MEDICAL TOURISM AND TRADE

By Prof. Stella sugunakumari chettinad health city Chennai.
27th FEB 2012
© 2008 Chettinad College of Nursing

MEDICAL TOURISM
INTRODUCTION: According to World Tourism Organization, medical tourism includes medical care, sickness and well-being, rehabilitation and recuperation They range from beautiful holiday packages bundled with spas to cosmetic treatments to cardiovascular surgery, and from diagnostic services to rehabilitation
27th FEB 2012
© 2008 Chettinad College of Nursing

Types of Medical Tourists There are two types of Medical Tourists – • Leisure tourists those incorporates a visit to the doctor for some minor treatment. • Tourists traveling specifically for medical treatment. 27th FEB 2012 © 2008 Chettinad College of Nursing . as part of his or her vacation.

patients.TRADE IN HEALTH • Goods: Medicines. Vaccines and other health technology • services: Movement of health professionals. copy rights on health related services and trade 27th FEB 2012 © 2008 Chettinad College of Nursing . trade marks. health related investments and supply of health care services across countries • Intellectual property: Patents.

Medical Value of Travel  Travel tourism + pleasure. physical & mental relaxation + value addition of medical treatment at lowest cost || Medical Tourism 27th FEB 2012 © 2008 Chettinad College of Nursing .

to grow by 13% per annum for next 6 years • In 2009.India treated 1.8 trillion • India’s healthcare industry worth US$ 17 billion.8 Lac patients. 27th FEB 2012 © 2008 Chettinad College of Nursing .HEALTHCARE BUSINESS Facts & Figures • Worlds largest after retailing • Global healthcare revenue US$ 2.

• India is rated amongst the world’s “must see top ten destination” by Conde Naste (international magazine) • A study by Mckinsey estimates that country could earn 5000-10.HEALTHCARE BUSINESS Facts & Figures • Medical tourism could account for 3-5% of the total healthcare delivery market.000 crore by 2012 • Health procedures across world show 200-800% cost difference 27th FEB 2012 © 2008 Chettinad College of Nursing .

Economics of tourism  Tourism third largest net earner of foreign exchange  India’s share in International Tourist arrival – 2002 .0.0.34 percent 2005 .  The World Travel Tourism Council . 27th FEB 2012 © 2008 Chettinad College of Nursing .“India as one of the foremost growth centre in the world in coming yrs”.49 percent – total 3.92 million has increased. than any other sector of the economy. • Travel & Tourism sector creates more jobs per million rupees of investment plan.

finance. and foreign affairs ministries with information needed for multilateral trade negotiations. 27th FEB 2012 © 2008 Chettinad College of Nursing . • Development of tools and training to build capacity in member states to fully understand the public health implications of multilateral trade agreements.WHO’s work to improve effects of trade on health WHO focuses on: • Analysis and research to inform policy and practice. • Assistance to ministries of health to provide trade .

AFRICA. Nepal and Bangladesh etc • Limited specialized care is taken WESTERN COUNTRIES • Long waiting • Insurance unaffordable leading to semi insured and uninsured population • Private hospitals very expensive 27th FEB 2012 © 2008 Chettinad College of Nursing .Issues for Treatment in Different Countries SAARC .MIDDLE EAST COUNTRIES • No advance care available in Afghanistan .

the industry watchers say it is growing at 30 per cent annually. (CII) India has the potential to welcome over a million medical tourists annually • A study by McKinsey and the Confederation of Indian Industry.000 crore will be added to the revenues of private up-market players (i.Indian Healthcare-Some Facts and Predictions • According to Confederation of Indian Industry.e. Rs 10. predicts that by 2012.) almost 25 per cent of the present revenues • The Indian government predicts that India’s $17-billion-a-year health-care industry could grow at 13 per cent in each of the next six years. 27th FEB 2012 © 2008 Chettinad College of Nursing . boosted by medical tourism • Whereas.

Why India ? • • • • • • • Clinical outcomes matching world statistics World-Class doctors Technology Edge Competitive costs Quality of service Patient centric care Almost nil waiting time Others: Increasing popularity as a tourist destination • Eastern Healthcare Wisdom along with the best of Western Medicine 27th FEB 2012 © 2008 Chettinad College of Nursing .

