Dato' Dr. Sivamohan_Globalisation of Health Tourism
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Transcript of 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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