International Medical Evacuation in Children: A Primary Care Pediatric Clinic's 3-Year Experience

Glatstein, Miguel; Halevy, Jonathan; Atzmon, Y.; Kot, Raphael J.; Scolnik, Dennis

doi:10.3357/asem.2886.2011

Cited by 4 publications

(1 citation statement)

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“…Recurrent insufficiency of means of diagnosis and management of cardiovascular, traumato‐orthopedic conditions has created a lack of trust between population need care and an affinity for care abroad for anyone who can boost the IME procedure. This influx for IME in so‐called vital specialties (cardiology, traumatology, oncology) has already been observed in Djibouti, Benin, Burkina Faso, or Vietnam . While waiting to create a good climate of mutual trust between care worker and patient, the authority decision‐made will have to ensure that there is no chance for care or diagnostic investigation at the local level before issuing an evacuation notice.…”

Section: Discussionmentioning

confidence: 99%

Organisational framework and outputs of International medical evacuation in Guinea: A need for change

Guilavogui

Camara

Diallo

et al. 2018

Health Planning & Management

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The study aims to describe the organizational framework of International Medical Evacuation (IME), the profile of persons evacuated, and the associated cost of IME in Guinea. This was a descriptive study of IME policy in Guinea. We described the politico-structural organization of IME and the profile of patient accessing IME through the Ministry of Health (MOH: 2001-2015) and through the National Social Security Fund (NSSF: 2011-2015). From 1958 to 1992 since the health system was restricted, the country negotiated the free medical treatment with Socialist countries. Since 1992, a medical assistance line was included in the sector budgets, and IME was officially managed by the MOH and with a parallel system existing at the NSSF. With an average cost of US $34 251 per case, cardiovascular diseases (20%), Traumatology/Orthopedic diseases (20%), and Neurologic/neurosurgery diseases (12.5%) have motivated more than half of 2445 IME supported by the MOH between 2001 and 2015. With a diagnostic exploration (38.7%) as main motivation, the majority of the IMEs (80.0%) endorsed by the NSSF (2011-2015) concerned their employees/workers or those of the NSSF's supervisory ministry and their families. Despite a strict regulatory framework, the emergence and sustainability of parallel IME systems in other departments with different procedures than MOH's procedure represent a major weakness/deficiency. The new prospects for the free medical treatment of state employees could eventually lead to an effective correction of this structural failure if efficiently managed.

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Section: Discussionmentioning

confidence: 99%