Health Tourism today and into the futuredihtf.com/wp-content/uploads/presentations/DrTim Wilson - Health... · Source: Allied Analytics, Global Wellness Institute, PwC analysis Global

Health Tourism today and into the future

Dr Tim Wilson: PwC Health Industries Leader

www.pwc.com

20 February 2018Strictly private and confidential

PwC 20 February 2018

Strictly private and confidential

Agenda

What, where and why? 3

What might health tourism look like in a few years? 8

What is AI and what is it capable of in healthcare? 14

What is the role of AI in health tourism? 24

Page

2Health Tourism today and into the future

What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?

What, where and why?









What do people travel for?


Source: Global Wellness Institute, PwC analysis

Wellness MedicalHotel/Day Spas

Homeopathy/Osteopathy

Resort spas

Ayurveda + yoga retreats

Medical spas

Weight loss management

Health check-ups

Rehab(post-acute,

addiction, etc.)

Clinical specialties: Cardiology, oncology,

orthopaedics, etc.

Aesthetic care (Cosmetology, etc.)

Fitness

Wellness offerings Clinical offerings Vanity and wellness offerings

Tourism-oriented Patient-oriented




Strictly private and confidential 5Health Tourism today and into the future

Where do people travel to?Where do people travel to?

Costa Rica 0.39

South Korea 0.39

Malaysia 0.49

Turkey 0.60

South Africa 0.76

India 0.78

Others 5.88

Thailand 2.29

U.S. 0.80

Brazil 0.91

Mexico 1.10

Total medical tourists: ~ 14 mn

~60%

Number of medical tourists in 2016 (mn))

Top 10 medical tourism destinations by Volume (2016)

Total market value: ~ USD 68 bn

Average spending per visit ranges

from

USD 3,000-10,000

per tourist2.4

2.6

2.7

2.7

3.0

3.1

3.3

3.8

6.9

8.0

UK

India

Canada

Germany

Brazil

Mexico

Turkey

29.6

U.S.

Thailand

South Africa

Others

~57%

Medical tourism market value in 2016 (USD bn)

Top 10 medical tourism destinations by Value (2016)

Source: Allied Analytics, Medical tourism facts & figures, Patients Beyond Borders, Anadolu, PwC analysis





Where do people travel from?


UK

400

Swaziland

200

Netherlands IraqCanadaRussiaLesothoIndonesia USA China Germany BangladeshLibya

500140

Ukraine

120 100 70 55 55 50 50 47 40

600

Developed economies

Developing economies

Major source markets for medical tourists, 2015 (In Thousand)

Source: Medical tourism facts & figures 2016, PwC analysis





Why do people choose their destination?


Quality-focused

Cost-focused

Experience-focused

Sought for advanced health infrastructure and

high quality of medical care

Sought mainly for lower treatments cost

Sought mainly for leisure offerings and

wellness services

Sought for high quality healthcare services in

addition to other leisure and recreation offerings

Sought for low cost treatments and other leisure and wellness

offerings

1 2

3 5

6 Sought for quality health services at good value for

money

Sought for combination of low treatment costs, leisure, and good value

for money

Accessibility is also an influencer in the

patients’ decision when selecting a destination

Accessibility

4

7





What might health tourism look like in a few years?






How much will health and wellness tourism grow?


Source: Allied Analytics, Global Wellness Institute, PwC analysis

Global medical tourism market value, 2016-2021 (USD bn)

68.1

125.4

13%

20212016

Global Medical Tourism Market Value

CAGR

Global Medical tourism market byValue

Global wellness tourism market value, 2015-2020 (USD bn)

563.2

808.0

6%

20212015

Global Wellness tourism market value

Global Wellness tourism* market byValue

*includes individuals who chose to travel for wellness services or seek wellness services while

travelling for leisure/business

CAGR





How might health tourism change?


Decision that treatment is

required

Decision to travel

Selection of destination/

facility

Pre travel requirements

Travel for treatment

Receive treatment

Recovery abroad

Recovery at home

Final follow up and

“discharge”

Treatment abroad journey



Where will AI have an impact?

11





Where will AI have an impact?


SaudiArabia

Qatar

Iran

Role of the public

Readiness ✔

Understanding added value✔

SaudiArabia

Qatar

IranRole of governments

Quality standards

Regulatory frameworks

SaudiArabia

Qatar

IranRole of healthcare

professionals

Knowledge of technology

SaudiArabia

Qatar

IranRole of private sector

Investment in AI & robotics

*By 2020, GCC countries will require at least 30,000 doctors

Healthcare Demand

Available Resources

Workforce Gap*

Impact of AI

Access for patients

Quality

Costs

Source: https://www.pwc.com/m1/en/industries/healthcare/what-doctor-video.html





What does the public in Middle East think of AI?


2/3 willing to engage with AI & Robotics for their healthcare needs

Most willing to receive AI services to

Monitor heart condition

Provide customised advice for fitness and health

Administer an ECG

Take and test a blood sample and results

The main deterrents are the

absence of empathy and

lack of sufficient trust

in a robot’s decision-making

Source: https://www.pwc.com/gx/en/industries/healthcare/publications/ai-robotics-new-health/survey-results.html





What is AI and what is it capable of in healthcare?






What is AI?


