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HEALTHCARE TOURISM OPPORTUNITIES FOR INDIA
By Vinayshil Gautam
(Consultant and Author)
EXIM TEAM R M V Raman S. Prahalathan
with a foreword from
T C Venkat Subramanian
Chairman and Managing Director, Export-Import Bank of India
C M Y K
C M Y K
Copyright © 2008 Export-Import Bank of India
No part of this publication can be reproduced in any form or by any means without the prior written permission of Export-Import Bank of India. Due care has been taken to ensure that the information provided in this book is correct. However, Export-Import Bank of India accepts no responsibility for the authenticity, accuracy or completeness of such information. ISBN: 81-87099-46-1
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C M Y K
4 Healthcare in a Broader Perspective 1.1 Objectives 1.1 Traditional Therapies 1.4.1 World Healthcare Market 2.C M Y K Contents Foreword Preface Acknowledgement Abbreviations Executive Summary Chapter – I Introduction 1.5 Features 1.2 Faith / Spiritual Healing 1.2 Concept 1.2 World Tourism Market 2.6 Growing Demand 1.3 Healthcare Tourism in the World 2.7 Healthcare Tourism – One form of Trade in Healthcare Services 1.4 Demand Drivers xiv xvii xx xxii 1 24 24 25 26 27 27 28 30 31 32 33 34 34 34 37 37 iii C M Y K .4.8 In Sum Chapter – II Global Scenario 2.3 Definition 1.
6 2.1.7 Inferences from Country Experiences 46 48 51 52 52 56 58 65 67 69 71 71 71 72 72 73 73 74 75 76 77 77 77 79 81 82 84 86 88 91 97 101 Chapter – III Healthcare Tourism in India 3.1 Overview 126.96.36.199.6 Traditional Healthcare Systems in India 3.4 Support Institutions 2.1 Healthcare Education and Research 188.8.131.52.5 International Marketing 2.7.1 South Africa 184.108.40.206 Jordan 2.3 Quality 2.7 Medical Malpractice Insurance International Accreditation 220.127.116.11 Accreditation of Healthcare Service Providers 18.104.22.168.22.214.171.124 Accreditation of Clinical Laboratories 3.1.7 Aromatherapy 3.1 Benefits of International Accreditation Select Country Experiences 2.1 Spas in Thailand 2.2 Role of Private Sector in Healthcare 3.1 Integration with national healthcare system 2.2 Production 2.1 Thailand 126.96.36.199.3 Health Insurance 3.6 Other Countries 188.8.131.52.4 Philippines 2.7.5 2.1.C M Y K Healthcare Tourism: Opportunities for India 2.2 International Tourism in India 3.1.3 Malaysia 184.108.40.206.3 Cuba 2.2 Singapore 220.127.116.11 Tourism Promotion in India iv C M Y K .18.104.22.168 China 2.1 Healthcare Scenario in India 3.
1 Scheme For Product / Infrastructure And Destination Development 3.3.2 Industry Initiatives 3.8 Scheme for Market Development Assistance Healthcare Tourism in India 3.5 Mediciti Healthcare Services 4.3 Government Initiatives 102 106 106 106 108 108 108 109 109 109 109 111 111 113 118 118 121 124 127 130 131 134 136 138 140 v C M Y K Chapter – IV Select Case Studies of Healthcare Service Providers in India 22.214.171.124.2.3.4 Scheme for Capacity Building for Service Providers 126.96.36.199 Scheme for IT Initiatives 3.3.8 Wockhardt Group 4.3 Select Schemes of Tourism Development in India 3.3 Scheme of Assistance for Large Revenue Generating Projects 3.10 Baba Ramdev Ashram .2 Scheme for Integrated Development of Tourist Circuits 3.5 Scheme for Rural Tourism 188.8.131.52.3 Kerala Institute of Medical Sciences 4.4 Manipal Health Systems 184.108.40.206.1 Healthcare Tourism – Initiatives in India 3.1 Escorts Heart Institute and Research Centre 220.127.116.11 Art of Living Foundation 4.2 Frontier Lifeline 4.6 P D Hinduja National Hopital and Medical Research Centre 4.2.7 Sterling Hospital 18.104.22.168.C M Y K Contents 3.6 Scheme for Organising Tourism Related Events 3.3 3.2 Exclusiveness of India in Tourism 3.
