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International Trade in Services.pdf - DSpace at Khazar University

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Health without Borders 127<br />

Box 4.8: Case Study: SWOT Analysis, Health <strong>Services</strong> <strong>Trade</strong>, Morocco<br />

The SWOT analysis is shown <strong>in</strong> table 4.7.<br />

Table 4.7. Health <strong>Services</strong> <strong>Trade</strong>, Morocco<br />

Strengths<br />

Weaknesses<br />

– Lower cost of services rel<strong>at</strong>ive to Europe – No st<strong>at</strong>istics and sectoral str<strong>at</strong>egy <strong>at</strong><br />

– Cultural heritage, diversity of the landscape, the government level<br />

tourist <strong>at</strong>tractions, clim<strong>at</strong>e<br />

– Only <strong>in</strong>dividual <strong>in</strong>iti<strong>at</strong>ives; difficulty <strong>in</strong><br />

– Geographical and cultural, <strong>in</strong>clud<strong>in</strong>g f<strong>in</strong>anc<strong>in</strong>g large-scale projects<br />

language, proximity with Europe<br />

– Skill shortages: <strong>in</strong>sufficient number of<br />

– Facility of access to residential property and doctors and key health personnel<br />

result<strong>in</strong>g strong foreign presence <strong>in</strong> residential (absolute terms); lower rel<strong>at</strong>ive density<br />

areas (retirees and temporary residents) of health personnel than Algeria,<br />

– Qualific<strong>at</strong>ion and reput<strong>at</strong>ion of the doctors Egypt, Libya, and Tunisia<br />

or hospitals ga<strong>in</strong>ed through tra<strong>in</strong><strong>in</strong>g or – Qualific<strong>at</strong>ion of nurses and other<br />

exchanges with foreign universities and medical staff<br />

medical <strong>in</strong>stitutions and particip<strong>at</strong>ion <strong>in</strong> – L<strong>at</strong>e <strong>in</strong> the race with Tunisia and other<br />

networks with hospitals and research competitors<br />

centers abroad (particularly <strong>in</strong> France) – Lack of applic<strong>at</strong>ion of <strong>in</strong>tern<strong>at</strong>ional<br />

standards and certific<strong>at</strong>ions (for<br />

example, the <strong>Intern<strong>at</strong>ional</strong> Organiz<strong>at</strong>ion<br />

for Standardiz<strong>at</strong>ion)<br />

– Absence of a clear legal framework for<br />

medical tourism, which could result <strong>in</strong><br />

malpractice and represents an<br />

important risk for the reput<strong>at</strong>ion of the<br />

country<br />

– Strict n<strong>at</strong>ionality requirements th<strong>at</strong><br />

prevent foreigners from open<strong>in</strong>g<br />

practices (and <strong>in</strong>vest<strong>in</strong>g)<br />

Opportunities<br />

Thre<strong>at</strong>s<br />

– Boom<strong>in</strong>g market focused on seniors and – Protectionist reaction of European<br />

retirees (ag<strong>in</strong>g of the popul<strong>at</strong>ion): residential countries and bans on medical<br />

programs, medical accompaniment <strong>in</strong> tourism<br />

Morocco and abroad, paramedical services – Competition of emerg<strong>in</strong>g countries <strong>in</strong><br />

– Boom<strong>in</strong>g market for cosmetic surgery, Asia, Eastern and Central Europe, and<br />

thalassotherapy and other forms of health the Middle East and North Africa<br />

tourism<br />

– Loss of human resources through<br />

– Boom<strong>in</strong>g market for dental surgery and the permanent establishment abroad<br />

prosthesis<br />

of key health personnel<br />

– Specializ<strong>at</strong>ion <strong>in</strong> some advanced surgical<br />

procedures, <strong>in</strong>clud<strong>in</strong>g cardiology, cancer<br />

tre<strong>at</strong>ment, epidemiology, to tre<strong>at</strong> p<strong>at</strong>ients<br />

<strong>in</strong> the region<br />

– Expected shortages of certa<strong>in</strong> medical<br />

personnel <strong>in</strong> Europe<br />

– Offshor<strong>in</strong>g of certa<strong>in</strong> medical services; the<br />

use of the exist<strong>in</strong>g <strong>in</strong>frastructure<br />

– Deterior<strong>at</strong>ion <strong>in</strong> the level of reimbursement of<br />

tre<strong>at</strong>ments <strong>in</strong> Europe and the development<br />

of portability <strong>in</strong> health <strong>in</strong>surance<br />

– Increas<strong>in</strong>g need for medical tra<strong>in</strong><strong>in</strong>g <strong>in</strong> the<br />

region: Mali, Mauritania, and other countries<br />

Source: World Bank staff.

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