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Med Tourism 1231753168056630 1 PDF
Med Tourism 1231753168056630 1 PDF
It confidentially predicted
predicted that
that over
over
the next
the next decade,
decade, Asia
Asia will
will have
have one
one of
of
the fastest
the fastest growing
growing tourist
tourist population
population
in the
in the world…
world…
3
.
travel to obtain service : travel to benefit
from a particular service or activity that is
unavailable at home (usually used in
combination)
•health tourism
SINGAPORE
SINGAPORE
MALAYSIA
MALAYSIA
The Booming
MEDICAL
TOURISM
www.yellowpages-cambodia.com/images/maps/Southeastasia
Medicaltourism
Medical tourismininAsia
Asiaisisrelatively
relativelynew
newbrought
brought
onininthe
on theaftermath
aftermathofofthe
theAsian
AsianFinancial
Financial
Crisisthat
Crisis thatled
ledfirst
firstprivate
privatehospitals
hospitalsininsome
some
Asiancountries
Asian countriestotoseek
seekalternative
alternativerevenue
revenue
sources…
sources…
•Provision of cost-effective
private medical care in
collaboration with the tourism
industry for patients needing
surgical and other forms of
specialized treatment.
Jabarri, 2007
COMPLIMENTARY & ALTERNATIVE
MEDICINE
Any help and treatment that is beyond the
usage of Western Medicine (Avijgan, 2007)
Dietary supplements, mega dose vitamins,
herbal preparations, massage therapy,
magnet therapy, spiritual healing and
meditation
Alternative &
Complimentary Medicine Medical Treatment
MEDICAL
Operators TOURISM Legal
Framework
Communication Infrastructure
Channel
Product
A business that:
–creates value within the tourism and
healthcare
–attracts foreign exchange and investment
capital
–creates supply and demand for high
skilled labor pool
–generates the highest revenue per visit of
any tourist category
Who are medical tourists?
Initially,
Initially, medical
medicaltourists
touristswere
werecomposed
composed
of
of only
onlythe
theaffluent
affluent and
andwell-to-do
well-to-dopeople
people
from
from all
allover
overthe
theworld,
world,who
whocould
couldafford
afford
to
totravel
travelabroad
abroadtotoreceive
receivethe
thebest
best
medical
medicalattention.
attention.
medical
medicaltourists
touristsnow
nowalso
alsoconsist
consistof
of
average
averageearning
earningindividuals.
individuals.
• Bathing springs
• Dream temple
• Gymnasiun
• Palaestra (exercise area)
• Snake farm
Connel, 2006
MEDICAL TOURISM, HISTORY
European Medical Tourism
16th Century –Europeans discovered the Roman
baths
1600s
1600s –– English
English and
and Dutch
Dutch colonists
colonists in
in the
the newly
newly
discovered
discovered America
America constructed
constructed loglog cabins
cabins near
near
mineral
mineral springs
springs that
that were
were rich
rich in
in medicinal
medicinal
properties.
properties.
Asian
Asian countries
countries can
can now
now attract
attract aa
combined
combined 1.31.3 million
million medical
medical tourists
tourists per
per
year
year and
and is
is increasing
increasing annually.
annually.
Asia
Asia alone
alone will
will be
be projected
projected toto generate
generate
more
more than
than USD4
USD4 billion
billion by
by 2012
2012
Gupta 2007
MEDICAL TOURISM, HISTORY
The
TheRise
Rise of
of Medical
MedicalTourism
Tourism in
inAsia
Asia
1970’s-
1970’s-Thailand
Thailandbecame
becameknown
knownasasaadestination
destination
for
formedical
medicaltourism
tourismbecause
becauseofofsex
sexchange
change
operations,
operations,and
andlater,
later,cosmetic
cosmeticsurgery
surgery
After
After1998
1998ininthe
thewake
wakeof
ofAsian
Asianeconomic
economiccrisis
crisis
and
andthe
theneed
needfor
foreconomic diversification,,
economicdiversification
Malaysia
Malaysiaentered
enteredmedical
medicaltourism
tourism
Connel, 2006
MEDICAL TOURISM, HISTORY
The
The Rise
Rise of
of Medical
Medical Tourism
Tourism in
in Asia
Asia
Mid
Mid1990’s
1990’s–– India,
India, regarded
regardedas as
contemporary
contemporary global
globalcenter
centerfor
formedical
medical
tourism
tourismadvertises
advertises itself
itselfas
asoffering
offering
everything
everythingfrom
fromalternative
alternativeAyurvedic
Ayurvedic
therapy
therapyto
tocoronary
coronary bypasses
bypassesandand
cosmetic
cosmeticsurgery
surgery
Connel, 2006
MEDICAL TOURISM, HISTORY
The
The Rise
Rise of
of Medical
Medical Tourism
Tourism in
in Asia
Asia
2001
2001––successful
successfulseparation
separationof
of10
10mo.
