Medical tourism

PowerPoint presentation on medical tourism or health tourism. latest medical tourism ppt

1. Medical tourism With reference to India

2. What is medical tourism? M edical tourism is the practice of travelling abroad in order to receive medical treatment. In general, It is the travel of people to another country for the purpose of obtaining medical treatment in that country.

3. Terminology Alternate terms: Health tourism Medical journeys Global healthcare / Cross border healthcare Medical value travel More specific terms: Surgical tourism Transplant tourism Reproductive tourism Dental tourism Suicide / Euthanasia tourism

4. History of medical tourism: Medical tourism dates back thousands of years to when Greek pilgrims traveled from all over the Mediterranean to the small territory in the saronic gulf called E pidauria. Epidauria became the original travel destination for medical tourism. Spa towns and sanitarium were the form of early medical tourism. People travels to these destinations for medical benefits. From the 18th century wealthy Europeans travelled to spas from Germany to the Nile. In Roman Britain, patients took the waters at a shrine at Bath, a practice that continued for 2,000 years. In 1326, a little village in east Belgium gained overnight fame after the discovery of the iron-rich hot springs. It developed into a full-fledged health resort in 16 th century.

5. History of medical tourism in India: India is also historical medical tourism destination. The yoga gained popularity 5000 years ago. Indian medical science is as old as the Indus valley civilization India has been visited by constant stream of health travelers seeking to heel themselves through Ayurveda Ayurveda has always been preserved by the people of India as a traditional “science of life” from thousands of years Susruta was the very famous surgeon of ancient India

6. Reasons of medical tourism: High savings No wait-lists High quality treatment World class facilities Access to latest technology Best surgeons Customer care Travel opportunities

7. Some Statistics of Medical Tourism Industry The market size of medical tourism industry is estimated near about USD 10.5 billion in 2012 It is estimated to reach a market worth USD 32.5 billion in 2019 at a CAGR of 17.9% from 2013 to 2019 There are approx. 50 million uninsured Americans which are willing to go abroad for affordable and quality medical care 900000 Americans traveled abroad for medical care in 2013 Patients (US) traveling abroad can save from 30 to 90 percentage on a procedure, including their travel expenditures

8. List of medical tourism destinations (countries) Asia - China, India, Israel, Jordan, Malaysia, Singapore, South Korea, Philippines, Taiwan, Turkey, UAE, Thailand, Indonesia, Japan The Americas - Argentina, Brazil, Canada, Colombia, Mexico, United States Europe - Belgium, Czech Republic, Germany, Hungary, Italy, Poland, Portugal, Romania, Russia, Spain Africa - South Africa, Kenya, Egypt, Morocco Others - Australia, Barbados, Cuba, Jamaica

9. Top Destinations By No. of tourists THAILAND MEXICO USA SINGAPORE INDIA MALAYSIA BRAZIL TURKEY TAIWAN COSTA RICA

10. DESTINATION NO. OF VISITORS (2012) % SAVINGS TAKING USA AS A BASE THAILAND 1200000 50-70 MEXICO 1000000 40-65 USA 800000 - SINGAPORE 610000 30-45 INDIA 400000 65-90 MALAYSIA 250000 65-80 BRAZIL 180000 25-40 TURKEY 110000 50-65 TAIWAN 90000 40-55 COSTA RICA 50000 40-65 COMPARISON TABLE

