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Dr Tim Papadopoulos
Plastic & Cosmetic Surgeon
President ASAPS
MEDICAL TOURISM SUMMIT
20-21 November 2014, Melbourne
DOES
...
Dr Tim Papadopoulos
Plastic & Cosmetic Surgeon
President ASAPS
MEDICAL TOURISM SUMMIT
20-21 November 2014, Melbourne
DOES
...
HELL YEAH!
Medical tourism is complex…
and confusing.
DJKSLNZJSSSJKEOEADNFHR
OM184646483022EGNDLWY
Z6304NFLK72BSIWBT30567
QLHEBH093B78193GRK3740
EJZJDLEJEV98734NHHJDLO
LE9SN339...
It’s cross border. It’s regional. Rarely global.
15,000 AUSTRALIANS PER YEARTRAVEL ABROAD FOR COSMETIC SURGERY
Meredith Jones UTS 2013
YEAH, THAT’S A
$300 MILLION INDUSTRY!
Meredith Jones UTS 2013
15,000 AUSTRALIANS PER YEARTRAVEL ABROAD FOR COSMETIC SURGERY
YEAH, THAT’S A
$300 MILLION INDUSTRY!
Meredith Jones UTS 2013
15,000 AUSTRALIANS PER YEARTRAVEL ABROAD FOR COSMETIC SURGER...
and yes its a headache
for us back home.
and yes its a headache
for us back home.
Seriously!
Is it the health-care
providers (me) that
are the problem?
or is it our health-care
system that sucks?
Need to learn the ‘good, the bad and ugly’
from the medical tourism industry…
and its social, economic and
political impact on society.
1.
Why is this
happening
& what can we
do about it…
QUESTIONS
WE NEED
TO ASK
OURSELVES
7
WHY
TRAVEL
ABROAD?
1
It’s not only about cost.
It’s not only about cost.
It’s about access,
quality, service and…
for the diaspora or ‘expats’
it’s familiarity.
Yes, there are other reasons too…
Yes, there are other reasons too…
Lower transport costs, trade liberalisation,
reduced language barriers etc. etc. etc.
WHO
TRAVELS?
2
Medical tourism suggests
pleasure and relaxation…
DR FOAD NAHAI
PAST PRESIDENT ISAPS
“MEDICALPROCEDURESABROAD”
Erik Cohen 2008
TYPES OF MEDICAL TOURISTS
MEDICATED
TOURIST
Erik Cohen 2008
MEDICATED
TOURIST
MEDICAL
TOURIST
PROPER
E Cohen 2008
MEDICATED
TOURIST
MEDICAL
TOURIST
PROPER
VACATIONING
PATIENT
E Cohen 2008
MEDICATED
TOURIST
MEDICAL
TOURIST
PROPER
VACATIONING
PATIENT
MERE
PATIENT
E Cohen 2008
MEDICATED
TOURIST
MEDICAL
TOURIST
PROPER
VACATIONING
PATIENT
MERE
PATIENT
DIASPORA
OR ‘EXPAT’
TOURIST
E Cohen 2008
MEDICATED
TOURIST
MEDICAL
TOURIST
PROPER
VACATIONING
PATIENT
MERE
PATIENT
DIASPORA
OR ‘EXPAT’
TOURIST
E Cohen 2008
MAJORIT...
WHICH
DESTINATIONS?
3
No systematic collection of data to indicate the global size of
the market, and estimations are wide and varied.
No country has a monopoly on the ‘best
health-care providers’ and ‘top medical
facilities’ in the world.
PHILIPPINESTHAILAND
MALAYSIA
SINGAPORE
STH KOREA
INDIA
OUTBOUND MEDICAL
TOURISTS 2011
Deloitte Access Economics 2011
PHILIPPINESTHAILAND
MALAYSIA
SINGAPORE
STH KOREA
INDIA
OUTBOUND MEDICAL
TOURISTS 2011
Deloitte Access Economics 2011
REASONS
FOR
COSMETIC
SURGERY?