2 5.8 Spillover Effects 22.214.171.124 Tradition of Nutrition Values 126.96.36.199 Climate and Geography 5.2 Professional Skills and Experiences Gained from Developed Countries 5.9 Increasing Awareness of the Physical Beauty 5.1.11 4.5 Negative Perceptions 5.3 Multi-Language Skills 5.4 Low-cost Healthcare Solutions with High Success rate 5.6 Industry Level Initiatives 5.7 Government Initiatives 5.1 Increase in Ageing Population and Cost of Healthcare in Developed Countries 5.1.5 Long Waiting Time in Developed Countries 188.8.131.52 Shortage of Hotel Accommodation 5.1 Opportunities 5.2.7 Transplantation Law 5. Challenges and Strategies for India 5.C M Y K Healthcare Tourism: Opportunities for India 4.6 Quality of In-Country Healthcare 5.1.9 Shortage of Medical and Paramedical Staff vi C M Y K .1.3 Accreditation 5.2.12 Kottakkal Arya Vaidyasala Inter-Firm Comparisons and Inferences from Case Studies 142 143 149 149 149 150 150 150 151 151 152 153 155 156 156 157 157 157 157 158 159 160 160 161 161 163 164 Chapter – V Opportunities.4 Low Level of Medical Insurance Coverage 184.108.40.206.10 Availability of Manpower 220.127.116.11.2.1.2 Low Spending on Healthcare 5.2.13 Millennia Old Health Traditions Challenges 5.1 Healthcare Infrastructure 5.1.
2.1.11 Competition from Spas in Domestic and International Markets 5.2.1 Policy-Level Prescriptions 5.3.1 Government / Industry Level o Technology Upgradation o Create Cost Effective Facilities o Facilitate Adequate Supply of Quality Manpower o Role of Continuing Education o Leveraging the Potential and Popularity of Indian Wellness Systems o Market Segmentation of Healthcare Skills o Creating Networks for Brand Creation o Greater Level of Public-Private Partnership o Role of Government o Regional Collaboration 5.2 Define and Enforce Minimum Standards for Healthcare Facilities 18.104.22.168 Need for a Composite Healthcare Tourism Policy 5.2 Stakeholders-Level Prescriptions 22.214.171.124.1 Focusing on In-Country Healthcare 5.C M Y K Contents 126.96.36.199 188.8.131.52 Firm Level Prescriptions o Non-Medical Services o Standards Based Price Banding 164 166 166 166 166 166 167 168 168 169 169 169 171 172 173 173 175 176 178 179 180 181 181 182 vii C M Y K .3.4 Stimulate Investment in Healthcare Infrastructure 184.108.40.206 Inadequate Malpractices Law 5.12 Social Competition – Weeding Out of Quacks Strategies 5.3.
Increasing Share of Ageing Population in USA 5. Major Forms of Traditional Medicines Practised in the World 191 195 212 214 215 216 217 218 viii C M Y K .Formulated by the Association of Private Hospitals of Malaysia 2. Share of Population with No Healthcare Insurance in USA 7. Bringing Quality.(As of March 31. Joint Commission International (JCI) Accredited Organisations . 2007) 3.C M Y K Healthcare Tourism: Opportunities for India o Change from Hospital Centric 182 Approach to Patient Centric Approach o Adhering to Patient Safety Norms 183 o Negligence Reporting System 183 o Intensive Marketing and Promotion 185 o Leveraging Traditional Systems 187 of Medicine o Transformation of Traditional 187 System to Suit International Domain o Professionalisation of the 188 Traditional Healthcare Domain o Adoption of Success Strategies 188 Followed in Other Countries Chapter – VI Conclusion 189 Annexures 1. Top Surgical and Non-Surgical Cosmetic Procedures Undertaken by Americans in 2006 8. Increasing Share of Ageing Population in Select European Countries 6.A Ten Point Agenda by Indian Healthcare Federation 4. Accessible and Affordable Healthcare in India . Code of Ethics .