11. Major Procedures: Comparative Costs   As of August 2013                       Procedure US Cost Brazil Costa Rica India Malaysia Mexico Singapore South Korea Taiwan Thailand Turkey Average Savings   20 to 30% 45 to 65% 65 to 90% 60 to 80% 40 to 60% 25 to 40% 30 to 45% 40 to 55% 50 to 75% 50 to 65% Coronary artery bypass graft - CABG $ 88,000 $ 66,000 $ 31,500 $ 14,400 $ 20,800 $ 37,800 $ 54,500 $ 29,000 $ 21,000 $ 23,000 $ 20,500 Valve replacement with bypass $ 85,000 $ 64,000 $ 29,000 $ 11,900 $ 18,500 $ 34,000 $ 49,000 $ 33,000 $ 18,000 $ 22,000 $ 20,000 Hip replacement $ 33,000 $ 24,000 $ 14,500 $ 8,000 $ 12,500 $ 11,500 $ 21,400 $ 15,500 $ 10,500 $ 16,500 $ 11,800 Knee replacement $ 34,000 $ 24,000 $ 9,500 $ 7,500 $ 12,500 $ 12,800 $ 19,200 $ 15,000 $ 12,000 $ 11,500 $ 12,000 Spinal fusion $ 41,000 $ 29,000 $ 17,000 $ 9,500 $ 17,900 $ 22,500 $ 27,800 $ 18,000 $ 18,000 $ 16,000 $ 16,500 IVF cycle, excluding medication $ 15,000 $ 12,000 NA $ 3,300 $ 7,200 $ 7,800 $ 9,450 $ 7,500 $ 4,800 $ 6,500 $ 9,500 Gastric bypass $ 18,000 $ 13,000 $ 11,200 $ 6,800 $ 8,200 $ 27,840 $ 13,500 $ 12,500 $ 13,000 $ 12,000 $ 13,000 Full facelift $ 12,500 $ 10,000 $ 4,500 $ 3,500 $ 5,500 $ 5,250 $ 8,750 $ 5,900 $ 5,600 $ 5,300 $ 4,800 Rhinoplasty $ 6,200 $ 4,650 $ 3,400 $ 2,800 $ 3,600 $ 2,800 $ 4,750 $ 4,700 $ 3,500 $ 4,300 $ 3,300

12. Country Treatment Antigua Addiction and Recovery Barbados Fertility/IVF Brazil Cosmetic Surgery Costa Rica Dentistry Hungary Dentistry India Orthopedics, Cardiology Israel Fertility/IVF Malaysia Health Screenings Mexico Dentistry, Bariatric Singapore Cancer South Africa Cosmetic Surgery, Cardiac Thailand Everything Turkey Vision Top destinations by treatment

13. Leading hospitals in world offering medical tourism facilities are: Prince Court Medical Center, Kuala Lumpur, Malaysia Asklepios Klinik Barmbek, Hamburg, Germany Clemenceau Medical Center, Beirut, Lebanon Fortis Hospital, Bangalore, India Wooridul Spine Hospital, Seoul, Korea Bumrungrad International, Bangkok, Thailand Anadolu Medical Center, Istanbul, Turkey Bangkok Hospital Medical Center, Bangkok, Thailand Gleneagles Hospital, Singapore Asian Heart Institute, Mumbai, India

14. Top Specialties for Medical Travelers COSMATIC SURGERY DENTISTRY CARDIOVASCULAR ORTHOPEDICS CANCER REPRODUCTION WEIGHT LOSS SCANS, TESTS, HEALTH SCREENINGS AND SECOND OPINIONS

15. STEPS OF SEEKING TREATMENT WITH MEDICAL TOURISM

16. India in medical tourism industry The medical tourism industry in India is poised to become the next success story after software/it industry Medical tourism has boosted with the number of overseas patients touching 400000 in 2013 as against 10,000 in 2000 Apollo hospitals alone has treated 95,000 international patients in 2013 The current size of the Indian medical tourism sector is Rs. 7,500 Crore and likely to touch Rs. 12,000 Crore by 2015 with annual growth rate of 25 percent India have more than 19 JCI accredited hospitals and the no. is growing significantly

17. What is international accreditation? The US based joint commission launched its international affiliate agency in 1999, the joint commission international (JCI). In order to be accredited by the JCI, an international hospital must meet the same set of rigorous standards set forth in the US by the joint commission. More than 500 facilities around the world have now been awarded JCI accreditation and that number is growing by about 20% per year

