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World Tourism Industry is an industry which is flourishing all over the world. The scenario of the World tourism industry is always in a state of flux, ever changing. It is reckoned that end of 2010 will see the World tourism industry generating as many as 234 million job opportunities for the people. It is also assumed that the contribution towards the GDP by the World tourism industry will be approximately 10.3%.
Tourism has been a major social phenomenon of societies all over the world. It is driven by the natural urge of every human being for new experiences, and the desire to be both educated and entertained. The motivations for tourism also include religious and business interests; the spread of education has fostered a desire to know more about different parts of the globe. The basic human thirst for new experience and knowledge has become stronger, as communication barriers are getting overcome by technological advances. Progress in air transport and development of tourist facilities has encouraged people to venture beyond the boundaries. The importance of Tourism, as an instrument of economic development and employment generation, particularly in remote and backward areas, has been well recognized the world over. It is a large service industry globally in terms of gross revenue as well as foreign exchange earnings. Tourism can play an important and effective role in achieving the growth with equity – an objective which we have set for ourselves. Tourism has the potential to grow at a high rate and ensure consequential development of the infrastructure of the destinations. It has
the capacity to capitalize on the country’s success in the services sector and provide sustainable models of growth. Tourism sector stimulates other economic sectors like agriculture, horticulture, poultry, handicrafts, transport, construction, etc. through its backward and forward linkages and crosssectoral synergies. Expenditure on tourism induces a chain of transactions requiring supply of goods and services from the related sectors. The consumption demand, emanating from tourist expenditure also induces more employment and generates a multiplier effect on the economy. TYPES OF TOURISM:
World tourism industry and the environment:
The impact of the World tourism industry on our environment cannot be overlooked. While global tourism industry is expanding manifold, every effort is being made to protect the heritage of historically significant places. With every passing year, world tourism industry is experiencing new changes to adapt to the needs of time. Increase in the world tourism activities mean more consumption of energy and the natural resources. Alternative sources of energy are being worked out. Global warming causing rise in sea levels pose to be a great threat to all the nations worldwide. Concepts of Eco tourism is fast catching up with the common people.
WORLD TOURISM INDUSTRY AND ECONOMY
INBOUND TOURISM 1. International Tourist arrivals 2. International Tourism receipts OUTBOUND TOURISM 1. International Tourism Expenditure 2. Outbound Tourism by region of Origin
In order to find out the contribution of the travel and tourism industry to a particular country, the Travel and Tourism Account or the TTSA is an important tool to determine the economics in detail. The TTSA throws light on matters related to travel, tourism job opportunities, comparing related tourism industries including hotels, transport etc, TTSA furnishes information about global travel, tourism pertaining to growth, demand, export, GDP, employment opportunities, capital investment etc. WORLD TOURISM STATISTICS AND RANKINGS
In 2008, there were over 922 million international tourist arrivals, with a growth of 1.9% as compared to 2007. In 2009, international tourist’s arrivals fell to 880 million, representing a
worldwide decline of 4% as compared to 2008. The region most affected was Europe with a 6% decline. The World Tourism Organization reports the following ten countries as the most visited from 2006 to 2009 by the number of international travelers. When compared to 2006, Ukraine entered the top ten lists, surpassing Russia, Austria and Mexico, and in 2008, surpassed Germany. In 2008, the U.S. displaced Spain from the second place. Most of the top visited countries continue to be on the European continent, followed by a growing number of Asian countries. In 2009, Malaysia made it into the top 10 most visited countries' list. Malaysia secured the ninth position, just below Turkey and Germany. In 2008, Malaysia was in 11th position. International Tourist Arrivals to various countries The slump in the world economy has not deterred the travelers worldwide from going to the places they want to see. Although there is a little reduction in the tourism industry it has not drastically fallen. We can see that there was a steady growth from 2006 to 2008 with over 6% increase every year. Tourism has always been a huge economic growth factor and thus a lot of countries spend a lot of money to improve their conditions to make sure the tourists have a nice time. The following are the top 10 ranked countries in the world highest tourists.
UNWTO Regional Market Europe North America Europe Asia
International International International International tourist tourist tourist tourist arrivals arrivals arrivals arrivals (2009) (2008) (2007) (2006) 74.2 million 79.2 million 80.9 million 77.9 million
France United States Spain China
52.2 million 50.9 million
57.2 million 53.0 million
58.7 million 54.7 million
58.0 million 49.9 million
Italy United Kingdom Turkey Germany Malaysia Mexico
7 8 9 10
Europe Europe Asia Latin America
25.5 million 24.2 million 23.6 million 21.5 million
25.0 million 24.9 million 22.1 million 22.6 million
22.2 million 24.4 million 21.0 million 21.4 million
18.9 million 23.6 million 17.5 million 21.4 million
International tourism receipts International tourism receipts grew to US$944 billion (€642 billion) in 2008, corresponding to an increase in real terms of 1.8% from 2007. When the export value of international passenger transport receipts is accounted for, total receipts in 2008 reached a record of US$1.1 trillion, or over US$3 billion a day. The World Tourism Organization reports the following countries as the top ten tourism earners for the year 2009. It is noticeable that most of them are on the European continent, but the United States continues to be the top earner.
UNWTO Regional Market North America Europe
International International International International Tourism Tourism Tourism Tourism Receipts Receipts Receipts Receipts (2009) (2008) (2007) (2006) $94.2 billion $110.1 billion $97.1 billion $85.8 billion $53.2 billion $61.6 billion $57.6 billion $51.1 billion
United States Spain
3 4 5 6
France Italy China Germany United Kingdom Australia Turkey Austria
Europe Europe Asia Europe
$48.7 billion $55.6 billion $54.3 billion $46.3 billion $40.2 billion $45.7 billion $42.7 billion $38.1 billion $39.7 billion $40.8 billion $37.2 billion $33.9 billion $34.7 billion $40.0 billion $36.0 billion $32.8 billion
$30.1 billion $36.0 billion $38.6 billion $34.6 billion
8 9 10
Oceania Europe Europe
$25.6 billion $24.8 billion $22.3 billion $17.8 billion $21.3 billion $22.0 billion $18.5 billion $16.9 billion --- $21.8 billion $18.9 billion $16.6 billion
International tourism expenditures The World Tourism Organization reports the following countries as the top ten biggest spenders on international tourism for the year 2009. For the fifth year in a row, German tourists continue as the top spenders.
International International International International UNWTO Tourism Tourism Tourism Tourism Regional Expenditures Expenditures Expenditures Expenditures Market (2009) (2008) (2007) (2006) Europe $80.8 billion $73.1 billion $91.0 billion $79.7 billion $83.1 billion $76.4 billion $73.9 billion $72.1 billion
North United States America
United Kingdom China France Italy Japan Canada Russia
4 5 6 7 8 9 10
Asia Europe Europe Asia North America Europe
$43.7 billion $38.9 billion $27.8 billion $25.1 billion $24.3 billion $20.8 billion $20.7 billion
$36.2 billion $43.1 billion $30.8 billion $27.9 billion $26.9 billion $23.8 billion $21.7 billion
$29.8 billion $36.7 billion $27.3 billion $26.5 billion $24.7 billion $21.2 billion
$24.3 billion $31.2 billion $23.1 billion $26.9 billion $20.6 billion $18.1 billion
$19.1 billion $17.0 billion
Most visited cities Top 10 most visited cities by estimated number of international visitors by selected year International visitors (millions)
1 2009 Bangkok Thailand 10.58 2008 Istanbul Turkey 7.94 2008 Hong Kong China 8.7 2009 Dubai United Arab Emirates 7.9 2009 New York City United States 8.7 2009 Kuala Lumpur Malaysia 8.51 2009 Shanghai China 6.7 2007 INDIAN TOURISM INDUSTRY 7| Page .London United Kingdom 14.21 2008 Singapore Singapore 9.
The Ministry is contemplating a workshop to discuss the modalities to evolve Sustainable Tourism Criteria for India. A major step has been the issuing of guidelines to State Governments/Union Territory administrations for development of tourism infrastructure that is world class.960 crore in 2009. Keeping in view the need for additional accommodation in New Delhi and the NCR.38 million to 5. terrorist activities. The Grand Prix for publicity related activity of India Tourism world-wide is a vindication of the Ministry’s creative abilities to project Indian tourism as the world brand as also the stand that publicity is an important tool for development. Foreign Exchange Earnings (FEEs) from tourism increased from Rs. 8| Page . less than that of the scale of global slowdown. cruise tourism and caravan tourism has served to widen the net of this sector. H1N1 influenza pandemic. growth rate in FTAs during 2009 fell by 3. There have been several innovative approaches in the Ministry’s policy in 2009-10. etc.11 million. During the period 2002 to 2009. India witnessed an increase in the Foreign Tourist Arrivals (FTAs) from 2. the declaration in India was. 15. The year has seen some firsts too. The growth rate in earnings in 2009 vis-a-vis 2008 was 8. The creation of niche tourism products like heliport tourism. the Ministry of Tourism has been synergizing with the and owning agencies for creation of additional hotel rooms. The Ministry had also commissioned a pilot survey to assess the impact of growth of infrastructure in and around Corbett National Park. Due to global slowdown.3 per cent. therefore..India’s performance in tourism sector has been quite impressive. 54. The Ministry is also gearing up for the XIX Commonwealth Games – 2010 scheduled this year. medical tourism.3 per cent.064 crore in 2002 to Rs.3 per cent. The year witnessed a contraction in global tourism by 4. Tourism in India has come into its own as a brand – India Tourism. adventure tourism. wellness tourism.
The Ministry. But the idea of travel for pleasure or exploration soon emerged. This agreement lays down timelines for implementation of specific tasks by the officers. The earliest travelers walked or rode domesticated animals. and religious purposes. Food. in its efforts to deliver responsive governance has initiated some measures. water. inter-state regional conferences were held. actions and measurable performance indicators. Travel has always depended upon technology to provide the means or mode of travel. Each improvement in technology increased individuals' opportunities to travel. States/ UTs are setting up State Level Monitoring Committees (SLMCs) at State/ UT level to hold periodic monitoring meetings to review the status of implementation of tourism projects.An Annual Report 2009-10 five-year tax holiday has been obtained to promote the growth of new hotels. At the instance of the Ministry. Also. Innovative curriculum was put in place for training of youth to meet the requirements of skilled human resource in the wake of the Games. recognizing the need for monitoring of projects supported by Central Financial Assistance. This was backed by extensive monitoring of projects in the States/ UTs by the officials of the Ministry of Tourism. It is the first Ministry to have a Performance Agreement signed between the Secretary (Tourism) and the senior officers of the Ministry of the rank of Joint Secretary and above. The invention of the wheel and the sail provided new modes of transportation. interest in travel increased for education. Since the beginning of time humans have traveled. The year 2009-10 witnessed heightened engagements of the Ministry of Tourism with the States/ UTs to strengthen initiatives to promote tourism to a new height. sightseeing. In order to ensure that development takes place in a holistic and integrated way and inter-state bottlenecks are removed. As roads were improved and governments stabilized. 9| Page . Hotel projects have been enabled to obtain credit at relaxed norms due to the efforts put in to have the Reserve Bank of India delink credit for hotel projects from Commercial Real Estate. safety or acquisitions of resources (trade) were the early travel motivations. new Project Monitoring Information System (PMIS) software has been designed. External Commercial Borrowings have been relaxed by the Ministry of Finance to solve the problem of liquidity being faced by the hotel industry due to economic slowdown. This has culminated in the Results Framework Document for the Ministry being hosted in the official Annual Report 2009-10 website highlighting its objectives.
entertainment businesses.One of the earliest travel guides was written by Pausanias. accommodations. Tourism provides over six million jobs in the United States. making it the country's largest employer. services and industries that delivers a travel experience. In 2006. there were over 842 million international tourist arrivals. The World Tourism Organization (WTO) claims that tourism is currently the world’s largest industry with annual revenues of over $3 trillion dollars. including transportation. retail shops. Globally.D. a Greek. business and other purposes not related to the exercise of an activity remunerated from within the place visited". eating and drinking establishments. Tourism has become a popular global leisure activity. which was a 10 volume Guide to Greece. 10 | P a g e . for Roman tourists in 170 A. The World Tourism Organization defines tourists as people who "travel to and stay in places outside their usual environment for not more than one consecutive year for leisure. Tourism is traveling for predominantly recreational or leisure purposes or the provision of services to support this leisure travel. activity facilities and other hospitality services provided for individuals or groups traveling away from home. Tourism is a collection of activities.
The growth rate in FEE in Rupee terms during 2009 was 8.7042 crore as compared to Rs.97 lakh in December 2007.3% in FTAs. Because of the availability of final figures of FTAs from Bureau of Immigration (BOI) now for 2008. Though the growth rate for 2009 is (-)3. and 14.3% as compared to the FTAs of 5. and 9. Foreign Exchange Earnings (FEE) from Tourism in Indian Rupee terms and US$ terms • • • • • • FEE in Rupee terms during 2009 were Rs.5% during 2008 as compared to 2007. Inspite of the negative growth rate of 3. The growth rate in FTAs in December 2009 over December 2008 works out to 21% which is highest positive growth registered in any month of 2009. Following are the important highlights regarding FTAs and FEE from tourism in India for the year 2009.75 billion during 2008 The growth rate in FEE in US$ terms during 2009 was (-)3.5083 crore in December 2008 and Rs.3% as compared to 2008. 50730 crore in 2008.39 billion as compared to US$ 11. the provisional figure of 5. FEE in rupee terms observed a positive growth of about 8% during 2009.28 million. Foreign Tourist Arrivals (FTAs) • • • • FTAs during 2009 were 5. FTAs during the Month of December 2009 were 6. it is better than UNWTO’s projected growth rate of (-)6% to (-)4% for the world.34 lakh in December 2008 and 5. FEE during 2009 were US $ 11.5079 crore in December 2007.Performance of Tourism Sector during 2009 Ministry of Tourism compiles monthly estimates of Foreign Tourist Arrivals (FTAs) and Foreign Exchange Earnings (FEE) from tourism on the basis of data received from major airports.11 million with a growth rate of (-) 3.28 million and growth rate of 4% during 2008.46 lakh as compared to FTAs of 5.0% as compared to 2008.3%.37 million FTAs for 2008 released earlier by Ministry of Tourism. FEE in Rupee terms during the month of December 2009 were Rs.4% during 2008 as compared to 2007. has now been revised at 5. 11 | P a g e . 54960 crore as compared to Rs.
12 | P a g e .• FEE in US $ terms during the month of December 2009 were US $ 1510 million as compared to US $ 1046 million in December 2008 and US $ 1287 million in 2007.
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2009 (21%) continued in January. Foreign Exchange Earnings (FEE) from Tourism in Indian Rupee terms and US$ terms: · · · FEE during the month of January 2010 were Rs.6% registered in January 2009 over January 2008. · The growth rate in FEE in US$ terms in January 2010 over January 2009 was 29. 4598 crore in January 2009 and Rs. 2010 also with a growth rate of 16. To a large extent. 5593 crore as compared to Rs. 5438 crore in January 2008.4% in January 2010 over January 2009 as compared to a negative growth of 17.22 lakh during the month of January 2009 and 5. 14 | P a g e .4% in January 2009 over January 2008.91 lakh as compared to FTAs of 4. Following are the important highlights regarding these two important indicators of tourism sector. There has been a growth of 16.Performance of Tourism Sector during January 2010 Ministry of Tourism compiles monthly estimates of Foreign Tourist Arrivals (FTAs) and Foreign Exchange Earnings (FEE) from tourism on the basis of data received from major airports.1% as compared to the growth of (-) 31. The growth rate in FEE in Rupee terms in January 2010 over January 2009 were 21.9% in January 2009 over January 2008. the trend of substantial growth in FTAs observed during December. Foreign Tourist Arrivals (FTAs): · · · FTAs during the Month of January 2010 were 4. FEE in US $ terms during the month of January 2010 were US $ 1215 million as compared to FEE of US $ 941 million during the month of January 2009 and US$ 1382 million in January 2008.6% as compared to (-) 15.12 lakh in January 2008.4%.