2006 Number of Persons without Health Insurance in USA Key Areas of Waiting Times Number of Patients Waiting in England for Various Treatments . 7. 16. 2006) Number of Patients Waiting in UK for Availing Various Diagnostic Services Medical Malpractices Insurance – Common Effects Medical Malpractice Combined Ratio Nationality of Healthcare Visitors To Singapore Ratings of Healthcare Services by Healthcare Visitors from Select Countries to Singapore Basic Principles of International Cooperation Programme in TCM Increasing Share of Private Sector in India’s Healthcare Market Framework for Medical Education / Regulation in India Country-wise JCI Accredited Hospitals in the World 26 29 32 36 38 42 42 43 47 48 60 61 73 79 81 87 ix C M Y K . 3. 5. 10. 11. 13.C M Y K List of Exhibits 1. 4. 15. 12. 6. 2. 8. 9.(As of October 27. Evolution of Healthcare Tourism One or More Methods of Spiritual Healing Two Forms of Trade in Healthcare Inbound International Tourism by Purpose of Visit . 14.
20. 30. 28. 21. 27. 25. 26. 32. 19.Doctor Ratio in Select Countries Model for Cross-selling Various Strengths to International Tourists Market Segmentation For India’s Healthcare Skills Hub-Spoke-Rim Model for Healthcare Tourism in India Public-Private Partnership Model For India to Promote Healthcare Tourism Diverse Roles of Government for Development of Healthcare Tourism Industry Characteristics of Patient-Centric Approach Three Pronged Strategies for Ensuring Patient Safety in Healthcare 99 100 101 110 119 147 159 165 165 175 177 179 180 181 183 184 x C M Y K . 24. 23.2006 Purpose of Visit Medivac Emergency Response Procedure Common Services for International Patients Healthcare Expenditure as Percentage of GDP in Select Countries Distribution of Health Workers in Select Countries Nurse . 29. 18. 31.C M Y K Healthcare Tourism: Opportunities for India 17. Trends in International Tourist Arrivals and Foreign Exchange Earnings in India Per Tourist Foreign Exchange Earnings by India and Select Countries (2006) International Tourist Arrivals by Countries . 22.
2. 10. 3. 13. 8. 12. 7. Country-wise International Tourist Arrivals and Receipts Minimum and Maximum Waiting Time for Various Healthcare Procedures in UK Who Were Involved With Starting Accreditation Programmes Number of Foreign Patients Who Undertook Medical Treatments in Select Private Hospitals in Thailand Top Ten Healthcare Services Availed by Visitors To Singapore Healthcare Profile of India Density of Health Workers in India Third Party Administrators – Claims Data in India List of JCI Accredited Hospitals in India List of Indian Clinical Laboratories with CAP Laboratory Accreditation Important Flavour Compounds of Select Spices International Tourist Arrivals in World vis-à-vis India Estimated Disease Burden in India Additional Investment Requirement from Public Sector for Healthcare Improvement in India 35 41 50 54 62 80 80 83 87 88 98 99 162 170 xi C M Y K . 5. 6. 11. 14. 9. 4.C M Y K List of Tables 1.
C M Y K Healthcare Tourism: Opportunities for India xii C M Y K .
3. 10. 19. 18. 16. 14. 4. 12. 13. 11. 8. 17. Thailand Comparison of Organ Donation Under the HOTA and MTERA Terms of Reference of the Medical Tourism Committee in Malaysia Philippines National Tourism Strategy List of Third Party Administrators Licensed in India as of 2005-06 Outline of NABH Standards About CAP Laboratory Accreditation Programme Ayurveda: India’s Traditional Wellness System Yoga: A Fitness System of Indian Origin Yoga and Its Health Benefits Spiritual Healing / Faith Healing in India New National Tourism Policy (2002) Indian Healthcare Federation Concept of Telemedicine Medical Visa in India 40 45 53 57 59 64 66 70 84 86 89 92 93 94 95 107 113 114 117 xiii C M Y K . 5. 9. 15. 2. 6. 7.C M Y K List of Boxes 1. Cross Border Mobility in Europe for Healthcare Benchmark Wait Time in Canada Joint Commission Accreditation of Healthcare Organisations Highlights of Tourism Policy of Thailand Bumrungrad Hospital.
