Tag Archives: medical care

Vetting your Doctor

The term medical tourism is a bit of a misnomer as it downplays the serious nature of choosing a doctor – whether in your home country or abroad. The questions below, while not exhaustive, give you some guidance on choosing your doctor wisely.

What are your academic credentials?

Look for specialized training in the chosen field, such as plastic surgery / cosmetic surgery, bariatrics, orthopedics, fertility training, prosthodontics, etc. Many doctors have international training in the US and Europe and may be American-board certified which helps to put US patients at ease. High-quality doctors collaborate internationally and regionally so also, think twice before underestimating a surgeon if they have graduated from a reputable medical school overseas. If you’re not sure – ask MedVoy!

Are you accredited?

International accreditation for providers include: Joint Commission International JCI, Trent Accreditation Scheme (TAS) and International Organization for Standardization (ISO), while the International Board of Medicine and Surgery (IBMS) certifies physicians. Furthermore, many countries also have stringent national standards that follow international guidelines. One example is Colombia, where hospitals follow international non-profit ICONTEC standards that are identical to ISQua standards. Hence, all accredited hospitals in Colombia are subsequently accredited by ISQua. Malaysia also has the Malaysian Society for Quality in Health (MSQH) that acts as an independent, not-for-profit organization to ensure safety and quality.

How many of these surgeries have you performed?

Experience is one of the most important elements towards a successful outcome. Whether the doctor performs the surgery every day or a few times a year is significant! Do they specialize in a certain area? A cosmetic surgeon such as MedVoy’s partner Denver Cosmetic Surgery that specializes in the aging face is going to give you a better outcome than a dilettante. Find out how many of these surgeries the doctors has performed. Also, make sure that the actual surgeon will be performing the surgery and not a subordinate.

What materials do you use?

There is a wide range in quality in the materials used – so ask! Are they from a reputable company like Johnson and Johnson or Boston Scientific? Do they provide a guaranty? MedVoy’s partner Travel and Smile in Peru will uses German-made noble metal crowns and that are the standard in the US and Germany and gives a lifetime guarantee on quality. Make sure that you know this before you are actually there.

This list does not cover all the questions which is why it’s important to work with a well-established medical tourism company.

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Medical Spa MD Interview with MedVoy Cofounder, CMO, President

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MedVoy’s Chief Medical Officer, Cofounder and President, Dr. Arlen Meyers, was recently interviewed by Medical Spa MD.

In this interview, Dr. Meyers defines medical tourism as “leaving home for care. It can be inbound, (someone from Mexico coming to the US), outbound (leaving the home country to go to another country) or domestic. There are local, regional, national and international medical tourism clusters developing throughout the United States and around the world.

It is estimated that global medical tourism is a $100B global industry expected to grow significantly over the next few years. While no one can know for certain the effects of the recent US healthcare reform bill, rising costs, lack of supply of physicians and the demand for technologies and treatments continue to expand and fuel the growth of the industry.

The most common procedures sought by patients considering medical tourism are cosmetic surgery and dentistry, bariatric surgery, IVF and short stay procedures in urology, orthopedics, ENT and ophthalmology. That said, because of the onerous costs of some procedures in the US, patients are seeking life-saving cardiac surgery in India, proton beam irradiation in South Korea and living donor liver transplants in Asia.

The entire interview may be found here.

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Medical tourism redefines continuity of care

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Continuity of care traditionally means a physician follows a patient throughout the course of their epidode of illness. For example, when someone presents to a surgeon for a possible operation, the surgeon does a preoperative evaluation, performs the procedure if necessary, and the sees the patient in follow up to be sure there are no complications or requirements for further care. Medical tourism is forcing a change in the paradigm.

First, patients no longer expect their doctors to do the surgery when they are looking for another treatment option away from home. The new model proposes that the home doctor assist the patient with finding the best place for care at the most reasonable cost and assist with preoperative assessment, records transfer or communcation with the operating surgeon. Likewise, after surgery, the patient will expect their doctor to help with any postoperative complications or needs for further treatment.

Second, continuity of care may be an obsolete model that needs to be replaced with connectedness of care. The one-on-one face-to-face doctor appointment is an unsustainable business model given the changes in healthcare financing and systems. Medical tourism events will be just one of many possible points of care that need to be integrated into a patient health record or healthcare information exchange. The impact will be a need to reassess how we train doctors, how we define the doctor-patient relationship and its responsibilities, and how we reimburse providers for patient encounters using other than face-to-face appointments and visits.

Medical tourism will continue to challenge our traditional notion of how we deliver and pay for care. Some will ignore the changes and fade away, others will adapt and thrive.

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Center for Disease Control’s 2010 travel health guide includes medical tourism

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The Center for Disease Control’s (CDC) 2010 travel health guide has a much-expanded section on medical tourism — the practice of going abroad for your medical care. U.S. citizens going overseas for medical or dental procedures often cite lower costs as their primary motivator.

The CDC updates its Health Information for International Travel (also called the “Yellow Book”) every two years. The latest edition discusses the pros and cons of medical tourism, and explains why the practice is on the rise.

“In recent years, standards have been rising in other parts of the world even faster than prices have surged in the U.S. Many physicians abroad trained in the U.S. and the Joint Commission International (JCI) applies strict standards to accreditation of offshore facilities. Those facilities use the same implants, supplies, and drugs as their U.S. counterparts. However, a heart bypass in Thailand costs $11,000 compared to as much as $130,000 in the U.S. Spinal fusion surgery in India at $5,500 compares to over $60,000 in the U.S.”

The CDC guide quotes the American Medical Associations tip for planning a surgery abroad:

–Patients should check to see if the medical facilities abroad have been accredited by recognized international accrediting bodies such as the Joint Commission International or the International Society for Quality in Health Care.

– Prior to travel, arrange local follow-up care to ensure continuity of care when you return from medical care outside the US

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Traveling with the Patient: The surrogate's role in medical tourism

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Research indicates that 95% of patients traveling out of their country for medical care go with a friend, family member or escort. Unfortunately, like those who have to care for chronically ill family members and are under a great deal of stress as a result, most of the attention goes to the patient at the expense of the care-giver. If you decide to accompany someone traveling for care, here are three things to consider to make your job easier.

1. One of your roles will be to serve as the “eyes and ears” of the patient when they interact with healthcare professionals. Because of the anxiety surrounding the trip, patients don’t always listen or understand what they are being told and have a hard time remembering instructions. Accompany the patient to visits, listen to what is being said, record the information and discuss it. Serve as another patient advocate, asking questions or requesting clarification of details of care.

2. Be sure you understand your role as a surrogate medical decison maker should it be necessary. If you have not been given power of attorney to make medical decisions for the patient, be sure you have the contact information of the person who does.

3. Be sure you get the schedule and intinerary for the trip sufficiently ahead of time to confirm appointments, make reservations and develop contingency plans should you need to make alternative arrangements because of unforseen circumstances like flight cancellations, delays or delays at the consulting facility.

There are several options for those traveling overseas for care who want someone to accompany them. Levels of expertise range from friends and family to licensed traveling nursing professionals to patient advocates. Your research and planning for your trip should include who will go with you and what they should do.

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