This shows better signs of growth and the initiatives taken by the government are being useful. It was non. We can see a 10% average increase in 2010 for the first two quarters. Due to the economic slowdown.From the above statistics we can see that there has been a consistent growth of tourists from 2002 to 2008.preventable for any country including the likes of USA and European countries. The decrease in tourists did not have any drastic effect on the industry. There has been an improving percentage in the number of tourists. 15 | P a g e . India has experienced a slight decrease in the number of tourists.
Only if India can show more interest in the development of the infrastructure and tourism. India can also bank upon the revenues received and improve to make tourism a important part of the system. There was a great increase during the 2002-2003 financial year. 16 | P a g e . But India has shown better growth and development in 2010 as there has been a huge growth of over 36% during the period of January to June. it can definitely become one of the most interesting countries to visit. This has shown that India is currently a global hotspot for tourists. We can also notice the fact that there was a negative slump during the 2009 period. a 43% increase.The above statistics show that there has been a steady increase in the revenue received through tourism.
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In PostLiberalization period Indian medical tourism industry emerged as a market leader surpassing the benchmarks created by the already existing competitors. 3. present and future of the “MEDICAL TOURISM “ – SERVICES SECTOR in India based on the data collected and analyzed. Data collection from the reports of Indian Medical Travel Association®. 20 | P a g e . 4. Hyderabad Medical Tourism Promotion Society. Additionally questionnaires were emailed to institutions engaged in medical tourism that have quality certification from the tourism dept. Objectives of the research study are: • • • • • Is there room for all of the countries wanting a slice of the medical tourism business? How accurate are projections for medical tourism and how realistic are targets set by countries for numbers of medical travelers? Who are the various medical and non-medical accreditors? What are the medical tourism promotions India and Andhra Pradesh? What purpose do the many international and national trade associations have? METHODOLOGY: 1. International Medical Travel Journal. Printed Schedules were circulated through enumerators 2.CHAPTER– 2 RESEARCH METHODOLOGY In this specific project we have tried to understand the past. Interviews with Resource Persons actively involved in the promotion of Medical Tourism. The research conducted is Analytical type trying to use facts and information already available and analyze to make critical evaluation of the edge India has got over others and quantitative to the extent of cost comparison between different countries and the foreign patient inflows over the years .
21 | P a g e . SWOT analysis is carried out. At the end of the report recommendations are made so as to increase India’s market share and thereby establish as a Market leader in the coming decades.5. A case study is prepared focusing on Medical Tourism in Hyderabad 7. eventually areas of improvement and untapped segments are identified . The calculated growth rates are then represented graphically. 6. Key questions answered : • • • • What are the different types of medical tourism? Where are governments promoting medical tourism? What is happening in the countries that are or want to be medical tourism destinations? Where does India stand in this global competition? • What are the steps to be taken by India to increase its market Share? 1.The research report also consists of the analyzed data of the Andhra Pradesh medical tourism sector in brief. The data collected was analyzed by calculating the growth rates of years over year and also cost comparisons are made taking all the possible costs incurred for a foreign tourists supported by the “ WORLD BUDGET ESTIMATOR” designed by Patients Beyond Borders.
CHAPTER – 3 AN OVERVIEW OF MEDICAL TOURISM 22 | P a g e .
000 years as it was believed that the waters had a healing property. In the 21st century. From Canada. Israel. Poland and Singapore are now entering the field. Belgium. In Roman Britain. South Africa specializes in medical safaris-visit the country for a safari. Costa Rica.A GLOBAL PERSPECTIVE Medical tourism happens when patients go to a different country for either urgent or elective medical procedures. Lithuania. a nose job and a chance to see lions and elephants. patients took a dip in the waters at a shrine at Bath. The interesting thing of Medical tourism is that it is a concept which is actually thousands of years old. a practice that continued for 2. In ancient Greece. Countries that actively promote medical tourism include Cuba. multibillion-dollar industry. with a stopover for plastic surgery. at Epidaurus. Jordan. Many medical tourists from the United States are seeking treatment at a quarter or sometimes even a 10th of the cost at home. the patient can't wait for treatment by the National Health Service but also can't afford to see a physician in private practice. This phenomenon is fast becoming a worldwide. For others. pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god. Hungary. it is often people who are frustrated by long waiting times. Malaysia and Thailand. relatively low-cost jet travel has taken the industry beyond the wealthy and desperate. becoming a medical tourist is a chance to combine a tropical vacation with elective or plastic surgery. From the 18th century wealthy Europeans travelled to spas from Germany to the Nile. The reasons patients travel for treatment vary. From Great Britain. India. 23 | P a g e . And moreover patients are coming from poorer countries such as Bangladesh where treatment may not be available and going for surgery in European or western developed countries is expensive. Aesculapius.
and many South African clinics offer packages that include personal assistants. Many of them worked for western companies and had the advantage of flexible. the Middle East and Canada. Argentina 24 | P a g e . With the growth of medical-related travel and aggressive marketing. India initially attracted people who had left that country for the West. worldwide medical insurance plans geared specifically at the expatriate and overseas corporate markets. visits with trained therapists. so far. Bangkok's International Medical Centre offers services in 26 languages. medical tourism packages there tend to be perpetual bargains as well. trips to top beauty salons. recognizes cultural and religious dietary restrictions and has a special wing for Japanese patients The medical tour companies that serve Thailand often put emphasis on the vacation aspects. Thailand treated western expatriates across Southeast Asia. especially from Europe. Bangkok became a centre for medical tourism. South Africa South Africa also draws many cosmetic surgery patients. Because the South African rand has such a long-standing low rate on the foreign-exchange market. India has attracted patients from Europe.Thailand While. Thailand has been the goal for Americans. offering post-recovery resort stays. post-operative care in luxury hotels and safaris or other vacation incentives.
Israel caters to both Jewish patients and people from some nearby countries. for high-quality cosmetic and dental procedures that cost half of what they would in Germany and America.Argentina ranks high for plastic surgery. Malaysia attracts patients from surrounding Southeast Asian countries. Slated to include a new branch of the Harvard Medical School. specializing in both male and female infertility. it also may be the most prestigious foreign clinic on the horizon. first aimed its services at well-off patients from Central and South America and now attracts patients from Canada. and Hungary draws large numbers of patients from Western Europe and the U. for example. Jordan serves patients from the Middle East. this clinic will be the largest international medical center between Europe and Southeast Asia. 25 | P a g e . Other countries Other countries interested in medical tourism tended to start offering care to specific markets but have expanded their services as the demand grows around the world.S. Germany and Italy. Dubai Lastly. Situated on the Red Sea. in-vitro fertilization and high-risk pregnancies. South Africa offers package medical holiday deals with stays at either luxury hotels or safaris. One Israeli hospital advertises worldwide services. Cuba. Dubai--a destination already known as a luxury vacation paradise--is scheduled to open the Dubai Healthcare City by 2010.
cardiac 26 | P a g e .ESTIMATED PATIENTS TREATED AND MONEY SPENT IN SELECTED COUNTRIES Country Patients treated Thailand 900.000 480 million treatment. dental (in 2007) India 450. joint replacements Cardiac surgery. organ transplants. cardio-thoracic surgery. joint replacements.000 Estimated earnings (US$) 850 million Major services provided Cosmetic surgery. cosmetic Surgery (in 2007) Singapor e 410.000 43 million Cardiology. joint replacements. eye surgery (in 2007) Malaysia 350.000 560 million Liver transplants.
though. In Britain and Canada. the waiting period for a hip replacement can be a year or more. in other countries. Cosmetic surgery savings are even greater: A full facelift that would cost $20.S. if they exist at all. costs $500 in India. The savings sound very attractive.S. A heart-valve replacement that would cost $200.(in 2007) SOURCE : ESCAP 2009 Surgery Why the World is moving towards Medical Tourism Medical tourists have good cause to seek out care beyond the United States for many reasons.500 in the U. and Lasik eye surgery worth $3. the real attraction is price. For many medical tourists. goes for $10.700 in the U. for instance. How does the balance of savings versus risk pay off in terms of success rates 27 | P a g e . Similarly. The cost of surgery in India. Thailand or South Africa can be one-tenth of what it is in the United States or Western Europe.000 in India--and that includes round-trip airfare and a brief vacation package. a metal-free dental bridge worth $5. but a good new hip and a nice new face don’t seem like the sort of things anyone would want to bargain with.S. while in Bangkok or Bangalore. runs about $1. the public health-care system is so overburdened that it can take years to get needed care.. state-of-the-art medical facilities are hard to come by. for example.S. is available in many other countries for only $730. a patient can be in the operating room the morning after getting off a plane. a knee replacement in Thailand with six days of physical therapy costs about one-fifth of what it would in the States.000 or more in the U. In some regions of the world.000 in the U.250 in South Africa. and sometimes even less.
clinics are backed by sophisticated research infrastructures as well. In a field where experience is as important as technology. high-quality care could be for the developing countries. In fact. Escorts Heart Institute and Research Center in Delhi and Faridabad.000 heart operations every year. and the death rate among patients during surgery is only 0. Bangkok’s Bumrundgrad hospital has more than 200 surgeons who are board-certified in the United States. there have been cases of botched plastic surgery. India is among the world’s leading countries for biotechnology research. particularly from Mexican clinics in the days before anyone figured out what a gold mine cheap. In some countries. many Asian airlines offer frequent-flyer miles to ease the cost of returning for follow-up visits.8 percent-less than half that of most major hospitals in the United States. too. the doctors are supported by more registered nurses per patient than in any Western facility. Medical Tourism trend and what Statistics shows: 28 | P a g e . Additionally. Add to this the fact that some clinics assign patients a personal assistant for the post-hospital recovery period and throw in a vacation incentive as well. and many are staffed by physicians trained at major medical centers in the United States and Europe. and some skeptics warn that Third World surgery cannot possibly be as good as that available in the United States. Yet. In many foreign clinics.Inferior medical care would not be worth having at any price. and one of Singapore’s major hospitals is a branch of the prestigious Johns Hopkins University in Baltimore. with a nurse dedicated to each patient 24 hours a day. the hospitals and clinics that cater to the tourist market often are among the best in the world. India. and the deal gets even more attractive. performs nearly 15. while both India and South Korea are pushing ahead with stem cell research at a level approached only in Britain. and some clinics provide single-patient rooms that resemble guestrooms in fourstar hotels.
Today. South Africa. Cuba. Argentina. approximately half a million foreign patients will travel to India for medical care. with more than 220 million Boomers in the United States. Patients in Britain. Jamaica. Canada. this represents a significant market for inexpensive. Medical tourism will be particularly attractive in the United States. Costa Rica. more than 250. where an estimated 43 million people are without health insurance and 120 million without dental coverage--numbers that are both likely to grow. 29 | P a g e . medical tourism was hardly large enough to be noticed. Hungary. high-quality medical care.2 billion per year by 2012. experts estimate that medical tourism could bring India as much as $2. and. whereas in 2002. This year. Jordan.000 patients per year visit Singapore alone--nearly half of them from the Middle East. Trends in medical tourism in the near future Some important trends guarantee that the market for medical tourism will continue to expand in the years ahead. final decline.Ten years ago. By 2015. Latvia and Estonia all have broken into this lucrative market as well. Malaysia. and more countries join the list every year. the number was only 150. Australia and New Zealand.000. the health of the vast Baby Boom generation will have begun its slow. In monetary terms. Europe. Canada and other countries with long waiting lists for major surgery will be just as eager to take advantage of foreign health-care options. or are trying to do so.
4 MEDICAL TOURISM IN INDIA After the silicon rush India is now considered as the golden spot for treating patients mostly from the developed countries and Far East for ailments and procedures of relatively high cost and complexity.CHAPTER ." Government and private sector studies in India estimate that medical tourism could bring between $1 billion and $2 billion US into the country by 2012." where subcontractors provide services to the overburdened medical care systems in western countries. India's National Health Policy declares that treatment of foreign patients is legally an "export" and deemed "eligible for all fiscal incentives extended to export earnings. The question or rather the doubt that is often asked by critics is how can India provide top line medical care to outsiders while more than 40% of its people languished below poverty 30 | P a g e . Going by the Statistics and various studies it can be easily said that india would be the leader in medical tourism within the next decade if only it could improve the infrastructure and tour attractions. India is also aggressively promoting medical tourism in the current years -and slowly now it is moving into a new area of "medical outsourcing.
has been forcing patients from such regions to look for alternative and costeffective destinations to get their treatments done. 31 | P a g e . is it really a secure destination and how India can promote and develop this particular activity in the coming years so as face competition given by other Asian and African options. It is also found that India represents the most potential medical tourism market in the world. This project also aims to show why India is attracting medical tourists. Moreover. medical equipments industry and pharmaceutical industry. Moreover. India’s share in the global medical tourism industry will climb to around 2. It has been a known fact for past many decades that Indian doctors are highly skillful in their given field since all around the globe mot hospitals have doctors of Indian origin. Factors such as low cost.1 Million by 2012. particularly the USA and UK. scale and range of treatments provided by India differentiate it from other medical tourism destinations. the medical tourism is expected to generate revenue of US$ 2. The Indian medical tourism industry is presently at a nascent stage.4% by the end of 2012. the growth in India’s medical tourism market will be a boon for several associated industries.line and less than 20% of its people can actually afford medical services. including hospital industry. Ethically and morally this problem has to be solved if India has to move into the category of developed country and also as a place which provides medical care to both its own people and patients from other country The aim of this project is to put a finger on the highly profitable service of medical care combined with tourism in which India is currently considered as a market leader. but has an enormous potential for future growth and development. Therefore it became almost natural that this trend extended to India. High cost of treatments in the developed countries. The number of medical tourists is anticipated to grow at a CAGR of over 19% in the forecast period to reach 1. As per the new market research report “Booming Medical Tourism in India”.4 Billion by 2012. growing at a CAGR of over 27% during 2009–2012. Medical tourism in India has emerged as the fastest growing segment of tourism industry despite the global economic downturn.
indigenous or traditional medical practitioners are providing their services across the country.000 hospitals and around 726.In addition to the existence of modern medicine. CHANGE OF THE MEDIAN WAIT TIME IN INDIAN HEALTH SYSTEM What is India Offering? 32 | P a g e .000 registered practitioners catering to the needs of traditional Indian healthcare. There are over 3. Indian hotels are also entering the wellness services market by tying up with professional organizations in a range of wellness fields and offering spas and Ayurvedic massages.
ether (space). And the individual is made up of a unique proportion of the five elements in unique combinations to form three doshas (vata. fire. pita and kapha). curative and rejuvenating treatments. paralysis. obesity.known stress-releasing therapies of famed Ayurvedic research centers. premature aging and general health care. Ayurveda recommends a special life style and nutritional guidelines supplemented with herbal medicines. water and earth. Kerala is a world tourist destination and part of the reasons lies with the well. migraine. YOGA 33 | P a g e . Bhela and Shusruta. Ayurveda offers treatments for ailments such as arthritis. It is based on herbals and herbal components without having side effects. The earliest mention of Indian medical practices can be found in the Vedas and Samhitas of Charaka.AYURVEDA India has a rich heritage in the areas of traditional and natural medicines. When any of these doshas become accute. India is the land of Ayurveda. If toxins are abundant. air. The climate along with the blessing of nature has turned Kerala into the ideal place for ayurvedic. then a cleaning process known as Panchkarma is recommended to eliminate those unwanted toxins and revitalize both mind and body. sinusitis. It believes in removing the cause of illness and not just curing the disease itself. A systematic and scientific approach was adopted by the sages of the time leading to the development of a system that is relevant even today. Ayurveda considers that the base of life lies in the five primary elements. a person falls ill.
