Download - TREATMENT ABROUD
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TREATMENT ABROUDTREATMENT ABROUDBYDr. ADNAN ABELAssociate professor Faculty of MedicineKuwait University
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OUT LINEOUT LINEWestern perspective
Abroad treatment history of Kuwait
Analytical view of 2008
Recommendation
Kuwait constitution
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WESTERN WESTERN PERSPECTIVEPERSPECTIVE
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WESTERN PRESPICTIVEWESTERN PRESPICTIVE
The increasing costs of Medicare.Countries promoting health
tourism.The growth of so-called “5-star
hospitals”.Increasingly mobile patients.
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The Increasing cost of The Increasing cost of medical care medical care
Country Knee Surgery cost
U.S & U.K. $20,000
Thailand $6,000
India $7,000
Kuwait $12,000
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ABROAD TREATMENT ABROAD TREATMENT HISTORY OF KUWAITHISTORY OF KUWAIT
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1949-19901949-1990ConvalescenceCancerCardiovascularPrivate
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1992-present1992-presentIndividuals Expense:
◦Middle class◦Dental care◦Plastic surgery◦Upper class
U.S. & U.K.
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1992-present1992-presentGovernment
◦Ministry of health◦Ministry of interior◦Ministry of Defense◦K.O.C.◦National guard
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Process for Abroad Process for Abroad TreatmentTreatment
NoV
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ANALYTICAL VIEW OF ANALYTICAL VIEW OF 20082008
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OverviewOverviewAbout 2686 patientsTo more than 17 countriesMost to EuropeNo clear/specific criteria of selectionAll conditions may send abroad
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Referred CountriesReferred Countries
1107
784
261 232
64 49 40 33 8350
200
400
600
800
1000
1200
C ountries
B ritain U.S .A G ermany F rance E ygpt C z ec h S audi Italy G reac e S pain
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Diagnosis DemographicsDiagnosis Demographics
858
618456 402
18881
0%
5%
10%
15%
20%
25%
30%
35%
Dia g nosis
Per
cen
tag
e
Internal Medic ine
C ardiac
Neuro
Oncology
Trauma
F ertility
Trans plant
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Patients Demographics (Age), 2008Patients Demographics (Age), 2008
128
777
256153
1322
0
200
400
600
800
1000
1200
1400
Ag es
No
. o
f P
atien
ts
0-1 year 2-15 years 16-24 25-30 years above 30
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Duration of StayDuration of Stay
443
805
233
73
0
100
200
300
400
500
600
700
800
900
leng th of sta y
No
. o
f P
atien
ts
L es s than 1 month
1-3 months
4-6 months
9 months & above
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Patient Accompany Patient Accompany DemographicsDemographics
189
866
1629
20
200
400
600
800
1000
1200
1400
1600
1800
Ac c ompa ny R e la tivewithout ac c ompany with1 ac c ompany with2 ac c ompany with 3 ac c ompany
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Who Should Go….?!!Who Should Go….?!!
DIAGNOSIS COUNTRY
STAY PER DAY
Chronic Sinusitis UK 63
Psoriasis Egypt 50
Recurrent Pancreatitis France 178
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Who Should Go….?!!Who Should Go….?!!
DIAGNOSIS COUNTRYSTAY PER
DAY
Small finger swelling UK ??
Chronic Lower back pain UK 30
Micro-opthalamus Left Eye
USA 72
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Who Should Go….?!!Who Should Go….?!!
DIAGNOSIS COUNTRY
STAY PER DAY
Evisceration of the eye
USA 53
Cardiac Diagnosis UK 28
Hypo-Plastic Thumb USA 34
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Reasons for Abroad Reasons for Abroad TreatmentTreatment
PoliticalAiling medical systemPatients perspective of the
medical system
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Patients perspective of the Patients perspective of the medical sectormedical sectorLack of trust
◦Media◦Members of the Parliament◦V.I.P’s◦Diwnaya
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Patients perspective of the Patients perspective of the medical sectormedical sectorLong waiting timeLack of communicationNot Patient focused
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Real Reasons?Real Reasons?
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Other Causes Other Causes
Aging populationTechnologySpecializationPhilosophy (care at any cost)
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RECOMMENDATIONRECOMMENDATION
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RecommendationRecommendationHealth reformTreatment abroad department:
◦Vision◦Mission◦Strategy
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NUNBER NUNBER 11 ENEMY ENEMY for Implementing a Strategy is Culture for Implementing a Strategy is Culture (people)(people)
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Recommendation Recommendation (continued)(continued)
TransparencyCode for illnesses sent abroadClinical auditing:
◦Lung transplant: 6 patients from 1992-2002
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Recommendation Recommendation (continued)(continued)
Partnership with other top healthcare providers
TelemedicineMedical robot
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Constitution of Kuwait
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