Medical tourism

Medical tourismWITH REFERENCE TO INDIA

What is medical tourism?

Medical 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.

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

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 Epidauria. 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 16th century.

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

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

High SavingsNo WaitingHigh Quality treatmentWorld Class FacilitiesBest SurgeonsBest customer servicesTravel opportunities

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

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

Top Destinations By No. of tourists

THAILANDMEXICOUSASINGAPOREINDIA

MALAYSIABRAZILTURKEYTAIWAN

COSTA RICA

DESTINATION NO. OF VISITORS(2012)

% SAVINGS TAKING USA AS A BASE

THAILAND 1200000 50-70MEXICO 1000000 40-65

USA 800000 -SINGAPORE 610000 30-45

INDIA 400000 65-90MALAYSIA 250000 65-80

BRAZIL 180000 25-40TURKEY 110000 50-65TAIWAN 90000 40-55

COSTA RICA 50000 40-65

COMPARISON TABLE

Major Procedures: Comparative Costs As of August 2013                      

Procedure US Cost BrazilCosta 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

Country TreatmentAntigua Addiction and Recovery

Barbados Fertility/IVFBrazil Cosmetic Surgery

Costa Rica DentistryHungary Dentistry

India Orthopedics, CardiologyIsrael Fertility/IVF

Malaysia Health ScreeningsMexico Dentistry, Bariatric

Singapore CancerSouth Africa Cosmetic Surgery, Cardiac

Thailand EverythingTurkey Vision

Top destinations by treatment

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

Top Specialties for Medical Travelers

COSMATIC SURGERY DENTISTRY CARDIOVASCULAR ORTHOPEDICS CANCER REPRODUCTION WEIGHT LOSS SCANS, TESTS, HEALTH SCREENINGS AND SECOND OPINIONS

STEPS OF SEEKING TREATMENT WITH MEDICAL TOURISM

Patient prequel

Dest./hospital selection

Arrange follow up care

Travel to selected hospital

Treatment

Recovery abroad

Travel back

Follow up care

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

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

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JCI Accredited Hospitals

JCI Accredited Hospitals

Why India?

Low CostAvailability Of Medical

Experts

Availability Of Advanced Equipment's

No Waiting Time

Specialty Treatment

JCI ACCREDATED HOSPITALS IN INDIANo. Name Location Date Of Accreditation

1 Aditya Birla Health Services Ltd. Pune, India Since 14 Dec 20122 Ahalia Foundation Eye Hospital Palakkad, India Since 31 Dec 20093 Apollo Gleneagles Hospitals Kolkata, India Since 23 Jan 20094 Apollo Hospital, Bangalore Bangalore, India Since 17 July 20085 Apollo Hospital, Chennai Chennai, India Since 28 Jan 20066 Apollo Hospital, Hyderabad Hyderabad, India Since 27 April 20067 Artemis Health Institute Gurgaon, India Since 11 Jan 20138 Asian Heart Institute Mumbai, India Since 19 Oct 20069 Fortis Escort Heart Institute New Delhi, India Since 19 Feb 201010 Fortis Hospital, Bangalore Bangalore, India Since 8 Feb 200811 Fortis Hospital, Mohali Mohali, India Since 14 June 200712 Fortis Hospital, Mulund Mumbai, India Since 25 Aug 200513 Indraprastha Apollo Hospitals New Delhi, India Since 17 June 200514 Medanta- The Medcity Gurgaon, India Since 30 Aug 201315 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

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. Doctors 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.

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.

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. High competition from other Asian countries like Singapore, Thailand, Malaysia

etc.

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.

April 7, 202325

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