Dhyana (meditation). yoga and pranayama make the spa experience in India a new destination for medical tourism. one has to practice Asana. cure tension. Yoga was developed 5000 years ago and the base of yoga is described in the Yoga Sutra of Patanjali. Pranayama (breathing control).If Ayurveda is the science of body. Practiced together they can go a long way in making an individual fit. normalize blood pressure and improve cardiac performance. yoga is the science of the mind. SPA TREATMENT Most of the other parts of the world have their own therapies and treatment that are no doubt effective in restoring wellness and beauty. Pranayama helps to release tensions. yoga has become popular in India and abroad and in a number of places including urban and rural areas yoga is taught and practiced. Swedish massages work with the Javanese Mandy. reflexology and traditional ayurveda procedures to help keep the tourist healthy and enhance beauty. Today. paralysis and number of other deadly diseases. New kinds of health tours that are gaining popularity in India are spa tours. Dharana (concentration). lulur. This describes eight stages of yoga. To get the benefits of yoga. develop relaxed state of mind and Yoganidra is a form of meditation that relaxes both physiological and psychological systems. The word yoga means to join together. In hydropathy. With the regular practice of asanas one can 327 control cholesterol level. The ultimate aim of yoga is to unite the human soul with the universal spirit. aromatherapy. Spas offer the unique advantages of taking the best from the west and the east combining them with the indigenous system and offering best of the two worlds. and Samadhi (state of superconsciousness). The spas are very useful for controlling blood pressure. Asana (posture). depression. reduce weight. Niyam (self purification). Pranayama and Yoganidra. insomnia. Ananda 34 | P a g e . Prathyahara (withdrawal of mind from external objects). Combining these therapies with meditation. These are Yam (universal moral commands).
Resort in Rishikesh. Golden Palm Spa and Ayurgram in Bangalore offer ayurveda. yoga and meditation packages. Many Ayurveda health resorts that are owned and rum by traditional Ayurveda Institutes have come up. Ayurgram is a novel concept that not only offers heritage accommodation but also offers a whole range of Ayurvedic treatments and rejuvenating packages. joint replacement surgery. urology. Escorts in Delhi. which provides world-class allopathic treatment. This has become possible because of the emergence of the private sector in a big way in this field. disease management. accommodation. osteoporosis and numerous diseases are treated at Indian hospitals with full professional expertise. Quality services and low price factor primarily go in favour of India. preventive health care and incisive surgeries. food. More and more foreign tourists are realizing that India is an ideal place for stopover treatment. neuron–surgery. The tourism department has devised websites in order to provide information. (Gaur Kanchilal) Allopathy India has made rapid strides in advanced health care systems. dialysis. airport transfers. With all these India is going to be one of the leading medical health care destinations in the near future. Angsana Resort. Along with these hospitals there are many centers which offer not just physical but emotional and spiritual healing to patients. bone marrow transplantation. along with a host of other facilities. Apollo hospital group. Some of the tour operators have worked out all-inclusive medical treatment package that include treatment. Similarly hotels have also included these types of packages in their holidays. kidney transplant. Jason Hospital. post operation recuperative holidays. Indian Multi-specialty hospitals are providing worldclass treatment at an amazingly economical cost as compared to the west. and Max Health Care are catering to medical care for international patients in the areas of diagnostic. SPIRITUAL TOURISM 35 | P a g e . Global Hospital. naturopathy. 328 This in fact shows our product offers true value for money for service. The cardio care. Many world-class state-of-theart furnishing and equipment are being added to our Ayurveda Resorts to welcome international guests.
Globally people are increasingly mentally disturbed and looking for solace in spiritual reading. India is special to Buddhists all over the world and India is the destination for pilgrimage because Buddhism emerged in India. Mahabalipuram. Thus through religious tourism there is a sincere effort to bring better understanding among various communities. nations and thus foster global unity. Haridwar. The essence of spiritual tourism is inner feeling through love. Love should not be rationed on the basis of caste. what are common to all of them are the principles of love. Zoroastrianism and Christianity have lived here for centuries. present itself as embodiments of compassion where one get peace of mind. Thus India has been respected as a destination for spiritual tourism for domestic and international tourists. as clients are not looking for luxury but arduous journeys to meet the divine goal or simple life. The country is 36 | P a g e . Badrinath. Varanasi. Spiritual tourism is also termed as religious heritage tourism. both domestic and international. Buddhism. religious places associated with. Hinduism. Over 5000 years of religious history created wonderful temples and survived through ages all over India. The visible outpouring of religious fervor is witnessed in the architecturally lavish temples. Jaganath temple at Puri. The most popular spiritual tours are those that are centered on holy Ganges River. Madurai Meenakshi temple in Tamilnadu and Tirupati in Andhra Pradesh are some pilgrim centers. Gangotri. Rameshwaram. Kedarnath. This can also be referred to as pilgrimage tourism. emotional attachment to these centers and infrastructure facilities for the tourists. Every year millions of tourists. Mata Vaishnodevi of Jammu and Kashmir. Bhubaneshwar. Our country has been known as the seat of spiritualism and India’s cosmopolitan nature is best reflected in its pilgrim centres. It includes all the religions mentioned above. are some of the important pilgrim centers in north India. visit these places. Hinduism is one of the oldest religions of India. Yamunotri. There are many spiritual sites in South India as well which dates back beyond the 10th centaury. meditation and moments of divine ecstasy. India is not only known as a place rich in its culture with varied attractions but also for many places of worship. Religions come into existence for the purpose of regulating human life. Religion is the life-blood for followers of major religion and sects. Allahabad. monasteries and Churches spreads across the length and breadth of the country. Islam. Konark in Orissa. creed and economic status or intellectual attainment of the recipient. mosques. Jainism.
collecting. Red Fort. charitable trusts. In addition to pilgrim centers there are personalities like the Satya Sai Baba. Jama Masjid. like Moin-Uddin Chisti and Nizamuddin Aulia. These organizations are also running hospitals. meditation centers which benefit local community. which is also known for its hot water springs with healing properties. Charminar etc. Buddha Gaya where lord Buddha attained enlightenment and Vaishali where he delivered his last sermon and announced his nirvana. Osho. the holy city of Patna Sahib and Anandpur Sahib are important for Sikhs. Adventure and risk have a special role to play in the behavior and attitudes of 37 | P a g e . The State Governments concerned.. Among the most popular sites in Goa is the church of Our Lady of Rosary. This shows that spirituality and religion in India is a serious pursuit. Sikhism also emerged in India. and Gurunanak Devji Gurudwara at Manikaran. More than 500 religious places have been identified and efforts are being made to develop these centers by Central and State Governments with private participation. enquiring unique experiences. bear testimony to the blend of the Indian and Islam traditions of architecture. The young travelers are primarily experience seekers. The Golden Temple in Amritsar. and Church of Bom Jesus. Saranath where Buddha delivered his first sermon. educational institutes. For Christians. Fatehapur Sikri. Shirdhi and others. ashrams. Lumbini-the birthplace of Buddha. The followers of Islam have many mosques and shrines of Sufi Saints. spiritual tours to Goa among other place like Mumbai and Kolkata are must. The Jain temples of Dilwara and Mount Abu in Rajasthan. the Gomateswara temple at Karnataka.dotted with places that are associated with the life and times of Gutham Buddha. draw thousands of Jain followers. ADVENTURE TOURISM Youth tourism has been identified as one of the largest segments of global and domestic tourism. The Sultanate and Moghul empires built many historical monuments and mosques during their reign. all over the country. transport and ritual ceremonies. Even small communities like the Bahais have their own Lotus Temple at Delhi. TajMahal. the Hemkund Sahib. the Rachel Seminary. temple trusts have made elaborate arrangements for accommodation.
trekking to the valley of flowers. falling level of youth unemployment. Jaisalmer and wildlife sanctuaries and reserves are some of the places that offer adventure tourism. India: a heaven for adventure tourism India has been an attraction for travelers from all over the world. The rising income in some major potential source markets such as the Central and Eastern Europe. yachting. Though in the field of international tourism. increased travel budget through parental contribution. Youth and adventure tourism appears to have considerable growth potential. The growing number of young travelers is being fuelled by a number of factors such as increased participation in higher education. Indian tourism offers both international and domestic adventurers a wide choice of adventures. Asia and Latin America. Goa. the Garwal hills. the segment of adventure tourism in India is getting only a fraction of such traffic. hail-skiing. riding the waves in rapids. elephant safari. the Himachal hills. RURAL TOURISM Rural tourism has been identified as one of the priority areas for development of Indian tourism. skiing. Rural tourism experience should be attractive to the tourists and sustainable for the host community. sailing. Ladakh. tribal tours. combined with the lower travel cost. Lakshadweep. orchid tours. gliding.young travelers. The trend has been showing an increased movement year after year with the development of facilities and greater awareness about adventure tourism options. 38 | P a g e . growing student populations around the world particularly in developing countries. Water sports. scaling the high peaks of Himalayas. search for an even more exciting and unique experience and cheaper long distance travel. Darjeeling. has fuelled the demand. Andaman and Nicobar. and camel safari in the deserts are breath taking opportunities for nature enthusias. The Ninth Plan identified basic objectives of rural tourism as: • Improve the quality of life of rural people • Provide good experience to the tourist • Maintain the quality of environment.
nature. provide an attractive means of livelihood to the poor rural community. coordinated actives of all agencies involved in the development are required. Increase in the share of earnings through rural tourism will no doubt. water. rich culture. The success of such development depends upon the people’s participation at grass root level for the development of tourist facilities and for creating a tourist friendly atmosphere. It increases the purchasing power at all levels of community and strengthens the rural economy. With attractive and unique traditional way of life. Development of rural tourism is fast and trade in hotels and restaurants is growing rapidly. and nature. A carefully planned and properly implemented development will definitely benefit the community economically and improve the quality of life in the villages.Indian villages have the potential for tourism development. health and sanitation will definitely improve the quality of life. heritage. To tap the immense opportunities. sanitation and security. crafts. Development of infrastructure facilities such as rail. Consumer Profile 39 | P a g e . electricity. It also provides tourism facilities in terms of accessibility. Rural tourism can be used as a means to:• Improve the well being of the rural poor • Empower the rural people • Empower the women • Enhance the rural infrastructure • Participate in decision-making and implementing tourism policies • Interaction with the outside world • Improve the social condition of lower sections of the society. folk-lore and livelihood of Indian villages are a promising destination for the tourist. • Protection of culture. accommodation.
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corporate interests in the medical care sector are looking for opportunities beyond the national boundaries. In this rat race. ayurveda. India is unique as it offers holistic healthcare addressing the mind. the constraint lies in the fact that these services can be afforded by a relatively small size of population in developing countries. This is the genesis of “Medical Tourism” industry. allopathy and other Indian systems of medicine.India as a Global Destination for Medical Tourism Tourism and healthcare. In this scenario. Thailand. India offers a vast array of services combined with the cultural warmth that is difficult to match by other countries. ineffective monitoring leading to low quality. meditation. the US and many other third world countries. 41 | P a g e . Low insurance penetration. poor information base. The term medical tourism refers to the increasing tendency among people from the UK. to leave their countries in search for more affordable health options. high levels of fraud and corruption. being an integral part of many economies services industry are both important sources of foreign exchange. Jordan. Long waiting lists. where medical services are either very expensive or not available. With yoga. Singapore. decline in public spending and rise in life expectancy and noncommunicable diseases that require specialist services are some of the factors directing a wave of medical tourists to more affordable healthcare destinations. However. Globalization has promoted a consumerist culture leading to the mushrooming of corporate healthcare settings seized with the necessity to maximise profits and expand their coverage. often packaged with tourist attractions. Hong Kong. lack of standardisation of services. Most countries are tapping the health tourism market due to aggressive international marketing in conjunction with their tourism industry. body and spirit. Malaysia. misallocation of investments and low efficiency of existing hospitals have impeded effective performance leading to a stagnation of the healthcare sector. Lithuania and South Africa have emerged as big healthcare destinations.
Nigeria. insurance coverage and other infrastructure. Sri Lanka. when the clientele at home is bristling with dissatisfaction. especially from the West and Middle East find Indian hospitals a very affordable and viable option to grappling with insurance and national medical systems in their native lands. The annual health bill of people from Afro-Asian countries seeking treatment outside their countries is USD 10 billion. Kenya. CII believes that India should capitalise on its inherent strengths to become a world player in medical tourism. clinical outcomes in India are on par with the world’s best centres. etc. Instead of adopting a segmental approach of targeting a few states such as Maharashtra. Quality assessment should combine evaluation of infrastructure as well as outcomes. Bangladesh. Mauritius. OECD besides the UK and the US. Andhra Pradesh. Countries from where people head for India are the UK.Also. efforts are now being made to project “Destination India” as a complete brand ideal for medical tourists. it can grow rapidly if the industry reorients itself to lure foreign patients from all potential regions such as SAARC. The price advantage is however offset today for patients from the developed countries by concerns regarding standards. the potential is enormous. According to a CII-Mc Kinsey study. Hence. Visitors. besides having internationally qualified and experienced specialists. Central Asia. compulsory registration and adoption of these standards by all providers and regular monitoring and enforcing of such standards at the local level. Kerala. Europe. Pakistan. arises the need to define minimum standards at national level. Indonesia. If India can even tap a fraction of that market. Middle East. the existing market for medical tourism in India is small. Africa. There are thousands of expatriates without any social security and health insurance cover who usually compare the costs before going for treatment and India has a cost advantage for this segment. The question being asked by many is that how can India become an international destination in healthcare. Chennai. Although. medical tourism in India could become a USD 1 billion business by 2012. 42 | P a g e . Oman.
implementation and evaluation of coherent strategies. However. As the medical tourism industry is growing exponentially. Accreditation will even make tie ups with overseas health insurance agencies such as BUPA and CHUBS easier to route patients to India. Many fear about the serious consequences of equity and cost of services and raise a fundamental question on the very existence of medical tourism. “From where”. “To where”. In the absence of proper planning. 43 | P a g e . medical tourism is likely to further devalue and divert personnel from the already impoverished public health system. medical tourism besides being an economy booster can surely help India maintain good cross border and trade relations. Strategies are thus needed not just to project India as a major healthcare destination. provide state of art facilities and improve quality of in-patient care and service to meet the requirements of foreign patients and to attain sustainable competitive advantage. but also to create a system to conduct proper market research and feasibility studies in order to quantify the “How many”. and most importantly the “How” of medical tourism. audited and recorded. exchange of manpower and technology among countries.why should developing countries be subsidising the healthcare of developed nations? For them. the much created hype and all the talk may just go in vain. formulation. government and the private players need to join hands in order to act as a catalyst to build infrastructure for hospitals. many corporate hospitals in India are looking to international agencies such as JCAHO/JCI for accreditation. and everything from the operating to the cleaning procedures will be monitored. With an aim to boost the much talked about medical tourism. create specialty tourist packages to include medical treatment. promote accreditation and standardisation. This will ensure transparency in the way a hospital performs.An obvious answer to all this is accreditation. Only then can we leverage and channelize all efforts in the right direction. with good planning and implementation. enable access and tie-ups with insurance companies.
500 44 | P a g e .60.85.65.Inflow of foreign patients to India: 2002 2003 2004 2005 2006 2007 2008 2009 Analysis: The annual growth rate of Medical Tourism in India was 10-15% from 2000 to 2005. India has witnessed sudden surge in the inflow of foreign patients from 2007 even during the period of recession because of the cost advantage.500 2.15.000 7.50.000 / yr by 2012 and Indian medical tourism would be US $ 2 billion market. Various studies like Deloitte . McKinsey estimate that foreign patient inflow would be 10.26. Indian Medical tourism has recorded a growth rate of 30% from 2006 -2007 onwards.000 5.000 1.435 4.000 1.81.875 3.00. 1.50.
83% 0.29% Maldives 7. Middle East are potential markets which remain largely unexplored because they have high sensitivity to price and waiting time 45 | P a g e .66% Africa 1. France whereas in countries like Kenya the case is reverse.29% USA 7. Germany. USA. 12.08% d East 4. Kenya.88% Germany 12.41% 12.46% 7.24% Analysis: The above table suggests that percentage of patients coming for modern medicine is higher when compared with alternative medicine in countries like U.36% Spain Switzerlan 5.78% Australia 6.54% 2. Spain.41% 13.20% East 13.44% 11.46% 18.K.44% 1.COMPARISION OF MEDICAL TOURISTS FROM DIFFERENT COUNTRIES FOR ALTERNATE AND MODERN MEDICINE Alternate Medicine Germany France Switzerland USA UK Italy Russia Middle East Denmark Japan Spain Kenya Middle 22.20% France 6. Japan.44% 2.14% UK.42% Modern Medicine 26.69% Kenya 0.32% 3.
