MEDICAL TREATMENT IN FRANCE

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THE BEST HOSPITALSAN INTERNATIONALLY RENOWNED HEALTHCARE SYSTEMGETTINGMEDICAL TREATMENTIN FRANCESEVEN MEDICAL SPECIALITIES AND LISTS OF THEHOSPITALS WHERE YOU CAN RECEIVE TREATMENT

› GETTING MEDICAL TREATMENT IN FRANCE / EDITORIALEDITORIALFrance is internationally renowned for its healthcare system and a longtradition of hospitality. For the first time, the healthcare possibilities inFrance are being presented in an informational brochure for patients aroundthe world.France is a wellspring of medical innovation. Our teams of doctors andresearchers, trained according to the most rigorous standards, are behindsome of the world’s most important discoveries in a variety of therapeuticfields. To make its expertise available to all, France has decided toconsolidate its care infrastructure for individuals seeking medical treatmentin our country.Making the choice to be away from one’s family to obtain the best treatmentis never easy. Moreover, such a decision is often made when a patient isin pain or distress and with great urgency. It is essential that every stageof this decision-making process be made as simple as possible, whether itbe in terms of finding the most suitable facility, preparing administrativerequirements or planning the trip for the patient and family members. Francenow has a system in place to assist patients during this difficult time andfacilitate their care from start to finish so they can focus on healing.Access to French healthcare is now much easier, with a facilitated healthvisa process, improved hosting conditions for patients and their families,tailored services, and specially trained staff available if needed.Patients who do not have access to the care they need in their homecountries can now receive medical treatment and care that meets theirquality, cost and hospitality expectations. And perhaps the bounty oftreasures that can be found all around the country can further heal patientswho have chosen to come to France for their treatment.

› GETTING MEDICAL TREATMENT IN FRANCE / summarysummaryHealthcare in France, international excellence2Practical information6Discover France, a unique experience8Cardiology10Gynaecology – obstetrics12Neurology14Oncology16Orthopaedic services18Paediatrics20Rehabilitation services221

› GETTING MEDICAL TREATMENT IN FRANCE / OVERVIEWHEALTHCARE IN FRANCEInternational excellenceRENOWNED HEALTHCAREWith an internationally recognizedhealthcare system, groundbreakingresearch facilities and high-qualityinfrastructures, France welcomesmany patients from around theglobe.Its medical teams are rankedamong the best in the world.French excellence extends tonumerous surgical and medicalspecialities, notably for thetreatment of cancers, heartdiseases, orthopaedic surgery andreconstructive surgery (SoMedical2013 ranking).A GUARANTEE OF FASTERTREATMENT MEETING THEHIGHEST STANDARDS INALL FIELDSThe French healthcare systemoften receives top honours ininternational rankings: it is first onthe World Health Organization’sranking of the world’s healthsystems. This recognizedperformance ensures thatpatients receive treatment quicklywith average wait times thatearned France third place on theCommonwealth Fund 2014 ranking.It also means uninsured patientswho are not French residentsare able to benefit from verycompetitive prices.A CULTURE OFINNOVATION FOR CUTTINGEDGE HEALTHCAREResearch by French medicalresearch teams has won 13 Nobel2Prizes, with awards received asrecently as 2008 (ProfessorsFrançoise Barré-Sinoussi andLuc Montagnier: discovery of theretrovirus responsible for causingAIDS) and 2011 (Professor JulesHoffmann: research on innateimmunity). French research isespecially active in the fight againstcancer and the treatment of rarediseases.France strives to ensure effectivetransfer of technological andscientific advances to therapeuticfields, and several training centresfor new techniques have beencreated, including IRCAD, theEuropean School of Surgery(EEC) and Cancer Campus. Theseinstitutions were founded on theprinciples of translational medicineto speed patients access to thelatest discovers and improvethe overall healthcare systemperformance.HEALTH ESTABLISHMENTSOPEN TO THE WORLDOur hospitals employ doctors,researchers and students fromaround the world. They have cometo learn about French medicalexpertise through the best researchand training programmes and helpspread that knowledge across theglobe.Numerous techniques and surgicalspecialities, such as heart surgery,neurosurgery and robotic surgery,were developed in France andmany – including the fields ofgynaecology and oncology – owemuch to French teams.

