May 17, 2020

Will Puerto Rico become the next medical tourism hub?

Latin America Healthcare
Admin
3 min
Crashing surf on the beach at El Morro Fortress, San Juan, Puerto Rico.
As you may have just heard, medical marijuana will soon be legal in Puerto Rico, provided the executive order signed by its governer, Alejandro Garcia P...

As you may have just heard, medical marijuana will soon be legal in Puerto Rico, provided the executive order signed by its governer, Alejandro Garcia Padilla, unfolds as planned.

According to AP Online:

“We’re taking a significant step in the area of health that is fundamental to our development and quality of life,” Garcia said in a statement. “I am sure that many patients will receive appropriate treatment that will offer them new hope.”

The order directs the health department to authorize the use of some or all controlled substances or derivatives of the cannabis plant for medical use.

Garcia said the government also will soon outline the specific authorized uses of marijuana and its derivatives for medical purposes. He noted that medical marijuana is used in the U.S. mainland and elsewhere to treat pain associated with migraines and illnesses including epilepsy, multiple sclerosis and AIDS.

Details, as far whether the medical marijuana can be grown on the island or has to be imported, and which illnesses—in particular, those which inflict chronic pain on those affected—would be allowed prescription benefits are still to be determined.

RELATED TOPIC: 3 Stocks to Watch in the US Medical Marijuana Market

So far, however, these seem to be progressive steps in the right direction for both the medical marijuana industry and alternative health care practitioners.

This is just another reason as to why medical tourism is an emerging market for Puerto Rico. Currently, the cost of medical and dental services in Puerto Rico is 40 percent to 60 percent lower than in the continental U.S.

Under the state’s Tourism Development Act, businesses engaged in medical tourism can enjoy up to 90 percent tax exemption on income tax up to 90 percent on peronsal property, real property and licenses and up to 50 percent in tax credits for any person who acquires an equity interest or contributes land to an entity that develops an exempt tourism business.

The Puerto Rico Medical Tourism Alliance also recently announced that the Nueterra Global Alliacne would partner with Puerto Rico to facilitate the access of patients to Puerto Rico’s health care facilities.

RELATED TOPIC: These are the most obese countries in Latin America

Francisco Bonet, executive director of the Puerto Rico Medical Tourism Corporation, told Diaro de Puerto Rico, “Having completed the evaluation process for proposals means that we will soon have a centralized mechanism to market Puerto Rico’s health care services to a global pool of medical tourism patients. This entity and our promotion efforts will secure a larger share of the medical tourism market, placing Puerto Rico in a uniquely advantageous position for both Latin America and the U.S.”

Although Puerto Rico's goals are nothing short of ambitious (30,000 patients and $300 millions in 3 years), current statistics light the way for a very profitable future. 

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Jul 22, 2021

COVID-19 "causing mass trauma among world’s nurses"

COVID19
Hospitals
nurses
burnout
5 min
COVID-19 "causing mass trauma among world’s nurses"
Two nurses tell us about COVID-19, nurse burnout, and how to address it

Healthcare providers are facing ongoing nursing shortages, and hospitals are reporting high rates of staff turnover and burnout as a result of the COVID-19 pandemic. In June a report found that levels of burnout among staff in England had reached "emergency" levels

Registered nurses Molly Rindt and Erika Haywood are nurse mentors on US recruitment platform Incredible Health. In this joint Q&A they tell Healthcare Global about their own experiences of burnout and what can be done to tackle it. 

What does it mean to be suffering from burnout? 
Some of the most common reasons for nurse burnout include long work hours, sleep deprivation, a high-stress work environment, lack of support, and emotional strain from patient care. 

While every profession has its stressors, the nursing industry has some of the highest burnout rates. The massive influence on patients’ lives, the long hours, and many other factors put nurses at risk of severe burnout. And with the rise of COVID-19, many healthcare professionals feel the strain more than ever.

