Category Archives: Travelling For Surgery Abroad / Medical Surgery Overseas

Invest in health tourism

Dr Clarence McGaw of the Faculty of Medical Sciences at the University Hospital of the West Indies and consultant anaesthetist attached to the Tony Thwaites Wing.

Dr Clarence McGaw of the Faculty of Medical Sciences at the University Hospital of the West Indies and consultant anaesthetist attached to the Tony Thwaites Wing.

CONSULTANTS attached to the Tony Thwaites Wing of the University Hospital system have called for greater attention to the development of health tourism as a way to solve several of the island’s productivity issues. Drs Joesph Blidgen and Clarence McGaw believe that the first-world standard of care by surgeons in Jamaica coupled with private sector partnership can create a subsector to the tourism industry that would earn increased foreign exchange for the country and retain the best and brightest medical minds.

Dr Blidgen, one of only three cardiothoracic surgeons in the country, asserted that the level of care offered for major medical surgery in Jamaica is on par with that of North America at 15 per cent of the cost.

“Let me explain, the cost of major heart surgery in North America is approximately US$100,000,” said Dr Blidgen. “Here in Jamaica, with the same quality of surgical care and access to amenities, the cost is US$15,000.

“What does that mean? It means that Jamaicans abroad and tourists can come here and have their surgery. Our visitors can have a relaxing environment to recuperate. For our fellow Jamaicans, they can be in the company of their family while they are in recovery. It is a win-win for all.”

Dr McGaw, senior lecturer at the Faculty of Medical Sciences, notes that in addition to attracting tourists and the Diaspora, residents of the country can also benefit from the development of health tourism.

“At this point in time there are Jamaicans who are going overseas for certain kinds of surgery. So when you talk about health tourism, I am thinking first of retaining Jamaicans who would go abroad, so they don’t have to use up valuable foreign exchange,” Dr McGaw said.

Dr McGaw admitted though that there would be advanced medical treatment that would at times require a trip abroad, such as bone marrow transplant or liver transplant. However, “there (are) many procedures that people go overseas for that they shouldn’t have to, so we could save them from that”.

The private wing of the University Hospital system, known as the Tony Thwaites Wing, is said to be modelled to the concierge hospital model that characterises the main feature of health tourism. Dr Blidgen, however, noted that greater private sector involvement can improve the model that currently exists.

He stated: “What we have had in Jamaica is doctors with medical training go into management. However, for the health tourism industry to grow in this country, we need managers with private sector experience to get involved and lead the way to develop the sector into a viable business sector.”

“In my experience at Tony Thwaites, we have had patients there from the Cayman Islands, Belize, Turks and Caicos Islands, and other Caribbean countries, as well as the Diaspora,” said Dr McGaww. “We need to build on that and make it more of an established, rather than a few trickling of patients; we need a flood.”

source: http://www.jamaicaobserver.com / Jamaica Observer / Home> News / Sunday – September 21st, 2014

Medical travel aids Lufthansa in resuscitating bottom line

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New York : 

When an airline executive proudly announces, “It’s better to get a heart attack on Lufthansa than any other place,” you know right away she has a different perspective and isn’t ready to dismiss the profit-making potential of the airline’s medical and health division.

While sun and fun is nice and business travel is rebounding from the global economic downturn, medical tourism is growing by 15-20 percent a year according to PatientsBeyondBorders.com.

Stefanie del Signore, manager of Lufthansa’s leisure, medical and health division knows that better than most. She spends her time traveling the world, demonstrating a menu of health-related special services offered by the German carrier. From 18 different ingredient-restricted meals and supplemental oxygen to larger seats and flexible tickets for people traveling to or from medical treatments, del Signore is touting medical companions, physician services, a stretcher in a curtained off area or even a full and private onboard ICU.

You read that right. With 48 hours notice and for between 32,000 to 68,000 euros, Lufthansa can install what it calls its Patient Transport Compartment (PTC) in the center of some of its widebody Boeing 747-400s and Airbus A340s. Here, ill or recuperating travelers, their doctor and a medically trained escort have the equivalent of an intensive care unit for the duration of the flight.

“Lufthansa is the only airline offering this service, it’s like a hospital in the air,” del Signore, said of the PTC which is complete with high tech gadgets and monitors. Developed by Lufthansa Technik, the unit and seating meets regulatory crashworthiness standards even with a traveler in a lie-flat position and unconscious.

