JCAHO


Domestic medical tourism is the latest concept in the medical tourism industry. When a patient travels from one city to another or one state to another within his own country for medical care then domestic medical tourism is said to have taken place. Patients usually conduct domestic medical travel to avail of major discounts on elective surgical procedures or to seek procedures that are not available in his neighborhood.

Domestic medical tourism goes by several other names, such as, medical tourism within US, local medical tourism, inbound medical tourism, out of state medical travel, in-country medical travel, etc.

Watch the video below to learn more about this cost-effective way of receiving medical care within the US.

Benefits of domestic medical travel within USA

  1. Low cost for elective high-cost major surgeries
  2. High quality of care as hospitals are accredited by the Joint Commission (JCAHO)
  3. Shorter traveling distance compared to international medical tourism
  4. No language or cultural barriers
  5. Access of legal recourse

Hospitals offering domestic medical tourism
Healthbase works with several domestic providers of quality healthcare that are spread across the United States. Find out an accredited hospital near you that offers affordable domestic medical tourism.

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Healthbase has helped an uninsured American patient get double hip resurfacing surgeries in India. The high cost of Birmingham hip resurfacing surgery in the United States plus the lack of expertise in this procedure in the country continues to drive scores of Americans to India.

Nov. 21, 2008, Boston, MA. Healthbase Online Inc., an award-winning medical tourism facilitator based in Boston, Massachusetts, helps an Arizona-based former ballet dancer treat her hip osteoarthritis in India. 53-year old Katharine Frey who had arthritis in both her hips traveled to Apollo Hospitals, Chennai to have her hips resurfaced and availed of the 85% discount on the cost of the surgery.

“I have appreciated everything we have experienced and received at the Apollo Hospitals . Everyone has been very kind, supportive and helpful,” says Katharine after her hip resurfacing surgery last winter. She was so happy with the quality of care she received at her overseas hospital that she went back a few months later to have her second hip resurfaced.

Being uninsured, the $60,000 required to have a single hip resurfaced in the US seemed out of reach for Katharine. This led her into researching her other option – surgery overseas – and contacting Healthbase who coordinated both her surgeries in India for $8,000 each. The price included doctor’s fees, physical therapy and a week in the hospital.

According to Saroja Mohanasundaram, CEO of Healthbase , “Our clients prefer going abroad for Birmingham hip resurfacing because it is a fairly new procedure in the US but has been in use, say, in India, for many years. Being a major procedure it demands years of practice on the surgeon’s part to gain proficiency. The fact that Katharine went back to have her other hip resurfaced in India speaks volumes about the high level of satisfaction with our service and that of our partner hospitals and surgeons.”

Katharine Frey taking off on a paragliding flight just weeks after her hip resurfaicng surgery in India
Katharine Frey taking off on a paragliding flight just weeks after her hip resurfacing surgery in India

Katharine returned to work merely two and a half weeks post operation and to teaching ballet twenty days post operation. Katharine actively participates in swimming, yoga, hiking, paragliding, and cross-country road trips. “She has no pain in her hips and is moving and functioning like a normal human. I am so grateful and am enjoying watching Katharine return to life,” remarks Scott Martin, Katharine’s husband.

Katharine was operated upon by Dr. Vijay Bose and his team. Dr. Bose, a specialist in Birmingham Hip Resurfacing, Joint Replacement and Sports Medicine, has over a thousand BHR surgeries under his belt.
“Beyond the cost savings, the attention given was remarkable. Dr. Bose and his qualified staff will always be remembered for this,” adds Katharine.

Impressed by the high quality of care in India, even Scott, who accompanied Katharine to India addressed some of his periodontal issues through dental scaling and crowns at Apollo Hospitals while Katharine recuperated after her second Birmingham hip resurfacing surgery.

“It has been a positive life changing process for both of us. Thank you, Healthbase, for being so receptive, supportive and professional,” acknowledge Katharine and Scott.

Healthbase connects patients from across the globe to health care facilities in India, Singapore, Thailand, Malaysia, South Korea, Philippines, Turkey, Belgium, Hungary, Costa Rica, Panama, Brazil, Mexico and United States. Healthbase has over 45 providers on its network.