SIZE OF MEDICAL TOURISM MARKET IN INDIA BY 2012 Source: Healthcare in India – The Road Ahead Mckinsey & Company.2008 46 | P a g e .
the Confederation of Indian Industry (CII) and McKinsey have predicted that the industry will grow to earn additional revenue of $2.Analysis : From the above bar graphs it is clearly seen that market share would increase at 2040% with medical tourism when compared to 15-30% without medical tourism. Medical tourism will then represent 3 to 5% of total delivery market in 2012. If Medical tourism were to reach 25% of private up market. 5000 – Rs.10000 Crore will be added to the revenues of these players.2 billion by 2012.000 crores (in Rs) by 2014. Presently the private sector is holding 65% share . Rs. 47 | P a g e . Initiative by Indian Government to Promote Medical Tourism: The medical tourism industry in India is presently earning revenues of $333 million. The main attraction is India offers world class treatment facilities at third world prices. Encouraged by the incredible pace of growth exhibited by the industry. The graph clearly shows that the exports of medical services dominates the imports but the ratio between receipts and payments remained more or less same in 2005-2008 because of the reason that India has cost advantage (1/10th) when compared to US but the ratio of hospitals. medical professionals has not increased in the same proportion with the incoming patients . Trade in medical services 1992-2008 (in millions of dollars) Private medical services : Analysis: Medical Tourism revenue of India has reached 5000 crores (in Rs) and is going to reach 10.
improved flight connectivity and infrastructure development. It is expected to standardise procedures and facilitate foreign patients in selecting the best hospitals. The Task Force will evaluate the opportunities in the industry and formulate a policy for accrediting healthcare institutions in the country.With a view to facilitating the medical tourism industry to achieve the targets and to give greater momentum for its growth. integrate traditional and clinical treatments and offer end-to-end value added services by tying up with tour operators. airline carriers and hotel companies. They are investing largely in acquiring equipments. size and skills. several hospitals in the country are seeking to take advantage of the booming medical tourism industry. It also draws 48 | P a g e . the Ministry of Health and Family Welfare together with the Ministry of Tourism of the Government of India has set up a Task Force. To provide for brighter prospects for the industry. Hospitals can also allow foreign patients to pay through credit and ensure proper support services to foreign patients after they return to their native countries. The accreditation programme is aimed at classifying health service providers on the basis of infrastructure and quality of services offered. the hospitals can also acquire international accreditation. the Government of India can also reinforce its support through quick visa processing. Meanwhile. Current initiatives by various state governments and organisations: Government Initiatives: Central Government and State Governments have been encouraging rural handicrafts and fairs and festivals that have direct impact on preservation of heritage and culture of rural India. Lastly.
Regional fairs. The state governments have been monitoring closely the ecological relationship. • TOURISM MINISTRY ISSUES GUIDELINES FOR ADVENTURE SPORTS: The ministry of tourism recently issued special guidelines for adventure sports activities in the country.tourists from all over the world. The guidelines are regarding land activities like mountaineering and trekking. The effect has apparently been a success a medical tourism has picked up in these states. festivals help the growth of tourism. The ministry has laid down the basic minimum standards for adventure tourism related activities that are undertaken in different parts of the country. water sports like river running. paragliding and bungee jumping. alternative income to the community. 49 | P a g e . and facilitate regional interaction within the country. The CDs also give details about all the adventure sports facilities available in the country and the many cruising options that are coming up. Maharashtra etc have taken the initiative to promote medical tourism as a package in itself rather then just a side issue or an added benefit. Goa. provide a ready market for the handicrafts. Leading states such as Kerala. The state governments also ensure that: Tourism – • Does not cause the tension for the host community • No adverse impact on the resources • Psychological satisfaction for the tourist. socio cultural impact and conducting feasibility studies before selecting tourist sites. • TOURISM MINISTRY PROMOTES INDIA AS A 365-DAY DESTINATION: The ministry of tourism in an effort to promote India as a 365-day destination launched three CDs on MICE. adventure sports and cruises. • The large inflow of tourists would not put a stress on the local system • Local community should not be deprived of basic facilities for the benefits of tourist • The rural tourism does not disrupt the rhythm of community life Thus the Central Government and State Governments have taken various steps for the promotion of tourism and attainment of the goal of sustainable tourism development. and air sports like parasailing. The ministry is showcasing India as a world-class MICE destination with many convention halls coming up in the line of Hyderabad International Conference Centre (HICC).
The second Palace on wheels will also have special suites. The ''Capital by air'' offers sightseeing trips around Thiruvananthapuram. It is the Indian equivalent of the Arab Dhow. It will be the third tourist train to be operated by Rajasthan Tourism after Palace on Wheels and Heritage on Wheels (on the Shekhwati sector). When launched they will operate on the Bekal . ''Backwaters by Air''. This service is extremely helpful to the patients who are unfit for long journeys by road or rail. 50 | P a g e . This has been quite a crowd puller for medical tourists who flock to Kerala especially for the Aurvedic and relaxing treatments offered. The uru is a home made colossal sailing vessel made out of timber which used to ply the Indo Persian routes in times gone by. while the ''Fly the hill'' provides tourists a taste of the hill stations at Thekkady and Munnar. a massage center. a conference room and bars. The curious mix of vegetarian food. The ''Shoreline'' flights offer sightseeing to Kanyakumari along the picturesque coastline. • PALACE ON WHEELS ADDS SEVERAL LUXURIES: The second Palace on wheels to be launched in Rajasthan early next year ie 2007 will have a dance floor. exotic back waters. A number of costeffective packages have been designed in the helicopter tourism segment like ''Capital by Air''. Not only that it is very fast and and the medical tourist also gets to have his own privacy. In times of emergency the patient can be immediately flown to and from the nearest airport or heli pad. ''Fly the Hills'' and ''Shoreline Flights''.Cochin sector.• KERALA TOURISM REVIVE THE URU / ARAB DHOW: Kerala Tourism has plans to start URU cruises to replicate the spice route travel of the 16th century. This has been a great success with post operative tour patients ie to travel in a princely way. It brings in the nostalgia about the past eras when the prince and kings and heads of states traveled in a grand way. courteous and pleasant people and not to mention extremely smart doctors had made Kerela a very popular destination • HELICOPTER TOURISM SERVICE IN KERALA: God's Own Country Kerala will be luring tourists by launching a ''Helicopter tourism'' service. It will also touch Kochi and Kumarakom. The backwater trip takes tourists around Kumarakom. Visitors will be taken from one tourist spot to the other in a seven-seater helicopter to save time and also discomfort on the roads.
• MEDICAL TOURISM BROCHURE RELEASED: The Ministry of Tourism is aggressively promoting India as a global healthcare destination and has recently released the ‘Incredible India Brochure on Medical Tourism’. • GARIB RATHS (PLUSH TRAIN FOR POOR): The Indian Railways has introduced the ''Garib Raths''. Medical patients usually skip on rail travel as it takes a longer time and is a bit more exhausting. Udaipur 51 | P a g e . the first-ever trial train to Kashmir took off for the Valley on November 7. The success of the Garib Raths. • JAIPUR TO SELL HERITAGE LIQUOR: Shops all over Rajasthan will sell heritage liquor. and the figure will grow by 50% this year. But as of current reports the country has not taken well to the Garibh Rath and is making losses for unforeseeable reasons. Ajmer. Set to chug in Kashmir's bewitching landscape in snowy February 2007. To begin with. shops in Jaipur. It is made from dry fruits. Bikaner. a 36 tyre wheeled train pulled by a 460 HP engine. a maiden scheme to provide plush rail services to the poor at affordable rates in the year 2004 2005. nuts. and plans to link all state capitals with express trains. The government has also started issuing M (medical) visas to the medical patients. herbs and spices with a touch of saffron sometimes. made from age old recipes of Rajasthan Royals. It has added another chapter to the history of Indian Railways and Kashmir's national rail project. • TRAIN TO KASHMIR HITS THE HIGHWAY: Ever heard of a train running on a road? It does in Jammu and Kashmir. It is especially targeted to overseas visitors. which are valid for a year. and MX visas to the dependent accompanying them. can already be seen in the rail operating between Saharsa (Bihar) and Amritsar (Punjab) which is a boon to the traveler especially during the festival season. Kota. as the first trial diesel mobile unit coach. with the induction of 24-coach trains. not on traditional tracks but on the 300 km-long Jammu-Srinagar national highway. drove up the Jammu-Srinagar Highway at 0700 hrs and headed toward Kashmir's Budgam railway station by taking a road route and not a train track. Jodhpur. Around 200000 medical tourists visited India last year. The world recognizes Kashmir as the paradise on earth or the Swiss alps of the east.
This year the schedule has been announced.and Bharatpur will sell the special liquor. The ensemble will play at Meghalaya's autumn festival which expects to have entertainers from Australia as well. joint replacement. transplants and urology to name a few. to experience the past that too in a luxurious way is the cherry on the cake for the tourists who have been operated upon. Not only that the eastern states till now have been in the shadows so this is a great way to bring the extremely beautiful and lush eastern states on to the world map. General as well as medical tourists can now take these away as souvenirs. The band will play a newly composed piece. Also it is a great location for retreat for the ailing patients who want calm and quite surrounding. "Positive Vibration" to enter the Guinness Book of World Records. India’s Competencies: Indian corporate hospitals excel in cardiology and cardiothoracic surgery. The 52 | P a g e . It will ply twice a month (beginning 11 November) in November. • FAIRY QUEEN BEGINS DELHI-ALWAR-DELHI RUN FROM 11 NOVEMBER: Built in 1855. They take with them not only a healed body but a beautiful train journey to remember. gastroenterology. December 2006 January and February 2007. orthopedic surgery. A great way to pull in the tourist in search of the curious and unique experience. the Fairy Queen is the oldest steam engine in working condition. Every year it takes visitors on a Delhi-Alwar-Delhi trip. • 8000 DRUMMERS TO DRUM UP A RECORD IN MEGHALAYA: A band of 8000 drummers is set to break a record for 5 minutes of synchronized drum beats set by Hong Kong. ophthalmology.
Nephrology. Urology. In addition to the increasingly top class medical care. audiometry. Pediatrics. 12 lead ECG. coronary risk markers. and the country may become a preferred medical destination. Digital Subtraction Angiography along with intervention procedures. Gynecology. All medical investigations are conducted on the latest. technologically advanced diagnostic equipment. Dermatology. stress & lifestyle management. Neurosurgery. cancer risk markers. Dentistry. gold standard DXA bone densitometry. and is comprehensive yet pain-free. Ophthalmology. Ultra Sonography. if not better than the best hospitals in Thailand. Nuclear Imaging. Each test is carried out by professional M. comprehensive physical and gynecological examinations.D. The diagnostic facilities offered in India are comprehensive to include Laboratory services. serology. 2D echo colour doppler. Imaging. Stringent quality assurance exercises ensure reliable and high quality test results. General Medicine & General Surgery The various facilities in India include full body pathology. hematology. Psychiatry. ENT. transfusion medicine and RIA. Mammography to high end services like Magnetic Resonance Imaging. Singapore. spiral CT scan and high strength MRI. 53 | P a g e . Oncology. carotid colour doppler. As Indian corporate hospitals are on par. Neurology and Pulmonology. The Apollo Group. A list of corporate hospitals such as Global Hospitals. Pediatric Surgery. etc there is scope for improvement. body fat analysis. Pulmonology.various specialties covered are Neurology. pap smear. Cardiology. The Laboratory services include biochemistry. physicians. priority treatment is provided today in Indian hospitals. In fact. Plastic Surgery. Endocrinology. digital Chest X-ray. spirometry. Escorts Hospitals in New Delhi and Jaslok Hospitals in Mumbai are to name a few which are established names even abroad. diet consultation. There is also a gamut of services ranging from General Radiography. dental checkup. Rheumatology. microbiology. eye checkup. Pediatric Neurology. histopathology. a big draw for foreign patients is also the very minimal or hardly any waitlist as is common in European or American hospitals.
transfers. hotels. pediatric heart surgery. which has been the first Asian destination for International Patients. 54 | P a g e . India is promoting "medical outsourcing" where subcontractors aim to provide services to the overburdened medical care systems in western countries. almost one-third of those in other Asian countries.CARE and Dr L. India benefits from a large staff of world class experts and the ultra-competitive cost advantage it offers. Additionally. India will soon become THE global health destination. With prices at a fraction (less than 10% for example in the treatment of gall stone $600 US ) of those in the US or EU. Prasad Eye Hospitals in Hyderabad. Indian private facilities offer advanced technology and high-quality treatment at par with hospitals in western countries. cosmetic surgery. India has top-notch centers for open-heart surgery. bone marrow transplants and cancer therapy.S. Unlike many of its competitors in medical tourism. India has much more expertise than say Thailand or Malaysia. Medical tourism to India is growing by 20% a year. India’s quality of care is up to American standards. It is replicating the Thai model. also have built capabilities and are handling a steadily increasing flow of foreign patients. What is more significant is that the costs are much less. hip and knee replacement. and virtually all of India’s clinics are equipped with the latest electronic and medical diagnostic equipment. India also has the technological sophistication and infrastructure to maintain its market niche. The Hindujas and NM Excellence in Mumbai.V. There are many brokers specialized on the Indian market. the concept has broad consumer appeal. treatment and often a post-operative vacation. and Indian pharmaceuticals meet the stringent requirements of the U. Most non-urgent Western patients usually get a package deal that includes flights. dentistry. Food and Drug Administration. and some Indian medical centers even provide services that are uncommon elsewhere. The infrastructure in some of India's hospitals is also very good.
long waiting period for elective inpatient and outpatient care has created a situation where people do not hesitate to buy healthcare from other developing countries like India without compromising on quality. For instance. Globalisation of healthcare industry has started in many level. It leads to a question of affordability even to the developed country like the US where significantly huge number of population is not covered under any insurance scheme. Healthcare procedures across the world show a wide cost difference. 55 | P a g e . in which damaged bone is scraped away and replaced with chrome alloy--an operation that costs less and causes less post-operative trauma than the traditional replacement procedure performed in the U.For example.S. hip surgery patients in India can opt for a hip-resurfacing procedure. In some developed country. Indian software companies like TCS and Mastek has signed IT contract recently worth more than US $ 200 million. Complimentary tourism packages make the entire offer more attractive to the people who are interested to travel for their healthcare.