“The bulk of our business is coming from Arabic and Russian countries,” del Signore told me. Still, of all the medical products Lufthansa offers, the PTC is the least used. More common is the stretcher that can be ordered with 48 hours advance notice, and is placed in an area of about 8 seats in the back of the economy section. One need not be rich or suffering from some exotic illness to need it. In fact, a number of elderly cruise customers having injured themselves at sea have paid about 18,000 euros to fly prone from Miami to Frankfurt.

“Sometimes people do risky sports outside during holidays, para gliders, motorcycles and they have serious accidents,” said Dr. Raoul Breitkreutz, the airline’s Medical Director. Lufthansa used the stretchers to evacuate 3,600 Germans in need of medical care following a tsunami in December 2004, an operation that took four days and one that Dr. Breitkreutz called the most difficult of his career at the airline.

Most of Lufthansa’s customers are taking advantage of the less sophisticated medical paraphernalia, including a 24-hour call center staffed by medical professionals, oxygen on board and access for people with limited mental or physical abilities. But it is the Technik-designed specialized stretcher and flying ICU that took millions of dollars in development money that show great promise. Dr. Breitkreutz points out that because big airliners can fly long distances without refueling, flying a patient on an airliner is a faster alternative to transport by private jet.

Several of the PTCs have been sold to the US military, 12 are on Army Lockheed C-130 Hercules aircraft, Dr. Breitkreutz said. A few have been installed on the airplanes of private citizens in the Middle East.

There are rumors that both Gulf carriers, Etihad and Emirates have been working on their own version though neither airline responded to questions on this subject.

“This is the heart of our medical product because we are the only airline that shows to the public we are really unique and we really care,” del Signore told me enthusiastically at the end of a meeting explaining it all to slack-jawed reporters. Here is where, from del Signore’s perspective, medical travel can do its part to resuscitate Lufthansa’s bottom line.

source: http://www.runawaygirlnetwork.com / RunAwaygirlNetwork / Home / by Christine Negroni / New York

Dubai: Come for the seven-star hotel, stay for a nose job

Dubai :

Most tourists flock to Dubai for its man-made islands and the world’s tallest building. But Marina Ivanova went to the desert city for liposuction.

The Moscow resident had looked for a place that would suit both her medical and vacation needs. While access to top-notch surgeons was key, just as important were the golf courses and spa centers during her monthlong getaway.

“I had always wanted to come spend some time in Dubai, so I thought, ‘Why not combine the trip?’” said Ivanova, who works in the logistics department of a glass manufacturing company. “I heard that cosmetic surgeries here are quite well-known.”

Already one of world’s 10 most visited cities, Dubai is counting on more people like Ivanova to mix their holidays with high-end treatments for a luxurious form of medical tourism, rivaling Thailand and India. Now, it’s trying to attract 500,000 such visitors, adding 2.6 billion dirhams ($708 million) to its economy by 2020, according to a Dubai Health Authority plan announced this year.

Clinics like the American Academy of Cosmetic Surgery Hospital are helping. The marble-floored lobby is adorned with sculptures of Greek gods and gold-enameled vases. Saudis sit beside Europeans on a purple velvet couch under a matching chandelier as they wait for nose jobs or breast implants. A private elevator carries celebrities and Arab royalty to a VIP suite as Rolls Royces and Ferraris line the parking lot outside.

For centuries, people have traveled to hot springs and seaside resorts in search of better health. In the 1990s and early 2000s, as rising global trade and tourism converged with the ballooning costs for medical care in developed countries, emerging markets such as India and Thailand set out to recruit patients by providing cheaper care at internationally accredited hospitals.

Among the challenges Dubai may face as it seeks to capture a share of an industry worth more than $30 billion, is that it’s too expensive to compete on cost with destinations like India, and isn’t highly regarded enough to compete on quality with the U.S. and Europe, according to Josef Woodman, chief executive officer of Patients Beyond Borders, which publishes books on medical tourism. What the desert city does have is a reputation for luxury, and it’s using that to carve out a niche in the medical tourism market.

Lacking the oil and gas of neighboring Abu Dhabi, Dubai racked up $129 billion of debt transforming itself into a tourist destination and the Middle East base for banks such as HSBC Holdings Plc and Deutsche Bank AG.

“Tourists already come to Dubai for shopping, sight-seeing and luxury,” said Raja Easa al Gurg, deputy chairperson of the board of directors at Dubai Healthcare City, a sprawling 4 million square-foot health care zone that’s home to two hospitals, and 120 outpatient medical centers and diagnostic laboratories. “We need to scale up our health care industry anyway, as millions of people flood our city and Dubai becomes a major financial hub.”

