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HEALTHCARE

TOURSIM/MEDICAL
TOURSIM
PRESENTED TO,
PROF. LALIT SHARMA
PRESENTED BY,
Brajesh kumar
G.S.B.A, GREATER NOIDA
What it is all about
• Medical Tourism is traveling abroad for
healthcare services.
• Medical Tourism is not emergency or critical
Afforda care travels:
ble – While out of country
Accessi – Expatriate care
ble
Availabl • Reasons medical tourists go abroad:
e – Real or perceived lack of services at home
Accepta – Treatment protocols, equipment, or
ble services
Additio – Prolonged waiting periods
nal
– Lower costs of care
Medical – Personal reasons
Tourism
Magazine, #
6, August
2008
Medical Tourism Definitions
Medical travel The travel portion of the trip. When an
individual travels across the border and
outside one’s customary environment to seek
healthcare services.

Medical Upon arrival, such individual is called a


tourist medical tourist.

Medical Activities which include utilization of


tourism healthcare services by the medical tourist,
directly or indirectly, e.g. hospitality, cultural
exposure, sightseeing

Medical Facilitator and coordinator of medical travel


tourism and tourism services on behalf of the medical
operator tourist
(MTO)
Healthcare Business
Facts & Figures

• Worlds largest after retailing


• Global healthcare revenue US$ 2.8 trillion
• India’s healthcare industry worth US$ 17 billion; to
grow by 13% per annum for next 6 years
• In 2004,India treated 1.8 Lac patients.This is to grow
substantially at the rate 25-30% in 2005

Contd..
Healthcare Business
Facts & Figures

• Medical tourism could account for 3-5% of the total


healthcare delivery market.
• India is rated amongst the world’s “must see top ten
destination” by Conde Naste (international magazine)
• A study by CII Mckinsey estimates that country could
earn 5000-10,000 crore by 2012
• Health procedures across world show 200-800% cost
difference
Medical

Wellness retreatsMedical Treatment

Wel Sick
l

Spa treatment Check


ups
Leisur
Concept of Medical Value
Tourism
 Is it a new concept ? - No
Dates back > thousands of years.
Greek pilgrims travelled in Saronic Gulf
called Epidauria, sanctuary of the healing
god Asclepius

 Yes. Marketing of Medical Value Tourism


is
relatively new concept.

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Advantage India
(Core Competencies)
“First World Treatment at Third World Costs”

Quality
Large pool of doctors, nurses & paramedics
Strength: - Over 650,000 doctors;
- Highly skilled experts, and
- 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
Contd..
Advantage India
(Core Competencies)
“First World Treatment at Third World Costs”

Alternative Medicine Proposition:

•Ancient Ayurvedic stream of medicines


• Rejuvenation alternatives: Kerala’s health
retreats

• Naturopathy and Yoga


Changing Consumer Patterns

• Increased visibility & ease of access to leading hospitals,


doctors and surgeons who post their skills & specialties,
pricing etc on websites has made available a wide choice of
treatment to the overseas patients

• Media is showcasing India’s ability to treat overseas patients


in a comparable environment
Economics of tourism
 Tourism third largest net earner of foreign
exchange
 India’s share in International Tourist arrival
– 2002 - 0.34 percent
2005 - 0.49 percent – total 3.92 million
 The World Travel Tourism Council - “India
as one of the foremost growth centre in the
world in coming yrs”.
Travel & Tourism sector creates more jobs
per million rupees of investment plan, than
any other sector of the economy.
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 The size of Indian Medical Tourism sector estimated in
2002 to be min 1,00000 to 1,50,000 foreign patients per
year (Medical Tourists) .

 The annual growth rate of Medical Tourism in India


» 2000 – 15% per year

» 2007 – 30% per year


 Kerala - > 8000 patients annually.
Cardiac, Ortho & Ayurveda treatment
- KIMS (2007) – 40,000 medical tourism patients

 Hospital ‘A’ in Bangalore - reported 900 medical tourists


per year.

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Advantage India
Unique medical value services to foreign
patients that supersedes the competition :
Yoga
 Meditation /Spiritualism
 Ayurveda healing

“India offers a unique basket of services to an


individual that is difficult to match by other countries”
(CII)

Less regulatory & legal problems

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Confederation of Indian Industry (C II) sponsored
Mc Kinsey & Co. study.–“Healthcare in India : The
Road Ahead” report:-

 1.3 million medical tourists visit Asia / year

 Nos. of US patients seeking cheaper care


abroad - grew to 7,10,000 / year

 Over 1, 50000 medical tourists travelled to India


in 2002 bringing in earnings of $ 300 million.
 2006-07 > 3,00000

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Micro Economics - Comparative Cost Analysis
Metal Free Dental Bridge
India – US
$ 500 $ 5500