India’s share of services export is only 1.22 for the same period in 2003. 56 | P a g e .7 billion which has gone up from 0. Though tourism and travel industry contribution is 2. it is negligible on the export front with only around 25 per cent of total export. medical and tourism services export can further rise India’s Forex Reserve along with a major contribution from software exports. Being a service sector member. In India. Emergence of top notch corporate hospitals and continuous effort for improvement of quality of care has placed Indian private healthcare in a respectable position on the global map. Forex reserve rise to USD 118.3 per cent between January and December. 2003.628 on May. 2004 in comparison to USD 79. lower and attractive fares. international tourist rose 15. increase in hotel room capacity by nearly 80 per cent (from 2000) and better connectivity between major tourist destination (Express Highway project) has helped India to rank among the top five international holiday destination when independent traveler conducted a poll in 134 countries.3 per cent (2003) i.CHAPTER – 5 ADVANTAGE INDIA Scope & Opportunities Though the service sector has considerable contribution in India’s GDP.57 per cent (1990). In the global scenario. Value added services generally exceed 60 per cent of total output in the high income industrialised economy.e USD 20. Overall service export growth rate in India is 8 per cent (2002) against a global growth rate of 5 per cent. Healthcare industry has shown considerable growth in last few years. It had a tremendous impact on India’s Forex reserve.5 per cent to our countries GDP (international ranking 124) but recent initiative from the government like liberalised open sky policy to increase flight capacity.
a nice blend of top-class medical expertise at attractive prices is helping a growing number of Indian corporate hospitals lure foreign patients. Here you can enjoy being close to the beach and the mountains. Medical or Health tourism has become a common form of vacationing. but few consider it a destination for hip replacement or brain surgery. India is pitted against Thailand. It is like rejuvenation and clean up process on all levels . which have good hospitals.physical.High ratio of foreign qualified medical practitioners and well-trained nursing and paramedical staff have developed confidence amongst the people who are seeking medical care from Indian Hospitals. The idea of the health holiday is to offer you an opportunity to get away from your daily routine and come into a different relaxing surrounding.both private and public. fun and relaxation together with wellness and healthcare. It mixes leisure. salubrious climate and tourist destinations. If everything moves in the right direction.000 crore for up market tertiary centre by 2012 (3-5 per cent of total delivery market). Singapore and some other Asian countries. MT alone can contribute an additional revenue of Rs 5000 Rs 10. and covers a broad spectrum of medical services. This process is being facilitated by the corporate sector involved in medical care as well as the tourism industry . including from developed nations such as the UK and the US. While Thailand and Singapore 57 | P a g e . At the same time you are able to receive an orientation that will help you improve your life in terms of your health and general well being. Many people from the developed world come to India for the rejuvenation promised by yoga and Ayurvedic massage. the US and other affluent nations with high medicare costs look for effective options. As more and more patients from Europe. However. Need For Medical Tourism Medical tourism can be broadly defined as provision of 'cost effective' private medical care in collaboration with the tourism industry for patients needing surgical and other forms of specialized treatment. mental and emotional.
It is likely to reach 6. BUPA.with their advanced medical facilities and built-in medical tourism options have been drawing foreign patients of the order of a couple of lakhs per annum. Africa.from 675 in 2000 to nearly 1. many of whom are of Indian origin. Afro-Asian people spend as much as $20 billion a year on health care outside their countries Nigerians alone spend an estimated $1 billion a year. However. poor road infrastructure and absence of uniform quality standards. The management hopes to get British patients from the queue in the National Health Services soon. the Ruby Hospital in Kolkata signed a contract with the British insurance company. Some estimates say that foreigners account for 10 to 12 per cent of all patients in top Mumbai hospitals despite roadblocks like poor aviation connectivity.2 per cent of GDP. the current market for medical tourism in India is mainly limited to patients from the Middle East and South Asian economies. Escorts. Bangladesh and Yemen besides running a hospital in Sri Lanka.5 per cent of the 58 | P a g e .10. and managing a hospital in Dubai. the rapidly expanding Indian corporate hospital sector has been able to get a few thousands for treatment. Most of this money would be spent in Europe and America.000 international patients. Another corporate group running a chain of hospitals. The group has tied up with hospitals in Mauritius.000 medical tourists came to India last year. Analysts say that as many as 150. the Apollo group alone has so far treated 95.8. Tanzania.2.200 this year. claims it has doubled its number of overseas patients . and the Middle East. but it is hoped that this would now be increasingly directed to developing countries with advanced facilities. Apollo has been a forerunner in medical tourism in India and attracts patients from Southeast Asia. Some claim that the industry would flourish even without Western medical tourists. Recently.000 crores accounting for nearly 5. India’s Future Prospect The global healthcare market is USD 3 trillion and size of the Indian healthcare industry is around 1. In India.
Traditional system of medicine is able to attract a sizeable number of people from western countries (Kerala. for instance). There is technical committee formed by Jordan Government operating for the non-Jordanian Arab patients who visit Jordan for healthcare. Industry and government collaboration in terms of some incentives and creation of soothing environment can further make this endeavor easy for both the service sector. Around 70. lack of regulatory mechanism. Jordan and Malaysia have done extremely well. International experience shows some of the countries like Thailand.a growth engine for Forex earnings. Price Comparison Overview COST COMPARISON – INDIA VS UNITED STATES OF AMERICA (USA) Significant cost differences exist between U. More than 1. Singapore. It is expected that medical tourism will account about 3-5 per cent of the total delivery market. Lack of standardisation in medical care and cost. Making of a Medical Tourism destination Our healthcare industry has some inherent drawbacks. On the other hand.000 medical tourists came to India in 2003. Most of the medical tourists are Indian in origin.K.50.GDP by 2012. 59 | P a g e . We need to attract more number of people of foreign origin. infrastructural bottlenecks and poor medical insurance coverage are a few to mention here.000 people came from the Middle East for the medical treatment. tourism and hospitality industries are facing some major challenges to develop the infrastructure and services. and India when it comes to medical treatment. This office regulates the healthcare institutions treating those patients and monitor the entire activity. The immediate need is the establishment of health and tourism players consortium to discuss about all these issues and maintain closer interaction and co-ordination to develop medical tourism .
000 5.India is not only cheaper but the waiting time is almost nil. It shows that India is the best place for Medical Tourism.500 India ($) 1000 500 60 | P a g e . Cosmetic Surgery (Costs in US$) Procedure Face-lift Breast Augmentatio n Breast Reduction Eyelid Surgery Liposuction Nose Surgery Tummy Tuck United States Thailand ($) Singapore ($) ($) 20000 10000 4800 3150 6250 8000 India ($) 3100 2200 10000 7000 10000 7300 8500 3900 1400 2100 3850 4050 8000 3750 5000 4400 6250 3000 2200 2500 1800 3400 ANALYSIS Dental procedures(Costs in US$) Procedure Smile designing Metal Free Bridge USA ($) 8. Cost Comparison Following table gives the various costs of major procedures in different countries.You can easily make out that India is the best place to do surgery as far as cost is consider. This is due to the outburst of the private sector which comprises of hospitals and clinics with the latest technology and best practitioners.
Dental Implants Porcelain Mental Bridge Porcelain Mental Crown Tooth impaction Root canal Treatment Tooth whitening Tooth colored composite filling 3500 3000 1000 2000 1000 800 500 800 300 80 100 100 110 25 ANALYSIS: The price difference between the Developed world and India has 65 – 85% variation but the quality of treatment is more or less same. the inflow of foreign patients is increasing as the technology advances improving the quality so as to meet the standards accepted worldwide. “World class treatment at third world prices”. So. 61 | P a g e .
400 $8.000 $31.350 $5.000 $5.000 $10.000 $10.000 $11.000 62 | P a g e .500 $6.000 $30.000 Up to $9.000 Up to $31.000 Up to $7.500 $7.000 $6.000 $19.500 $5.000 $14.200 $9.500 $9.000 $26.000 Up to $13.000 Up to $11.000 $9.000 $7.600 $26.800 $13.000 Up to $21.000 Up to $5.000 $10.000 $30.700 $10.000 $4.000 $6.000 Up to $8.000 $16.000 $50.000 $9.000 $144.Prices are as of 2010 Medical Procedure Angioplasty Heart Bypass Heart Valve Replacement Knee Replacement Hip Resurfacing Hip Replacement Special Fusion Face Lift Breast Implants Rhino Plasty Lap Band/Bariatric Hysterectomy USA Mexico Cost Rica India Thailand Korea $21.000 $170.000 $6.450 $19.000 $10.000 $13.400 $13.000 $43.000 $14.000 $8.600 $6.000 Up to $17.000 $13.500 $5.000 $24.100 $26.000 $3.600 $15.100 $14.800 $22.500 $14.000 $18.000 $100.000+ Up to $13.500 $11.000 $38.000 Up to $8.500 $12.000 $9.000 $16.900 $18.000 $57.000 Up to $9.
(The lefthand column shows sample entries). Not included are costs for meals. Prices will vary based upon many factors including hospital.000 Prices are approximate and not actual prices and include estimated airfare for patient and companion. Expenses at Hospitals Abroad Top of Form Travel Example Hospital 1 Hospital 2 Passport and visa $200 Fee for expediting passport $ Fee for expediting visa $ $ $ $ $ $ $ 63 | P a g e . World Budget Estimator Compare the cost of surgery in your respective country hospitals and at hospitals abroad by completing this worksheet. doctor’s experience. a bestselling series of consumer guides to international medical travel that have helped thousands of patients plan for successful procedures abroad. The estimator was taken from Patients Beyond Borders.$15. currency exchange rates and more. accreditation. miscellaneous expenses and any hotel costs or tourism cost.
100 Airfare (other travelers) $ Aiport entry or exit fee $ Hotel (companion) $800 Hotel (other travelers) $ Companion's meals and incidental expenses $700 Other travelers' meals and incidental expenses $ Transportation (taxi.100 Airfare (companion) $1. limo) $100 Rental car $ Other $ Subtotal for Travel: $4.Airfare (patient) $1. bus.000 $ $ 64 | P a g e .000 Treatment $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Example Hospital 1 Hospital 2 Procedure $11.
X-rays.Hospital room (if extra) $ Physician's fees (if extra) $ Anesthesia (if extra) $ $- $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Lab tests Imaging (CT and MRI scans.000 Post-discharge care Example Hospital 1 Hospital 2 Recuperation lodging $1.) $ Additional consultations $ Tips or gifts for staff $ Other $ Subtotal for Treatment: $11.400 Physical therapy $ In-room care $ $ $ $ $ $ $ 65 | P a g e . etc.
Prescriptions $65 Concierge services $350 Other $ Subtotal for Post-discharge care: $1.815 Leisure travel $ $ $ $ $ $ $ $ Example Hospital 1 Hospital 2 Hotel $ Meals and incidental expenses $ Entertainment and sightseeing $ Transportation $ Other $ Subtotal for Leisure travel: $ $ $ $ $ $ $ $ $ $ $ $ $ "While you're away" costs Example Hospital 1 Hospital 2 $ $ $ $ Pet sitter. house sitter $400 Other $ - 66 | P a g e .
Hospital Top of Form Treatment Example Hospital 1 Hospital 2 Procedure $55.Subtotal for "While you're away" costs: $400 Total: $17.S. X-rays.) $ - 67 | P a g e .000 Hospital room charges $4.215 Bottom of Form $ $ $ $ Expenses at U. etc.400 Physician charges $ charges $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Anesthesiologist Other physician charges $ Other physician charges $ Additional consultations $ Lab tests $375 Imaging (CT and MRI scans.
775 Post-discharge care $ $ $ $ Example Hospital 1 Hospital 2 Physical therapy $400 $500 $ $ $ $ $ $ $ $ $ $ $ $ Medications In-home care $ Other $ Subtotal for Post-discharge care: $900 Total: $43. Rheumatology. The various specialties covered are Neurology. orthopedic surgery. ophthalmology. joint replacement. Neurosurgery. gastroenterology. Oncology.435 Potential savings from going abroad Bottom of Form $ $ Major players offering Medical Tourism packages Indian corporate hospitals excel in cardiology and cardiothoracic surgery. 68 | P a g e . Ophthalmology.Other $ Subtotal for Treatment: $59. transplants and urology to name a few.
pap smear. coronary risk markers. 12 lead ECG. eye checkup. Nephrology. Plastic Surgery. Kolkata and Chennai. carotid colour doppler. Pediatrics. ENT. Mammography to high end services like Magnetic Resonance Imaging. Mumbai 69 | P a g e . serology. Birla Heart Research Centre. technologically advanced diagnostic equipment. Bangalore * B. Bangalore.Endocrinology. stress & lifestyle management. diet consultation. Kolkata * Breach Candy Hospital. dental checkup. The Laboratory services include biochemistry. Similarly. Dentistry. cancer risk markers. Stringent quality assurance exercises ensure reliable and high quality test results The chief cities attracting foreign patients to India are Mumbai. Pediatric Surgery. and is comprehensive yet pain-free. Ultra Sonography. Dermatology. Nuclear Imaging. spiral CT scan and high strength MRI.D. transfusion Medicine and RIA All medical investigations are conducted on the latest. Pulmonology. microbiology. gold standard DXA bone densitometry. Pediatric Neurology. Urology. Psychiatry. Hyderabad. hematology. body fat analysis. the speciality hospitals excelling in the medical tourism industry in the country are: * Escorts Heart Institute and Research Centre Limited. comprehensive physical and gynecological examinations. General Medicine & General Surgery The various facilities in India include full body pathology. 2D echo colour doppler. Cardiology. histopathology. M. physicians. Each test is carried out by professional M. spirometry. Imaging. audiometry. Digital Subtraction Angiography along with intervention procedures. digital Chest X-ray. Delhi * Manipal Heart Foundation. Neurology and Pulmonology. New Delhi * All India Institute of Medical Sciences. Gynecology. There is also a gamut of services ranging from General Radiography. The diagnostic facilities offered in India are comprehensive to include Laboratory services.
* Bone Marrow Transplant * Brain Surgery * Cancer Procedures (Oncology) 70 | P a g e . Mumbai * Apollo Hospital. It is estimated that 75-80% of health care services and investments in India are now provided by the private sector. Delhi * Apollo Cancer Hospital. An added plus had been that India has one of the largest pharmaceutical industries in the world. has now become a flourishing industry equipped with the most modern state-of-the-art technology at its disposal. Mumbai * Jaslok Hospital. Chennai Medical Packages The health care sector in India has witnessed an enormous growth in infrastructure in the private and voluntary sector. The private sector which was very modest in the early stages. Vellore * Asian Heart Institute. Mumbai * PD Hinduja National Hospital and Medical Research Centre.* Wockhardt Hospitals * Christian Medical College. It is self sufficient in drug production and exports drugs to more than 180 countries.
* Cardiac Care * Cosmetic Surgery * Dialysis and Kidney Transplant * Drug Rehabilitation * Gynaecology & Obstetrics * Health Checkups * Internal/Digestive Procedures * Joint Replacement Surgery * Nuclear Medicine * Neurosurgery & Trauma Surgery * Preventive Health Care * Refractive Surgery * Osteoporosis * Spine Related * Urology * Vascular Surgery * Gall Bladder stones surgery ( Laparoscopic Cholecystectomy ) * Hernia surgery ( Laparoscopic mesh repair ) * Piles ( Stapled Hemorrhoidectomy ) * Varicose Veins surgery * Endoscopic Thoracic Sympathectomy for Hyperhidrosis * Laparoscopic Appendicectomy * Laparoscopic Adrenalectomy * Laparoscopic Fundoplication for Hiatus Hernia * Laparoscopic Banding of stomach for Morbid Obesity * Laparoscopic splenectomy 71 | P a g e .
• Treatments of different skin problems including skin grafting. • Receive you at the airport and provide transportation to the hotel and for the rest of the days during your stay here. Angiographies and Angioplasties. Heart surgery packages like Cardiac Surgery And Cardiology. Open Heart Surgery. • Provide accommodation in a hotel as per your choice and budget near the Nursing Home or the Private hospital. The services provided by the host country’s hospital/ organisation are: • Put in touch with a world class Private hospital or Nursing home and the doctor & fix up an appointment with the doctor at the hospital. 72 | P a g e . Bone marrow transplantation surgery.Other packages include: • • • Hip-Knee replacement surgeries and other orthopedic surgeries.
• We can arrange for another place to stay or a rejuvenating sight-seeing tour while your mother recovers after the treatment. Is the medical ailment suitable for treatment in a country different from yours the patients own country. hernia. adrenalectomy. piles. thyroidectomy. varicose veins. a big draw for foreign patients is also the very minimal or hardly any waitlist as is common in European or American hospitals. 73 | P a g e . nephrectomy. In fact. STEPS OF SEEKING TREATMENT WITH MEDICAL TOURISM 1. Ailments that require a one shot treatment like surgery for gall stones. • In addition to the increasingly top class medical care. The answer to this question will be based on combined information from your own doctor and the overseas doctor. hysterectomy. joint replacement etc are more suitable for medical tourism. priority treatment is provided today in Indian hospitals. 2.