«13 Nobel Prizes for medicine awardedto French teams

› GETTING MEDICAL TREATMENT IN FRANCE / OVERVIEWCERTIFIED QUALITY WITH THEHIGHEST OF STANDARDSFrance has a quality control system,overseen by its National HealthAuthority (HAS), which is among thebest in the world. French healthcarefacilities are required to undergocertification every four years toensure their quality level meetsbasic criteria regarding infectionrisk, patient identification, painmanagement, medication managementand policies to improve care qualityand safety. These are some of themost stringent certification standardsin the world.«A high-quality and safe certificationsystem that is among the most stringentin the worldA HEALTHCARE SYSTEM THATCONSIDERS ETHICS ANDCONDUCT AS CORE VALUESPractising medicine in France isgoverned by a medical conductcode that covers such principles asthe respect of human dignity andprofessional confidentiality, patients’right to information and the obligationto obtain consent for all interventions.The equally high-quality therapeuticoffer, available to all without distinctionand subject to strict oversight, hasearned French healthcare facilities oneof the best reputations for probity inthe world.Article 7 of the Code of Conductstipulates that “doctors must listen,examine, advise or offer care of thesame standard to all patients regardlessof their origin, nationality, religion orfeelings they may have towards them.”4

› GETTING MEDICAL TREATMENT IN FRANCE / OVERVIEWClinique Claude Bernard, Ermont5

› GETTING MEDICAL TREATMENT IN FRANCE / PRAcTICAL INFORMATIONPRACTICALINFORMATIONACCESSWith its two international airports, Parisis a main entry point to France for manyforeign visitors. It is well connected toall of the country’s major cities by airand train.lilleparisSTRASBOURG A ll means of transport are available forgetting around Paris and the surroundingmetropolitan area (Île-de-France): train,RER, metro, tramway, bus and taxi.Connection is also available to all majorFrench cities via high-speed train (TGV),domestic flights and main deauxbiarritz 3 8 international airports in France,two of which are in Paris; high-speedtrains (TGV) available from RoissyCharles-de-Gaulle Airport to all majorcities in France.grenobleACCOMMODATIONNICEtoulouse montpelliermarseille100 kmFrance has a considerable offer of hotelsof all categories in all of its cities andnear to hospital facilities. It is alsopossible to find furnished apartments forlonger stays. All cities make hotel andbooking information available throughtheir tourist offices. In Paris, there aremore than forty booking centres. info www.france.fr6

› GETTING MEDICAL TREATMENT IN FRANCE / PRAcTICAL INFORMATIONLeft to right : CHU d’Amiens - Centre Antoine Lacassagne, Centre de lutte contre le cancer de Nice - Institut de Cancérologie de l’Ouest, NantesSHORT STAY VISA (SCHENGEN VISA)FOR MEDICAL REASONSTo receive medical treatmentin France, it may be necessary(depending on your nationality) toobtain a short stay visa for medicalreasons.Who must obtain a visa?A visa is not required for EuropeanUnion citizens. The European Union hasalso waived the visa requirement forcitizens of certain countries (such asthe United States and the United ArabEmirates) if the length of stay(s) doesnot exceed 90 days in a 180-day period.Citizens with the following nationalities(the list is not exhaustive) are requiredto apply for a short stay visa: Algeria,Cameroon, China, Egypt, Gabon, IvoryCoast, Kuwait, Lebanon, Morocco, Niger,Russia, Saudi Arabia, Senegal and Tunisia.How do you obtain a visa?Visa requests must be made to thecompetent French consulate in thevisitor’s home country.How long does the process take?A response to a visa request is usuallymade within two to ten days. In theevent of a proven medical emergency,the competent French consulate canexpedite processing.Is this visa different than a tourist visa?Like a tourist visa, a visa for medicalreasons is a short term visa (also knownas a Schengen Visa) which is valid for90 days over a 180-day period. It cantake into account the patient’s specificsituation, and therefore a tourist visacannot serve as a substitute.What documents must be submittedwith the request?You will need to submit all basicdocumentation required for anyshort stay visa as well as specificdocumentation pertaining to yourmedical situation, which will be handledwith absolute confidentiality.The following basic documentation isrequired for all short stay visas: Proof of accommodation in France Proof of travel and repatriationinsurance Proof of sufficient personal financesto cover daily expenses while inFrance (payslips, bank statements,etc.) If applicable, documentation forminors (birth certificate, parentalauthorization if the minor is travelingwithout his or her parents)Other documentation specific to yoursituation may be requested, such as: Written confirmation from the Frenchhealthcare facility that it will beadmitting the patient, with the datesand duration of the planned hospitalstay and an estimate of the cost ofcare; A letter from a credible andtrustworthy health insuranceorganization (in the event of areciprocal social security agreementbetween the home country andFrance: prior approval by the healthinsurance company in the homecountry to cover the cost of care) orproof that medical fees have beenpaid for in advance;7 I f applicable, proof of registrationon the national organ and corneatransplant list provided by themedical/surgical team that will beperforming the transplant.Is it mandatory to appear in person atthe consulate to make the request?Yes, unless the traveller’s healthprevents doing so.What procedure should be followedfor those accompanying the patienton the trip?In addition to the documentation requiredfor a Schengen Visa, specific documentationmay be requested, including: Proof of a family relationship withthe patient, or if no family ties exist,a letter from the visa applicantjustifying the reason for coming Proof that costs related to theapplicant will be covered by theorganization covering the patient’smedical costs.It is possible to extend the visa?An extension may be accorded on acase-by-case basis in the event thatthe patient’s condition requires it. Acertificate of health from the healthcarefacility or the attending physicianmust be provided. All administrativeprocedures must be handled at thecompetent prefecture in France.For more information, contact theFrench Consulate and relevanthealthcare establishments (see the“Specialities” section of this brochurefor contact information).

