According to the TFOMI, last year 690 million rubles “left” the Samara region - this is how much the residents of the region spent on treatment under compulsory medical insurance outside the region (this is 150 million more than in 2017). The fund spent less money on medical care for nonresident citizens in Samara hospitals - 489.5 million rubles. But these figures do not take into account paid services, which are rendered in large volumes to visitors by both state and private institutions. On average, the total income of medical organizations from the treatment of visitors is 1-3% of the profit. Can this indicator be increased?
How Samara medicine can interest patients from other cities and countries, what helps to increase their flow, and how legislation hinders the development of medical tourism - we talked about this with the heads of private and public clinics at a round table held in “ Open Studio DG "June 20.
There are 130 state medical institutions in the Samara region and more than 1000 private ones. In 2017, together they earned 50 billion rubles, while the public sector accounted for 4/5 of income. In 2018, the revenue of the public sector amounted to 56 billion rubles, there are no data on commercial structures yet.
The income of state institutions consists of compulsory medical insurance funds (65%), subsidies (21%) and paid services (10%). In 2017, private clinics received 10% of their income from compulsory medical insurance - 1 billion rubles, the rest they earned themselves.
According to the large state hospitals in the Samara region, 1-3% of their income comes from patients who came from other regions. According to the regional Ministry of Health, residents of neighboring regions more often than others go to the Samara region for medical care: Orenburg, Ulyanovsk, Saratov, Penza and the Republic of Tatarstan.
The most attractive areas of medicine for them include ophthalmology, oncology, reproductive technologies. In particular, to the hospital. Eroshevsky, patients from 79 regions of Russia, residents of the near and far abroad, applied for ophthalmological care last year. The hospital earned about 3% of its total income from them.
The rate at the clinical oncological dispensary is even higher - 7%. Most often, residents of neighboring regions - Saratov and Orenburg regions come here. The bulk of foreign patients are residents of Kazakhstan (82.5%), they also travel from Georgia and Armenia.
According to Tatyana Zolotareva, deputy chief physician for medical prevention, rehabilitation and public relations of SOKOD, patients are attracted by special methods and technologies developed at the dispensary.
- We analyzed the capabilities of oncological services in neighboring regions and realized that they are almost the same. But there are still differences, and we focus on them - for example, molecular genetic research is carried out only here and in Kazan, no one else is doing this in the Volga Federal District, - says Zolotareva.
Neighboring regions, Kazakhstan and other CIS countries — the set of regions and countries from which people come to Samara for treatment is approximately the same for all hospitals. According to doctors, the situation is influenced by several factors: the existing logistics, the development of the hospitality industry, the system for working with personal data and the specifics of legislation.
The first question that comes to mind is: "Why has medical tourism suddenly become so popular?" However, if you dig deeper, then in ancient times rich and wealthy people went to hot springs and hospitals. This was medical tourism! In the current era, representatives of the middle and upper classes of the leading developed countries of the world go on a health journey for medical services.
Another answer to this question: medical tourism provides an opportunity for third world countries to improve their economies and develop domestic infrastructure. Let's dwell on this in more detail.
There is nothing wrong with offering a service and demanding money in return - this practice has been around since time immemorial. Currently, medical tourism is supported by the governments of 50 countries. They actively use every opportunity to convince foreigners to visit their countries for diagnosis and treatment.
The leading players in the medical tourism industry are now Malaysia, India, Singapore, Thailand, Hong Kong, China, Taiwan and South Korea. With the help of medical tourism providers, patients can choose destinations and negotiate prices. In turn, hospitals strive to meet the various needs of medical tourists in order to make their clients' stay more enjoyable.
Once upon a time, patients from developed countries were not sure about the advisability of traveling abroad for treatment, especially to third world countries. Technology came to the rescue. Advances in information technology have allowed patients to check the information offer they receive from medical tourism intermediaries. And now many foreigners speak directly with doctors and hospital authorities before making the final decision on a trip. In particular, video conferencing using applications such as Skype is commonplace.
Before choosing a medical tourism destination, patients should also check to see if the particular facility has Joint Commission International (JCI) accreditation. JCI accreditation is a sign of quality and professionalism, which increases the level of trust in a medical institution. More and more hospitals in Singapore, India, Turkey have received JCI accreditation, which makes them reliable clinics in the eyes of foreigners.
Citizens of third world countries may experience some inconvenience, since local clinics pay more attention to foreign patients: they are richer, and services for foreigners are more expensive. Some private clinics even have separate wards for foreign patients only. In addition, the increased attention that doctors pay to such patients is also on the verge of ethics in relation to their citizens.
On the other hand, the funds received by the state from the medical tourism industry go to the economic growth of the country and the improvement of the health care situation in general. So, for the development of health infrastructure, citizens must pay taxes. If medical tourism generates huge amounts of income, then at least part of it should be used to improve infrastructure, therefore, taxes for local people are reduced.
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