Burnout in nurses affects everyone — individual nurses suffer, patients are impacted, and employers struggle with enormous turnover. This is why it’s crucial for healthcare systems and management to watch for signs of nurse burnout and take steps to provide a healthier workplace. Employers should be careful to watch for burnout symptoms in their healthcare staff — and not ignore them. 

Symptoms include constant tiredness, constant anxiety related to work, emotional detachment and unexplained sickness. 

How widespread is this problem?     
Unfortunately, burnout affects approximately 38% of nurses per year and even the WHO recently labelled burnout as an official medical diagnosis. To put this statistic into perspective, nearly 4 out of 10 nurses will drive to work dreading their shift. Burnout is a reason nurses leave their positions. 

Other top reasons for leaving included a stressful work environment, lack of good management or leadership, inadequate staffing, and finding better pay or benefits elsewhere.

Even before the pandemic, demanding workloads and aspects of the work environment such as poor staffing ratios, lack of communication between physicians and nurses, and lack of organisational leadership were known to be associated with burnout in nurses. 

Have either of you experienced burnout? 
Rindt: I have experienced burnout as an RN. I was constantly fatigued,  never felt like I was off work, and would frequently dream I was still at work taking care of patients. In my particular situation, I needed to take a step back and restructure my work schedule to allow for more time off. After doing this, I was able to reduce burnout by deciding to work two shifts back-to-back and then have 2-3 days off.

Haywood: I definitely experienced constant anxiety related to work - so much so it would impact the days I wasn’t at work. At one point, I was even on medication to help combat the anxiety and stress I was facing on the job. 

I had heart palpitations, chest pain, and wouldn’t be able to sleep before working the next day, which slowly started to impact other aspects of my life. I knew I couldn’t continue to live this way, it wasn’t sustainable. Because of this, I began to focus on my needs and prioritising self-care, especially during the beginning of the pandemic. Putting my needs first and not feeling guilty were necessary for me to overcome burnout.

What impact is COVID-19 having on nurses' wellbeing? 
Some nurses have suffered devastating health consequences. Many nurses have dealt with excessive on-the-job stress, fears of becoming infected, and grief over seeing patients succumb to COVID-19 while isolated from their families.

New evidence gathered by the International Council of Nurses (ICN) suggests COVID-19 is causing mass trauma among the world’s nurses. The number of confirmed nurse deaths now exceeds 2,200, and with high levels of infections in the nursing workforce continuing, overstretched staff are experiencing increasing psychological distress in the face of ever-increasing workloads, continued abuse and protests by anti-vaccinators. 

However, other small silver linings that came from the pandemic include increased professional autonomy, leadership opportunities and career growth potential.

How much of the cause of burnout is due to the hospitals or healthcare providers, and what can they do to address it?

Nurse fatigue poses serious problems for healthcare organisations, and a recent survey from Kronos found 63% of nurses say their job has caused burnout. The survey also found that more than 4 out of 5 nurses think hospitals today are losing good staff because other employers offer a better work/life balance.

Nurse burnout  not only contributes to staff turnover, but it can impact the facility’s quality of care, patient satisfaction, and even medical outcomes. 

Strategies to address burnout include training improving  nurse-to-patient ratios, include nurses in policy discussions, and prioritise fostering a healthy work culture in hospitals. 

What does your role mentoring nurses on the Incredible Health platform involve?
Rindt: My role can vary based on the needs of the nurses. The nurses love knowing they have someone in their corner who can give interview preparation advice or provide suggestions on how to improve their resume. Knowing that there is someone who is well-versed in the job process and can help set expectations on what to anticipate, really helps to remove a layer of uncertainty.

Haywood: When screening nurses, it is customised to what their individual RN or nurse practitioner needs, and at a time that is most convenient for them. Nurses are busy and often aren’t thought of first. Being able to provide support from the very beginning of their career advancement journey helps tremendously.  We also provide resources such as resume templates and tips that can help nurses be successful and feel supported.

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