4
MAINLY 4…
1. CORRECT
Nature “missed a beat”
1. CORRECT
Nature “missed a beat”
2. REPAIR
Nature “took a toll”
1. CORRECT
Nature “missed a beat”
2. REPAIR
Nature “took a toll”
3. ENHANCE
Nature “didn’t match desires”
1. CORRECT
Nature “missed a beat”
2. REPAIR
Nature “took a toll”
3. ENHANCE
Nature “didn’t match desires”
4. INVESTMENT
Ca...
6
ANY
REGULATIONS?
Government agencies can only
regulate businesses in own country.
Medical tourism companies subject
to little oversight.
Medical tourism companies subject
to little oversight.
Not obliged to undergo accreditation.
‘REGULATORY
VACUUM’
They must conform to legal standards.
SOME STANDARDS
FOR CONSIDERATION
Leigh G Turner UM 2011
1. Accreditation review.
Leigh G Turner UM 2011
1. Accreditation review.
2. International accreditation of
destination facilities.
Leigh G Turner UM 2011
1. Accreditation review.
2. International accreditation of
destination facilities.
3. Informed patient consent.
Leigh G Tu...
1. Accreditation review.
2. International accreditation of
destination facilities.
3. Informed patient consent.
4. Continu...
1. Accreditation review MTC.
2. International accreditation of
destination facilities.
3. Informed patient consent.
4. Con...
1. Accreditation review MTC.
2. International accreditation of
destination facilities.
3. Informed patient consent.
4. Con...
WAIT, THERE’S MORE!
7. Professional standard of care
and health services eligible
for marketing.
Leigh G Turner UM 2011
7. Professional standard of care
and health services eligible
for marketing.
8. Training and certification.
Leigh G Turner ...
7. Professional standard of care
and health services eligible
for marketing.
8. Training and certification.
9. Medical trav...
7. Professional standard of care
and health services eligible
for marketing.
8. Training and certification.
9. Medical trav...
7
WHAT ABOUT
COMMERCIALISED
MEDICINE?
‘PANDORA’S BOX’
‘EARLY TO BED,
EARLY TO RISE,
WORK LIKE HELL
AND ADVERTISE’
B J Palmer Selling Yourself 1926
Commercialisation of cosmetic surgery
threatens our efforts to convince the public
that medicine is not a commodity or a t...
Advertising and PR boost demand for cosmetic surgery.
Appeals to dominant cultural values of youth, beauty,
sexuality, sta...
It emphasises positive outcomes and
downplays the pain and risks of medical
intervention.
Claims of expertise, ease, safety and desirable outcomes
are occasionally exaggerated to the point of
misrepresentation to...
This raises ethical questions about the exploitation of
vulnerable patients by those who have the fiduciary
responsibility ...
PROBLEMS WITH COMMERCIAL,
FREE-MARKET DELIVERY SYSTEM.
1. Deregulation of marketing has made cosmetic surgery a
lucrative ...
It leads to certain challenges…
SERVICE ETHIC
CHALLENGED
Unlike a commercial trade, medicine
has a service ethic that prohibits the
exploitation of patients for profit.
Unlike a commercial trade, medicine
has a service ethic that prohibits the
exploitation of patients for profit.
The foundat...
AUTHORITY
CHALLENGED
Media give a public voice to patients who question
their personal doctor’s competence and ethics.
AUTONOMY
CHALLENGED
Doctors’ autonomy rests on their
experience and their fiduciary
relationship with patients, a
relationship that is strained...
‘Knowing when to stop in
surgery is a hard lesson to
learn. Knowing when to
begin may be even
harder.’
2.
Addressing
some risks
Patient Safety
Patient Safety
Patients are more savvy.
Providers paid for selling services &
procedures, not necessarily improve health.
...
Should problems arise, there may be few
if any legal remedies to address them.
Threat to Public
Health Systems
Cosmetic surgery holidays revealed
a shocking 16.5% complication rate
with nearly 1 in 10 (9%) patients
needing assistance...
Public health system stretched even further.
Price increase in both
public & private sectors.
