treatment abroud
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TREATMENT ABROUDTREATMENT ABROUDBYDr. ADNAN ABELAssociate professor Faculty of MedicineKuwait University
OUT LINEOUT LINEWestern perspective
Abroad treatment history of Kuwait
Analytical view of 2008
Recommendation
Kuwait constitution
WESTERN WESTERN PERSPECTIVEPERSPECTIVE
WESTERN PRESPICTIVEWESTERN PRESPICTIVE
The increasing costs of Medicare.Countries promoting health
tourism.The growth of so-called “5-star
hospitals”.Increasingly mobile patients.
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
ABROAD TREATMENT ABROAD TREATMENT HISTORY OF KUWAITHISTORY OF KUWAIT
1949-19901949-1990ConvalescenceCancerCardiovascularPrivate
1992-present1992-presentIndividuals Expense:
◦Middle class◦Dental care◦Plastic surgery◦Upper class
U.S. & U.K.
1992-present1992-presentGovernment
◦Ministry of health◦Ministry of interior◦Ministry of Defense◦K.O.C.◦National guard
Process for Abroad Process for Abroad TreatmentTreatment
NoV
ANALYTICAL VIEW OF ANALYTICAL VIEW OF 20082008
OverviewOverviewAbout 2686 patientsTo more than 17 countriesMost to EuropeNo clear/specific criteria of selectionAll conditions may send abroad
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
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
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
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
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
Who Should Go….?!!Who Should Go….?!!
DIAGNOSIS COUNTRY
STAY PER DAY
Chronic Sinusitis UK 63
Psoriasis Egypt 50
Recurrent Pancreatitis France 178
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
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
Reasons for Abroad Reasons for Abroad TreatmentTreatment
PoliticalAiling medical systemPatients perspective of the
medical system
Patients perspective of the Patients perspective of the medical sectormedical sectorLack of trust
◦Media◦Members of the Parliament◦V.I.P’s◦Diwnaya
Patients perspective of the Patients perspective of the medical sectormedical sectorLong waiting timeLack of communicationNot Patient focused
Real Reasons?Real Reasons?
Other Causes Other Causes
Aging populationTechnologySpecializationPhilosophy (care at any cost)
RECOMMENDATIONRECOMMENDATION
RecommendationRecommendationHealth reformTreatment abroad department:
◦Vision◦Mission◦Strategy
NUNBER NUNBER 11 ENEMY ENEMY for Implementing a Strategy is Culture for Implementing a Strategy is Culture (people)(people)
Recommendation Recommendation (continued)(continued)
TransparencyCode for illnesses sent abroadClinical auditing:
◦Lung transplant: 6 patients from 1992-2002
Recommendation Recommendation (continued)(continued)
Partnership with other top healthcare providers
TelemedicineMedical robot
Constitution of Kuwait
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