Medical Tourism in India

LT7A - Batilo. Kathuria. Kuruvinakunnel. Mohan. Pua. Venkatesh

About Medical Tourism

Travelling across international borders to get health care Individuals with rare genetic disorders may travel to another country where treatment of these conditions is better understood for health care services such as joint replacement (knee/hip), cardiac surgery, cosmetic surgeries etc It also refers to the practice of healthcare providers travelling globally to provide healthcare Over 50 countries have identified medical tourism as a national industry like Brazil, Hungary, India, Malaysia, Mexico, Thailand etc. Thailand and India are the most popular destinations in Asia

Drivers: Medical Tourism

Low Cost Long wait times for certain procedures
Origin
Africa Asia Europe Latin America M.East N.Amer Aus & NZ

Asia
95% 93% 39% 1% 37% 45% 99%

Europe
4% 1% 10%

LAM
1%

MEast

NAM
6%

5% 12%

12%

33% 87%

The ease and affordability of international travel

Improvements in both technology and standards of care in many countries

8%

26% 1%

2% 2%

58% 27%

Cultural Factors
Official language is English Family Languages
Sharing
Treat guests well

Culture
Location Advantage

Religions

Secular Values Geographic

Hospitable Consistent climatic conditions Flexibility

No time difference

Major Players & Services

Destinations Kerala for Ayurvedic treatment Chennai for Eye treatment Delhi, Mumbai and Banglore for heart dental and Neuro surgery

cosmet

Growth of Medical Tourism in India

India attracts international patients from over 50 countries The number of medical tourists to grow at a CAGR of over 19 per cent during 2011-2013 to reach 1.3 million by 2013

The number of medical tourists in India is likely to reach 3.2 million by 2015 if it continues to grow at the CAGR of 40%, suggests by the Associated Chambers of Commerce(ASSOCHAM)

Government Support & Accreditation

Ministry of Tourism has initiated several measures to promote Medical and Health Tourism which include: Promotions in overseas market Provides list of recognized agents Issues medical or M-visas to health tourists and Mx visa to family members (1 year) MoH and Family Welfare has allowed medical practitioners from foreign countries to work in Indian hospitals National Accreditation board for testing and Calibration Laboratories (NABL) has adopted the International Criterion for Laboratory accreditation set by ISO

Pricing Advantage
Bypass surgery, Coronary artery heart valve bypass surgery replacement
Knee Hip replacement replacement Face lift

Costa Rica France India

24,100 33,100 7,000

30,000 33,137 9,500

11,400 15,000 7,200

10,700 17,000 4,300-7,200

4,900 12,300 3,100-4,800

Malaysia
Philippines Panama Singapore South Korea Taiwan

12,000
10,000 10,500 16,300 31,750 27,500

13,400
13,000 13,500 22,000 42,000 30,000

7,500
5,500 12,000 10,600 8,800

12,000
7,000 9,600 11,900 10,000

6,400
3,000 2,500 6,250-7,500 6,650 8,500

Thailand
UAE UK USA

22,000
40,900 43,000

25,000
50,600 90,000

12,700
46,000 13,000

11,500
40,200 52,000

5,000
13,000

70,000-133,000 75,000-200,000 33,000-57,000 30,000-53,000 10,500-16,000

Why India
Rich Cultural heritage Large pool of good doctors, nurses and paramedics Growing Insurance Industry Cost advantage during treatment as well as medication Less Waiting time World Class Quality High brand value of leading Indian medical professionals across the globe Vibrant Pharmaceutical industry English speaking population

Low Cost

Personalized Service

Medical Tourism Process in India

Contribution to Other Business Systems

Special Airport Special flights

AVIATION
Ayurvedic schools, spas

Increase in hotels near vicinity

HEALTH SPAS
Employment

MEDICAL TOURISM

HOTELS

Cuisine

HOSPITALS
Medical equipments and medicines

TOURISM AGENCIES

Medical packaged tours

Sight seeing tours and tour operators

Alternative medicines
Rejuvenation Nature cure Traditional Yoga Ayurveda

Siddha medicines

Up to 80% of people in India use some form of traditional medicines Contribution to medical tourism USD 300 million

Ayurveda
Knowledge of life Sanskrit
A Hindu system of traditional herbal medicine native to India Number of units 6228(mostly micro and small) 384 educational institutions and 16,861 hospitals/ dispensaries Ayurvedic industry market - currently estimated at Rs.3000 crore (USD 600 million) Preference for natural and herbal care is increasing Celebrities who visited India for Ayurveda include Madonna, Paltrow, Uma Thurman, Kate Winslet

Risks

Controversies & Malpractices

Quality of treatment and facilities Use of herbs containing toxic compounds Accreditation of doctors and hospitals Security of tourists Illegal purchase of organs and tissues needed for transplant

Comparison vs. Other Asian Countries

Government Support
Government-sponsored programs to send students to study abroad Striving to improve healthcare facilities through regulations and spending

Medical Facilities
Workforce Transportation and Travel Hotels and Accommodations

High technology and world class facilities Luxurious recovery rooms Internationally accredited hospitals
Doctors and specialists are trained abroad Strong English proficiency Presence of international airports and availability of direct international flights Options for local travel: Domestic air travel, boats, buses, trains

Clean budget hotels Upscale resorts and lavish, five-star hotels Mid-range options also available.