Important Specialities in India • • • • • • • • • • • Bone Marrow Transplant Brain Surgery Cancer Procedures (Oncology) Cardiac Care Cosmetic Surgery Dialysis and Kidney Transplant Drug Rehabilitation Dental care Gynaecology & Obstetrics Health Checkups 27th FEB 2012 © 2008 Chettinad College of Nursing • • • • • • • • • • • Joint Replacement Surgery Nuclear Medicine Neurosurgery & Trauma Surgery Preventive Health Care Refractive Surgery Rehabilitation Osteoporosis Spine Related Urology Vascular Surgery .

Possess English speaking skills • Comfort Level • NRI doctors recognized as amongst best in adopted countries (First World) • Usage of English • Indian Nurses increasingly getting international exposure 27th FEB 2012 © 2008 Chettinad College of Nursing .Highly skilled experts. and – . nurses & paramedics – Strength: .ADVANTAGE IN INDIA • Quality – Large pool of doctors.Over 650.000 doctors. – .

ADVANTAGE IN INDIA • Value Proposition • Quality medical services at cheap costs: • Complicated surgical procedures possible at cheap cost • Increase in use of Computerized Hospital Information Systems • Software technologists facilitating tech revolution in • healthcare • State-of-the-art medical establishments of great repute 27th FEB 2012 © 2008 Chettinad College of Nursing .

98.5%  Immediate attention / treatment / surgery  Best Nursing Care with compassion  Language no barrier – English speaking staff  Low cost (1/10th). affordable best healthcare 27th FEB 2012 © 2008 Chettinad College of Nursing .  Hospital infrastructure & technology on par with USA. high quality.US – 97.7% -. UK & other European countries  No waiting period  Success rate – India -.ADVANTAGE IN INDIA  India has world class corporate hospitals and excellent treatment Centres in the world.

Cultural and Religious diversity – Diverse geographical landmarks. empowered 5000 year old civilization – Renowned for Historical. vast coastline – Traditional arts and crafts – women population 27th FEB 2012 © 2008 Chettinad College of Nursing .ADVANTAGE IN INDIA • Lower Medication cost: – – – – Strong Pharma Sector and gaining world recognition Fast emerging as major Drug R&D Center Strong Generic drugs business Low cost of drug development in India – Tourist Interest: – Vibrant democracy: Freedom for citizens.

ADVANTAGE IN INDIA • Alternative Medicine Proposition: – Ancient Ayurvedic stream of medicines – Rejuvenation alternatives: Kerala’s health retreats – Naturopathy and Yoga 27th FEB 2012 © 2008 Chettinad College of Nursing .

Analysis • SWOT Analysis for Health Tourism Will establish tourism infrastructure and capacity to support the movement of customers along with hotel services that would be required to build the market • SWOT Analysis for Health Tourism Opportunities: • Provides opportunities for links to global markets and encourages use of international standards of performance in order to be management areas in a cost effective and efficient manner. • Allows institutions to keep up to date with best practice in clinical as well as standards. • Threats Lack of knowledge with the international competitive. 27th FEB 2012 © 2008 Chettinad College of Nursing .

Opportunities. Weaknesses/Limitations.SWOT analysis (alternately SLOT analysis) is a strategic planning method used to evaluate the Strengths. and Threats involved in a project or in a business venture. 27th FEB 2012 © 2008 Chettinad College of Nursing .

983 19700 7894 6000 .5000 400 6000 6000 6400 5000 800 6600 6000 9600 23.Comparative Analysis in USD Procedure US UK BANGKOK INDIA Singapore Angioplasty Angiography Hip replacement Knee replacement CABG Heart byepass surgery 27th FEB 2012 © 2008 Chettinad College of Nursing 30000 2500 3000 19000 2700032000 30000 19700 2100027000 2000 1300016000 1600018000 4000 .5000 1100 4000 .

There are international trade agreements in WTO which have a direct impact on public health. • Trade liberalization in health services is a double edged sword. • There is an urgent need for policy coherence between trade and health policy. 27th FEB 2012 © 2008 Chettinad College of Nursing . TRIPS & GATS. • Strong and prolong patent protection has an effect on access to new essential medicines.Conclusions • Globalization is unavoidable and trade liberalization is a part of it. • TRIPS flexibilities needs to be understood and they must be fully incorporated in the national patent law.

Canada. USA. Middle East.To India UK. South East Asia Medical 27th FEB 2012 Tourists © 2008 Chettinad College of Nursing .

Thank you 27th FEB 2012 © 2008 Chettinad College of Nursing .