18. Why India?

19. JCI ACCREDATED HOSPITALS IN INDIA No. Name Location Date Of Accreditation 1 Aditya Birla Health Services Ltd. Pune, India Since 14 Dec 2012 2 Ahalia Foundation Eye Hospital Palakkad, India Since 31 Dec 2009 3 Apollo Gleneagles Hospitals Kolkata, India Since 23 Jan 2009 4 Apollo Hospital, Bangalore Bangalore, India Since 17 July 2008 5 Apollo Hospital, Chennai Chennai, India Since 28 Jan 2006 6 Apollo Hospital, Hyderabad Hyderabad, India Since 27 April 2006 7 Artemis Health Institute Gurgaon, India Since 11 Jan 2013 8 Asian Heart Institute Mumbai, India Since 19 Oct 2006 9 Fortis Escort Heart Institute New Delhi, India Since 19 Feb 2010 10 Fortis Hospital, Bangalore Bangalore, India Since 8 Feb 2008 11 Fortis Hospital, Mohali Mohali, India Since 14 June 2007 12 Fortis Hospital, Mulund Mumbai, India Since 25 Aug 2005 13 Indraprastha Apollo Hospitals New Delhi, India Since 17 June 2005 14 Medanta- The Medcity Gurgaon, India Since 30 Aug 2013 15 Moolchand Hospital New Delhi, India Since 4 Dec 2009 16 Narayan Institute Of Cardiac Sciences Bangalore, India Since 20 Jan 2011 17 Narayan Multispecialty Hospital, Jaipur Jaipur, India Since 26 July 2012 18 Satgur Partap Singh Apollo Hospital Ludhiana, India Since 2 Feb 2007 19 Sri Ramachandra Medical Center Chennai, India Since 6 Feb 2009

20. SWOT analysis of medical tourism in India Strengths: Indian doctors are recognized as amongst the best at international levels; skilful, qualified, share information with patients and are readily available, whenever required. High quality treatment in low cost. Medical technology, equipment, facilities and infrastructure are at par with international standards. D octors and staff good at English which makes it comfortable for tourists from English speaking countries. Because of absence of racial discrimination, customers, especially from Africa, are comfortable in India Education system provides 30,000 doctors and nurses each year which support the growing medical sector in India. Foreigners are also attracted to Indian Systems of Medicine like Ayurveda , Yoga.

21. Weakness: As of 2011, India only had 19 JCI and 63 NABH accredited hospitals which decreases the size of potential market especially for customers from developed countries. Though the Cost of treatment is less in India, other costs like accommodation may prove to be inhibitive, especially for customers from low income economies. Maximum medical tourist is from non English speaking parts of the world which highlights the need for training of linguists for example specialists of Arabic . Opportunities: Cost of medical treatment in developed western world remaining high, provides Indian medical tourism sector with a unique opportunity. Patients from third world countries, where comparable quality medical care is not available, seek treatment outside their home countries. They compare western service providers with Indian service providers and find Indian medical care cost effective . The medical care facilities in other South Asian countries are also not up to the mark. Patients from these countries find good quality care in neighborhood, where travel time as well as the cultural divide is less.

22. Continued… Employers in US are looking for ways to decrease their employees medical expenses providing appropriate health coverage concurrently. Employers will look for low cost care in India and other Asian countries. Insurance companies in western countries are offering full cover and care in home country at a higher premium payment. Insurance companies are offering packages where customers can choose a lower premium but will have to get them treated at hospitals with comparable quality outside the country, with which they have tie-ups. Indian accredited hospitals can choose to compete for a share of this segment. Countries that operate public health-care systems are often so taxed that it can take considerable time to get non-urgent medical care. Threats: Lack of infrastructure and visa problems. H igh competition from other Asian countries like Singapore, Thailand, Malaysia etc.

23. Conclusion The medical tourism is an outsourcing medical services primarily expensive surgery to low cost countries. It offers financial value for growing burden of the costs in matured markets like USA. It also provides an alternative for millions of uninsured people to receive affordable and accessible medical services from developing countries. Medical tourism sector in India is still in a nascent stage. The medical tourism industry offers high potential for India primarily because of its inherent advantages in terms of cost and quality. However in the wake of mounting competition, there is a dire need of careful policy intervention so as to reap the full benefits from inherent advantages and enhanced capabilities.

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