Category Archives: Interviews

Ontario’s health minister says medical tourism generates millions in revenue

Ontario Health Minister Dr. Eric Hoskins at Queens Park in Toronto on Tuesday, June 24, 2014. (The Canadian Press/Chris Young)

Ontario Health Minister Dr. Eric Hoskins at Queens Park in Toronto on Tuesday, June 24, 2014. (The Canadian Press/Chris Young)

Toronto :

Ontario’s health minister says the treatment of so-called medical tourists at a few hospitals in the province generates millions of dollars of revenue for the health system.

Eric Hoskins says no public money can be used to care for these patients and any revenue generated — which he estimates could be up to $20 million per year — must be reinvested to benefit Ontario patients.

He says only a small number of hospitals in the province treat medical tourists and the proportion compared to Ontario patients is quite small.

The Registered Nurses’ Association of Ontario is urging Hoskins to ban medical tourism, aside from humanitarian cases, saying the practice promotes queue jumping.

But Hoskins says that’s not the case, and that international patient revenue could allow a hospital to open more hospital beds or hire more nurses.

The Ministry of Health and Long-Term Care is currently reviewing the practice to ensure that Ontario patients are coming first.

source: http://www.cp24.com / The Canadian Press / Wednesday – October 29th, 2014

Australia vying to be destination for medical tourism

Every year millions of people around the world travel overseas for medical treatment, including a growing number of Australians.

But now Australia is fast becoming a destination for the growing Asian middle class seeking the latest technology and high quality health care.

It’s a lucrative export market which both Australia’s hospitals and the Government are keen to exploit, but doctors warn the country’s medical facilities may not be able to cope.

Reporter: Kesha West

Speaker: Steve Hambleton, Australian Medical Association President; Professor John Catford , medical director at Epworth, Victoria’s largest private hospital group; David Davis, Victorian Health Minister; Lynne Pezzulo, Deloitte Access Economics

WEST: Over the last decade, Australians have been heading overseas in droves, to places like Thailand, India, South Korea and Malaysia for medical treatments.

It’s often cheaper… and patients can combine a holiday with plastic surgery or dental work.

But as Australians fly out, a growing number of medical tourists are flying in… from New Zealand, the United States and increasingly from Asia.

CATFORD: I think what we’re seeing in SE Asia/Asia is a burgeoning middle class, tens of millions of people actually for the first time having resources they can use to improve their well-being.

WEST: Professor John Catford is the medical director at Epworth, Victoria’s largest private hospital group.

At the moment it looks after around 600 international patients every year from over 30 different countries including the Pacific Rim, Singapore and Indonesia.

And it’s Australia’s high quality, hi-tec healthcare which is most in demand such as robotic surgery, IVF fertility treatments and cancer care…

WEST: It’s difficult to assess how many patients actual travel to Melbourne specifically for treatment, but Professor Catford believes the numbers are growing and the economic potential could be enormous.

CATFORD: If you think of international education how important that is to the Australian economy, in Vic its the number one export in Australia its the 3rd leading export, I think international health care could rival that in a decade or two.

WEST: In 2011 Australia’s Department of Resources, Energy and Tourism commissioned Deloitte Access Economics to conduct a study on Australia’s viability as destination for medical tourism.

Lynne Pezzulo was the lead author.

PEZZULO: We’ve got over ten thousand people coming to Australia for medical tourism, so it was 12,800 in fact in our estimates in 2011 there are though 5.5 million tourists a year in Australia so that only represents 0.23 percent of our total tourist base so clearly there would be a lot of work to do to expand that in to a really sizeable market.

WEST: The Victorian State Government, in particular, is keen to market Melbourne as a health care mecca.

Health Minister David Davis.

DAVIS: We see inbound tourism of that type as just one part of a broader health export strategy that the state is developing and that would include conferences and would include inbound research support and inbound investment.

WEST: Professor John Catford says red tape could obstruct those seeking to take advantage of Australia’s high quality healthcare…

CATFORD: We need a supportive government framework that actually encourages it and actually sorts out particular barriers or obstacles, a typical one would be visas so people can come in easily with their families support to receive medical care.

WEST: But Steve Hambleton, the President of the Australian Medical Association says it would be a mistake to grow the industry too quickly.

HAMBLETON: It is entirely appropriate that a first world country should be thinking about exporting expertise just like this but we have a problem here about training the next generation of doctors for our own domestic needs and when we have surplus capacity is when we should be looking overseas

WEST: While the growth of medical tourism in Australia would bring with it obvious financial benefits, for public hospitals the challenge will be ensuring that with that influx of wealthy international private patients there’d be no reduction in the level of service and quality of care available for local public patients.

The AMA says there’s also a risk that medical tourists could bring with them drug resistant “superbugs” prevalent in many Asian countries.