mo.oldold
Nepalese
Nepaleseconjoined
conjoinedtwins
twinsput
putSingapore
Singapore’s’smedical
medical
expertise
expertiseinto
intoheadlines
headlinesaround
aroundthe
theworld.
world.
(Wikipeda,
(Wikipeda,2007)
2007)
2006
2006––Joint
JointCommission
CommissionInternational
International(JCI)
(JCI)set
set
up
upits
itsAsia
AsiaPacific
Pacificoffice
officein
inSingapore.
Singapore. The
The
country
countryhas
has99hospitals
hospitals&&22medical
medicalcenters
centers
accredited
accreditedbybythe
thesaid commission..((Connel,
saidcommission Connel,2006)
2006)
MEDICAL TOURISM, HISTORY
The
The Rise
Rise of
of Medical
Medical Tourism
Tourism in
in Asia
Asia
October
October2004
2004––Philippine
PhilippineMedical
MedicalTourism
Tourism
Program
Program(PMTP)
(PMTP) was
wascreated
createdthrough
through
Executive
Executive Order
OrderNo.
No. 372
372byby President
President
Gloria
GloriaMacapagal-Arroyo
Macapagal-Arroyo
Nov.,
Nov., 2006
2006-"Only
-"Onlyin
inthe
thePhilippines:
Philippines:
Tender
TenderLoving
Loving (Health)Care
(Health)Care,","the
thevery
veryfirst
first
Philippine
PhilippineMedical
MedicalTourism
Tourism Congress,
Congress,Expo
Expo
and
andLaunch
Launch
History of Curative & Wellness Tourism Which
are Used & Named to Each Decade
Neolithic & Bronze Mineral & Hot Springs
Age- Visits
Middle Ages - Springs
16th century - Fountain of Youth
17th, 18th century - Spa
Sea & Mountain Air (TB
19th Century - sanitarium)
20th Century - Health Farms & Fat Farms
Formation of International
1991 - Spa Association
Hospitals are more like
TODAY - spas & Spas are more like
hospitals Jabbari, 2007
Why would someone travel halfway across the
world to a foreign country for wellness?
The
Theshifting
shiftingin
inconsumer
consumervalues
values
Increased stress & workload
Increased stress & workload
Older population
Older population
Health care costs are escalating
Health care costs are escalating
New attitude towards mental & spiritual
New attitude towards mental & spiritual
activities
activities
The emergence of environmentalists
The emergence of environmentalists
Jabbari, 2007
Why would someone travel halfway across the
world to a foreign country for treatment?