About Healthbase Online Inc.:

Healthbase, an award-winning Boston-based medical tourism and dental tourism facilitator, is a one-stop source for global medical and dental choices, connecting patients to leading healthcare providers around the world. Healthbase coordinates over 200 procedures in various categories like orthopedic, spinal , cardiac, bariatric, urology , oncology , dental , cosmetic and general surgery . Some of the common procedures offered are Birmingham hip resurfacing , total hip replacement , knee replacement , ACL repair , rotator cuff surgery , spinal fusion , spinal disk replacement, heart bypass surgery , lap band , gastric bypass , cancer treatment , liposuction, dental implants, crowns, bridges, etc. for a fraction of the cost in the US with equal or superior outcomes. Healthbase’s partner healthcare facilities are located in Thailand, India, Singapore, Malaysia, Philippines, South Korea, Turkey, Belgium, Hungary, Costa Rica, Panama, Brazil, Mexico and USA, and are expanding to Canada, UK, Jordan, Taiwan, Argentina, New Zealand, Australia, El Salvador and Guatemala. To ensure that patients receive the best care possible, Healthbase works mainly with hospitals that have international accreditations like JCI, JCAHO and ISO. Healthbase caters to the needs of individual consumers, self-funded businesses, insurance carriers, benefit consultants, insurance agents, and third party administrators seeking affordable medical travel and dental travel options. To learn more, call 1-888-691-4584, email info.hb @ healthbase.com or visit http://www.healthbase.com.

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WHAT MAKES YOUR BACK?

Anatomy of the human spine
Have you ever wondered what makes your back and neck bend, stretch and even rotate so swiftly and smoothly? These movements are possible due to the spinal column or vertebral column in your body which extends from the skull to the pelvis and is made up of 33 individual bones termed vertebrae. The vertebral column is not actually a column but is sort of a spiral spring in the form of the letter S.

The following figure illustrates the human spinal column:

Human Vertebral Column or Spinal Column

Human Vertebral Column or Spinal Column

Between each vertebra are strong connective tissues which hold one vertebra to the next, and acts as a cushion between the vertebrae. The disc allows for movements of the vertebrae and lets you bend and rotate your neck and back. The type and degree of motion varies between the different levels of the spine: cervical (neck), thoracic (chest) or lumbar (low back).

The cervical spine is a highly mobile region that permits movement in all directions. The thoracic spine is much more rigid due to the presence of ribs and is designed to protect the heart and lungs. The lumbar spine allows mostly forward and backward bending movements (flexion and extension).

 

WHAT BREAKS YOUR BACK?

Spinal osteoarthritis

Back pain

Back pain

Spinal arthritis or osteoarthritis of the spine is a common cause of back pain. It is the mechanical breakdown of the cartilage between the vertebral joints in the back portion of the spine leading to mechanically induced pain. The joints become inflamed and pain may be felt when performing even the simplest of activities like standing, sitting or walking. Over time, bone spurs – small irregular growths on the bone, also called osteophytes – typicaly form on the vertebral joints and around the spinal vertebrae which may become so large as to cause irritation or entrapment of nerves passing through spinal structures and result in spinal stenosis (diminished room for the nerves to pass).

Classification of spinal osteoarthritis

– Lower back (lumbar spine) osteoarthritis or lumbosacral arthritis, which produces stiffness and pain in the lower spine and sacroiliac joint (between the spine and the pelvis)

– Neck (cervical spine) osteoarthritis or cervical spondylosis, which causes stiffness and pain in the upper spine, neck, shoulders, arms and head.

Causes of spinal osteoarthritis

The most common causes are repetitive trauma to the spine from repetitive strains caused by accidents, surgery, sports injuries and poor posture. Other risk factors include aging, gender (more common in post-menopausal women), excess body weight, genetics, and associated diseases (like infections, diabetes, rheumatoid arthritis, etc.)

 

WHAT REMAKES A BROKEN BACK?

Surgical treatment of spinal arthritis

For spinal arthritis, the only effective surgical treatment is spine fusion surgery, to stop motion at the painful joint. In fusion, one or more of the vertebrae of the spine are united (fused together) using bone grafts so that motion no longer occurs between them.

Interbody Spine Fusion System

Interbody Spine Fusion System

Uses of spinal fusion surgery

Spinal fusion surgery is used to treat:

– a fractured (broken) vertebra e.g. spondylolisthesis

– deformity e.g. scoliosis or kyphosis (spinal curves or slippages)

– pain from painful motion

– instability

– some cervical disc herniations (fusion together with discectomy)

– weak or unstable spine caused by infections or tumors

For more information about spine fusion surgery, check out medical tourism for spine fusion surgery through Healthbase.

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Healthbase is the trusted source for global medical choices, connecting patients to leading hospitals around the world, through secure and information-rich web portal. To learn more, visit: http://www.healthbase.com Login to get FREE quote. Access is free.Healthbase Logo

DENTAL TOURISM

Healthbase, an award-winning Dental Tourism Facilitator, connects you to dental care facilities overseas where you can get top quality dental care for a fraction of the cost in the US. Waitlists like those in Canada and the UK are literally eliminated and access to world-class dental care is within reach. For e.g.: dental implants which cost over $4000 in the US can be had for as low as $650 in Mexico. Dental tourism is ideal for crowns, implants, implants-in-a-day, veneers, bridges, root canal, dental surgery and many other dental procedures. You will save so much that you can even enjoy a luxurious retreat at exotic destinations after your treatment.

