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					   Strategies for Promoting
Nuclear Medicine in Developing
          Countries

      Jose Eduardo S. Rondain, M.D.
          Makati Medical Center
               Philippines
EDUCATION
   Partnership with others:
   Partnership with others:
       a) Local -
       b) Regional -
   Partnership with others:
     a) Local - interhospital exchange of
               doctors
   Partnership with others:
     a) Local - interhospital exchange of
               doctors
              - interhospital exhange of
                technologists for training,
                updates and techniques
                interchange
   Partnership with others:
     Philippine Society of Nuclear Medicine:
     interhospital agreement (consortium
                             training program?)
   Partnership with others:
     Philippine Society of Nuclear Medicine:

Specialty hospitals i.e. heart center, lung center,
                         kidney center
   Partnership with others:
     Philippine Society of Nuclear Medicine:

Specialty hospitals i.e. heart center, lung center,
                         kidney center

Tertiary hospitals: Makati Medical Center
                    St. Lukes Medical Center
   Other training hospitals lack some of the
    specialties that the other hospitals
    commonly see!
   Other training hospitals lack some of the
    specialties that the other hospitals
    commonly see!
   Sharing of training material
    Doctors are made to rotate in different hospitals to expose
    them to other procedures
   Partnership with others:
       Local partnerships:
       Regional partnerships:
            exhange of doctors/technologists
             for updates, techniques sharing or
             training
Publication of a Newsletter or gazette
Publication of a Newsletter or gazette
 -local or regional updates will be published
Publication of a Newsletter or gazette
 -local or regional updates will be published
 -interesting Journal articles be discussed in a forum for those who
 have no access to these materials.
Publication of a Newsletter or gazette
 -local or regional updates will be published
 -interesting Journal articles be discussed in a forum for those who
 have no access to these materials.

 -continual quality improvements of different hospitals will be shared
 through this media.


 Continual Quality Improvements (CQI): cost effective
                                       work simplification
                                       customer satisfaction is thrust
Publication of a Newsletter or
 gazette
   CQI …doing the right thing right the first time all the time!

If the technologists and doctors have this in mind, they produce quality
    work thus there will be no repeats or rework of test procedures ergo
    no wastage of resources (time, money, supplies, manpower)
Promotion of Nuclear Medicine Procedures
Promotion of Nuclear Medicine Procedures
    Giving lectures to clinicians for their awareness
    of nuclear diagnostic tests:
            PSNM “Outreach Program”
Promotion of Nuclear Medicine Procedures
    Giving lectures to clinicians for their awareness
    of nuclear diagnostic tests
    Handouts/ brochures re: nuclear medicine
    procedures for doctors and patients (It gives
    them an opportunity to learn)
Promotion of Nuclear Medicine Procedures
    Giving lectures to clinicians for their awareness
    of nuclear diagnostic tests
    Handouts/ brochures re: nuclear medicine
    procedures for doctors and patients (It gives
    them an opportunity to learn)
   Showing video tapes or posters in TV/radio
    programs
SHARE MARKETING STRATEGIES!
SHARE MARKETING STRATEGIES!
I - Identifying group to focus on (patient, insurance company, hospital,
    referring doctor) - low cost and patient satisfaction
M - modify or influence behavior by giving them information on nuclear
    medicine (show them what you do and how you do it)
A - advertise nuclear medicine services through brochures or handouts
    (service and treatment provided)
G - Giving (and finding out) what they want - patients want to get better
    and find out what is wrong with them, they like quick
    service, pleasant, qualified, trained and professional staff and nice
    clean environment.
E – Education of customers - referring doctors and patients are your
    customers - giving lectures or free clinics
   Introduction of new
    techniques/technologies
   Share with the group and standardize!
   Lack of training programs and proper
    accreditation!
   No formal school for NM technologists
   Starting this year, formation of a one year
    course for NM technologists in one of the
    universities in Manila
Other Possibilities:

Facilitating regular supply of cost effective radionuclides
  (Indigenous regional supply and new sources of supply)
  by promoting regional cooperation in the development of
  radiopharmaceuticals.
Other Possibilities:
Facilitating regular supply of cost effective radionuclides
  (Indigenous regional supply and new sources of supply)
  by promoting regional cooperation in the development of
  radiopharmaceuticals.

Introducing new and emerging cost effective diagnostic and
   therapeutic nuclear medicine techniques.
   Issues:
                 Low socio-economic status in several countries
                  of the region.
                 Competing demands from other technologies
                 Low accessibility and poor communication in
                  some countries
                 Misplaced nuclear phobia. Anything nuclear is
                  wrong and get destructive, hence untouchable.
                 High initial capital cost and running cost
                 Rapid development of technology.
THANK YOU VERY MUCH !
 Maraming Salamat Po !

				
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