Such efforts over the past decade have met setbacks and disappointments. The transformation of the local medical system came to a halt in 2009 after Abu Dhabi was forced to bail out its neighbor to prevent a default. When the debt crisis froze investments, Harvard University and the Mayo Clinic, who had been brought in to help upgrade Dubai’s medical system, quietly packed up and left the health care zone.

In 2011, Princess Haya Bint al-Hussein, one of Dubai Sheikh Mohammed bin Rashid al-Maktoum’s wives, was appointed to restructure the hub. She hired a new CEO and a new strategy was laid out, including a renewed effort to boost medical tourism, with a focus on elective surgeries such as aesthetic procedures. The approach spurned what had been an emphasis on real-estate leases and instead focused on establishing centers of excellence in areas such as cardiology and oncology.

“It started as a real estate venture,” Woodman said. “Building came up and there were lease agreements. What they didn’t have was a training infrastructure for doctors. Expertise just doesn’t spring up out of the desert. It takes generations.”

The government is now focusing on branding Dubai as a health care hub through advertisements as well as partnerships with medical tourism facilitators, who will package deals for visitors, said Laila al-Jassmi, who until last year headed the Dubai Health Authority’s Health Policy and Strategy Sector.

Clinics such as the American Academy of Cosmetic Surgery Hospital have promoted their services directly to residents of eastern European and Gulf countries, the main markets Dubai is seeking to target.

“ Dubai is an 8-hour flying time from two-thirds of the world’s population and has earned a growing reputation as a leading global gateway and hub for trade, logistics and tourism,” Sheikh Ahmad bin Saeed al-Maktoum, who chairs the boards of some of Dubai’s biggest companies, said in a Dubai Healthcare City commercial aired on CNN. “Now we are focused on earning a reputation for excellence in health care.”

Dubai Healthcare City representatives say its focus on elective surgeries and a plan to build a wellness center will create a niche market. It’s still working to improve its care in areas such as oncology and cardiology to keep locals from going abroad for more complicated procedures. Demand for such services is rising with the rate of obesity among a population that craves fast food and gives short shrift to exercise.

While Dubai introduced universal health care this year, large gaps exist between state-provided health care and private care, according to Alpen Capital, an investment bank focused in the Gulf and Asia.

More than 30 percent of the emirates population still prefers going abroad for care, a legacy of a time when the health care industry was practically nonexistent.

“I know stories of patients going abroad for infertility treatment for a full year,” said David Hadley, chief executive officer at Mediclinic Middle East, Dubai’s largest private health care company with two hospitals and eight clinics. “The infertility centers are fantastic here, but there are still misperceptions.”

Dubai’s economy is recovering and growth may reach 4.7 percent this year, the fastest pace since 2007, according to Mohamed Lahouel, chief economist for the Dubai Department of Economic Development. That’s led foreign health care institutions to plant their seeds back in the UAE.

Moorfields Eye Hospital, the 209-year-old London clinic, opened its first branch in Dubai in 2006 and has plans for another branch in Abu Dhabi. The hospital, which gets as many as 15 percent of its patients from abroad, is betting that wealthy Gulf residents, who for decades have flocked to Europe and the U.S. for medical treatment, will increasingly stay in the region for medical care, said Mariano Gonzalez, managing director of the Moorfields UAE division.

source: http://www.dailystar.com.lb / The Daily Star, Lebanon / Home> News> Regional / by Daniel Wainer, Bloomberg / September 26th, 2014

Dubai, The World’s Hospital?

The UAE’s amended visa policy is a step forward in Dubai’s goal of attracting 500,000 medical tourists per year by 2020.

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The UAE recently announced an amended visa policy with new options specifically introduced for medical tourists. Under the new rules, a medical treatment visa costs Dhs550, with a multiple entry visa priced at Dhs1,400 and a visa for a patient’s escort also priced at Dhs1,400.

The move is part of the UAE’s and specifically Dubai’s strategy of becoming a medical tourism hub within the next few years. The emirate aims to attract up to 500,000 people per year for medical tourism by 2020, with a goal of the sector contributing Dhs2.6 billion to its GDP by then.

The introduction of the new visas is a positive step towards the fulfillment of the target set for 2020, according to Sandeep Sinha, VP, Healthcare Practice, Middle East, North Africa and South Asia, Frost & Sullivan.

The visas will also help in measuring the number of medical tourists entering the UAE (from countries that require visas), which in turn can help support future planning and improvement in the emirate’s medical tourism offerings, added Dr. Fatma Al Sharaf, Strategy and Partner Development manager at Dubai Healthcare City (DHCC).