Healthbase has partner dental care facilities located in Mexico, Costa Rica, Panama, Hungary, Belgium, Turkey, India, Thailand, Singapore, South Korea, etc. Dental practitioners in these countries are educated or trained at top US/UK/Canadian universities and hospitals.

For more information about dental tourism or medical tourism and for a FREE quote for any dental procedure or medical procedure, log on to http://www.healthbase.com.

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Healthbase is the trusted source for global medical choices, connecting patients to leading hospitals around the world, through secure and information-rich web portal. To learn more, visit: http://www.healthbase.com Login to get FREE quote. Access is free.Healthbase Logo

ORTHOGNATHIC SURGERY

Orthognathic surgery is surgery to reposition the maxilla (upper jaw or jawbone), the mandible (the lower jaw or jawbone), and the dentoalveolar segments (teeth and their sockets) to achieve facial and occlusal balance. One or more segments of the jaw(s) can be simultaneously repositioned to treat various types of malocclusions (bad bite) and jaw deformities. It is also used in treatment of congenital conditions like cleft palate. Bones can be cut and re-aligned, held in place with either screws or plates and screws.

Relationship between the maxilla and mandible

Orthognathic surgery is performed by an oral and maxillofacial surgeon almost always in collaboration with orthodontic treatment, often including braces before and after surgery, and retainers after the final removal of braces. Orthognathic surgery is often needed after reconstruction of cleft palate or other major craniofacial anomalies.

Unless medical conditions necessitate that the surgery be performed earlier, orthognathic surgery is often delayed until after all of the permanent teeth have erupted. To improve the aesthetic results, orthognathic surgery can be combined with soft tissue contouring in adult patients.

TYPES OF ORTHOGNATHIC PROCEDURES
•  Mandibular Sagittal Split Osteotomy
•  Maxillary osteotomy surgery or Le Fort Osteotomy (Le Fort I osteotomy, Le Fort II osteotomy and Le Fort III ostetomy)
•  Genioplasty (chin surgery)

DETAILS OF THE PROCEDURE
Usually surgery is performed under general anaesthetic and using nasal tube for intubation. The surgery might involve one jaw or both the jaws during the same procedure. The modification is done by making cuts in the bones of the mandible and / or maxilla and repositioning the cut pieces in the desired alignment. The surgeon is often able to go through the inside of the mouth without having to cut the skin.

Cutting the bone is called osteotomy and in case of performing the surgery on the two jaws at the same time it is called a bi-maxillary osteotomy (two jaws bone cutting) or a maxillomandibular advancement. The bone cutting is traditionally done using special electrical saws and burs, and manual chisels, and most recently by using ultra-sound waves (though not used on a wide scale). The maxilla can be adjusted using a ” Lefort I” level osteotomy. Sometimes the midface can be mobilised as well by using a Lefort II, or Lefort III osteotomy. These techniques are utilized extensively for children suffering from certain craniofacial abnormalities such as Crouzon syndrome.

The jaws will be wired together (inter-maxillary fixation) using stainless steel wires during the surgery to insure the correct re-positioning of the bones. This in most cases is released before the patient wakes up after the surgery.

COST OF ORTHOGNATHIC SURGERY
Register to Healhtbase to request a FREE quote for affordable orthognathic surgery overseas.

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Brought to you by Healthbase www.healthbase.com info.hb@healthbase.com 1-888-MY1-HLTH


Healthbase is the trusted source for global medical choices, connecting patients to leading hospitals around the world, through secure and information-rich web portal. To learn more, visit: http://www.healthbase.com Login to get FREE quote. Access is free.Healthbase Logo

IMPLANTS-IN-A-DAY

Implants-in-a-day, as the name implies, really means implants in a day. They are also known as immediate loading implants.

Normal dental implants involve a couple of stages for implantation. First, your dentist will examine your condition and implant a titanium screw into your jaw. After some months the implant is uncovered and a healing abutment and temporary crown is placed onto the implant. This encourages the gum to grow in the right scalloped shape to approximate a natural tooth’s gums and allows assessment of the final aesthetics of the restored tooth. Once this has occurred a permanent crown will be constructed and placed on the implant. In all, this process requires two to four visits to your dentist over a span of 3 to 6 months.

In recent years, an increasingly common strategy to preserve bone and reduce treatment times includes the placement of a dental implant into a recent extraction site. This technique called “implants in a day” allows the implant to be put into place and become functional in a matter of hours. This is made possible through the use of improved scanning technology which allows the dentist to make a precision custom crown which can be put on the implant instantly.

Implants in a day are becoming more common as success rates for this procedure are now acceptable. This can cut months off the treatment time and in some cases a prosthetic tooth can be attached to the implants at the same time as the surgery to place the dental implants. Immediate loading technique eliminates the need for making model templates used in normal implants thus requiring only a single trip to the dentist.