No human in the loopHuman in the loop

Hardwired/ specific systems

Adaptive systems

Automated Intelligence1Assisted Intelligence2

Augmented Intelligence3 Autonomous Intelligence4

• AI systems that assist humans in making decisions or taking actions

• Automation of manual and cognitive tasks that are routine

• AI systems that augment human decision making and continuously learn from their interactions with humans and the environment

• AI systems that can adapt to different situations and can act autonomously without human assistance

Humans will still be in the loop for a number of different roles



16

What is AI capable of?



17




18







AI is transforming every aspect of healthcare delivery in innovative ways


AI in Provider applications to identify anatomical features and abnormalities in medical images

Avicenna Deep learning

AI in Payer applications to predict patients risk and premiums

Kaiser PermanenteMachine Learning

Benevolent AIMachine Learning

AI in Pharma/Life Sciences applications to develop drugs






A sample of AI start-ups from all over the world


Source: https://www.cbinsights.com/research/artificial-intelligence-startups-healthcare/

‘By February 2017, investors had

poured over $1.79bn in

acquisitionsor funding for 106 AI start-ups

inhealthcare’

Patient data & risk analytics Research Medical imaging & diagnostics

Mental health

Drug discovery

Virtual assistants

WearablesMiscellaneous

Hospital care management

ER & surgery

Lifestyle management






PwC Middle East Report – The potential impact of AI in the Middle East


SaudiArabia

KuwaitBahrain

Qatar UAE

Oman

Iran

US$59 billion to health and education US$320 billion to the economy

Enhanced patient experience Improved clinical outcomes

In 2030, AI in the Middle East will contribute to





Live polling






What are business leaders in the Middle East doing to prepare for AI?PwC Business Readiness Survey 2018


Enablers to move forward with AI

think AI & Robotics will have a major impact in 10

years

have started implementing

AI; 37% are exploring

62% 16%

Funding & Investments

Leadership Support

Regulatory Environment





What is the role of AI in health tourism?






How might AI impact tourism?AI will disrupt health tourism


Decision that treatment is

required

Decision to travel

Selection of destination/

facility

Pre travel requirements

Travel for treatment

Receive treatment

Recovery abroad

Recovery at home

Final follow up and

“discharge”

Treatment abroad journeyPotential impact of AI





How can countries use AI to their advantage?


7 themes cut across the practical implementation of AI

Adapt, adopt and transform

Now is the time to start building trust

AI is transforming every aspect of healthcare delivery in innovative ways…





What will patients get by travelling for AI enhanced care?


Quality-focused Cost-focused

Experience-focused

Sought for combination

of low treatment costs, leisure, and good value

for money

Better quality of services and care

(precision medicine, faster recovery)

Overall lower cost for better benefits

Unique and personalized experience with

technologically enhanced services

AI enhanced

care



©2018. PwC Middle East All rights reserved. PwC refers to the Middle East member firm, and

may sometimes refer to the PwC network. Each member firm is a separate legal entity. Please

see http://www.pwc.com/structure for further details.

Thank you



Why do people choose their destination?


Quality-focused

Cost-focused

Experience-focused

Sought for advanced health infrastructure and

high quality of medical care

Sought mainly for lower treatments cost

Sought mainly for leisure offerings and

wellness services

Sought for high quality healthcare services in

addition to other leisure and recreation offerings

Sought for low cost treatments and other leisure and wellness

offerings

1 2

3 5

6 Sought for quality health services at good value for

money

Sought for combination of low treatment costs, leisure, and good value

for money

Accessibility is also an influencer in the

patients’ decision when selecting a destination

Accessibility

4

7

30


31


32




What does the public in Middle East think of AI?


2/3 willing to engage with AI & Robotics for their healthcare needs

Most willing to receive AI services to

Monitor heart condition

Provide customised advice for fitness and health

Administer an ECG

Take and test a blood sample and results

The main deterrents are the

absence of empathy and

lack of sufficient trust

in a robot’s decision-making

Source: https://www.pwc.com/gx/en/industries/healthcare/publications/ai-robotics-new-health/survey-results.html




AI is transforming every aspect of healthcare delivery in innovative ways


AI in Provider applications to identify anatomical features and abnormalities in medical images

Avicenna Deep learning

AI in Payer applications to predict patients risk and premiums

Kaiser PermanenteMachine Learning

Benevolent AIMachine Learning

AI in Pharma/Life Sciences applications to develop drugs




A sample of AI start-ups from all over the world


Source: https://www.cbinsights.com/research/artificial-intelligence-startups-healthcare/

‘By February 2017, investors had

poured over $1.79bn in

acquisitionsor funding for 106 AI start-ups

inhealthcare’

Patient data & risk analytics Research Medical imaging & diagnostics

Mental health

Drug discovery

Virtual assistants

WearablesMiscellaneous

Hospital care management

ER & surgery

Lifestyle management




PwC Middle East Report – The potential impact of AI in the Middle East


SaudiArabia

KuwaitBahrain

Qatar UAE

Oman

Iran

US$59 billion to health and education US$320 billion to the economy

Enhanced patient experience Improved clinical outcomes

In 2030, AI in the Middle East will contribute to



What will patients get by travelling for AI enhanced care?


Quality-focused Cost-focused

Experience-focused

Sought for combination

of low treatment costs, leisure, and good value

for money

Better quality of services and care

(precision medicine, faster recovery)

Overall lower cost for better benefits

Unique and personalized experience with

technologically enhanced services

AI enhanced

care

Health Tourism today and into the futuredihtf.com/wp-content/uploads/presentations/DrTim Wilson - Health... · Source: Allied Analytics, Global Wellness Institute, PwC analysis Global

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