MUSCAT: While delineating some negative
aspects of medical tourism worldwide, experts in Oman have stressed the need
for comprehensive studies on the growing tendency among people to go abroad for
medical treatment.
Prof. Lamk Al Lamki, chief editor of Sultan
Qaboos University Medical Journal (SQUMJ), says that the quality and safety of
medical treatment abroad has to be analysed and it should be under the scrutiny
of the medical professions and the Ministry of Health in Oman.
Many Omani patients go abroad as “outsourced
patients”. They are sent abroad by the government, when the necessary treatment
or the specialist is not available locally.
Sometimes locally available treatment is not
trusted by the patients. “Unless we have a good idea of the quality of the care
that our patients are receiving abroad, their safety may be at risk. We need
more statistics, better studies and better reporting systems.
“The question of who will look after these
patients when they return, has not been answered, but it must be tackled,” he
says.
In the latest editorial of SQUMJ, Prof. Lamk
points out that there is a major lack of systematic data about health services
provided abroad, not only for Omanis, but also for citizens of many other
countries. “More organised studies are needed and specifically outcome studies.
Research into the delivery of health care has not yet adequately evaluated the
case of medical tourism. The issue of lack of data must be taken very
seriously.
Medical tourism has some benefits, but there
are more problems with it and, as physicians, we have to keep in mind our basic
principles of beneficence and non-maleficence.”
Prof. Lamk explains that there are many
problems associated with medical tourism which include poor or no follow-up
care. “After being in hospital for a short while and having a vacation, the
patient comes home with, perhaps, complications of the surgery or side effects
of the drugs.
It is a surgical principal that every surgeon
looks after his own complications and obviously that does not apply for most,
if not all, patients who have been treated abroad. Many countries have very
weak malpractice laws and thus patients have limited ability to complain about
poor medical care,” he says.
Another risk is that patients may not be able
to endure travel, or may not have inherent resistance to some of the diseases
in the host countries. Prof. Lamk, therefore, underscores the need to have
better scientific studies on the impact of medical tourism on the healthcare
services of the source and destination countries as well as on the patients
themselves. “We need more statistics on the rate of complications,” he says.
He observes that many medical tourists are
satisfied, but satisfaction does not always parallel good outcome.
“Often, satisfaction can simply be a result of
good service. The “outsourced patients,” or those who are sent by the
government, are often dissatisfied with the total experience compared to the
true self-financed medical tourists. That is why an institution has to be
accredited for good medical care with a good quality assurance programme rather
than just good service,” he says.
Prof. Lamk further clarifies that patients
going abroad need to get good advice. According to the World Tourism
Organization’s Global Code of Ethics for Medical Tourism, medical tourists
should have the same rights as citizens of destination countries.
Unfortunately, that is not always the case and that is another potential source
of problems.
According to Prof. Lamk, a further potential
problem with medical tourism is that sometimes it impacts the source country’s
health care system. A source country may become complacent by being able to
send its citizens abroad for certain procedures and thus fail to develop the
appropriate national services. He cites the development of positron emission
tomography (PET) in Oman as an example of this.
One of the major concerns related to medical
tourism is the ethical aspects of treatment.
These are to be examined and the risks
discussed with the patient, but, on the other hand, it is important that
patients have their own autonomy in decision-making. Beneficence and
non-maleficence are the basis of medical ethics.
Prof. Lamk has called for attention to the fact
that it is the responsibility of the physicians to promote patients’ welfare,
treat them with justice and improve their health while avoiding harming them.
Another ethical consideration is that each
country may have a different standard of medical ethics. For example, what is
considered experimental therapy in one country, like stem cell therapy, is
routinely used in the private institutions providing care for medical tourists
in other countries.
M.K. Santhosh
Times of Oman
(The writer is a senior editor at the Sultan
Qaboos University’s public relations department)
Business & Investment Opportunities
YourVietnamExpert is a division of Saigon Business Corporation Pte Ltd, Incorporated in Singapore since 1994. As Your Business Companion, we propose a range of services in Consulting, Investment and Management, focusing three main economic sectors: International PR; Healthcare & Wellness;and Tourism & Hospitality. We also propose Higher Education, as a bridge between educational structures and industries, by supporting international programs. Sign up with twitter to get news updates with @SaigonBusinessC. Thanks.
No comments:
Post a Comment