on medical tourism: Asiser perspective
A way to assure the ethics of the medical tourism is through creating atransparent and equal healthcare system, where the foreignpatients are both protected and responsible, where the medical tourismfacilitator represents the hospital providers but does not prescribe thetreatments as in a “health mall”, where the hospitals follow standards andregulations and strive for excellence not only during the treatment, but alsobecome involved in the post surgical process, and where the governmentguarantees the health assistance for its citizens and it is responsible forinvesting in its proper health care system.
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FOREIGN PATIENT
• Quality standartizations
• Participating government
• No special price for the foreign patient.
• Enables the patient to be a smart shopper
• Patients from every country can get the same treatment
• Information
• Qualified medical network
• Post surgical attention
ACCESSIBLE UNIVERSAL
INTEGRATED DELIVERY
TRANSPERANT
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ASISER foreign patient case management
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Received a call from a patient, John , working on a ship in the Mediterranean Sea, near Barcelona.
The patient had severely hurt his little finger.
Our medical emergency department made an assessment guidance by telephone and evaluated that a minor surgery might be necessary.
Asiser organized the medical appointment with a specialist for this foreign patient in "Sagrat Cor", one of our hospitals in Barcelona.
The patient went through a successful surgery, that required a necessary follow up exam in a week.
However, the patient could go back to his ship after spending 24 hours in our hospital.
Review within a week ... yes but the ship moved from Barcelona and John was in already in Mallorca.
Asiser coordinated the follow up appointment at one the clinics in Mallorca, so that John could have the post surgical exam on his finger surgery and the care process was completed positively.
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Hospitals/providers - part of ethical business model
Comply with the standards of the healthcare system ISO, EFQM, AENOR
Transperant and public for their clinical information
Assure pre and post operational attention / information to the foreign patient
With a focus on the positive outcome not on the medical act
Strive for excellence
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Facilitators - part of ethical business model
Part of a transperant medicalassistance model.
Customer centered care delivery
Strong relationships with both private and public sector
Innitiatives to promote the collaboration within the system with other private and public partners.
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Government - part of ethical business model
Periodical quality control on every aspect of the medical assistance: buildings, equipment, certification.
asegura constitucionalmente la universalidad y el acceso del sistema publico.
Garantiza asistencia medica a cualquier persona dentro de paisa traves del sistema publico.
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CONTACTS & QUESTIONS?
THANK YOU!
GRACIAS!
Web: www.foreignpatient.com
Email: [email protected]