The ailment should be such that a follow up should not be necessary and you should not need to visit the country again to ‘ tie up loose ends. This information would be available through the net or from recommendation by another patient.3. approximate cost for planning purposes and total duration of stay required at the hospital with pre -operative and post operative extra stay requirement etc. 7. 5. The patient/ tourist should be otherwise well enough to be able to utilize the tourism part of it. The patient must also check full details about cost of stay at respective treatment city using a hotel or service apartment or guest house. Visit the website of the hospital and doctor is the next step. 6. patient gets admitted for the surgery. Next is sending a detailed note of the medical condition. Check with the doctor what all sight seeing / shopping / tourism is possible with the treatment patient is having and if this would be before or after the treatment. 74 | P a g e . 8. Prior and complete information will insure that the treatment will get started immediately and without much delay. the patient receives full information from specialist doctors / medical consultants advice on prevailing medical treatment. since the tourist comes from another country he cannot come again and again therefore he needs to include all reports of investigations and recommendations of any doctor who has seen him. 10. Decide on the country. hospital and doctor who would be treating . 9. Writing and asking about their training and experience in the procedure along with the cost implications is vital. Mostly planned elective surgery for which there may be a long waiting list in your country is best suited for medical tourism. Best time for this is after getting the preliminary check and tests done. Other wise you could just go to the hospital directly for treatment. Based on this. Following the sight seeing etc. 4.
Check immunization requirements for going there. Acquire consent of local physician to fly down to India/ or selected destination. 13. 20.assuring if a person from the hospital receives visitor at the airport and takes him to the hospital / hotel. Carry a travel insurance . Acquire visa for travel to the host country. 12. Stay in the city / sight seeing as discussed earlier for the required time. 14. Review with the doctor for clearance 22. Treatment 19. Fix up date of arrival. Return Home. Procedure followed by the hospital/ clinic: Various steps to be followed are as follows 75 | P a g e . cost. 18. stay etc as soon as possible to chart out the plan. 17. Meet the doctor and re-discuss the details of treatment.11. Discharge from hospital. Re-confirm return ticket as per his/ her advice. with follow up advice and medications provided by the hospital. 16. It is extremely re. 21. pick up from airport. 15.
STEP 7 : Arrival in India/ host country. Step 11 : Patient/ visitor proceeds for short holiday break if required. STEP 10 : Proceed further with the treatment as discussed in Step 4. STEP 3 : Doctors get back to patient with their suggestions and how to proceed ahead. they also arrange translator if required. STEP 2 : The hospital will identify a suitable doctor and hospitals based on the query. STEP 6 : Patient/ visitor needs to finalize details and make advance payment. STEP 9 : Hospital arranges meetings with the requisite doctors. STEP 8 : The hospital arranges Airport pick-up and hotel check-in. Step 12 : Hotel Check-out.STEP 1 : Visitor needs to send queries pertaining to their problems. & return to visitor’s own country Leveraging Competencies For Medical Tourism hospitalization & post 76 | P a g e . STEP 5: Hospital will give the options such as where to stay prehospitalization . STEP 4 : Finalize on which treatment to follow and how to go about it.
traditional art and crafts and geographical landmarks and coastlines. warmth. instilling the use of people competencies in one’s team members is something one simply can’t survive without. if a service is only as good as the people who deliver it and provide it. Patient’s wants are related to behavioral aspects of service like: spontaneity. outstanding human resource. the glory of the individual or a department should never be an issue nor be overshadowed by other focus. • The total hospital is more successful. The use of these skills is what elevates one’s organisation above the competition. The importance of the contribution of each individual. 77 | P a g e . the patient appreciates the way he/she is treated. people competencies are an integral part of a progressive hospital. state-of-the-art hospitals equipped with latest equipment. it is important that delivery of service is on the lips of everyone in the workforce. as per CII-Mckinsey report . concern and friendliness attention to individual needs. the growth of Indian healthcare is inevitable. 5000-year-old civilization. alternative medicine like Kerala’s health retreat. With a good amount of investment in the private sector. it is very important that quality service is provided on clinical dimensions as well as hospitality component. Also. • To achieve service excellence.• India has a huge potential of attracting medical tourist and medical tourism will contribute around USD 2 million by year 2012. When everyone works smart. In case if our hospitals wish to become leaders in medical tourism and achieve competitive advantage. India has the competitive advantage of price. In today’s working environment. naturopathy and yoga. Weakness of our hospitals lies in poor service culture quotient in employees. it is said that a satisfied patient is the best source of referral to the hospital. • From showing empathy and optimism to extreme self-awareness to knowing what’s going on around them. • In healthcare industry. the collaboration needed to drive organisational performance increases. where medical tourist are demanding more.
the real challenge lies in acquiring and developing a depository of people skill in the organisation. They should be capable of coming up with satisfactory solutions instantaneously. 3. 2. where it is predicted that medical tourism industry will grow by 15 per cent annually. cheerful with good sense of humor. Soft skills are the underlying principles that trademark a hospital for professionalism and excellent customer service. Positive attitude: “I can do it” is the first thought that an employee should get when he encounters a problem. Ingenuity: Employees should possess natural incentive and creative abilities to solve unforeseen problems.• Indian hospitals do not face problem with the technical skills as they are acquired through education and training but the difficulty lies in leveraging the soft skills of the employees. • In today’s scenario. He/she can think positively if he/she is happy. then it is like a dream come true. then they show exceptional resourcefulness in handling unforeseen events or situations effectively. 78 | P a g e . Hospitals should focus on developing workforce with: 1. Initiative: If a hospital has employees who are self-starters. If you empower people.
Written and oral communication. The question which takes paramount importance is “How to develop the inventory of these competencies in the organisation? The answer is very simple. Employees who are considerate and understanding dealing with patients can form the backbone of service excellence culture. It is not only the employee who is properly dressed draws attention but the employee who is not neatly dressed also excites discussion amongst the patient relatives. HR heads should focus on development of a recruitment tool 79 | P a g e . Employees who find ready acceptance by others and make good contribution towards functioning of the group are very good team players. in 2. Appearance and Bearing superiors and subordinates. Employees who display a high degree of sincerity and honesty of purpose and are upright in dealings with patients. 3. Loyalty: Organisation should value an employee who maintains service interest uppermost mind. It is important to be respectful and courteous with co-workers and patients. 1. Ingenuity 3. 4. Team spirit 7. Maturity 6. Maturity: Tact and maturity are the keys to handle difficult and demanding patients.4. Team spirit: Healthcare cannot be delivered by a single person. Initiative 4. Hire employees with competencies to meet the requirement of the organisation. Interpersonal skills: Interpersonal skills are of paramount importance. listening skills and body language play a very important role in service delivery. It should not happen that support staff like kitchen and cleaning staff does not follow any hygiene standard. Positive attitude 2. Interpersonal skills 8. They provide wholehearted co-operation to colleagues. in his 1. Loyalty 5. equals and Hospitals should focus on subordinates are asset to any organisation. Superiors. it is always a team work of people with diversified competencies. Appearance and Bearing: Hospitals should see that the appearance and bearing of employees is synchronised at all levels.
80 | P a g e . 1. HR department should sensitise him with issues like how to conduct training. Train the identified individuals: The identified individual has to act as an mentor and train other employees and therefore he has to lead by example. Conduct ongoing training programme: Ongoing training programmes are very beneficial as no hospital is free of attrition rate. 2. but whenever an employee joins an overseas hospital. An employee with similar job role and working conditions empathies with another employee better than anybody else. It is the responsibility of the HR department to train him in conducting training sessions. help individuals as and when needed. the US & the UK cannot be stopped because of massive requirement in these countries. He can also act as a role model and foster a feeling of constructive competition in other employees. the identity is always linked with the past employer. If required people should be paid slightly more then the competing organisation as hiring is not the only issue. organisation has to also retain high performing individuals. demonstrate trust in improvisation. It should be very clearly understood that people with desired competency come at a cost and therefore entire manning plan and the compensation budget should be re-used. know the job profile thoroughly. Another solution to the problem is nurturing key competencies in the workforce and align individual competencies to the requirement of the organisation. He knows the constraints and the requirements of the job. 3. Exodus of well trained staff to middle east. HR department along with the line managers should identify people for selective retention so that they can be used as mentors for coaching and development.which helps in identification of the requisite competencies and measurement of available degree of these competencies in the prospective employees. Identification of individuals with desired competencies: First and foremost. The identified mentor should communicate effectively.
Leverage their strengths and differences because these are the facts that will help distinguish you and your organisation from the competition. If it is done. Competencies and strengths vary from people to people and all the employees are never the same. 81 | P a g e . attitude and personality development should be carried out and mechanism should be set to analyse the impact of these programs. the projected medical tourism market of USD 40 million can be easily achieved.Continuous training programme on communication. Indian healthcare is amongst the best in the world but to attract medical tourist it has to not only come up with world class infrastructure but India should focus on optimum utilisation of the talent pool. Leverage each other’s strengths inside the team to develop a new identity of the hospital.
950). The latter also uses the ploy of selling the "exotica" of the countries involved as well as the packaging of health care with traditional therapies and treatment methods.700) in India.000 in the US. eye and cosmetic surgeries in Western countries cost three to four times as much as in India.000 rupees ($7. The price advantage is however offset today for patients from the developed countries by concerns regarding standards. Open-heart surgery could cost up to $70. But so far the government has 82 | P a g e . Dental. This is therefore an advantage for India. The entire concept of medical tourism hangs on the efficiency. thus is. specialists and consultants etc. Knee surgery (on both knees) costs 350. The slogan. insurance coverage and other infrastructure. and also putting pressure on the government. Price advantage is.000 in Britain and up to $150.000 ($16. in India's best hospitals it could cost between $3.000 and $10. more than twice as much.CHAPTER – 6 PROMOTION OF MEDICAL TOURISM IN INDIA WITH SPECIAL FOCUS ON ANDHRA PRADESH The key "selling points" of the medical tourism industry are its "cost effectiveness" and its combination with the attractions of tourism. We shall turn to their implications later. a major selling point.000. This is where the tourism and medical industries are trying to pool resources. "First World treatment at Third World prices". The cost differential across the board is huge: only a tenth and sometimes even a sixteenth of the cost in the West. skill and competency level of the doctors. in Britain this costs £10. World over patients and hospitals trust Indian doctors without doubt. of course. Patients from around the globe expect the best of services solely based on the reputation of doctors of Indian origin.
because of the failure of the government to provide affordable medical care. The demand for cost effective specialized care is coming from the developed countries where there has been a decline in public spending and rise in life expectancy and non-communicable diseases that requires specialist services. In India the strong tradition of traditional systems of health care such as in Kerala. Clearly the services are "cost effective" for those who can pay and in addition come from countries where medical care costs are exorbitant . it also takes away the pressure from the government to provide comprehensive health care to all its citizens. for example. advertising and promotion campaigns considerable number of tourists can be attracted. The incredible India campaign has catapulted India in the top 5 must visit unique destination for lonely planet but so far as it goes Thailand. Bangkok and other east Asian countries are still market leaders. It is a deepening of the whole notion of health care that is being pushed today which emphasizes on technology and private enterprise. is utilised. 83 | P a g e . Therefore there is still scope that with specific marketing. This reputation and goodwill that Indian doctors enjoy could be leveraged to attract and promote Indian medical tourism. The other most important reason why India has not been able to attract more customers is that there is no specific campaign which only promotes medical promotes medical tourism. Kerala Ayurveda centres have been established at multiple locations in various metro cities.failed to realize the advantage of this important factor. thus highlighting the advantages of Ayurveda in health management. The important question here is for whom the 'cost effective' services is to be provided. It thus attracts only a small fraction that can pay for medical care and leaves out large sections that are denied medical care but cannot afford to pay. By promoting the notion that medical services can be bought off the shelf from the lowest priced provider anywhere in the globe. The health tourism focus has seen Kerala participate in various trade shows and expos wherein the advantages of this traditional form of medicine are showcased. A generic problem with medical tourism is that it reinforces the medicalised view of health care.
India’s $1 billion dream: India could earn more than $1 billion annually and create 40 million new jobs by sub-contracting work from the British National Health Service. the head of India's largest chain of private hospitals and other such organisations in the US and European states. and especially metropolitan ones. to large corporate run specialty institutions.Urban concentration of health care providers is a well-known fact . Medical tourism will only further legitimise their demands and put pressure on the government to subsidise them even more. which provides medical tourism packages has put forth a suggestion and currently is awaiting a reply to carry out operations at a fraction of what they would cost in the United Kingdom. the corporate private sector has already received considerable subsidies in the form of land. It thus has serious consequences for equity and cost of services and raises a very fundamental question: why should developing countries be subsidising the health care of developed countries? The Golden Goal . The potential for earning revenues through medical tourism will become an important argument for private hospitals demanding more subsidies from the government in the long run. In countries like India. state-of-the-art hospitals and can offer the same level of care as anywhere else in the world. reduced import duties for medical equipment etc. This is worrying because the scarce resources available for health will go into subsidising the corporate sector. There will be a greater push for encouraging private insurance tied to systems of accreditation of private hospitals. Medical tourism is going to result in a number of demands and changes in the areas of financing and regulations. They include surgery for hip and knee replacements and coronary bypass that would slash waiting times dramatically. Apollo Hospitals. Medical tourism promotes an "internal brain drain" with more health professionals being drawn to large urban centres. There is no reason why India should not become the healthcare destination of the world. They have well equipped. 84 | P a g e . There is a huge concern in the developed countries about the quality of care and clinical expertise in developing countries and this will push for both insurance and regulatory regimes. reducing the queues of British patients waiting to see their doctors. and within them.59 per cent of India's practitioners (73 per cent allopathic) are located in cities.
Hyderabad Circuit covering Hyderabad City and surrounding destinations like Warangal. Visakhapatnam Circuit covering Visakhapatnam city. but expatriates who may be given the opportunity to come and get themselves operated in India where we are planning to give them what is called health tourism. but because of the long waiting times some patients opt for expensive private care. other surrounding temples. Vijayanagar Circuit covering destinations in Anantapur. Medical treatment in the UK is free under the NHS. backwaters. there are thousands of expatriates. and North Coastal Circuit covering Buddhist locations in and around Visakhapatnam District.. Adilabad. Konaseema. Tirupati Circuit covering Tirumala Temple. Not necessarily Indian.India's healthcare industry is growing at 30 per cent annually and the Apollo group alone has so far treated 95. Krishna-Godavari Circuit covering River Cruises..000 international patients. many of whom are of Indian origin. Lower Krishna Valley Circuit covering Nagarjuna Sagar. Reddy cited two recent cases of UK nationals who opted for private healthcare at the Apollo network. alternative medicine and Mind body 85 | P a g e . Amaravati and other Buddhist locations. and Kadapa. Kurnool. TOURISM CIRCUITS: Government of Andhra Pradesh is presently promoting its tourism activities in 6 major circuits viz. The advantage of Reddy's offer is that is that it would reduce pressure on the NHS and offer sub-contracted healthcare at vastly cheaper rates. energy therapies. Government will encourage any suitable tourism product in these circuits which serve to augment an existing destination. etc. and Buddhist Circuit which has two steams viz. Kolleru Lake area and other surrounding destinations. After this million people. Araku Valley and surrounding destinations in Srikakulam and Vizianagaram districts.. in the areas of Allopathy." One of the major destinations for Medical Tourism in India is Andhra Pradesh: Kerala is very well known for ayurvedic medicine and Andhra Pradesh is now being recognised intervention. Horsley Hills and other nearby destinations.