Taj Group of Hotels – Combining Leisure and Wellness Government Support for Ayurveda R&D Centre The Transplantation of Human Organs Act.C M Y K Healthcare Tourism: Opportunities for India 20. 21. 25. 24. 23. 1994 Role of Export-Import Bank of India Concept of Medvarsity The New York Patient Occurrence and Reporting and Tracking System 144 154 163 171 174 186 xiv C M Y K . 22.
the healthcare tourism sector can be a major source of foreign exchange earning for the country. We also have a rich heritage of healthcare systems. India’s healthcare sector has made impressive strides in recent years and the country is increasingly projected as a ‘healthcare hub’.C M Y K Foreword Healthcare. is a basic need of Humanity. Given the potential India holds as a healthcare destination. Several features have positioned India as an ideal healthcare destination. with increasing number of specialists. The sector is witnessing a ‘reverse brain-drain’ trend. than now. The study on ‘Healthcare Tourism : Opportunities for India’ presents a detailed analysis of the opportunities offered by the sector and the action points for the relevant stakeholders for tapping these opportunities. like cost effective healthcare solutions. showing keen interest to come back and practice in India. reputation for successful treatment in advanced healthcare segments. cities with royal palaces. Leveraging the tourism potential with our strengths in healthcare sector would attract more tourists. rich and varied cultures and festivities. xv C M Y K . like food and shelter. rain forests. Such developments further enhance the potential of India as a ‘healthcare hub’ of the world. historical locations. such as Ayurveda and Yoga. availability of skilled healthcare professionals. chosen this as one of the focus sectors for study. hence. long coastline. who have been practicing abroad. Exim Bank has. increasing popularity of India’s traditional wellness systems and rapid strides made in information technology. India has many tourist attractions to offer – mountains.
‘medical tourism’ is associated with travellers seeking urgent medical interventions (such as surgeries and transplantation). private sector has a major role to enhance the healthcare infrastructure in India. which promotes ‘transplantation tourism’. such an approach would broadly exclude the wellness seekers travelling to other parts of the world. A section of tourists from different parts of the world travel to India for traditional healthcare services.000 international healthcare travellers (including NRIs) have visited India in 2006. Estimates show that about 500. Some of the tourists from West Asia and Africa region travel to India due to affordability of treatment and quality of services rendered. The domestic healthcare infrastructure indicators of India highlight several areas for improvement. Healthcare tourism sector also has its own challenges. such as Ayurveda and Yoga. With limitations in public healthcare spending. In addition. xvi . the Act does not permit foreigners availing organs from a local donor. Estimated revenue generation out of healthcare tourism is about Rs. People travel to India for availing healthcare services for diverse reasons.400 crores or around US $ 600 million. While healthcare tourists from United States are primarily reported to be travelling to India. in 2006. mind and soul. In India. However. 1994 has laid down various regulations. travellers from Europe are reported to be seeking healthcare services in India due to the complexity of availing the healthcare services in their home country. Countries like Singapore have an enabling organ transplantation Act.Healthcare Tourism: Opportunities for India Traditionally. the cost of accommodation is another hindrance to middle-level international travellers visiting India. with regard to public sanitation / hygiene standards or prevalence of contagious diseases. 2. it is important to consider wellness with a holistic approach of body. Availability of hotel rooms in India is considered to be more difficult as compared to other countries. the Human Organs Transplant Act. counter the positive vibes created by the cost competitiveness of Indian healthcare systems. as the cost of getting treatment in home country is expensive. this study has defined healthcare tourism in a broader perspective. Also. Indian healthcare service providers need to prove quality consciousness and get international accreditation. The negative perceptions about India. In this context.
