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Can Europe lead the way in medical travel?

European monuments

Could  Europe lead the world in medical travel? Could the EU Directive on Cross Border Healthcare provide the stimulus for the development of a medical travel infrastructure which will maximise the benefits to both patients and healthcare providers and remove the “fear factor” in medical tourism?  




In March 2011, the European Directive on the application of patients’ rights in cross-border healthcare was adopted by the European Parliament. The Directive clarifies the rights of EU citizens to seek treatment in other EU member states. The EU Directive doesn’t give patients any rights to cross border healthcare that they don’t have already. It doesn’t introduce any new rights. These rights have already been established by the European Court of Justice. What the Directive aims to do is to establish a framework within which cross border healthcare will operate.

And that presents Europe with a unique opportunity: to lead the world in the development of a medical travel infrastructure which will maximise the benefits to both patients and healthcare providers. 

Why hasn’t medical tourism really taken off? Why do professional associations, patient organisations and the media in source countries focus on “when medical tourism goes wrong”? How do we remove the fear factor that stops many patients who explore the options for medical tourism from actually going through with it?

Now we have the opportunity to get it right. The EU Directive can provide the stimulus for health care providers and healthcare organisations across Europe to work together to develop a model for medical travel that works. We have European associations for most aspects of healthcare - the European Association of Hospital Managers, the European Health Management Association (EHMA), the European Hospital and Healthcare Federation (HOPE), the European Society for Quality in Healthcare (ESQH), the European Patients’ Forum (EPF) and so on. Working together, organisations like these can influence the way in which the Directive is implemented for the benefit of both providers and patients.

And we are beginning to see some positive attempts to get things moving.

The conference and events world that surrounds medical tourism may be changing direction. We may be coming to the end (I hope!) of those medical tourism congresses which consist of a string of speakers from destinations saying “come to us, we’ve got great doctors, great hospitals, we’re cheap, etc etc”.

In the coming weeks, there are two Brussels based events and one in Athens, that are getting down to the nitty gritty to discuss issues such as the certification of health tourism within Europe, cross border reimbursement, and ensuring patient safety and the continuity of healthcare across borders. In 2012, the European Medical Travel Conference in Berlin will provide focus for those responsible for implementing the Directive and those who will be providing healthcare and medical travel services under the Directive. 

So far, medical tourism has been a dream for many destinations and healthcare providers. In a much hyped market, new entrants have come and gone without building a sustainable business.  The EU Directive may provide a much needed stimulus for the industry and the development of the kind of  “joined up healthcare” that will encourage patients to have faith in the medical tourism experience.


Date published: 7 October 2011

Comment

 

Profile of the author

 

Keith pollard 60x60

Keith Pollard is Managing Director of Intuition Communication Ltd, a web publishing business in the healthcare sector. Intuition’s sites include Private Healthcare UK, Treatment Abroad, IMTJ, Surgery Door and the Harley Street Guide. Keith is a healthcare marketer with a background in the pharmaceutical and private hospital industries. He is a regular speaker and commentator on medical tourism.

 

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At the recent conference "Health Tourism - Establishing a new culture in Europe" (held at the European Parliament building in Bussels - 12 October, 2011 - and at which Keith Pollack and I were panelists) I made point, once again, that EU Cross-border Healthcare – the single agenda - primarily involves Public Sector Health Services Provision.
The EU Cross-border Healthcare concept is laudable – and in fact, socially and constitutionally “mandatory”.
Nevertheless, on its own – and in economic terms – it is a zero sum game.
This is because the same money just gets shifted around in a Single Market.
My proposal was to elevate this Single Agenda to a Multiple Agenda, through the initiation of a series of specific Concerted Action Initiatives involving the engaged stakeholders.

The Multiple Agenda includes:
Cross-border Healthcare (provide certainty - which is still missing) and convert Stumbling Blocks to Stepping Stones
Implementation of two Regional Integration Projects (Health Tourism Integration
Europe and Health in the Mediterranean)
Encouragement of Intra-EU + Mediterranean Health Tourism
Aim to attract Health Tourists from outside the EU
Adoption and Implementation of the Health Tourism Satellite Account (so that we have real numbers regarding Health Tourism Activity)

Finally, to allow cross-border healthcare to actually happen, I pointed to the need for the European Health Exchange (on which healthCare cybernetics has started working on). This will provide Full Disclosure (Listing of Prices), provide Transparency (Comparison of Prices) and disambiguate Entitlement (Provide Certainty).

constantine constantinides (22/10/2011 04:47:48)

Certainly, the Directive will allow citizens to go overseas, get treatment, and claim the money back on return. However, there is still plenty for an individual patient to think about before they take the plunge - e.g. language & culture, professional and safety standards, outcome indicators, accommodation, travel costs, assurance on care pathway, avenues to obtain appropriate redress etc etc. The patient would need to do their own due diligence to assure themselves that the financial and other considerations outweigh staying within their own health system.

Cross-border healthcare will have a role to play in the future but I don't think it's necessarily the pot of gold that some commentators suggest. Patients will look for quality, assurance, proven track records and value for money - unless providers and facilitators react sensitively to these very important issues, the likelihood is that numbers will not rise to any significant extent.

For me, that is the challenge back to the medical tourism industry.

Rob Dickman (11/10/2011 10:30:04)