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Treatments > Surgery > Medical Tourism
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Be an Informed Medical Tourist

Do your homework before deciding to have surgery abroad.

By Beverly Blair Harzog

If you are uninsured or underinsured, medical tourism may look like an attractive way to save money on major procedures like joint replacements.

But there are risks to traveling abroad for joint replacement surgery. Medical guidelines, medical residency requirements and other important quality factors can vary worldwide, making it all the more important for you, the patient, to do the legwork before you get on a plane.

Where to start
Successful joint replacements require months and even years of physical therapy and physician follow-up, so start by getting a diagnosis from your U.S. doctor and ask if he agrees to provide follow-up care upon your return.

Most major medical associations have encouraged their members to work with patients who are traveling abroad for surgery, but it’s important to have this relationship in place before you go. If you come back with complications, many surgeons may be reluctant to step in.

“It’s a huge problem for a surgeon to pick up another surgeon’s complications and get it resolved,” says Douglas Lundy, MD, a surgeon with Resurgens Orthopaedics in Atlanta, Ga.

Once you’ve got a U.S. physician ready to back you, you can then research facilities online and contact an overseas hospital directly. Alternatively, you can go through a medical-tourism travel agency. In either case, make sure your chosen hospital is accredited by the Joint Commission International, or JCI, which means the facility met standards for things like infection control, error prevention, staffing and management.

Questions to ask
Confirm that the staff of your chosen hospital speaks English. Learn the details of the procedure and ask to speak with former patients about their experiences.

If you’re in your 40s or 50s, Dr. Lundy says it’s particularly important to find out what kind of implant you’ll be getting.

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Medtral New Zealand
18 Apr 2010, 20:01
While accreditation is important, JCI is only one of a group of reputable accreditation bodies. Travelers should look for ISQua (International Society of Quality accredited organisations which is the overarching body that accredits the Joint Commission among others such as the Trent (UK based) accreditation system, the Canadian Council on Health Services Accreditation body and Quality Health New Zealand. More information at http://www.medtral.com/Resources/Hospital-Accreditation/default.aspx

I'm very glad you mentioned the implant quality, as this is often an overlooked factor in choosing a medical tourism destination. While a procedure might be incredibly cheap, if the implant is inferior the cost and risks of repeating the procedure in a lesser period of time will far outweigh the savings in the first place.

In terms of stay in country, here in New Zealand we recommend that medical travelers bank on a 3 week total stay in New Zealand for joint replacements. This is around a 5 night hospital stay with physiotherapists visiting in the hotel until departure, our patients have found that this works well and the dedicated recovery time is useful.

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