2008 T. outsourcing of hospital administration and health insurance. hotels. tourism. in a wide spectrum of areas covering healthcare. in a better manner. infrastructure. are likely to get business opportunities with the growth in healthcare tourism sector. internet). With such greater level of opportunities.Foreword It is necessary to package the healthcare and tourism services. such as medical equipment manufacturing. Exim Bank’s Research Team conducted an in-depth field level study with extensive interaction with existing and potential players and other relevant agencies to bring out this publication. There are also opportunities in the infrastructure sectors. as well as policy makers and other relevant agencies. Mumbai February 7. communications. road / rail transport. New Delhi. so that India could attract more travellers from abroad seeking healthcare solutions. medical diagnostics. Newer models of campaigning and promotions provide business opportunities for media and mass-communication segments. and currently Professor of Management Studies at the Indian Institute of Technology. Consultants. telemedicine. Vinayshil Gautam. due to higher demand for travel (airlines. Venkat Subramanian Chairman and Managing Director Export-Import Bank of India xvii . Public-Private Partnership is required to provide quality services to attract potential healthcare seekers from various countries. Kozhikode. Founder Director of Indian Institute of Management. financial institutions like Exim Bank can play an increased role in supporting healthcare and healthcare-tourism associated projects in India and abroad. media. I believe that this study would be of immense use to the players of tourism and healthcare sectors. C. Promotion of healthcare tourism would result in development of associated sectors. hospitals) and communication (telephone. marketing and promotions. This study has been conducted under the guidance of Dr.
C M Y K xviii C M Y K .
Adventure tourism. This volume may provide that direction. Exim Bank. Chairman and Managing Director. has provided to the Bank that he thought of this area of Healthcare Tourism as one if its research studies. is essentially at a ‘toolbox’ level. insight into overt and the covert patterns and recognizing the implications of the fieldwork and analysis. It is unfortunate but true that a very large proportion of skill formation in the tourism sector. Given is an obvious need the opportunities it some responses in The title ‘Healthcare Tourism: Opportunities for India’ is the third publication in the trilogy which the Export-Import Bank of India has brought out. there for collation of information and formulating provides for India. of the times. not to overlook travel. It was typical of the kind of cutting edge leadership Shri. Given the pattern of the emerging tourist flow into Asian countries and within the Asian countries.C M Y K Preface Healthcare tourism is one of the flavours the recent spurt of interest in the area. Such an approach goes well with the kind of promotional and developmental role that the Exim Bank provides for the world of International Trade and Business. What is needed is a comprehensive understanding of the trends in the sector. T C Venkat Subramanian. heritage xix C M Y K . touching upon the Indian healthcare systems. from the Indian perspective. the other two titles being ‘Exporting Indian Health Care’ and ‘Road Beyond Boundaries’. it is natural to classify the numbers into viable segments.
The science of Yoga or Ayurveda are merely two of the several manifestations of this approach. as countries and communities mature and the average citizen rises beyond the daily chores of making a living. there are two things to keep in mind. The significance of this book lies in attempting. rather than curative. are interesting to go through . Indeed it is not often enough or adequately recognized that human beings did take care of their health for many millennia. health of its citizenry is one of the most critical ones. xx C M Y K .C M Y K Healthcare Tourism: Opportunities for India tourism. a pooling of information from hospitals. which hopefully will take place with higher sophistication and greater utility. Indeed they lay the foundation for future research. concerns for viable healthcare practices become abundantly obvious. Integrating the existing national tourism policy (2002) with concerns of telemedicine is a daring attempt at drawing the big picture. long before the birth of the ‘modern’ pharmaceutical sciences or indeed the skills of the chemists generated so much faith. This may be daunting but one which cannot be ignored. The second is that a wealth of any country can be judged by several indicators . While reflecting upon healthcare tourism.Of this. there is a message to be learnt. in a focussed manner. Indeed. Like in many areas. healthcare service providers and indeed the trade itself. the way Chinese have projected the efficacy of their traditional healing systems. especially in Chapter Five. information needs to be collated. eco-tourism are but a few of the growing domains of interest. hotels. for the first time ever. Various exhibits. on the theme of healthcare tourism. However. One is that good health is the foundation of any activity. before analysis can begin. Healthcare Tourism ranks amongst the more significant and emerging areas of tourism. enjoyment and worthwhile living. Indeed the entire bias of the Indian health care system has been preventive. It is addressed to those who wish to look at the concerns of healthcare management especially in terms of opportunities for India. This work is a modest but a significant step in that direction. This book also attempts collation of the data and deciphers certain patterns of growth and development. The Thai are not far behind.