Exhorbitant
Exhorbitantcost
costofoftreatment
treatmentin
inthe
thehome
home
country
country
Treatment or surgeries not covered by
Treatment or surgeries not covered by
health
healthinsurance
insurance in inhome
home country
country
Long waiting periods ( in “rationed” health
Long waiting periods ( in “rationed” health
care
carein
inhome
homecountry)
country)
No or minimal insurance coverage
No or minimal insurance coverage
Privacy (Anonymity)
Privacy (Anonymity)
Lack of facilities in the home country
Lack of facilities in the home country
Possibility of a holiday with health care
Possibility of a holiday with health care
Jabbari, 2007
MEDICAL TOURISM, Today…
1997-
Transition
2001
2006- Medical
2007 Outsourcing
Jabarri, 2007
Sociological Aspects of Medical
Outsourcing to Asia
ECONOMIC
ECONOMIC
Country
Country Sending
Sending Country
Country Receiving
Receiving
Patients
Patients Patients
Patients
Lower
Lower Costs
Costs Additional
Additional income
income
revenue
revenue
Savings
Savings passed
passed on
on to
to Monetary
Monetary benefit
benefit to
to
other
other needs
needs nation
nation
Langham, Richmond, Rubin, 2006
Sociological Aspects of Medical
Outsourcing
SOCIAL
Country Sending Country Receiving
Patients Patients
Appreciation given host Opportunity to encounter
nation others
LEGAL
MEDICAL
Country Sending Patients Country Receiving Patients
Increased contacts in Increased prestige in medicine
exchange of people and for host nation
information
Less control of medical Raise issues of international
practices medical ethics
ADVERTISEMENT
ADVERTISEMENT
Quality
Quality Overseas
Overseas
Reliability
Reliability Training
Training
KAZEMI, 2007
PROMOTIONAL EXPERIENCES OF
ASIAN COUNTRIES
THAILAND
THAILAND
Inter-sectoral
Inter-sectoralcoordination
coordination
Effective
Effectivemarketing
marketing
Focus
Focuson
onhospitality
hospitality
Building
BuildingInfrastructure
Infrastructure
KAZEMI, 2007
PROMOTIONAL EXPERIENCES OF
ASIAN COUNTRIES
INDIA
INDIA
Low-cost
Low-costtreatment
treatment
Effective
Effectivemarketing
marketing
Indian
Indiancompanies
companieshaving
havingnegotiation
negotiationwith
with
National
NationalHealth
HealthService
Service(NHS)
(NHS)about
aboutout-sourcing
out-sourcing
the
thetreatment
treatmentof
ofBritish
Britishpatients
patientsto
toIndia
India
KAZEMI, 2007
PROMOTIONAL EXPERIENCES OF
ASIAN COUNTRIES
MALAYSIA
MALAYSIA
Government
Governmenteffort
effortto
topromote
promotemedical
medicaltourism
tourism
promotional plans.
promotional plans.
Tax
Taxincentives
incentives
Lessening
Lesseningimport
importduty
dutyon
onmedical
medicalequipment
equipment
Enabling
Enablingsupporting
supportinginfrastructure
infrastructure
Set
Setup
up55Committees
Committeesto
topromote
promotehealth
healthtourism
tourism
KAZEMI, 2007
PROMOTIONAL EXPERIENCES OF
ASIAN COUNTRIES
SINGAPORE
SINGAPORE
High
Highlevel
levelof
of cleanliness
cleanliness
World
Worldbest
beststandard
standard training
trainingand
and
professionalism
professionalism
KAZEMI, 2007
PROMOTIONAL EXPERIENCES OF
ASIAN COUNTRIES
PHILIPPINES
PHILIPPINES
33BUSINESS
BUSINESSMODELS
MODELSFORFORHEALTH
HEALTH
••Creation
Creationof
ofan
aninternational
internationalzone
zoneof
ofhealth
healthfor
for
wellness
wellnesscombining
combiningmedical
medicaltourism
tourism,,spa,
spa,
health,
health,eco-tourism
eco-tourismand
andretirement
retirementvillages
villages
••Health
Healthhuman
humanresources
resourcesdevelopment
developmentnetwork
network
with the top nursing and medical
with the top nursing and medical
schools/hospitals
schools/hospitalsin
inthe
thePhilippines.
Philippines.
••Health
Healthcrewing
crewingfor
forspecific
specifichealth
healthservices,
services,
including Tele-health, medical transcription
including Tele-health, medical transcription
KAZEMI, 2007
MEDICINE
WELLNESS TOURISM
PROCESS
Medical Tourism
PATIENT Provider
Certified Medical
Discussion of
Doctors or
The Package
Consultants
Recommendation
Signing of Consent
letters for medical visa
Bonds & Agreements
From the Embassy
Wikipeda, 2008
STANDARDS
Wikipeda, 2008
International Health Care Accreditation
Wikipeda, 2008
International Health Care Accreditation
Wikipeda, 2008
Quality of Care Issues
Procedures
& Services USA India Thailand Singapore
Coronary $35,000 – $4,000-
Angioplasty $83,000 $11,000 $13,000 $13,000
Coronary
Artery $100,000 – $4,000-
Bypass $123,000 $10,000 $12,000 $20,000
Source: PIDS
www.pcij.org
The Outsourcing of Surgical
Procedures to Asia:
Procedures
& Services USA India Thailand Singapore
Hip $44,000-
Replacement $64,000 $9,000 $12,000 $12,000
Knee $40,000-
Replacement $61,000 $8,000-$9,000 $10,000 $13,000
$40,000-
Rotator Cuff $60,000 $4,000-$7,000 $8,000 $8,000
Knee (ACL) $17,000-
Repair $20,000 $4,000-$6,000 $7,000-$8,000 $8,000
$63,000-
Spinal Fusion $91,000 $5,000-$6,000 $7,000 $9,000
Spinal Disc $90,000 $10,000
Langham, Richmond, Rubin, 2006
RISKS
DIFFERENCE IN DISEASE-RELATED EPIDEMIOLOGY
BETWEEN HOME COUNTRY & COUNTRY OF
DESTINATION
• Hepatitis A
• Amoebic Dysentery
• Mosquito-transmitted diseases
• TB
DIFFERENCE IN HEALTHCARE PROVIDER
STANDARDS AROUND THE WORLD
• World Alliance for Patient Safety
Assists hospitals and government around the world in setting
patient safety policy and practices relevant when providing
medical tourism services
QUALITY OF POST-OP CARE
• Role of Accreditation
• Long flights maybe worse for some cases.
