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THE PRINCIPLES OF MEDICAL TOURISM INDUSTRY –OUTBOUND – INBOUND- INTRABOUND / USA

THE PRINCIPLES OF MEDICAL TOURISM INDUSTRY –OUTBOUND – INBOUND- INTRABOUND / USA . DR.AYŞE TURAN MD, MA. FROM SPAS TO COGNITIVE COMPUTING. SUMERIAN POOLS ST.MORITZ DRINKING SPRINGS ASCLEPIUM AYURVEDA ROMAN BATHS JAPANESE SPAS MANSURI HOSPITAL VILLE D’EAUX

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THE PRINCIPLES OF MEDICAL TOURISM INDUSTRY –OUTBOUND – INBOUND- INTRABOUND / USA

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  1. THE PRINCIPLES OF MEDICAL TOURISM INDUSTRY –OUTBOUND – INBOUND- INTRABOUND / USA DR.AYŞE TURAN MD, MA

  2. FROM SPAS TO COGNITIVE COMPUTING SUMERIAN POOLS ST.MORITZ DRINKING SPRINGS ASCLEPIUM AYURVEDA ROMAN BATHS JAPANESE SPAS MANSURI HOSPITAL VILLE D’EAUX ********************** INDUSTRIALIZATION 1720 BATH ENGLAND TBC 1900-1997 ENGLAND-USA 1933 ABMS-TheAmerican Board of MedicalSpecialists-standards 1958 UEMS 1960 YOGA 1980-1990-dental/eye/cosmetic/heart

  3. 1997-2020 GLOBAL MEDICAL TOURISM ERA • 1997 JCA-I –SE ASIA & LATIN AMERICA • DENTISTRY AND COSMETIC SURGERY • PARTNERSHIPS WITH THE US BASED HEALTH PROVIDERS • BABY BOOMERS- OUTSOURCING-NONEMERGENY PROCEDURES

  4. TRANSATLANTIC STORY OF AN ARTIFICIAL HIP • 112,317 dollar / 13,660 dollar • Intermediaries • St.Rembert’sBelgium • 1000 USA orthopedists-200 milliondollars-2007 311 millionsettlement • 2020-2030 ---144 billiondollarsjointreplacement --- USA 1/6 militarybudget

  5. USA MEDICAL TOURISM GUIDELINESAMA- OUTBOUND • Voluntary • Diagnosticandtherapeuticalternatives • RecognizedİnternationalAccrediting • Follow –upcare • Travel costsincluded • Patientsrightsand legal recourse • Doctorslicensingandoutcomes data • Facilityaccreditationandoutcomes data • HIPAA Guidelinesforpatient data transfer • Surgicalprocedures / travel/ vacationrisks

  6. INTRABOUND & INBOUND MEDICAL TOURISM STANDARDS / USA - 1 • Doctorsrecommendation • ----------------------------------- • AHA AmericanHospitalAssociation • AnnualSurvey- reputationalsurvey of physicians • IHQ Index of HospitalQuality-hard data • Structure X Process X Outcomes

  7. STRUCTURE • Resourcesforpatientcare: • nurse/bed • Technology • Patientservices • Recognizeddesignation : NurseMagnet /NationalInstitute/Center of Excellence /ReferenceCenter • Dischargenumber – inpatient data

  8. PROCESS • Delivery of Care • ----------------------------------------- • Patientsafetyqualityindicators • Reputationsurvey • Diagnosis-treatment-prevention-patienteducation

  9. OUTCOMES • STRUCTURE-PROCESS:OUTCOMES • --------------------------------------------- • Mortality rate • Risk adjustment • Complexity of cases-severity of illness • Readmissions • Patientsafety • Infectionrates

  10. INDEX OF HOSPITAL QUALITY • ELIGIBILITY • 1- TeachingHospital-OR-MedicalSchoolAffiliation –OR-200 beds set upandstaffed-OR at least 100 bedsand 4/8 keytechnologies • 2-Minimum severity of illnesscomplexcareexperiencetreatingdischargevolume

  11. EXAMPLE TECHNOLOGIES • -Ablation of Barret’sesophagus • -Cardiacintensivecareunit • -Computerassistedorthopedicsurgery • -DiagnosticRadioisotopeservices • -ERCP • -EndoscopicUltrasound • -FullFieldDigitalMammography • -Imageguidedradiationtherapy • -CT • -PET/CT • -Roboticsurgery • -ShapedbeamRadiation • -SinglePhotonemission CT • -Stereotacticradiosurgery • -Transplantservices

  12. PATIENT SERVICES • Alzheimer’scenter • Arthritistreatmentcenter • Cardiacrehabilitation • Fertilityclinic • Genetictesting /counseling • Hospice • Infectionisolationroom • Painmanagement program • Palliativecare • Patientcontrolledanalgesia • Psychiatricgeriatric service • Translators • WoundManagementservices

  13. METHODOLOGY • MULTIDISCIPLINARY • INTERDISCIPLINARY • TRANS DICIPLINARY

  14. SAĞLIK BAKANLIĞISAĞLIK TURİZMİ DAİRESİ BAŞKANLIĞI

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