control <strong>the</strong> dangers of poorly regulated stem cell <strong>the</strong>rapy <strong>in</strong> <strong>the</strong> country. Its President hasexpressed <strong>the</strong> view that “<strong>the</strong> recent guidel<strong>in</strong>es released by <strong>the</strong> FDA will not stop <strong>the</strong>proliferation of stem cell <strong>the</strong>rapy <strong>for</strong> ailments that were not subjected to scientific study orcl<strong>in</strong>ical trials” (Tubeza, 2013).C. Cosmetic Surgery and Beauty Cl<strong>in</strong>icsThe Philipp<strong>in</strong>e Association of Plastic Reconstructive and Aes<strong>the</strong>tic Surgeons (PAPRAS) is <strong>the</strong> onlyorganization that accepts fellowship tra<strong>in</strong><strong>in</strong>g <strong>in</strong> its field. Fellows <strong>the</strong>n undergo certification by <strong>the</strong>Philipp<strong>in</strong>e Board of Plastic Surgery. The top hospitals have available state of <strong>the</strong> art technology <strong>in</strong> plasticand cosmetic surgery. The major hospitals, notably Makati <strong>Medical</strong> Center, The <strong>Medical</strong> City, and St.Luke’s <strong>Medical</strong> Center, offer top-of-<strong>the</strong>-l<strong>in</strong>e cosmetic surgeries.There is no available <strong>in</strong>ventory of stand-alone cosmetic and dermatological cl<strong>in</strong>ics <strong>in</strong>volved <strong>in</strong>medical tourism. Specialist cl<strong>in</strong>ics <strong>in</strong> cosmetic surgery and care <strong>in</strong>clude Belo <strong>Medical</strong> Cl<strong>in</strong>ic, Beverly Hills<strong>Medical</strong> Group, Calayan Surgicenter, Dermcl<strong>in</strong>ics, Euro-cl<strong>in</strong>ic, Home Health Care, Dr. Carlos I. Lasa cl<strong>in</strong>ic,Medicard Lifestyle Center, Dr. Jorge B. Neri cl<strong>in</strong>ic, and A.T. Reyes Dermatology Center. Wikipilip<strong>in</strong>as(2013) lists 17 top Philipp<strong>in</strong>e beauty doctors 54 who have ga<strong>in</strong>ed prom<strong>in</strong>ence <strong>in</strong> <strong>the</strong> country as well asabroad. Many of <strong>the</strong> cosmetic and dermatological cl<strong>in</strong>ics are located <strong>in</strong> malls and heavy-traffic urbanareas and are patronized mostly by upper- and middle-class households as well as medical tourists.D. Dental Cl<strong>in</strong>icsThe Philipp<strong>in</strong>es is known <strong>in</strong> <strong>the</strong> dental field because of Filip<strong>in</strong>o dentists abroad as well as its 17dental schools that attract a sizeable number of <strong>for</strong>eign students, especially from <strong>the</strong> Middle East.Contemporary technologies are well <strong>in</strong>tegrated <strong>in</strong> local dental practice <strong>in</strong>clud<strong>in</strong>g dental implants, dentalcosmetics, orthodontics – braces and dentures – and teeth whiten<strong>in</strong>g. The Philipp<strong>in</strong>e Dental Associationhas a dental tourism committee that has actively created its market. Many dental practices (e.g., SacredHeart, Dental World, Manila Dental Services) have vibrant websites advertis<strong>in</strong>g dentistry and tourism.Most of <strong>the</strong> dental cl<strong>in</strong>ics have ISO 9001:2000 certification which is proof of a high standard of dentalservices and strict sterilization procedures.Dental tourism is gett<strong>in</strong>g more geographically diffuse compared to <strong>the</strong> o<strong>the</strong>r segments ofmedical tourism. Although most of <strong>the</strong> dental tourism providers are still concentrated <strong>in</strong> Metro Manila(270 of <strong>the</strong> 310 dentists listed <strong>in</strong> www.whereismydoctor.com are <strong>in</strong> <strong>the</strong> National Capital Region),dentists from major cities (Cebu, Davao, Bacolod) have also emerged. Many of <strong>the</strong> local dentists areendorsed by Treatment Abroad, an <strong>in</strong>fluential U.K. tourism website, U.K. be<strong>in</strong>g <strong>the</strong> source orig<strong>in</strong> ofmany dental tourists. The <strong>in</strong>dustry appears focused on procedures that can be done quickly (five days orshorter); some target to “fly <strong>in</strong>, fly out” clients. The most common procedures appear to be dental<strong>in</strong>lays, onlays, crowns, veneers, Laser surgery, and Laser tooth whiten<strong>in</strong>g(www.cosmeticdentistryguide.co.uk.)54 Cherie Abaya-Blas, Aser Acosta, Vicky Belo, Manny Calayan, Pie Calayan, Angel Cumagun, Gio Dimayuga, ElsieFloreza, Marlon O. Lajo, V<strong>in</strong>son P<strong>in</strong>eda, Sylvia Huang, Jasm<strong>in</strong> Jamora, R<strong>in</strong>o Lorenzo, Atoy Manalo, FilomenaMont<strong>in</strong>ola, Isabel Nazal, and Margaret Plaza-Corcoran.30
E. Eye Cl<strong>in</strong>ics<strong>Medical</strong> doctors want<strong>in</strong>g to pursue ophthalmology <strong>in</strong> <strong>the</strong> Philipp<strong>in</strong>es have to take residencytra<strong>in</strong><strong>in</strong>g <strong>in</strong> hospitals and cl<strong>in</strong>ics regulated by <strong>the</strong> Philipp<strong>in</strong>e Academy of Ophthalmology (PAO). Licens<strong>in</strong>g(board certification) is done by <strong>the</strong> Philipp<strong>in</strong>e Board of Ophthalmology. Many Filip<strong>in</strong>o eye doctors arealso accredited by <strong>in</strong>ternational bodies <strong>in</strong>clud<strong>in</strong>g <strong>the</strong> International Society of Refractive Surgery, <strong>the</strong>American Society of Cataract and Refractive Surgery, and <strong>the</strong> American Academy of Ophthalmology.There is no available count of <strong>the</strong> number of eye care specialists <strong>in</strong> <strong>the</strong> country. In December 2012when PAO had its annual meet<strong>in</strong>g, it expected “to attract 1,400 participants” but this number probably<strong>in</strong>cludes non-ophthalmologists.Philipp<strong>in</strong>e eye cl<strong>in</strong>ics cater to multiple refractive errors and <strong>the</strong>ir correction (nearsightedness ormyopia, farsightedness or hyperopia), regular and irregular astigmatism, and presbyopia. Filip<strong>in</strong>odoctors have ga<strong>in</strong>ed reputation <strong>in</strong> Lasik (Laser-assisted <strong>in</strong> situ keratomilieusis), a bloodless surgicalprocedure that corrects hyperomia, myopia, and astigmatism. Top-notch cl<strong>in</strong>ics also render high-qualitycl<strong>in</strong>ical procedures such as cataract removal; corneal transplant; PRK surgery; conductive keratoplasty;refractive lensectomy; ocuplastic, orbital, lachrymal and reconstructive surgery; and low-visionrehabilitation. The Philipp<strong>in</strong>e Academy of Ophthalmologists confers board certification through <strong>the</strong>Philipp<strong>in</strong>e board of ophthalmology. Top-notch eye doctors are also accredited by <strong>the</strong> InternationalSociety of Refractive Surgery, <strong>the</strong> American Society of Cataract and Refractive Surgery, and <strong>the</strong>American Academy of Ophthalmology.Prom<strong>in</strong>ent ophthalmology centers that cater to tourists <strong>in</strong>clude hospital-based and stand-alonecl<strong>in</strong>ics. (a) Among <strong>the</strong> hospital-based eye