sound nutritional habit. New Delhi February 5. Healthcare can be no different even when it is to be seen in conjunction with Tourism. Aromatherapy is yet to get its pride of place. I know this volume will be read carefully. Looking at diet with an eye on the therapeutic influence of various natural products is still to acquire universal practice. For example. just as much as exercise. 2008 Vinayshil Gautam xxi C M Y K .C M Y K Preface People are travelling to India and travelling within India not just for specialized/convenient allopathic interventions but also for rejuvenation. It is unfortunate that an accurate and true lay of the land of healthcare tourism with many of the assets of conventional Indian wisdom of healthcare. real healthcare is the natural strength of the body and for that. are the key. is inadequately represented in modern idiom. therapeutic interventions. spiritual and proactive healthcare. how many use honey as a tranquilizer or a sedative or use cabbage for the chemicals it contains to heal ulcer? The examples are many and faith on drugs and pharmaceuticals is almost a one sided story. At the end of the day. by all those who feel moved to take a holistic view on the subject matter. but till that happens it is not necessary to confuse it with superstition.The nature. hence often derisively covered and commented on by those who do not know . influence and impact of various mantras and spiritual interventions is still to be mapped.
C M Y K Healthcare Tourism: Opportunities for India xxii C M Y K .
Chairman. Mohammed Slaoui.C M Y K Acknowledgement This study is an outcome of the efforts put in by the Exim Bank study team under the guidance of Dr. Dr. J. Naresh Kumar. New Delhi. Chennai. South India Hotels Association. Chennai. Mr. Former President (Business Development). Frontier Lifeline Limited. Dr. M. The Team sincerely acknowledges the contributions and support extended by every individual and institution. Prof. Mr. Minister for Economy and Trade. Advisor. Chennai. Dr. Jayanthi. Chairman. V. Mir Jaffar Imam. Dr. Ahmedabad. Amarjit Singh. Harvey Group of Hospitals. Apollo Hospitals. who shared their views on various issues at the Business Interactive Meets held in Chennai and Ahmedabad. Dileep Mavalankar. Badrinath. Dr. Delhi. Chennai. Bangalore. Vinayshil Gautam. P. Rajeev Chowdhry. Mr. Sanjay Cherian. Chairman and Managing Director. Chennai. Rajkumar. Government of Gujarat. and contributed papers on various themes on the subject that led to deliberations and discussions: Dr. Mr. S. India Tourism Development Corporation. S. Srinivas. Commissioner (Health). Nawab of Kamadhia. Vice President (Business Development) TT Enterprises (Tour Division). S. Director. The study has been made possible through active support and advice from institutions / individuals working for the cause of Indian healthcare and tourism sectors. Parvez Dewan. Ashok Anantharaman. Sankara Nethralaya Medical Research Foundation. Mr. Head of the Department of Management Studies and A Alsagar Chair Professor at IIT. Mumbai. Indian Institute of Management. Lifeline Multi specialty Hospital. xxiii C M Y K . We wish to particularly thank the following experts. Embassy of the Kingdom of Morocco. Ms. Chennai.
Director. S. Chennai. Tourism Corporation of Gujarat Ltd. Coimbatore. Ahmedabad. Ahmedabad. Medical Director. and Mrs. Preparation of case studies of service providers in this segment was possible with the active support of officials in institutions such as Escorts Heart Institute and Research Centre. Managing Director. Intas BioPharma. Asia Cryo-Cell Private Limited. Chennai. Sejal Thakkar from the Art of Living Foundation. Sterling Hospitals. Mr. Manipal Health Systems. IndoAustralian Chamber of Commerce and Industry.. Medical Director. Yogita. Anil Rathore. Krihnaswamy. A P Singh. Akshar Healthcare (P) Ltd. Dr. Hyderabad. The Pride Hotel. Ahmedabad. Frontier Lifeline Hospitals.C M Y K Healthcare Tourism: Opportunities for India Chief Operating Officer. Bangalore. Bharat Gadhavi. Mr. Mr. Pravin Dave. Chandrashekar S Murthy. P D Hinduja National Hospital and Medical Research Centre. Ahmedabad. who have contributed to the completion of this Research Work. Srinivasa Cardiology Centre. N. New Delhi. xxiv C M Y K . Debashish Ganguli. The Study Team takes the opportunity to convey its grateful thanks to all those. Akshar Healthcare (P) Ltd. Sterling Hospital. Mani Iyer. Gujarat Ayurved University. Dr. General Manager. B. and Wockhardt Group. Ahmedabad. Director. Prof. Ms. Coimbatore. C. Jamnagar.. Sarat Chandran. Dhanvantri Vaidyashala. Executive Director. Ahmedabad. The Arya Vaidya Pharmacy (Coimbatore) Ltd. Dr. Mumbai. Director. Bangalore.. G. Kerala Institute of Medical Sciences. Dr. Director. Indian Systems of Medicine and Homeopathy. Dr. Government of Gujarat. Ahmedabad. Murthy. Medical Director. Mr. P D Vaghela. Bangalore. Chennai. M S Bhagel. Isha Yoga Foundation. General Manager (Product Development and Exports). Dr. Ahmedabad. Mr.
