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High volume focus medicine: A big idea for the greater Middle East


By Scott Frankum, Editor of the Well Report, Los Angeles, USA


‘High-Volume Focus Medicine (HVFM) is an idea on the margins that is moving centre stage


transparent top-tier medical outcomes, create experiences patients prefer, return significant financial advantages to owners, forge flexible missions and deliver value-innovated medicine in both high-cost and low-cost environments. It is a lot to digest, in part because some


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advantages seem counter-intuitive and others sound like hyperbole. Yet, these gains have the virtue of being true. Favourable side effects include institution-building, fast skills development, social-justice dimensions and flexibility for innovations like micro-insurance. High-Volume Focus Medicine (HVFM) is an idea on the margins that is moving centre stage.


irst, the superlatives. High-Volume Focus Hospitals (HVFHs) halve the prevailing local price of surgeries, deliver


THE FiRST pARAdox I come to the Hospital Build family through the lens of health travel and medical tourism. The UAE and other GCC countries invest lots of money and energy building an image of being health travel destinations, yet there is a paradox here that HVFHs could address. About 70% of the healthcare facilities in


the region are government run and highly subsidized. Yet, a Grant Thornton report from 2009 quotes Dubai Healthcare City officials that Arabian Gulf citizens spend an estimated US $25 billion a year receiving healthcare treatment, elsewhere. Most health travellers go to Thailand, South Korea, Singapore, Turkey and India where expertise in Arab-centric diseases flourishes. The first paradox is; why would Arabian Gulf patients


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