Dental India Newsletter dated 23rd March
2008
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Curmudgeon
Chronicles: Case : Syndrome
: Bombed
molar : Middle mesial
: apexification
: Bio race
cases : Draining canal
: Duralay post
technique : Missing MB2 :
Restorable? 3 distant
distals :
Draining sinus tract : Saving the lost : Importance of recall : maxillary molar #14 DR. NAHRWOLD is chairman of the
Board of Commissioners for the Joint Commission.
An estimated 500,000 Americans traveled
outside the United States for medical care in 2006, and a large
increase was projected for 2007 as part of the rapidly growing phenomenon
of medical travel.
In 2005, hospitals in Thailand treated 1 million
patients from other countries. Hospitals elsewhere that reported treating
high numbers of patients from other countries included those in Singapore
(375,000 patients), the Philippines (250,000), India
(150,000), and Malaysia
(100,000).
Medical travelers from the United States leave for
a single, compelling reason: low cost. Almost all of these patients are
uninsured. The cost of major procedures abroad is usually one-fifth to
one-eighth the cost of those performed in the United States, so any travel
expenses are insignificant.
In the past, most U.S. medical travelers sought
cosmetic surgery, which was rarely covered by insurance. Now, just 15% of
patients travel for cosmetic surgery. Many patients combine their
postoperative recovery with vacations arranged by a medical travel
organization. Approximately 50 medical tourism companies in the United
States offer services. These companies charge a processing fee of a few
hundred dollars, and receive a commission from the hospital to which the
patient is sent. In addition, medical tourism organizations recently
formed an association.
Medical insurers and employers are discussing the
possibility of outsourcing expensive procedures for their subscribers.
Blue Cross/Blue Shield of South
Carolina has formed a medical travel organization as an affiliate,
and their subscribers are covered for medical and surgical care outside
the United States.
The Joint Commission has given accreditation to
organizations outside the United States since 1999 through its subsidiary,
Joint Commission International (JCI). The mission of JCI is “to improve
the safety and quality of care in the international community through the
provision of education, publications, consultation, and international
accreditation.”
Currently, 170 institutions in 22 countries are
accredited by JCI. In addition to conducting educational activities, JCI
sets standards that are comparable to those used by the Joint Commission
in the United States and determines performance against the standards
through triennial site visits by trained surveyors.
Unless the incentive for medical travel is removed
by the introduction of universal health insurance in the United States,
the phenomenon is likely to increase. The globalization of health care is
underway, and the implications for the American health care industry are
both obvious and disconcerting. Participate in dental tourism page: http://www.dentalindia.com/dentourism.html
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