Cross-Border
Spread of Diseases
Singapore’s 1st case of drug resistant
TB (XDR-TB) arrived from Indonesia.
Ebola alert in Queensland with several patients...
CRICKEY!
3.
Story of medical
tourism…
VICTIM
Patient
Patient
Sold hope for happiness.
Poor outcomes downplayed.
Little recourse if something
goes wrong.
Doctor
Opposed deregulated restrictions
on marketing professional services.
Most practice responsibly.
Few corrupted by pr...
VILLAIN
Appearance
Appearance
Stereotypic expectations
& different treatment.
Diminish less attractive people’s
opportunities & contribution ...
Commercialisation
of medicine
To understand what makes commercialism
in medicine problematic…
Commercialism is an ‘excessive emphasis
on profit’ and ‘exploit for profit.’
Synonymous with ‘average or inferior
quality’ a...
Advertising can be used to create a
perception of ‘need’ that can be
exploited for profit.
‘CAVEAT EMPTOR’
(BUYER BEWARE)
LET’S RECAP…
MEDICAL
TOURISM IS
EVOLVING
BUT
SCARY!
We can’t afford to be
naive about things
anymore.
Commercialisation of cosmetic surgery threatens our
efforts to convince the public that medicine is not a
commodity or a t...
We’re not the
only ones.
We’re not the
only ones.
Governments and medical
tourism companies have a
lot to answer for…
Whilst medical tourism provides
revenue source for national economies,
it may disrupt domestic public health
systems by re...
Globally there’s promise of exchange
opportunities and resources but also
perhaps the dissemination of problems
most notab...
Inadequate oversight and regulation
of this medical tourism industry makes
it more difficult to identify and address
such p...
Need to fight back and
deliver a bigger punch.
Need to figure a way we can compete in
this ‘global health bazaar.’
INBOUND MEDICAL
TOURISTS 2011
?
?
?
?
?
12,800
Deloitte Access Economics 2011
0.23% of all tourists to Australia
(0.001% m...
INBOUND MEDICAL
TOURISTS 2011
?
?
?
?
?
12,800
Deloitte Access Economics 2011
0.23% of all tourists to Australia
(0.001% m...
INBOUND MEDICAL
TOURISTS 2011
?
?
?
?
?
12,800
Deloitte Access Economics 2011
0.23% of all tourists to Australia
(0.001% m...
Specialise in body contouring
following bariatric surgery and
corrective plastic surgery after
complications arising from
...
We can’t compete on
price.
We need government
support.
Our quality of healthcare
is world class.
Deloitte Access Economics...
We need to renew and reinvigorate our
campaign both here and abroad.
How and why Australia is a destination country
of cho...
We should try and make Australia both
a departure and destination point for
medical travellers.
Spread the word now…
GO ON!!!
But remember…
the problems arising abroad from
medical tourism can equally apply here
in Australia. Be careful what you ask for!
the problems arising abroad from
medical tourism can equally apply here
in Australia. Be careful what you ask for!
After a...
We all just want smiling, happy patients!
Please share this presentation.
Together we can improve medical tourism
globally.
Dr Tim Papadopoulos
twitter.com/readDrTi...
DJKSLNZJSSSJKEOEADNFHR OM184646483022EGNDLWY Z6304NFLK72BSIWBT30567 QLHEBH093B78193GRK3740 EJZJDLEJEV98734NHHJDLO
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DJKSLNZJSSSJKEOEADNFHR OM184646483022EGNDLWY Z6304NFLK72BSIWBT30567 QLHEBH093B78193GRK3740 EJZJDLEJEV98734NHHJDLO Medical Tourism: An Australian Plastic Surgeon's Perspective

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DJKSLNZJSSSJKEOEADNFHR
OM184646483022EGNDLWY
Z6304NFLK72BSIWBT30567
QLHEBH093B78193GRK3740
EJZJDLEJEV98734NHHJDLO
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N3203865940403NDUDBE3
74VDHDICNDENDJNEJH49S
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There are a lot of
senseless data.

Publié dans : Santé & Médecine, Santé
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