› GETTING MEDICAL TREATMENT IN FRANCE / TOURISMDISCOVERFranceA UNIQUE EXPERIENCEEvery region – and indeed every city –has its own identity. Staying inone of them is an opportunityto discover a wealth of culture,heritage and gastronomy like noother. Paris, the City of Light, capitalof fashion and romance, is knownthe world over for its beauty andhistory. It nurtures modernity througha cultural and creative offering thatis among the best in the world:museums, cinemas, theatres, concerthalls and operas make this a globalcapital of culture. Lille, a city in northern Franceknown for its warm and welcomingpeople, Flemish architecture anddynamic culture. To the east, Strasbourg balancesan old town that is a UNESCO WorldHeritage Site with the bold modernarchitecture of its European quarterwhere EU institutions are located. Reims, where coronation ceremoniesfor France’s kings long took place,played a key role in the country’shistory, a fact that is obvious in thecity’s impressive heritage. Reims is alsothe capital of the Champagne region,whose bubbly is prized the world over. To the west is Nantes, just 30minutes from the Atlantic Ocean andthe entry point to Brittany and the Valde Loire, a region celebrated for itsRenaissance-era castles. Not far away is Angers, whosecenturies-old way of life is reflected inits mediaeval castle, fine food cultureand local vineyards. To the south is Bordeaux, nearthe Atlantic coast, the world capital ofwine with vineyards that have beencultivated for more than two millennia. To the southwest is Toulouse, “thePink City”, a student city of easy livingand cutting-edge space research.8 If you’re looking to cool off, head to theAlps: Lyon, for its gastronomy, bustlingpiers and city centre that has the honourof being a UNESCO World Heritage Site. And Grenoble, overlooked bythe Vercors Massif, the Belledonnepeaks and the Chartreuse forests thatstretch all the way into the city. Cosmopolitan Montpellier,which is home to the world’s oldestmedical university, in a region thatboasts six UNESCO World Heritage Sites. An entry to the Mediterraneanand “gateway to the Middle East”,Marseille, with its southern Frenchflair, is the country’s second largestcity. It was named European Capital ofCulture in 2013. Ideally located along theMediterranean coast and not far fromthe mountains, Nice is as well knownfor its tourist appeal as it is for itsMediterranean lifestyle and heritage.

› GETTING MEDICAL TREATMENT IN FRANCE / tourism«France is not only recognized forthe quality of its healthcare butalso stands out for its culture andvaried landscapes.For patients as well as thoseaccompanying them, travelling toFrance is also an opportunity todiscover the country’s exceptionalheritage.With 39 sites on UNESCO’S WorldHeritage list, 8,000 museums, countlessmonuments and a wide variety ofevents, visitors won’t be disappointedwith France’s cultural offering.If nature is more your style,spectacular views await alongthe sea, in the mountains or inthe countryside, all just a stone’sthrow away from major cities. Manyregions and cities have an especiallywell-developed hotel and sportinginfrastructures, which are perfect forrelaxing and recovering.France’s cities also offer some ofthe best shopping around: fromluxury clothing and accessories toart, handcrafted items or fine food,opportunities abound. Non-Europeanresidents can also benefit from a VATrefund (value added tax).French regions set their own rhythms,guided by an exceptional cultural lifeand architectural heritage. They telltheir story through local dishes, withrecipes that are sometimes knownaround the globe and sometimesclosely guarded.9France is the world’s toptourist destinationFrom the Channel to Provence,Brittany, Alsace, Burgundy, the Southwest and Corsica, visitors can discovereach region through its specialtydishes, not to mention celebratedFrench wines. With wine optionsfrom Burgundy, Bordeaux, Alsaceand Champagne, there is somethingfor everyone, whether amateur orconnoisseur.UNESCO declared “The GastronomicMeal of the French” Intangible CulturalHeritage of Humanity in 2010.France embodies a way of life thatemphasizes taking care of yourself.Find more informationon travelling in France at:www.france.fr

