You could have sworn that sushi smelt funny. Unfortunately, that thought is two hours too late and now you're curled up in the toilet, inventing a new guttural language. And then a new fear strikes you. You're in a foreign country, alone, and you really should go to
Suddenly, a new fear strikes you: You're in a foreign country, alone, and you really should go to the hospital.
But should you? What do you need to know? What should you look out for? Here are 9 things our experts recommend you think about to help choose the right hospital.
If you're being admitted as an emergency or taken by ambulance, you often won't have much choice in where you go. However, if you can exercise choice, it's important to select the best hospital for you – does it have the right services (eg a CT scanner), is it clean, can the staff speak your language etc?
Once there, you should let your insurer know you have been admitted as soon as possible. This ensures you are covered for all treatments that you receive. If you can let them know before you attend, they may even be able to point you to the best facility in town.
Don't be afraid to ask questions that may seem difficult – it is important that you know what is happening to you, and instead of being offended, medical staff have a duty of care to ensure you are kept up to speed with what's going on.
You will be asked for your demographic details (age, sex, next of kin etc) and your medical history. It is a good idea to carry with you a list of previous operations and treatments you may have had, along with a list of medications and allergies. You will also be asked about how you are going to pay for treatment. Without insurance, it can be frighteningly expensive, so you're best to be covered and you can give them the contact details for your company who should then be able to settle your bills.
Hospitals do not have the same standards of care everywhere. Depending on which country you are in, and whether you are in a big city or the rural countryside, hospitals can differ greatly. Many developed countries will have a government regulation committee that will inspect all hospitals to make sure there is a minimum standard of care. However, in other areas, it may be completely unregulated.
Generally speaking, hospitals in developing countries have less regulation and lower standards than those in developed nations. Sub-saharan Africa is notorious for its underfunded and understaffed institutions and parts of South America have poor legacies for the state of healthcare. However, South East Asia and the Indian subcontinent have some of the best hospitals in the world; It's all a matter of choosing the right place.
As a general rule of thumb, cleanliness is a good indicator of the level of safety in a hospital. Word of mouth is also a good way of gauging a hospital's reputation. However, if you are insured with someone like Bupa International, you will more reliably be able to find out which are the good and bad places, as we have experience and check hospitals around the world for quality.
Private hospitals are generally as good as public hospitals and in many places, often better. Private hospitals tend to have better funding and can therefore afford better equipment and facilities.
However, public hospitals may offer a range of services that private ones cannot, including intensive care units, emergency cardiac interventions and a wider range of staff for paramedical services such as physiotherapy and radiology.
An emergency medical kit always comes in handy, but what you can do with one is limited. Kits should ideally contain basic painkillers, antiseptic, anti-diarrhoea and rehydration preparations, bandages and plasters. Customs and prescription laws restrict the amount you can carry around with you.
For any worrying conditions, it is always best to seek expert medical advice – things can be picked up before they develop into major problems and sometimes you need a doctor to give you medications you cannot otherwise access.
If you take any medications, eg insulin, it is essential to keep an adequate supply, and to keep stores in two separate bags in case one is lost. Also, if you are anaphylactic, don't forget to take adrenaline with you (and give your travelling companion instructions on how to use it).
The biggest single problem that the traveller will face is dehydration (from diarrheoa and vomiting). Access to a plentiful supply of rehydration salts and clean drinking water is paramount.
And making sure you're adequately insured so that not only will your bills be paid, but you'll have a 'friend' that can help you through particularly troublesome times.
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