cl<strong>in</strong>ics are those at Asian Hospital, Capitol, St. Luke’s (QC), <strong>the</strong><strong>Medical</strong> City, and Makati <strong>Medical</strong> Center. (b) The notable stand-alone eye cl<strong>in</strong>ics are: <strong>the</strong> American EyeCenter <strong>in</strong> Shangri-La Mandaluyong, <strong>the</strong> Asian Eye <strong>Institute</strong> (JCI-accredited; Rockwell, Makati City),Beverly Hills (a multispecialty group <strong>in</strong> Makati), Eye Republic (with cl<strong>in</strong>ics <strong>in</strong> <strong>the</strong> top medical tourismhospitals), Intermed Group (a multispecialty center <strong>in</strong> PhilAm, Quezon City), Makati Eye Laser Center,and QC Eye Center.From <strong>in</strong>dividual practices, eye care has evolved <strong>in</strong>to group practices or corporate setups, asshown by <strong>the</strong> number of eye doctors per cl<strong>in</strong>ic among <strong>the</strong> more prom<strong>in</strong>ent cl<strong>in</strong>ics (Figure 1). It alsoseems that a cluster<strong>in</strong>g of eye-care practitioners has occurred, with a handful of ophthalmology cl<strong>in</strong>icsemerg<strong>in</strong>g <strong>in</strong> <strong>the</strong> Angeles City/San Fernando area (6 of <strong>the</strong> 18 ophthalmologists listed <strong>in</strong>www.whereismydoctor.com are from this area), perhaps as a response to <strong>the</strong> sizeable number of retiredAmerican veterans <strong>the</strong>re.Figure 1. Number of Doctors Per Eye Cl<strong>in</strong>ic, 201331
- Page 3: AbstractMedical Tourism in the Phil
- Page 6 and 7: Table of ContentsAbbreviations and
- Page 8 and 9: List of TablesTable 1. WTO’s Mode
- Page 11 and 12: c. Epidemiologically, the disease b
- Page 13 and 14: Revenue and Cost Trends of Selected
- Page 15 and 16: BenchmarksStatus10 Adoption of “h
- Page 17 and 18: S.W.O.T. Analysis of the Philippine
- Page 19 and 20: Chapter I. Background“Once your t
- Page 21 and 22: Chapter II. The Global Market for M
- Page 23 and 24: A major industry weakness is the ab
- Page 25 and 26: B. Demand, Revenues, and Market Opp
- Page 27 and 28: dermatology, 6.8 weeks; and cardiol
- Page 29 and 30: trends globally since 1990 15 : (1)
- Page 31: Table 5. Top 20 Medical Tourist Des
- Page 34 and 35: Chapter III. Philippine Medical Tou
- Page 36 and 37: f. HealthCORE’s (2011) estimate o
- Page 38 and 39: seek better health care, 15 percent
- Page 40 and 41: Cardinal Santos San Juan City P 197
- Page 42 and 43: sources, bone marrow and peripheral
- Page 44 and 45: found between siblings, but even th
- Page 46 and 47: Zen Institute (medicalspa)Bonifacio
- Page 50 and 51: American Eye CenterAsian Eye Instit
- Page 52 and 53: Medical andDental PracticesRate (ov
- Page 54 and 55: The benchmarking exercise did not b
- Page 56 and 57: d. Providence Hospital Inc., in Wes
- Page 58 and 59: Patients/Consumers”) with 41 year
- Page 60 and 61: Benchmark #14: Advancement in techn
- Page 62 and 63: society for Quality in Healthcare a
- Page 64 and 65: H. Travel and Accommodation Benchma
- Page 66 and 67: Figure 3. Price Variation Among Sel
- Page 68 and 69: Chapter VI. S.W.O.T. Analysis“Dev
- Page 70 and 71: insider noted, “You cannot play i
- Page 72 and 73: Continued high-cost care in advance
- Page 74 and 75: “medical complication” (Medical
- Page 76 and 77: Chapter VII. Conclusions and Next S
- Page 78 and 79: ReferencesABS-CBN News (2013). Medi
- Page 80 and 81: De la Cruz, Stef (2012). Is Stem Ce
- Page 82 and 83: Marsek, P.W. and F. Sharpe (2009).
- Page 84 and 85: Trade Daegu (2013). Daegu Global Me
- Page 86 and 87: what have failed, and the means to
- Page 88: Annex 3: Comments on the Draft Sena