Implants in a day are especially beneficial for dental tourists who can now save travel and lodging costs as their implants can be done in a single trip, and the lost aesthetics and funtionality can be restored faster than with normal implants.

On the down side, implants in a day tend to be more expensive than normal implants.

For affordable dental implants-in-a-day or normal dental implants, log on to Healthbase.com. Healthbase is a dental tourism facilitator and medical tourism facilitator that connects patients to leading JCI/JCAHO/ISO accredited hospitals and dental offices overseas through a secure, high-tech, information-rich web portal. Healthbase provides a wide range of medical procedures through its partner hospital network. Over two hundred medical procedures are available in various categories: cosmetic and plastic, orthopedic, dental, cardiac, and many more. The savings are up to 80 percent from typical US prices even after adding up the travel costs, hospital stay and other related expenses. Healthbase offers more than just procedural availability; we also provide customers with extensive information on medical treatments, hospital and doctor profiles to help them make an educated decision regarding their treatment; travel planning and booking; applying for medical/dental loan and much more.

Register to view extensive hospital profiles including pictures of operating rooms, patient rooms, doctor qualifications, and lots more.

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Brought to you by Healthbase www.healthbase.com info.hb@healthbase.com 1-888-MY1-HLTH


Healthbase is the trusted source for global medical choices, connecting patients to leading hospitals around the world, through secure and information-rich web portal. To learn more, visit: http://www.healthbase.com Login to get FREE quote. Access is free.Healthbase Logo

MEDICAL OUTSOURCING

Dictionary.com defines outsourcing as “a practice used by different companies to reduce costs by transferring portions of work to outside suppliers rather than completing it internally”. The term which has been generally associated with the automobile industry was popularized during the past decade by the computer or IT industry. But when it is the health industry in question, how does outsourcing work there? What is outsourced and how?

If you are thinking it’s the drug manufacturing that is outsourced, you are wrong. Nor is it the bookkeeping that is outsourced. What is outsourced is the patient himself or rather he chooses to have his treatment done offshore. The driving cause is the high cost of health care in his home country. Or in certain other cases, the long waits before he can get the needed treatment.

So, medical outsourcing or offshore medical which is also commonly known as medical tourism is the practice of seeking health care abroad. But, who provides these outsourcing services?

There are lots of offshore health care providers in the form of hospitals and clinics participating in this business. Some of them can be found on the other side of the border while others may be a few oceans across. Examples include those in India, Singapore, Thailand, Mexico, Turkey, Panama, Costa Rica, Brazil, Argentina, Belgium, and so on. Some of them give excellent service – even superior to what you can get at home using the latest technology and by world-renowned surgeons – while others may not be as great. To show their commitment towards top quality, many providers also have international accreditations like JCI, JACHO, ISO, etc. Some have strategic alliances with well-known US health care providers like Cleveland Clinic, Harvard Medical International and Johns Hopkins.

International health care providers are able to provide you with high quality treatment at an affordable cost mainly because of low labor cost, low administrative cost, low malpractice cost and low living cost in their country. That’s the same reason why IT companies started outsourcing.

Now the obvious question arises – how do you find the right provider for your needs? The answer is do research. There are lots of resources available – news, articles, blogs, forums, testimonials, etc. Many people find it useful to work with a health tourism facilitator or medical tourism facilitator like Healthbase (http://www.healthbase.com). They are specialized facilitators who carefully screen and partner with international healthcare providers that meet up to the high standards of patients from the US, the UK, Canada, etc. They also help patients with all the logistics involved in getting a surgery abroad.

There are a few other things that you will need to do for a successful experience in getting your surgery overseas. Getting into the details of all of them is beyond the scope of this article. Here are some of them: doing a thorough research on the surgery in question to establish your suitability for it as well as for medical tourism, getting to learn about your medical travel destination, arranging all your medical records and sending them to the international hospital, securing passport and visa, booking tickets, and more. You may want to start here: http://www.healthbase.com/resources/medical-tourism/medical-tourism-information.

Earlier, people would go abroad mostly for elective cosmetic procedures which were not covered by insurances. Today, people outsource their orthopedic procedures as well as cardiac surgeries as well as organ transplants. It’s not just individuals who are interested in this trend to save money. Medical outsourcing has also received attention from health insurance companies who have started offering overseas treatment plans to expand their customer base, and from employers who have included it as a benefit to their employees.

At the time of writing this article, neither Merriam Webster nor Dictionary.com had an entry for “medical outsourcing”. But given the speed with which the trend is spreading, pretty soon they will have to update their dictionaries.

You can learn more about medical outsourcing, the details of the process, international healthcare providers and arrange your surgery by logging on to http://www.healthbase.com. Healthbase.com is a medical tourism facilitator committed to providing low-cost high quality medical travel services to the global medical consumer.

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