› GETTING MEDICAL TREATMENT IN FRANCE / SPECIALITIEScardiologieAT THE FOREFRONT OF MEDICAL PROGRESSAND TECHNOLOGICAL INNOVATIONS26 millionCardiology is one of the fields of medicine that has madethe greatest strides in recent decades. Advances inresearch and technology mean that varied, effective andless invasive treatments are available or will soon be formost heart diseases.To offer cutting-edge healthcare to their patients, Frenchestablishments are equipped with ultra-modern technologicalfacilities and employ the latest in medical advances.They make use of the best techniques in interventionalcardiology (intervention on the coronary arteries usingX-ray visualization, without the need for surgery) and havedeveloped several promising technological innovationsfor a range of heart diseases: the Carmat artificial heart,bioresorbable stents and leadless pacemakers, among others.Remote cardiac services are also becoming more widespreadin France, with such activities as echocardiogram interpretationand remote monitoring of patients’ implanted medical devices(defibrillator) and heart rhythms.10PEOPLE SUFFER FROM HEART FAILUREAROUND THE WORLD, WITH 15 MILLIONIN EUROPE.IN FOCUSA EUROPEAN FIRST3D IMAGING USED TO REPAIRHEARTS IN YOUNG PATIENTSThe CHU de Toulouse teachinghospital carried out three proceduresin November 2015 to repair congenitalheart defects in paediatric patientsusing a 3D imaging tool, a first inEurope.The hospital in Toulouse is the onlypaediatric cardiology centre equippedwith the EchoNavigator, a tool thatenables heart surgeons to combineultrasound and X-ray images to guidetheir movements during heart repairs.

› GETTING MEDICAL TREATMENT IN FRANCE / SPECIALITIESTESTIMONIALDr Romain CADORDirector of Cardiology, Hôpital Saint-Joseph (Paris)Interventional cardiology comprises coronary cardiology (dilated cardiomyopathy), structural cardiology (nonsurgical treatment of heart valves) and electrophysiology (implantation of pacemakers and defibrillators andablation of cardiac arrhythmias). French teams are pioneers in the field of coronary medicine – the first coronarystent in the world was implanted in France – and maintain a high level of technical expertise with extremelyexperienced specialists. These specialists are able to offer very complex non-surgical techniques to patientsthat can lead to shorter hospitalization times and faster recovery. Care is always thoroughly planned out andtailored to every patient. ESTABLISHMENTSPARIS Île-de-France Public hospitals in Paris (AP-HP)Hôpital Bichat, ParisInternational contact: Pr Enrique CASALINO 33 (0)1 40 25 77 66enrique.casalino@aphp.frwww.aphp.fr C entre hospitalier intercommunal dePoissy Saint-Germain-en-LayeInternational contact:Dr Xavier Marchand 33 (0)1 39 27 52 -st-germain.frH ôpital européen Georges Pompidou HEGP, ParisInternational contact: Pr Philippe MENASCHE 33 (0)1 56 09 36 21philippe.menasche@aphp.frwww.aphp.fr C linique des Lilas, Les LilasInternational contact:Dr Louis-Denis DURANTHON 33 (0)1 43 62 22 H ôpital Pitié Salpêtrière, ParisInternational contact: Pr Michel KOMAJDA 33 (0)1 42 16 30 02michel.komajda@aphp.frwww.aphp.frNORTH-east G roupe hospitalier Paris Saint-Joseph,ParisInternational Patient Center 33 (0)1 44 12 78 81internationalpatient@hpsj.frwww.hpsj.fr A merican Hospital of Paris, Neuilly-surSeineInternational Unit 33 (0)1 46 41 82 g I nstitut mutualiste Montsouris, ParisInternational contact: Thomas PIGNIER 33 (0)1 56 61 63 90Thomas.Pignier@imm.frimm.fr Centre hospitalier privé de l’Europe,Le Port MarlyI nternational contact:Jean-Philippe M aureille,Administration and Finance Director 33 (0)1 39 17 21 86jpmaureille@cmce-europe.frwww.chp-europe.fr H ôpital Cardiologique, LilleInternational contact:Virginie Vanderbeke, Billing Manager 33 (0)3 20 44 43 fr H ôpitaux Universitaires de Strasbourg Nouvel Hôpital Civil, StrasbourgInternational contact:Yara EL-ELEYWA LE CORFF 33 (0)3 88 11 50 ru-strasbourg.frNORTH-WEST C linique du Pont de Chaume, MontaubanInternational contact: Gauthier ESCARTIN,Managing Director 33 (0)5 63 68 33 ontdechaume.frsouth-east

France is internationally renowned for its healthcare system and a long tradition of hospitality. For the first time, the healthcare possibilities in France are being presented in an informational brochure for patients around the world. France is a wellspring of medical innovation. Our teams of doctors and

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