preferably in the form of 86 | P a g e . They have decided to promote medical tourism. Andhra Pradesh has the 1st position in the domestic tourism. moderate climate. very good urban infrastructure. 2010 on the occasion of World Tourism Day. There was good growth of tourism in Tirupati and Vizag and Hyderabad. Government will endeavor to create appropriate organizational structures. They are also contemplating to develop a huge garden at Nagarjunasagar replicating the famous Brindavan Gardens at Mysore. the presence of the best Convention Centre in the country. Tourism provides 10% of the overall employment. The Tourism Department will also be given more Police force to start the 'Tourism Police' in all the important tourism spots to ensure security to the tourists. Government of Andhra Pradesh has requested Government of India for introduction of Southern Splendor Luxury Tourist to cover major destinations of South India and promote rail based tourism in our State. Only in such an eventuality can the strengths of each player be synergized and maximum advantage for the city can be reaped. particularly Hyderabad. the presence of the best Exhibition facility in the country. also enjoys competitive advantage over other Indian States in terms of Medical Tourism and MICE Tourism. As Hyderabad enjoys the presence of highest caliber medical specializations and expertise.Andhra Pradesh received 15. and attractive tourist destinations can help position Hyderabad as the most preferred destination for MICE Tourism. film tourism.75 crores domestic tourists and 79. on 27th November. it can also be promoted as a major center for Medical Tourism. the presence of hotels at par with the best. as the present policy under implementation pertains to 1998 and there was a need for revision due to time gap and prudent fiscal management. Government of Andhra Pradesh has drafted a new State Tourism Policy with an attractive package of incentives to develop tourism in our State. The presence of the best Airport in the country. Since tourism provides large-scale employment and there is every need to encourage it. convention tourism and heli tourism in the State by developing all tourist spots and infrastructure facilities.52 lakh international tourists upto 2009. Government of Andhra Pradesh has taken many initiatives to promote tourism sector. MICE Tourism and Medical Tourism require the coming together of both the concerned Government Agencies and the private stakeholders on a common platform. An excerpt from the Indian Tourism Policy 2010: SUPPORT TO MICE TOURISM AND MEDICAL TOURISM: Andhra Pradesh.
which is growing at 30-40 per cent each year. The Government will also become the main driver behind these Societies by infusing the required capital in its corpus and by engaging experienced professionals to manage these Societies. Secretary of Andhra’s Tourism. sensitivity of patients from different economies towards price. Indian Medical Travel Association in Hyderabad. The constituted society can hereafter take up all the required activities necessary for harmoniously organizing MICE Tourism and Medical Tourism respectively. quality. Government of Andhra Pradesh and it is in the process of forming Hyderabad Medical Tourism Promotion Society (HMTPS). “Formation of HMTPS by the state tourism department is a positive move and this will give much needed boost to the Medical Tourism sector. procedures and payment issues. Apart from this Tourism Development conducts various awareness programmes to highlight the goodwill foreign patients have upon the Indian Doctors. State Tourism Promotion Committee (STPC). responsivess. HMTPS will work on the required norms for Medical Tourism like maintaining standards.” said Pradeep Thakural. Indian Medical Travel Association said. Executive Director. HMTPS was launched in April 2010 for which the state tourism department has selected stakeholders for the Society. Pradeep Thakural.etc) 87 | P a g e . Executive Director. Commenting on this initiative.societies. District Tourism Promotion Committee (DTPC) Therefore. We are looking at having a committee of stakeholders comprising of medical players (hospitals) and travel agents who eventually help in smooth planning for the visiting patients. Andhra Pradesh launched Hyderabad Medical Tourism Promotion Society: MEDICAL Tourism is the major focus area of the Department of Tourism. “We are currently consulting Ernst and Young to suggest a feasible model for the Society to promote Hyderabad as a Medical Tourism destination.” said Jayesh Ranjan. Indian government is trying to develop its Medical Tourism by considering the opportunity costs. to establish this common platform. Various other Institutional arrangements are State Tourism Promotion Board (STPB) . State support provided to eligible tourism products like wellness centers (Spa/Yoga/. Archaeology and Museums departments.
boosted by medical tourism.000 crore (Rs. the size of the medical tourism industry stands at Rs 1.000 years ago. Not only is India one of the world’s oldest medical tourism destinations. 15 billion and growing at over 30% every year.500 crore (Rs. India is a recent entrant into medical tourism. this only added fuel to the fire and helped position India as the epicenter of Eastern cultural. spiritual.000. Why India? The countries where medical tourism is being actively promoted include Greece. South Africa. Indian private hospitals are increasingly finding a mention in the travel itineraries of foreigners.7 A CASE STUDY ON MEDICAL TOURISM IN HYDERABAD CITY Introduction Definition of Medical Tourism Medical tourism can be broadly defined as provision of ‘cost effective’ private medical care in collaboration with the tourism industry for patients needing surgical and other forms of specialized treatment. which industry 88 | P a g e . and will account for 3-5% of the total healthcare delivery market. India can lead the world in medical and health tourism since we have a tremendous advantage with a large pool of skilled manpower and technological edge. 12-15 billion). Medical Tourism Industry Overview The Indian healthcare market is Rs. 50-100 billion) additional revenue for tertiary hospitals by 2012. not just for therapeutic medical tourism like ayurveda. but the unbelievable reach of India’s healing arts is not to be ignored. but it has now also become one of the world’s most popular ones as well.A recent CII-McKinsey study on Indian healthcare says medical tourism alone can contribute Rs 5. When Buddhism came along roughly 2. Ever since yoga’s birth more than 5. and meditation centers as medical tourism. but also for curative treatment. Buddhist pilgrimages.500 years later. This process is being facilitated by the corporate sector involved in medical care as well as the tourism industry – both private and public. with the trend of medical tourism catching up in the country. Ancient History-Indian Medical Tourism Some might have difficulty categorizing yoga retreats.200 – Rs 1. India has enjoyed a constant influx of medical travelers and spiritual students hoping to master and benefit from this most fundamental and revered branch of alternative medicine.CHAPTER . This is a huge. Jordan. and medicinal progress. The Indian government predicts that India’s $17-billion-a-year health-care industry could grow 13 per cent in each of the next six years.Rs 10. Malaysia. Philippines and Singapore. If industry estimates are to be believed. India. untapped market.
silks. thus is. a new local area created to keep pace with the zooming Information Technology and Tourism sector. Hyderabad has too many tourist attractions that would often make it difficult for a tourist to set his priorities. bangles. Hyderabad and Secunderbad are twin cities. Hyderabad has a mix of Hindu-Muslim culture with a number of monuments of historical importance. as is Cyberabad (means Cyber City). Museum. separated by Hussain sagar which is a man made lake. “First World treatment’ at Third World prices”. and the country is becoming a preferred medical destination. The delicious Biryanis and myriad of mutton and chicken dishes religiously followed by mouthwatering sweets will earn the accolades from all gourmets across the world. handicrafts and above all a delectable cuisine add to the splendor of this great city. A natural and sophisticated blend of old and new. About Hyderabad Hyderabad is the fifth largest city in India with an ancient civilization and culture.P. The slogan. Advantages of Coming to Hyderabad for Medical Treatment • • • • • • Internationally accredited medical facilities using the latest technologies Highly qualified Physicians/Surgeons and hospital support staff Significant cost savings compared to domestic private healthcare Medical treatment costs in India are lower by at least 60-80% when compared to similar procedures in North America and the UK No Wait Lists Fluent English speaking staff 89 | P a g e . Singapore. in the midst of which stands the 400-yearold Charminar. The cost differential across the board is huge: only a tenth and sometimes even a sixteenth of the cost in the West. For long promoted for its cultural and scenic beauty. Hyderabad is one of the most densely populated cities in the country and is home to about 2. computer software. including the very famous Charminar. The Golconda Fort. India has a lot of hospitals offering world class treatments in nearly every medical sector. Analysts say that as many as 150.2 million people. While art lovers cannot defy the attraction of the huge repository of antiques displayed at the A. capital of the kingdom by that name. As Indian corporate hospitals are on par. Hyderabad is known worldwide for its diamond markets. an old ‘Nawabi’ culture with a new pro-active approach and hospitality. the modern shopping complexes and ultra-modern malls in the newer areas of the city add to the charm of Hyderabad. Pearls. etc there is scope for improvement. The Nizam Museum and the Salarjung Museum would offer a delightful insight to the rich imperial history. Hyderabadi Cuisine can itself be a big reason for visiting Hyderabad. is today very much part of the city. a big draw for foreign patients is also the very minimal or hardly any waitlist as is common in European or American hospitals. glass embedded bangles and delectable Hyderabadi cuisine. India is now being put up on international map as a heaven for those seeking quality and affordable healthcare. Price advantage is a major selling point. In addition to the increasingly top class medical care.000 medical tourists came to India in 2004. if not better than the best hospitals in Thailand. The teeming bazaars of the old city.watchers say is growing at 30 per cent annually.
medical codes.ISO and its member organizations help ensure that hospitals and dental clinics closely adhere to the strict international standards that they put forth. but it helps to weed out undesirable medical practitioners. private chef. Many countries have their own accrediting bodies that put forth standards and regulations that closely mirror (and sometimes exceed) the accrediting standards established by JCI. and professional ethics. the same body that certifies over 18. Now is the time when it is giving its best through quality health care and medical tourism facilities. Increasing pressure on the medical facilities and the hike in the purchasing capacity of the Indians and the foreigners visiting India has led to the recent development in the quality health care and medical facilities. you want to receive the best possible care that you can. In addition. there’s no need to be alarmed. Having accreditation does not necessarily mean that your doctor or dentist is a miracle worker. If you come across a medical tourism facility that doesn’t have JCI accreditation. In this way. it’s important that you stick with medical tourism destinations where ISO has representation. International Organization for Standardization (ISO) While ISO is not necessarily a health care accrediting body. Joint Commission International (JCI) Joint Commission International (JCI) is the global arm of the US-based Joint Commission on the Accreditation of Healthcare Organizations (JCAHO).000 hospitals in the United States. When you stick with medical facilities that have reputable credentials and accreditation. it is a fairly good benchmark to use when researching foreign hospitals. 90 | P a g e . many insurance companies will not pay for medical services performed at non-accredited health care facilities. Importance of Accreditation Obviously. Although JCI approval is not the only accreditation available for medical tourism facilities. translator. dedicated staff during your stay and many other tailor-made services Can easily be combined with a holiday/business trip Quality in Health Care India the glorious country has found yet another way to contribute to the world through quality health care.• • Options for private room. you have a much better chance of receiving optimal medical and dental care when you take your health vacation abroad. The geographic conditions and the increase in the quality health care services are all conducive to boost the medical tourism facilities in India. you can be reasonably sure that they adhere to certain standards.
Access to Hyderabad: By Air: Indian Airlines has flights connecting Hyderabad with all major cities in India.000 6. town and almost all villages. By Bus: The AP State Road Transport Corporation (APSRTC) has a busy district service that connects Hyderabad to every city. By Rail: The world’s second largest railway under one management the Indian Railways carries more than ten million people every day.000 30. Cost Comparison: Preventive Health Checks Preventive Health Checks Charges in Hyderabad Master Health Check Executive Health Check Cardiac Checkup $45 $90 $130 Procedure Charges In Hyderabad and USA (US $): Cost (US$) Procedure United States Hyderabad Bone Marrow Transplant 2. Kachiguda Station and Secunderabad Station.000 69.00.000 Liver Transplant Heart Surgery Orthopedic Surgery Cataract Surgery 3.000 2.000 69.250 Dental Procedure Charges between USA and Hyderabad Cost in US ($) Dental procedure General Dentist Top End Dentist Top End Dentist Cost in Hyderabad ($) 91 | P a g e .000 20. The nearest airport is Shamshabad International Airport.000 1.50.000 8. Hyderabad Station. Main railway stations are Begumpet Station.
000 1.300 USD 10.500 USD 26.000 Complex spine surgery with implants USD 13.300 USD 17.800 USD 4.800 Cranio-Facial surgery and skull base USD 13.500 3.600 USD 2.000 .DBS 92 | P a g e USD 6.000 800 500 300 1.300 USD1.000 500 800 300 80 100 100 110 25 75 Tooth colored composite fillings 200 Tooth cleaning 100 Cost Comparison – Hyderabad Vs United Kingdom (UK) Procedure Open Heart Surgery United Kingdom (USD) Approx USD 18.Smile designing Metal Free Bridge Dental Implants Porcelain Metal Bridge Porcelain Metal Crown Tooth impactions Root canal Treatment Tooth whitening 1.Lesion .000 5.000 1.000 USD 6.surgery with Hypothermia USD 21.500 USD 6.800 USD 4.500 USD 4.000 Simple Spine Surgery Simple Brain Tumor -Biopsy -Surgery Parkinson’s .000 Neuro.000 2.000 Hyderabad (USD) Approx USD 4.600 USD 2.800 600 500 600 350 8.200 USD 4.500 3.
500 are an average and may not be the actual cost to be incurred. 1 2 3 4 5 Specialty Cardio-Thorasic Surgery Plastic Surgery Ophthalmology Gynecology & Obstetrics Orthopedics No. Secondary data is data that has already been collected by someone else for a different purpose. To study the satisfaction level of International Patients 3. Primary Data – Primary Data is collected using methods such as interviews.Hip Replacement ٭These costs USD 13. Quantitative data may often be presented in tabular or graphical form. To study the factors which are attracting the International Patients to Hyderabad. Data Collection This study was conducted in a corporate multi-super specialty hospital at Hyderabad. statistics or financial) or qualitative data (usually words or text).000 USD 4. Sources of Data Collection – Paper-based sources. To compare the cost of the treatment in Hyderabad with foreign Countries.No. RESEARCH METHODOLOGY Objectives 1. of Patients 38 49 58 09 68 93 | P a g e . 2. Secondary Data – All methods of data collection can supply quantitative data (numbers. Electronic sources. Findings and Interpretations – Specialty wise International Patients Received Treatment in Study Hospital. For example-Data supplied by a marketing organization.(2007) Sr. Official or government sources. Government statistics. questionnaires and observations of the admit patients in the study hospital for the year 2007 randomly. Unofficial or general business sources. Annual hospital reports.
Plastic Surgery.No. Nationality wise International Patients Received Treatment in Study Hospital (2007) Nationality wise International Patients Received Treatment in Study Hospital (2007) Sr. Country Name Number Of Patients 1 2 3 4 5 6 7 8 NRI-USA NRI-UK KSA UAE Tanzania Nigeria Ethiopia Kenya 31 32 78 82 63 38 53 32 94 | P a g e . Ophthalmology. There is more demand for Orthopedics.6 7 8 9 10 11 Surgical Gastroenterology Laparoscopic Surgery Health check 38 49 60 Kidney Transplant Surgery 00 Oncology Dental TOTAL 62 32 463 From the above data we can say that the international patients are coming to Hyderabad to get the world class treatment at negligible cost without any waiting time by the world class western qualified and trained Doctors for the major health issues and tourism. Cardio-thoracic and Oncology Surgeries as these are the most expensive surgeries in their countries with more waiting time.
74 87.07 0.80 Food And Beverage 77.75 House Keeping Over All Facilities Total 85.00 00.64 0.47 85.00 00.52 88.17 11.76 88.00 00.07 1.80 00.12 88.58 11.00 00. Patients are paying from their own pockets to escape from the diseases and the huge waiting time in their countries.33 13.No.00 00.90 21.82 11. 1 2 3 4 5 6 7 8 Services Medical Treatment Medical Services Nursing Services Patient Service Very Below Good% Average% Good% Average% 85.43 1.29 1.44 10.16 13. Satisfaction Level of International Patients Received Treatment in Study Hospital: Sr.86 0.00 Administrative Staff 83.49 0.00 00.9 10 11 Afghanistan Uganda China TOTAL 12 36 06 463 From the above data we can say that the Non-Residents-Indians from the developed world and from the Arab Countries and African Countries Hyderabad is getting good number of patients in all specialties.43 0.00 00.64 0.23 14.66 13.68 95 | P a g e .00 00.
2) Timeliness: Another advantage is the possibility of getting immediate medical attention. 6) Facilitation by Government: The Government of India has recognized the economic potential of medical tourism.80% patients rated the services provided by the study hospital are average.00% patients rated the services provided by the study hospital are below average. due to insurance issues or unavailability of doctors etc. Conclusion The following factors are attracting the international patients to Hyderabad-India for treatment and tourism 1) Cost Benefit: The prime advantage is the cost savings with respect to medical consultancy or surgeries. 0. 13. There are no waiting lists or delays to contend with. It has facilitated travel by introducing a special visa category known as ‘medical visa’ for patients as well as introduced tax incentives for hospitals. highly educated doctors and top-notch services but the figure on that price tag is a fraction of what it would be in developed countries. This reveals that 85. have state-of-the-art infrastructure.Interviews were conducted in the study hospital of the international Patients. 5) Technological Sophistication: All the corporate Hospitals in Hyderabad are having State-of-the-art equipment and infrastructure for the best treatment and diagnosis. 3) Quality Health Care: Hyderabadi doctors and paramedics are well trained and are one of the best in the world. Many of the Hyderabadi hospitals.49% patients rated the services provided by the study hospital are good. 0. Even if the patient’s insurance does not cover the costs of treatment in India. the final bill in an Indian hospital would most probably be lower than patient’s out-of-pocket expenses. serving international patients. 96 | P a g e . in the conscious state of mind.68% patients rated the services provided by the study hospital are very good. 4) Personalized Care: Here patients are monitored closely with a personal care of all age group. who are treated and those under treatment.