Bone Marrow Transplant


India US UK
$ 30,000 $ 250,000- $40,000 $ 150,000

Cosmetic Surgery
India Thailand US Singapore
$ 2000 $ 35,00 $ 10,000 -

Spinal Fusion
$ 5500 $ 7000 $ 62,000 $ 9000

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 India has number of World Heritage Monuments &
Archeological sites attracting tourists /medical
tourists – Requirement strategic marketing for
Medical
Tourism
World heritage sites- Taj Mahal, Ajanta & Ellora,
Khajuraho, Bhimbetica rock
paintings
Buddhist sites – Shravasti, Kushinagar

Ancient & religious places – Varanasi, Udaipur,

Cultural /Festival tourism – Ladakh festival,


Khajuraho festival
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Rethink – Healthcare travel
not just medical travel
• Look at all
aspects of
healthcare
– Spas
– Wellness
– Treatment
– Retirement
– Rehabilitation
Growth of International Standard
Hospitals

Apollo Hospital Hyderabad Max Hospital Delhi Fortis Hospital, Delhi

Jaslok Hospital, Mumbai


Breach Candy Hospital Wokhardt Hospital
Bangalore
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Industry Issues
 Standardized education in Medical Institutions
Doctors  Strong regulatory mechanism to curb quacks
 No communication and inter-personal skills teaching

Nurses &  Deficient Language skills


 Lack of Standardization
Paramedical
 Attrition
 Hygiene awareness in medical attendants
Service
 Unhygienic Food handling
Heterogeneous Pricing of services
PATH FORWARD
(Potential + Improvements)
POTENTIAL FUTURE FOCUS
Uniform Medical Education Standards
Doctors & Paramedics
Industry Accreditation Standards
Expertise Recognized
Mandatory Accreditation of all Colleges &
Cost Advantage Hospitals
Language Skills Target-oriented Infrastructure Investment
More Medical, Nursing colleges and Hospitals
Vibrant Industries
Regulatory Bodies with Teeth
IT Strength
Government soft loan to Private Players
Management Skills
Tax Holiday & Further Duty Roll Back
Pharmaceutical Industry Apex Industry body under Union List
Tourism Potential Greater Industry & Govt. Interaction
Service Industry Mindset
Medical Insurance Reforms
Seamless Single-Window Facility to Tourists
Govt. sell India as Medical Tourism Destination
Can we have similar Map for Medical
Tourism for India ?

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Economic Crisis, Credit Crisis &
Recession in USA - Will it affect Medical
Tourism market in India ?
• No
• There are almost 50 million Americans with
no health insurance
• Canada - > 700000 patients waiting for
procedures/surgery for > 6 months- 1yr
• It can have a very positive impact on
tourism industry in India for hospital & allied
healthcare industry who position
themselves in the right direction .
Planning Commission Report -

 Govt will provide ‘M’ Visa to Medical Tourists on


priority.
 Most patients visit from SAARC + US &UK
 Lowest cost -
o Heart Bypass Surgery -
India Thailand Singapore US / UK
$ 6000 $ 7894 $ 23,983 $19,700

o Heart Valve Replacement Surgery


$ 8000 $ 10,000 $ 12500 US $ 20000
UK & 90,000

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Medical Tourism Operators
Facilitate…
• Client assessment
• Compilation of all pertinent records
• Recommend/match providers abroad
• Scheduling treatment
• Making all travel arrangements
• Handling payment
• Follow-up care upon return
Foreign tourists: criticisms of a
major medical tourism destination
Obstacles % of Respondents

Maltreatments, such as over-charging by taxi drivers, lack of 63%


manners and ill-informed tourist guides and tour operators,
cheating, etc, in many tourist destinations such as Agra, Delhi,
Mumbai and Jaipur

Delays at immigration counters due to lack of space and inadequate 90%


computerization
Bad condition of roads in tourist destinations 55%
High cost of travel from far away countries, including those in 30%
Western Europe, North America, Japan, and Australia
Dual pricing of airfares for foreign nationals and domestic 30%
passengers (40.5% higher for foreigners)
Entry fees to monuments and heritage sites were higher for 30%
foreigners than Indian nationals
Difficulty in obtaining fast connectivity to certain tourist spots or 28%
centers
Dissatisfaction with airport facilities like ambience, toilets, 80-90%
cleanliness, cafeteria, baggage and customs clearance, and
security
PATH FORWARD
(For Success)
REALIZED POTENTIAL SPIN-OFF

GDP Growth
INDIA Employment in Healthcare Sector
EMERGES Employment in Tourism Industry
AS MAJOR
Overall Growth in Commerce
MEDICAL
TOURISM Reversal & Arrest of Brain Drain
DESTINATION Stimulus to Pharmaceuticals Industry
Growth in Insurance Industry
Better medical facilities for larger population
Catalyzes India to the Club of Global Leaders
Reposition – Healthy
destinations
• Sell destinations for what
they can do to improve health
and wellbeing
• Offer full range of products
and services Package
CONCLUSION
• Opportunity to create a new travel segment in
health using spas and medical tourism as anchors
• Travel industry should focus on low risk, value
added services and retreats that focus on lifestyle
and disease management
• Everyone is looking for new business
opportunities
• Travel understands how to package, healthcare
facilities don’t