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International Trade in Services.pdf - DSpace at Khazar University

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Health without Borders 105<br />

Mode 2<br />

The tre<strong>at</strong>ment of p<strong>at</strong>ients abroad helps allevi<strong>at</strong>e some of the domestic human and<br />

<strong>in</strong>frastructure resource constra<strong>in</strong>ts. The case of Oman is typical of a develop<strong>in</strong>g<br />

country with low medical density th<strong>at</strong> needs to send p<strong>at</strong>ients abroad, <strong>at</strong> least<br />

<strong>in</strong> the short term, until adequ<strong>at</strong>e tre<strong>at</strong>ment can be provided locally (box 4.1). In<br />

Oman and <strong>in</strong> a number of other countries, the travel<strong>in</strong>g p<strong>at</strong>ient can seek<br />

reimbursement if the tre<strong>at</strong>ment is not available locally. This sponsor<strong>in</strong>g is costly,<br />

however, and not all countries can afford such schemes. In addition, <strong>in</strong> many<br />

develop<strong>in</strong>g countries, medical travel rema<strong>in</strong>s driven by a lack of confidence <strong>in</strong><br />

Box 4.1: Case Study: Remedy<strong>in</strong>g Health Shortages through <strong>Trade</strong><br />

under Modes 4 and 2, Oman<br />

Oman is an upper-middle-<strong>in</strong>come, resource-rich, labor-import<strong>in</strong>g country. In 2003,<br />

the M<strong>in</strong>istry of Health employed 18,558 professionals, of whom almost 40 percent<br />

were foreigners, <strong>in</strong>clud<strong>in</strong>g up to 76 percent of the physicians (figure 4.1). Most health<br />

adm<strong>in</strong>istr<strong>at</strong>ors are Omani n<strong>at</strong>ionals. In 2003, there were also 2,838 health prof -<br />

essionals employed <strong>in</strong> the priv<strong>at</strong>e sector, and 95 percent of these were foreigners.<br />

Most of the foreign professionals came from the Arab Republic of Egypt, India, Iraq,<br />

Pakistan, the Philipp<strong>in</strong>es, and Sudan.<br />

Figure 4.1. Foreign Professionals Work<strong>in</strong>g <strong>in</strong> the Public Health<br />

Sector, Oman, 2003<br />

100<br />

90<br />

percentage of workforce<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

physicians dentists pharmacists nurses assistant<br />

pharmacists<br />

total<br />

workforce<br />

<strong>in</strong> M<strong>in</strong>istry<br />

of Health<br />

Omani<br />

foreign professionals<br />

(Box cont<strong>in</strong>ues on the follow<strong>in</strong>g page.)

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