10) Tourism Potential: People. Access to Internet in Hyderabad is considered to be one of the cheapest in the world and communication facilities are well established. at comparatively lesser prices. can consider packing in some travel too. Naturopathy etc.7) Ease of Travel and Communication: Travel to Hyderabad (India) has become easier and much faster due to introduction of private airlines. is available at different locations in Hyderabad. 97 | P a g e . Yoga. 9) Modern &and Traditional: Modern medical aid as well as traditional therapy. but important procedures. boarding as well as treatment costs. Every part of the country is rich in history and diverse in geography. Travel agencies have a great online presence and can offer you package deals that include travel costs. with their doctor’s permission! This is an added advantage. who come for relatively simple. 8) Easy Availability of Medicine and Drugs: Certified drugs and medicines are easily available in Hyderabad. such as Ayurveda.
CHAPTER – 8 SUMMARY Where does India need to improve High Hurdles Hurdles to India's medical ambitions abound. 98 | P a g e . Patients can sometimes decide not to go through with the process just looking at the general state of the local people of the host country.000 five years ago -. on one hand they are promised with world class health care at nominal cost( as per their standard) but on the other hand they face reality with in your face human degradation and surreal poverty. European people are aware of the poverty and decrypt state of the infrastructure but this knowledge is second hand gained through books and other media as such it really as a reality check when these visitors are faced with streets overflowing with people and bicycles and by neighborhoods where new offices butt up against tarpaulin-covered slums.000 patients a year traveling to the country -up from 10. They wonder whether the price of their operation with an Indian hospital compared with five times more in their home country is worth the risk. It is a make or break situation. With 100.hospitals are struggling to remedy first impressions that can turn people off.
is developing accreditation standards. there's no accreditation. The Indian Healthcare Federation. Illinois. the width of hospital corridors and the capacity of elevators.8 percent and an infection rate of 0.77 percent for heart valve surgery or coronary artery bypass surgery that included heart valves at New York-Presbyterian Hospital from 2000 to 2002. the medical industry in itself is banding together to improve its image. Infrastructural mess India competes for foreign patients with Malaysia. information system in place etc then most of our 99 | P a g e . Thought they do not mention the obvious and important fact that Trehan. There is nothing as far as quality standards go. and hospitals aren't required to provide information on the outcomes of treatments. but they don't need to share it Sketchy Information The leading question that any potential medical tourist will ask himself is -where is the information. of 4. assess infection rates.Therefore the logical thing for India is to strive for a massive Image Improvement plan.. In India. based in Oakbrook Terrace. how detailed is the information and whether it is easily available or not. Escorts' hospital had a mortality rate of 0. That compared with an observed mortality rate. electricity. for eg Escorts' Web site lists only the number of procedures it has performed. grounded electric wiring. a group of about 60 hospitals. organizations such as the Joint Commission on Accreditation of Healthcare Organizations. Thus if we are to improve the basic requirement of having wide roads. Such facts not only need to be told but they also need to unashamedly promoted if India has to attract more overseas patients. according to a New York State Department of Health report is much better.3 percent in 2003. In the U. Singapore and Thailand but it offers less in some areas where it matters such as infrastructure. We can almost call it as the curse of India since no matter what the problem we try to resolve on the national scale the first and most formidable issue is the infrastructure or rather the lack of it. Hospitals keep data. or the rate of actual deaths.S.
Hospital’s representatives meet the patients at the airport . help them through immigration and drive them to the hospital in a private vehicle. Bumrungrad hosted 150 Indian delegations. Thailand's airports and roads are in better shape than India's because Thailand is a major vacation destination. In 2003. We Care attitude: Indian hospitals are countering with perks of their own. They have on call consultants with arrangements made for pre and post treatment sight seeing. shopping and other tourist activites. and Spanish etc is a must.000 foreigners. 100 | P a g e . recovery rooms and the Starbucks cafe in the lobby. including one led by Wockhardt's Bali. What it shows is that convenience offsets most other things for an international patient.problems will be resolved including that of medial tourists. started courting overseas patients during the Asian economic crisis in 1997 as the devaluation of the baht drove down costs for visitors. That year. German. English. Hospitals even loan a mobile phone so they can stay in touch once they left the hospital. 10 million tourists traveled there. which runs Bumrungrad Hospital in Bangkok. Their room was stocked with fruit and drinks. That was more than triple the number for India that year. Having interpreters and instructions in multiple languages such as Arabic. It handled seven times as many in 2004. accounting for 35 percent of its patients. The patient must feel that whatever he is trying to convey goes across and all the communication must be clear. In 2003. according to the Tourism Authority of Thailand's Web site. showing them intensive care units. At the end of the day the patient must feel sure is that he is treated for the right ailment and his consultant understands him perfectly. This is due to the fact that India believes in “ atithi devo bhava” and using this to best their own cause. Bumrungrad treated 50. Bumrungrad Hospital Pcl. International Focus The focus on international patients screams at us.
3 percent of the $11 trillion gross domestic product. Unlike people who chose India after deciding not to pursue an operation through the National Health Service. Brown experienced chest pain again and was rushed to Wockhardt Hospital in Bangalore. On vacation in India in September.K. premiums averaged $9.S. In 2004. Kaiser Family Foundation and the Health Research and Educational Trust. according to the Henry J. if required. Operations on non-Indians accounted for 10 percent of the more than 4.. Foreign surgeries will pick up as rising health costs and long waiting lists provide incentives to travel to India and its low-priced rivals. the waiting list for the government-funded National Health Service prompts some patients to look elsewhere. inserting a wire mesh tube 101 | P a g e . England-based electronics company Surevision Ltd. there are others who have discovered India by accident. the groups found.6 percent to $1. Ian Brown.950 for families and $3.000 surgeries at Escorts in 2003.. Wockhardt performed an angioplasty the next day. nonprofit groups that study medical care. a director at Harrogate.. consuming almost 15. Last year. It was the fifth consecutive year that the cost of medical care expanded faster than the economy. U. Case in point : In July 2004. employer-paid health insurance premiums have soared 59 percent since 2000.More Foreigners Foreign patients are still far from the norm. two years for an angioplasty to open blocked arteries. suffered chest pain and went to his local doctor. the lag averaged less than nine months for surgery. What all this means is that no matter what happens the number of foreign tourists will keep on increasing and India should be ready or atleast get ready to attract these patients.S. about half the 18 months in 1997.68 trillion in 2003. The National Health Service told him he'd have to wait as long as four months for a test and then.695 for individuals. health-related spending climbed 7. In the U. Accidental Patient In the U.
11. $18 Charging foreigners more than Indians is one way hospitals can make money to treat the poor. Brown got a letter from the National Health Service in November asking him to come in for his initial test -. The reason why hospitals are so excited about overseas patients is that in India there are more than enough Indians to fill the nation's hospitals. The difference makes it tough to recoup costs. or $18. $800 vs. India should and is charging for the value rater than the concentrating on volume based profit alone. An echocardiogram machine. or Europe and cheap. Also after 9/11.called a stent to prop open an artery. Back in England. they charge 800 rupees.S. people are scared to go to the U. attacks on New York and Washington. Oman hospitals often refer patients to India for complicated procedures because the country is familiar. in India. used to picture the heart.000 anywhere in the world. India has enough volumes but what we don’t get is pricing. 2001. In this instance an accidental discovery proved to be a life saver. Doctors can charge $800 per scan in the U.S.S not only due to fear of terrorist attacks but mainly due to the fact that they feel threatened because of racial discrimination be it overt or subtle. The fact that people in US look at a turbaned and bearded man as a potential terrorist is an unsettling experience. costs about $200.two months after he'd had the surgery in India. closer than the U. Catering to the middle East tourists Some Middle Eastern patients began choosing India after the Sept. Not only in the US but even in UK and other European countries people of coloured skin and religion are facing discrimination. Brain drain reversal 102 | P a g e .
Indian doctors are returning home again .and offering medical procedure which they performed abroad in their home country itself. There are many Indian patients who had to go abroad for medical reasons this is one of the factors that influenced doctors to return home. The other reason is that the pay in India is gradually rising and the lure to back in one’s own homeland is quite strong. Easy Transition Indian hospitals are working to make the transition easier. Apollo is setting up a London clinic to attract people seeking alternatives to the National Health Service. The idea is that a doctor would look at patients find the problem and make all arrangements to get them to India.
Changing the trend Just as Indian software companies started with small programming jobs and expanded to become a $16 billion global industry, India's international health care initiative is in its early stages. For patients and profits to increase, India must remedy negative first impressions and persuade doubters that millions of the country's poor and ailing won't be left behind.
Lessons from International Success Stories
The success stories from across the world provide significant strategic inputs for the development of a strategy for India.
The Case of Cuba
Cuba is one of the earliest successes in medical tourism industry. The country successfully tapped the demand for medical tourism from Latin-American countries. Cuba’s success can be attributed to the strategic push provided by government through State-Owned Companies. The two main ingredients
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of Cuba’s success were: Promoting Privatization of HealthCare The government promoted private investment in healthcare to increase the supply of high quality and specialized healthcare. Healthcare was accorded infrastructure status and laws enacted to increase participation of private entrepreneurs. One example is allowing treatment for skin diseases using human placenta that was banned elsewhere. Centralized Marketing through SERVIMED The government centralized promotion of health services abroad by entrusting the responsibility to SERVIMED a newly formed public company. SERVIMED coordinated with tour operators and travel agencies to develop health packages.
The package included travel in Cuba’s national airline, 24 hours assistance, and companion personnel for the patient, repatriation, and post-surgery controls. To support efficient marketing, SERVIMED also opened offices in Argentina, Brazil, Chile, Mexico, and Venezuela. The two-pronged strategy successfully resulted in 30,000 patients visiting Cuba in 1997 for treatment earning US$ 30 million foreign exchange. Indian Scenario: Privatization of health services has increased initially only few groups like Apollo existed later on as the Govt. of India started supporting investment in health care the number of players increased and thereby the resources also increased which made it possible to respond to the increasing inbound patients. Centralized bodies like IMTA , HMTPS etc have emerged to carry out promotional activities for medical tourism.
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The Case of Thailand
A more recent success story is that of Thailand. Thailand is one of the world's leading healthcare destinations with a forecast of 1 million overseas patients for the current year. The main reasons for Thailand’s success are: Inter-Sectoral Coordination The Thai government realized early the need for coordination across various sectors to realize the industry’s potential. Hence it developed a common vision, strategic direction, joint-strategy and shared objectives for various sectors in order to facilitate better coordination between the concerned players – the Ministries of health, tourism, foreign affairs and other bodies like Thai Airways Tourism Authority of Thailand. Effective Marketing - Tourism Authority of Thailand
The Tourism Authority of Thailand (TAT) has played a stellar role in providing integrated marketing Thai tourism abroad. TAT has more than 18 offices worldwide and has won several international credits for developing excellent marketing campaigns targeted at tourists. TAT has so far been extremely successful in marketing Thai health services also.
Focus on Hospitality Thailand heavily focuses on hospitality to provide superior consumer experience and building brand equity. For example the Bumrungrad Hospital in Bangkok provides hospitality services that include: pick up from Airport, language interpreters for 18 languages and an in-house Starbucks and McDonalds to cater to tourists from U.S and U.K.
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After the dotcom com boom in the nineties we have gone through a lean patch as such. all we can claim is to be a progressive one. domestic travel . insurance providers are collaborating to take care of the tourists right from the Foreign Tourist Arrival. India as an emerging nation needs to grow both from with in and outside. tourism. Airways. CHAPTER – 9 CONCLUSION India is a developing country and a lot needs to be done before we can call ourselves as a developed country. foreign affairs and other bodies like APSRTC. IRCTC. treatment requirements. stay.Currently the Ministries of health. in the sense development needs to done both for the Indian Diaspora and at the same time opportunities need to be grasped and developed so that foreign investment pours in. We have all the bases coved in the sense we have the qualified doctors and consultants. All that we do need is to make the transition from 106 | P a g e . After the dotcom rush India has again got the opportunity to earn billions of dollars with medical tourism . we have already developed the trust of people the world over in the past decades and we also have the exotic environment meant for tourism.
Health of its own people will reflect on the robustness of the general state of the country. they have to be developed exclusively for the medical tourism purpose. hotels. Although the situation appears to be grim there is still hope. malyasia etc. Not only that there should be government authorized websites where people can get all the information regarding surgeries. Time and again we see that the root of all our national issues and problems arise from having an inherently weak infrastructure with poorly executed law and order and political red tape. air network and good sanitation. First and foremost is to have the basic infrastructure in place such as having proper road and rail connectivity.4 % of its GDP on medical care of its own people. having a good network of airports to all the major states and cities and with the countries from where the potential tourists will arrive such as the US the middle east and western Europe and also the major African and Islamic countries in Asia. getting information and advertisements published in medical journals and popular magazines etc is a worthwhile investment. Singapore . conventional tour packages and infrastructure tools such as electronic connectivity. The question that India will have to handle in the coming years is how to justify giving world class medical care to visitors where as it spends just 1. cost comparison etc .being a potential destination to a fully rewarding and sound medical tourism destination which is equivalent to or better than any service offered world over. Secondly but more importantly there is a need to put forward the information required by the tourists. So unless this is balanced off the issue of biasness will keep on cropping up. We have already seen how 107 | P a g e . south American states such as Mexico and Costa Rica etc. hotels. television advertisements. medical facilities. One step at a time is all that is needed. Medical tourism is based on having a well oiled network of tour operators. dwindling natural resources and reckless disregard for the environment we stand at a junction where things can go haywire or they might become extremely successful if we only start resolving them. Only then we can compete with already established markets such as in Thailand . Currently it is like moving 1 step ahead and then going 3 steps backwards. Aggressive marketing is the only way to go as seen in the case of Thailand. Compounded with the problem of over population. Twenty four hours helpline.
successful the Incredible India campaign is. I hope I have done justice to my project and based on the data collected I might easily say that India is the place where people come to heal themselves since god’s grace seeps and flows through all the pores of India. the weak points and in general trying to understand the phenomenon itself of medical tourism has been insightful. The main idea behind doing this project was to highlight all the important features and data and give atleast a birds eye view over the concept of tourism for medical purpose. Bringing out all the true facts. a functional infrastructure and some clever promotional campaign. We have the cost advantage. The idea of doing this project was to bring to light how medical tourism is the 21 st century’s golden goose for India. Based on similar line but exclusively for medical tourism other such campaigns must be developed. “ATITHI DEVO BHAVA” 108 | P a g e . It just seems like a circle in which all the bodies who participate have a win win situation on hand. It has been worthwhile doing this project on medical tourism since it is an upcoming industry with lots of potential and also facing various difficulties. we have the skills advantage we even have world class facilities and so all we need is a better image. English speaking doctors and medical staff it seems just a matter of time when medical tourism will take off in a big way. Not only that the foreign currency that we earn is going to give our own people various benefits. I therefore dedicate this project to all the worthy doctors and medical professionals and to India my mother and may gods will guide us to to a better and prosperous era. This is a golden opportunity which we cannot pass up. This project has been laborious since finding out relevant information is difficult and there are very few sources to find it out from. Since India already has the advantage of having highly qualified. In conclusion I can easily say that medical tourism for India is a once in a life time opportunity and we certainly need to take up on our strong points in order to become the leading nation in this area. We are a nation of people who feel honor in helping out and healing the mind and the spirit.
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