HAMBLETON: The reality is that if you like there its a good chance you will be carrying those multi-resistant organisms and when you go internationally you will take them with you. Now the problem occurs when you have surgery, major surgery, maybe a hip replacement or knee replacement and therefore you’re quite sick or quite stressed by that physically, that organism that you could be carrying with you could become invasive and if it does we won’t be able to treat it either and of course there’s a chance that organism will be left behind and we’ll actually see those multi-resistant organisms take up residence here too.

source: http://www.radioaustralia.net / Radio Australia / Home/Radio / Reporter: Kesha West / February 10th, 2014

Gallery

St. Luke’s hospitals get global awards for excellence

Manila, Philippines : A German-based healthcare accreditation organization has recognized St. Luke’s Medical Center (SLMC) as a world-class medical tourism destination, citing its Quezon City and Global City hospitals for their medical excellence, quality and top caliber services and facilities … Continue reading

Couple giving health tourism a good name

Fatemah Rajah and Sulleman Moreea, below.

Fatemah Rajah and Sulleman Moreea, below.

A medical couple from Yorkshire are dedicating any spare time they have when not saving lives in the county’s hospitals to helping others in developing countries. Catherine Scott meets them.

Most people with stressful jobs look forward to their annual holidays as a break from their daily routine, a chance to unwind and relax.

Not medical couple Drs Sulleman Moreea and Fatemah Rajah.

Instead of lying on a beach or touring Europe, these two dedicated doctors from West Park, Leeds spend the vast proportion of their annual leave helping others in developing countries,

Sulleman, a consultant at Bradford Royal Infirmary spends at least three-quarters of his annual leave either training doctors in his native Mauritius or helping to set up endoscopy units in St Lucia.

FathemahXCT01oct2013

Fatemah, a paediatric intensivist (a specialist in intensive care) with Sheffield Children’s Hospital’s EMBRACE team, spends her holidays volunteering for the International Child Heart Foundation. The foundation sends medics to different parts of the world to save lives and train people how to carry out heard surgery on children. Fatemah has been to Ecuador, Egypt and the Ukraine.

“It does mean we don’t see much of each other in the holidays,” says Sulleman. “What I do is nothing compared to what my wife does for charity.”

It was while on a rare holiday in St Lucia that Sulleman met a taxi driver who was to change his relationship with the island forever.

“It was a long journey and late at night as our plane had been delayed,” explains Sulleman.“I started asking him questions about the medical facilities in St Lucia.”

It turned out that the man was moonlighting as a taxi driver and he was in fact an IT consultant at a local hospital. Dr Moreea, a consultant gastroenterologist and hepatologist, learnt that St Jude’s Hospital, relied on both public money, private donations and the support of foreign doctors and nurses.

He requested a meeting with the medical director and chairman to ask what he could do to help. After being shown around the hospital, Sulleman was told it had no facilities for gastrointestinal endoscopy; the specialist medical equipment used to peer inside patients to examine and even treat diseases of the digestive tract.

He was already heavily involved in training doctors and developing endoscopy units in Mauritius after meeting the country’s Prime Minister a few years earlier.

“There are no medical schools in Mauritius and after my A-levels I got a scholarship to Leeds University where I have done all my studying, I love Yorkshire but I knew one day that I would give something back to my homeland,” says Sulleman.

He returns to Mauritius four times a year and has helped set up three endoscopy units, a fourth is planned, all in his own time and with his own money.

“When the Yorkshire Clinic was updating its endoscopy unit I asked if I could have the old equipment. When I went to Mauritius I realised they didn’t need the equipment but then I went to St Lucia and they did.”

He initially returned to St Lucia in August 2009, with £100,000 worth of equipment for St Jude’s Hospital, where he spent a week training doctors.

However, the entire unit burnt down ten days later in a fire which killed three staff. All medical equipment was lost.

“It was devastating,” he says.

Whilst preparations were being made for St Jude’s to be re-built, Dr Moreea sought donations from Pentax and Olympus, who donated equipment worth hundreds of thousands of pounds to the new unit whose plans are being overseen by his friend, Swiss architect, Oliver Zuber.

“This will ensure that the facilities are almost on a par with what we have in Bradford,” said Sulleman,who was then approached by Dr Lisa Charles, MD of the Victoria Hospital, in north St Lucia, who had heard about his work and invited him to set up a similar endoscopy unit there.

“This was the chance of a lifetime,” added Dr Moreea who has recently become a special adviser to St Lucia’s Chief Medical Officer and Minister for Health.

“To be able to bring new procedures to St Lucia from which patients would benefit was an offer I couldn’t refuse.

“My aim is to institute a culture of teaching, whereby people who have been trained will in turn pass on their knowledge to their juniors, as we do here in the UK.

“It is our duty as doctors to pass on knowledge and it does give you are great sense of satisfaction.