Other Asian Countries Popular Treatments

India
Popular Treatments: Bone-marrow Transplant, Cardiac Bypass, Eye Surgery, Hip Replacement Alternative Treatments: Yoga, Naturopathy, Ayurveda,

Singapore
Popular Treatments: Hip and Knee Replacements, Dental Care, Cardiac Surgeries Alternative Treatments: Chinese Herbal medicine, Acupuncture Treatments, Ayurveda, Bioenergy, Naturopathy, Homeopathy, Hypnotherapy

Thailand
Popular Treatments: Cosmetic Surgery, Dental Care, Gender Realignment, Heart Surgery, Obesity Surgery, Oncology, Orthopedics Alternative Treatments: Herbal Medicines, Wellness Retreats, Yoga , Chiropractic Treatments, Acupuncture, Hydrotherapy and Reflexology

India Thailand

Philippines
Philippines Popular Treatments: Plastic Surgery, Organ Transplants, Hip and Knee Replacements, Eye Operations and Dental Care Alternative Treatments: Medicinal plants, Faith healing, Fringe Therapies

Singapore

Comparison vs. Cultural Differences

India
Ancient traditions Indian traditions A number of influences keep highly-acclaimed specialists here, including family ties, national loyalty and a desire to assume a leading role in the countrys burgeoning medical scene

Singapore
Sizeable Chinese population in Singapore and as such many alternative medicine clinics exist offering traditional Chinese medicine for all kinds of ailments Prevalence of expats Clean and structured environment

India Thailand

Philippines
Hospitable and caring Philippines Philippine citizens are internationally known for their friendly characters and willingness to lend a helping hand to anyone in need

Thailand
Global Leader in Hospitality More liberated acceptance in terms of cosmetic and sex related procedures Singapore

SWOT
Quality and Range of Services

STRENGTHS

Poorer government support vs. competition

Low Cost Internationally accredited hospitals & educated doctors Leading specialist in every field Quick TAT Presence of alternative treatments Expanding Tourism Industry

Lack of uniform pricing across hospitals Underdeveloped tourism and medical infrastructure Poor hygiene and sanitary perception Insurance companies do not recognize some Indian hospitals

OPPORTUNITIES

SWOT

WEAKNESS
THREATS

Increased demand for healthcare services from countries with aging populations Fast-paced lifestyle increases demand for wellness tourism and alternative medicine Demand from countries with underdeveloped medical facilities

Strong competition from Thailand, Singapore and Philippines Overseas medical care is not covered by other providers

Recommendations
Stronger government support is needed Research budgets and development of medical infrastructures Improve M-visa policies for medical tourists and their companions Global marketing and awareness programs Subsidies to develop the poor infrastructure Provide incentives for investments in underdeveloped areas Promote collaborative partnerships among the different hospitals and tourism industries to establish uniformity and lift standards Develop joint ventures with other international hospitals (US and Europe) for expertise of knowledge and expertise as well as gain further international recognition Partnership with insurance companies to also cover international patients

Thank You!

Sources
http://www.discovermedicaltourism.com http://www.patientsbeyondborders.com http://www.dare.co.in/news/others/2010-cwg-spark-boom-for-ayurveda-a-medical-tourismassocham.htm http://webcache.googleusercontent.com/search?q=cache:eOjnIEjJWV8J:cii.in/WebCMS/Upload/Mr%2520 A%2520K%2520Krishnakumar.pdf+ayurveda+market+size&cd=1&hl=en&ct=clnk&gl=in http://www.thehindubusinessline.in/2004/03/03/stories/2004030300551300.htm http://www.tribuneindia.com/2005/20050423/main3.htm http://heapol.oxfordjournals.org/content/25/3/248.full http://www.indianchild.com/culture%20_1.htm

Changing pattern of disease burden in India

A growing middle class with about 62% falling in this category Increasing purchasing power

Use of technology, which is at par with international standards : in medical diagnostics, imaging and testing equipment
A mature pharmaceutical industry that produces formulations and bulk drugs at lower prices A transiting public health profile sector, with large but declining burden of communicable diseases & increasing instances of disabilities due to non communicable ones

RISKS, LEGAL & ETHICAL ISSUES

RISKS
- Countries such as India, Malaysia, or Thailand have very different infectious disease-related epidemiology than to the Western countries. Exposure to diseases without having built up natural immunity can be a hazard for weakened individuals, specifically with respect to gastrointestinal diseases.

LEGAL
- The limited nature of litigation in various countries is one reason for the cheaper cost of care overseas, patients may not be covered by insurance, unable to seek compensation via malpractice lawsuits

ETHICAL
- The illegal purchase of organs and tissues for transplantation had
been alleged in countries such as India and China

DIAMOND MODEL
Poor infrastructure, corruption, terrorist activities hamper the growth

Competition is immense, Thailand, Singapore and other nations are becoming more attractive in the same genre

India is a main attraction due to low cost services, highly qualified doctors, English language as a medium of communication and hospitable culture

The Demand for Indian Doctors and the service is increasing by 30 % every year where in almost half a million foreigners are expected in 2012

Some of the relating industries which affect medical tourism are : Tourism agencies, Hotels, Hospitals, Aviation, Health Spas

Government support

Cost Differential

Comparison vs. Other Asian Countries

India
Plenty of room to accommodate a diverse range of medical facilities Quick turnover and short, or nonexistent, waiting lists Leading specialist here in every field A land of historic traditions and myriad cultures, India is one of the worlds most captivating holiday destinations

Singapore
Advanced health care system based on the same medical principles as those in Western countries Ultra clean and structured environment makes it a good choice for visitors who dont adjust well to culture shock Supported by a multifaceted medical hub

Thailand
Known as the world leader in medical tourism Quick Turnover, Online Appointment System Global leader in hospitality, perfect destination for treatments aimed at healing the mind and body Well developed tourism infrastructure

India Thailand

Philippines
Filipino hospitality and care, the staff will often offer a more Philippines personal level of service Boasts a selection of beautiful beaches and other tourist destinations

Singapore