Wikipeda, 2008
LEGAL & ETHICAL ISSUES
Wikipeda, 2008
GROWTH OF MEDICAL TOURISM IN THE
WORLD
0
2004 2005 2006 2007
Asian Medical Tourism Analysis
(2008-2012)
More
Morethan
than2.9
2.9Million
Millionpatients
patientsvisited
visited
Thailand,
Thailand,India,
India,Singapore,
Singapore,Malaysia
Malaysia and
and
the
thePhilippines
Philippinesfor
formedical
medicaltourism
tourismin in
2007.
2007.
Thailand’s
Thailand’slow
lowcost
costand
andscenic
scenicbeaches
beaches
have
haveenabled
enabled ititto
tobecome
becomethe thelargest
largest
medical
medicaltourism
tourism market
marketin inAsia;
Asia; however,
however,
an
anunstable
unstablepolitical
politicalenvironment
environmentandand
occurrence
occurrenceof ofanother
anotherepidemic
epidemicsuch
suchasas
bird
birdflu
flucan
canrestrain
restrainits
itsgrowth.
growth.
Healthcare
Healthcare costs
costs are
are considerably
considerably
high
high in
in Singapore
Singapore as as compared
compared to to
other
other Asian
Asian destinations.
destinations. The
The
country,
country, however,
however, boasts
boasts of
of an
an
infrastructure
infrastructure and
and resources
resources that
that in
in
some
some cases
cases are
are even
even better
better than
than
those
those in
in the
the west.
west.
India,
India, with
with its
its low
low cost
cost advantage
advantage
and
and emergence
emergence of of several
several private
private
players,
players, represents
represents the the fastest
fastest
growing
growing market.
market. TheThe country’s
country’s
questionable
questionable sanitary
sanitary perceptions
perceptions in
in
the
the west
west are,
are, however,
however, aa major
major
roadblock
roadblock for
for growth.
growth.
Malaysia
Malaysia and
and Philippines
Philippines,, both
both
relatively
relatively new
new players
players inin the
the medical
medical
tourism
tourism market,
market, areare expected
expected to to
grow
grow strongly
strongly in
in the
the next
next five
five years.
years.
AA number
number ofof employers
employers and and health
health
insurance
insurance firms
firms in
in developed
developed
countries
countries have
have now
now started
started looking
looking at
at
medical
medical tourism
tourism toto reduce
reduce their
their
surging
surging healthcare
healthcare expenditure.
expenditure.
The
The Asian
Asian medical
medical tourism
tourism market
market is
is
expected
expected to
to grow
grow at
at aa CAGR
CAGR of
of
17.6%
17.6% between
between 2007
2007 and
and 2012
2012
Bharatbook, June 2008
Challenges for Health Care Providers in the
Promising Industry of Medical Tourism
HEALTH
CARE
PROVIDERS
PARTNERSHIP WITH:
PARTNERSHIP WITH:
Medical Quality Marketing
Marketing
Medical Quality
Options
of Services
of Services Options ••Universities
Universities
••Referring/Competing
Referring/Competing
Hospitals
Hospitals
Importance of
Importance of ••Agents
Agents
Non-medical
Non-medical ••Government
Government
Services for
Services for ••Accommodation &
Accommodation &
Patient Access
Patient Access Travel Service
Travel Service
Provider
Provider
KAZEMI, 2007