“It gives me enormous satisfaction to be able to help those less fortunate than us, here in the UK.”

A sentiment echoed by his wife: “Every time I come back to this country is makes me realise how lucky we are,” she says.

It was while training in Liverpool that Fatemah got involved with the International Child Heart Foundation.

“I had heard about a trip to Morocco with the Foundation and I really wanted to get involved.”

She now travels at least twice a year to a variety of different countries helping them establish children’s heart surgery programmes.

Without the teams work many of the children would not have survived.

Like her husband she doesn’t view what she does as exceptional.

“Someone has taken the time and money to train us to become doctors and it is our duty to pass on the knowledge we have learned to other, especially in countries less fortunate than our own,” she says.

“Working in these countries with less equipment makes me think on my feet and makes me a better doctor.”

Twitter@ypcscott

Foundation spreads care worldwide

In developing countries, congenital heart defects often go undiagnosed until the child begins turning blue and having difficulty eating.

A simple procedure performed by skilled surgeons could save many children. The challenge is to get skilled doctors to the children in time to save them.

The International Children’s Heart Foundation strives to correct this unfortunate situation by:

Providing direct care to as many children as possible in the short term,

Sending medications, surgical supplies and diagnostic equipment to medical facilities in developing countries;

Training surgeons and medical staff so they ultimately can provide care for their own people.

The foundation was founded 20 years ago by William M. Novick. As a trained and successful cardiac surgeon, he wanted to bring the resources and expertise of the developed world to the children in the developing nations. So he began to gather supplies and volunteers. In 1993, he made his first team trip to Zagreb, Croatia and operated on 13 children.

source: http://www.yorkshirepost.co.uk / Yorkshire Post / Home> Health & Family / September 26th, 2013

Phuket: Many tourism problems for Thailand to fix – Skal president

Pattaya :

Thailand has many tourism problems that need fixing, the Skål Thailand President, Andrew J Wood, said in a speech this week.

Andrew Wood, President of Skal Thailand.

Andrew Wood, President of Skal Thailand.

He warned that Thailand risks losing tourists to other destinations if it cannot improve its infrastructure. In particular, he warned that Malaysia will take away lucrative retirees because of its more welcoming attitude to them.

Speaking at an industry function in Pattaya, Mr Wood – who has been in Thailand for 22 years and is General Manager of Chaophya Park Hotel & Resorts – recalled a recent visit he made to China, which now provides the largest number of tourists to Thailand.

Much of what he said has direct implications for Phuket’s tourism industry.

“During my recent visit to Shanghai I was briefed by the tourism office that Thailand expects to welcome 6.09 million Chinese visitors in 2014.

“During a meeting in Bangkok with TAT Governor Suraphon Svetasreni I asked if this figure was a problem being such a high proportion of 28 million arrivals next year?

“Like me, he was worried about [having] too many eggs in one basket, and whether it was sustainable both statistically and environmentally.

“My personal observation … is that we need more infrastructure development … fast trains, efficient public transportation – buses, trams, bicycle lanes, subways.

“In Bangkok we have to bite the bullet and introduce car-free areas and charge for bringing private cars into the central business district. Reducing traffic in this area of the metropolis is essential if we are ever to tackle chronic congestion.

“It’s not just transport – [it’s] tourist safety too; at every touch-point it is vital; safe taxis; fire fighting equipment in hotels and guest houses; 3rd-party insurance for tourists and comprehensive hospital/medical care, especially in up-country locations.

“In addition [we should] eliminate double pricing; provide efficient high speed free WiFi; increase policing to control scams by jet-ski operators, jewellery shops, taxis, tuk-tuks and mafia controlled businesses.

“Malaysia has an excellent attitude to retirees including Malaysia My Second Home. MM2H is an initiative promoted and supported by the government to allow long stays with a multiple entry visa. The MM2H visa is initially for a period of 10 years and is renewable.

“Thailand could learn from this programme for visitors who wish to retire or semi-retire. MM2H allows applicants many benefits currently not available in Thailand. As a result Thailand is losing out to this lucrative niche.

“Tackling the shortage of tourism personnel has to be a national agenda item. The industry needs 10,000 hospitality graduates per year, however our universities and colleges are pumping out less than half of that.”

He saw one bright spot among all the criticisms: “We have seen medical tourism grow from almost nothing to an industry that adds millions of visitors per annum. Thailand will attract 2.4m foreign patients this year.

“According to a recent study by VISA, Thailand ranks number nine among the world’s top destinations for medical tourists. As long as Thailand continues to offer high-quality medical services at an affordable price, it is most likely that the title of ASEAN’s top medical tourism destination will go to the Land of Smiles.”

Source : http://www.thephuketnews.com/ The Phuket News / Home /  Saturday, July 20th, 2013