However, Nikhil Idnani, principal with Strategy&, formerly Booz & Company, opined that the move would not necessarily provide a major boost to medical tourism. “It will not be a big driver as it is fairly easy to obtain a UAE visa already,” he said.

“Those who can afford to travel to UAE for medical reasons, would anyhow be able to get a visit/ tourist visa to Dubai relatively easily.”

What is required is a combined effort from all the stakeholders – including the healthcare sector, the tourism industry and government officials to ensure that patients have a hassle-free experience, according to experts.

“A combination of efforts from healthcare and other sectors will generate the required amount of push to achieve the targets,” said Sinha.

A wider strategy is already in place – Dubai Health Authority (DHA) officials have confirmed that emirate’s first medical tourism package for overseas patients, which will cover treatment costs, visa, accommodation and recreational activities for families who accompany the patient, will be launched later this year.

Hospitals that wish to participate will be evaluated and will need to pass stringent verification measures.

Essa Al Maidoor, director-general of the DHA, said: “Dubai is the world’s leading destination for tourism and leisure and since it offers excellent health-care facilities, medical tourism is an extension of the hospitality that Dubai is synonymous with.

“Ensuring that all players work hand-in-hand with us and are aligned with the overall medical tourism strategy will ensure smooth functioning of a dynastic health sector and will benefit both medical tourists as well as the health-care providers,” he said.

The DHA plans to build 22 hospitals including 18 private and four public hospitals in the next few years to support the high volumes of medical tourists.

“These initiatives are more focussed on enhancing the private sector infrastructure, with the number of private-sector healthcare staff expected to increase by more than 3,800,” said Sinha.

The authority will also be launching a dedicated website for medical tourism later this year.

WHY IT COULD WORK

According to a survey conducted by DHCC, 80 per cent of medical tourists come to Dubai for quality of care, 61 per cent said it is for the city’s experienced physicians, while 48 per cent highlighted the availability of specialist treatments.

The emirate benefits from accessibility to healthcare with shorter waiting times, safety and security, tourist attractions, state-of-the-art infrastructure and a robust hospitality industry, said Dr. Al Sharaf.

Another huge advantage is the UAE’s strategic location between the east and the west, which can also play a big role in helping the country compete with traditionally strong medical tourism markets across the world, including cheaper destinations in Asia, such as Thailand and Singapore.

“The country’s location is an advantage compared to Asian countries that are further away from Europe and hence European/ UK tourists would have to travel quite some distance to Asia for medical tourism,” said Idnani.

“Additionally, the marketing done by the UAE on positioning itself as a medical tourism hub, is also helping this cause,” he added.

In terms of costs, even if a location like Dubai is more expensive, it stands out in terms of its brand, supplementary attractions and relatively shorter commuting times from its main markets, added Sinha.

The numbers also seem to substantiate these facts – DHCC, which had up to one million patients in 2013, claims up to 15 per cent of its patients are medical tourists. It has catered to people from the GCC countries, Libya, Iraq, Iran, Nigeria, Tunisia and Djibouti, confirmed Dr. Al Sharaf.

BIGGEST HURDLES

One of the main challenges in the region is to reverse the outbound medical tourism trend, and provide specialised services in line with the required capacity and the prevalence of lifestyle diseases, experts suggest.

“Currently the UAE lacks many highly specialised facilities, i.e. those providing the highest levels of care (quaternary care) – things like brain surgery, robotic heart surgery, specialised oncology surgery, etc,” explained Idnani.

“Although the volume for such cases is small, and given the low population of the UAE, such specialised services can only be sustainable if patients are attracted from abroad. So it is a chicken and egg story,” he added.

The UAE, which is new to the industry in comparison to countries with older, developed health systems, requires a more focused approach to promote its available services, stated Dr. Al Sharaf.

“With inbound medical tourism strengthening in the UAE, patients increasingly seek quality assurance. One way to build this assurance is through international medical tourism accreditation organisations.”

She also highlighted that industry problems such as patient education and awareness of services, quality, licensing and patient rights. “Another challenge is the spectrum of care after a patient leaves the destination to his home country,” she said.

“When healthcare is no longer confined by geographical borders, challenges of policy and regulation are at the forefront. Factors of accreditation, medical visas, and follow-up care, among others are all crucial,” she added.

source: http://www.gulfbusiness.com / Gulf Business / Home> Analysis> Dubai> Healthcare> Insights / by Aarti Nagaraj / September 20th, 2014

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