or Condition-Specific Care Diploma of National Board Department of Tourism Electro Cardigraph Ethylene Diamine Tetra Acid European Economic Area xxv C M Y K .C M Y K Abbreviations AAAHC AIIMS ALPHA AOA-HFAP APLAC AVS BSI CAP CIHR CMS COPD CRISIL CSR DCSC DNB DOT ECG EDTA EEA Accreditation Association for Ambulatory Healthcare All India Institute of Medical Sciences Agenda for Leadership in Programs in Healthcare Accreditation American Osteopathic Association’s Healthcare Facilities Accreditation Programme Asia Pacific Laboratory Accreditation Cooperation Arya Vaidya Sala British Standards Institute College of American Pathologists Canadian Institutes for Health Research Centers for Medicare and Medicaid Services Chronic Obstructive Pulmonary Disease Credit Rating And Information Services of India Ltd Corporate Social Responsibility Disease.
C M Y K Healthcare Tourism: Opportunities for India EHIRC ENT EU FRRO FDI GAP GDP GMP GP HEPA HOTA HSR IAHV ICMR IHCF ILAC IPP IRDA ISO ISQua ITIH IT JCAHO JCIA JOD JCI KEMA KIMS KTDC MDA xxvi Escorts Heart Institute and Research Centre Ear Nose Throat European Union Foreigners Regional Registration Office Foreign Direct Investment Good Agricultural Practices Gross Domestic Product Good Manufacturing Practices General Practitioner High-Efficiency Particulate Air filter Human Organ Transplant Act Hub-Spoke-Rim International Association for Human Values Indian Council of Medical Research Indian Healthcare Federation International Laboratory Accreditation Cooperation Investments Priorities Plan Insurance Regulatory and Development Authority International Organisation for Standardization International Society for Quality in Health Care IT Infrastructure for Healthcare Information Technology Joint Commission Accreditation for Health Organisations Joint Commission International Accreditation Jordanian Dinar Joint Commission International Keuring Electrotechnisch Materieel Arnhem Kerala Institute of Medical Sciences Kerala Tourism Development Corporation Market Development Assistance C M Y K .
Education& Research) Act National Accreditation Board for Hospitals and Healthcare Providers National Accreditation Board for Laboratories National Committee for Quality Assurance National Health Programmes National Health Service Non-Resident Indian New York Patient Occurrence Reporting and Tracking System Positron Emission Tomography Philippine Institute of Traditional And Alternative Healthcare Private Medical Insurance Philippines Medical Tourism Programme Quality Council of India Research and Development Special Purpose Vehicles Singapore Tourism Board Tourism Authority of Thailand Traditional Chinese Medicine Tourism Expenditure by Visitors Third Party Administrator United Nations World Trade Organization World Tourism Organisation xxvii C M Y K .C M Y K Abbreviations MIDAS MIDC MOPH MOT MRI MOU MTDC MTERA NABH NABL NCQA NHP NHS NRI NYPORTS PET PITAHC PMI PMTP QCI R&D SPV STB TAT TCM TEV TPA UNWTO WTO Maharashtra Infrastructure Development and Support Act Maharashtra Industrial Development Corporation Ministries of Public Health and Commerce Ministry of Tourism Magnetic Resonance Imaging Memorandum of Understanding Maharashtra Tourism Development Council Medical (Therapy.
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