C OSTA R ICA AND G LOBAL H EALTHCARE O PPORTUNITIES
G LOBAL H EALTHCARE : COMPONENTS International movement of patients and retirees • Medical Tourism and Retirement Living abroad Establishment of operations abroad exterior International Medical • Offshoring of Hospitals Brigades and Retirement Communities International movement of students and healthcare Clinical Trials and Medical professionals Research abroad • Educational tourism and International Practice Outsourcing of healthcare services and related services • Outsourcing in health Remote Healthcare services (Corporate medical travel, • Telemedicine imaging, medical • Second Opinions transcription, medical billing, insurance reimbursement)
A BOUT PROMED PROMED is the Costa Rican Healthcare • Chamber representing, promoting and protecting the interests of the healthcare sector. Also, it is the board for the international promotion and quality assurance of the Costa Rican healthcare industry. Through the seal of quality PROMED makes • sure that any healthcare and recovery facility provides with services of excellence in favor of patients security. Since 2006, PROMED organizes efforts for • the development of the global healthcare industry including training, inter- institutional coordination, international promotion and partnerships PROMED: the gateway to quality healthcare in Costa Rica!
M EDICAL E DUCATION O FFSHORING AND P ARTNERSHIPS Medical Education Proven Track Record... Costa Rica ranked 37 th in the “ Higher 8 Medical Schools (7 private, 1 public) • • Education and Training ” Pillar (The 6 Medical Schools accredited by SINAES • Global Competitiveness Index 2014- (the National Accreditation System for 2015) Higher Education) 21 st in “ Quality of the education • Formerly accredited by NCFMEA ( National • system ” indicator (The Global Committee on Foreign Medical Education Competitiveness Index 2014-2015) and Accreditation) and in the process of 16 th in “ Quality of management renewing accreditation • schools ” indicator Pillar (The Global Competitiveness Index 2014-2015) INCAE Business School among best • 10 business schools in Latin America (QS Global 200 MBA Rankings 2014/15)
M EDICAL E DUCATION O FFSHORING AND P ARTNERSHIPS • Costa Rican experience – Diversity of international programs (full career, semesters, summer courses, study tours) – Housing with Costa Rican families – Student VISA – Student Life activities – Possibility to practice in Costa Rica after one additional year of internship and compliance with the requirements of the medical local laws.
C LINICAL S TUDIES IN L ATIN A MERICA Latin America has been the region that has shown a • major increase in the pharmaceutical market (12%) beyond mature markets as North America and Europe (3%). A future growth of USD 80 billion incomes is projected •
C LINICAL S TUDIES IN L ATIN A MERICA
Latin America ofgers a supply of highly trained physicians and well-equipped sites for conducting clinical trials. Most physicians in the region have completed their postgraduate studies and specialty qualifjcations respected community that exchanges clinical and scientifjc expertise. And, experience has shown that Generally, physicians are eager to participate in clinical trials because the opportunity brings medical advances to their patients, ofgers professional prestige, and is a supplemental source of income. All Latin American countries have adopted the International Conference for Harmonization (ICH) Good Clinical Practice (GCP) guidelines, and the area boasts several laboratories that have been certifjed by Audits performed by the U.S. Food and Drug Administration (FDA) confjrm that quality standards are high. FDA I NSPECTIONS 2005-M ARCH 2014 No Voluntary Offjcial Countries Included (excluding countries Inspections Region Action Action Action with no inspections) Since 2005 Required Indicated Indicated CIS Georgia, Russia, Ukraine 102 70.6% 28.4% 1.0% Argentina, Brazil, Chile, Colombia, Costa Latin America 100 61.0% 38.0% 1.0% Rica, Ecuador, Guatemala, Mexico, Peru India India 44 59.1% 40.9% 0.0% Bulgaria, Croatia, Czech Republic, Estonia, CEE Hungary, Latvia, Lithuania, Poland, Romania, 166 54.2% 45.2% 0.6% Serbia, Slovakia Austria, Belgium, Denmark, Finland, France, Western Europe Germany, Italy, Netherlands, Norway, Portugal, 242 50.8% 48.3% 0.8% Spain, Sweden, Switzerland, United Kingdom United States United States 2099 49.5% 43.7% 6.7% Hong Kong, Malaysia, Philippines, South Korea, Asia Pacifjc 48 47.9% 52.1% 0.0% Taiwan, Thailand China China 19 42.1% 57.9% 0.0% Source: http://www.fda.gov/downloads/Drugs/InformationOnDrugs/UCM111343.zip
C LINICAL S TUDIES IN C OSTA R ICA • • Good Clinical Infrastructure and Proven Easy access to patients. The fact that most Quality of Clinical Studies (see FDA inspections). Costa Ricans live within large urban areas means that Costa Rica accounts with excellent medical recruitment efforts can be concentrated and that trial professionals and internationally accredited logistics simplified. institutions (JCI accredited hospital). Costa Rica was • Willing and compliant patients. Costa Ricans ranked 36 (2000, WHO) among best healthcare are, generally, eager to participate in clinical trials systems in the world when their physicians recommend doing so. • Excellent regulatory timelines for study start up • Proximity to North America. The country´s (new law in 2014; CONIS/CEC) time zone is convenient for interactions with • Epidemiologic profile similar to developed headquarter offices of North American R&D countries companies. • Season inversion from the Northern Hemisphere. By extending studies into Latin America, sponsor companies can pursue year-round research on conditions that are tied to seasons (such as pneumonia, the flu, and allergies for example). • Easy access to a diverse patient population .
M EDICAL T OURISM IN C OSTA R ICA TODAY • Procedures Declared of national and public • interest by President Oscar Arias 42% dental – in 2009 and President Laura 10% Plastic and esthetic – Chinchilla in 2012 22% Surgeries (orthopedics, bariatric, – In 2016 Costa Rica received • general surgery, gynecology, approx. 70.000 medical travelers oncology, ophthalmology) injecting about U$500 million in 10% Other procedures (Dermatology, – Costa Rica’s economy Physiotherapy, Audiology, Rehabilitation) 16% Preventive Medicine – • Origin 83% United States – 11% Canada –
W HY C OSTA R ICA FOR CARE ? STRATEGIC LOCATION ECONOMIC AND POLITICAL STABILITY QUALITY OF LIFE JCI ACCREDITED HOSPITALS STATE-OF-THE ART MEDICAL TECHNOLOGY QUALIFIED MEDICAL PROFESSIONALS TOP SUSTAINABLE TOURISM DESTINATION
C OSTA R ICA S AFE D ESTINATION FOR M EDICAL T RAVELERS •International Accreditation •Network of more than 210 offices troughout the •Costa Rican Boards United States and Canada Certification •Partnership with •Authorization by Local Authorities (Minister of Homewatch Caregivers Health) •Privacy SEAL OF QUALITY FOLLOW UP PROMED CARE INSURANCE CONFLICTS COVERAGE OF RESOLUTION THE NETWORK •General Liability coverage of •Costa Rican Judicial System (Malpractice is a Felony in Costa Health Care Providers Rica) •General Liability Coverage of •International Conciliation and Tourism Providers plus Arbitration through the Medical Expenses specialized Center of the •Complications Coverage American Chamber of Commerce of Costa Rica
C ORPORATE M EDICAL T RAVEL • https://www.youtube.com/watch?v=xiQ6GUs1XeE
A SPECIAL INVITATION …
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