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8/13/2019 27 2 Medical Tourism
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27thFEB 2012
2008 Chettinad College of Nursing
MEDICAL TOURISM ANDTRADE
By
Prof. Stella sugunakumari
chettinad health cityChennai.
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MEDICAL TOURISM
INTRODUCTION:
According to World Tourism Organization, medicaltourism includes medical care, sickness and well-being,
rehabilitation and recuperation
They range from beautiful holiday packages bundledwith spas to cosmetic treatments to cardiovascular
surgery, and from diagnostic services to rehabilitation
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Types of Medical Tourists
There are two types of Medical Tourists
Leisure tourists those incorporates a visit to the doctorfor some minor treatment, as part of his or her vacation,
Tourists traveling specifically for medical treatment.
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TRADE IN HEALTH
Goods: Medicines; Vaccines and other healthtechnology
services: Movement of health professionals; patients;health related investments and supply of health careservices across countries
Intellectual property: Patents; trade marks; copy rightson health related services and trade
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Medical Value of Travel
Travel tourism+
pleasure, physical & mental relaxation
+value addition of medicaltreatment at lowest cost
||
Medical Tourism
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HEALTHCARE BUSINESS
Facts & Figures
Worlds largest after retailing
Global healthcare revenue US$ 2.8 trillion
Indias healthcare industry worth US$ 17 billion; to growby 13% per annum for next 6 years
In 2009,India treated 1.8 Lac patients.
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HEALTHCARE BUSINESS
Facts & Figures
Medical tourism could account for 3-5% of the totalhealthcare delivery market.
India is rated amongst the worlds must see top tendestination by Conde Naste (international magazine)
A study by Mckinsey estimates that country could earn5000-10,000 crore by 2012
Health procedures across world show 200-800% costdifference
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Economics of tourism
Tourism third largest net earner of foreign exchange
Indias share in International Tourist arrival
2002 - 0.34 percent
2005 - 0.49 percenttotal 3.92 million has increased.
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 millionrupees of investment plan, than any other sector of theeconomy.
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WHOs work to improve effects
of trade on health
WHO focuses on: Analysis and research to inform policy and practice.
Development of tools and training to build capacity inmember states to fully understand the public healthimplications of multilateral trade agreements.
Assistance to ministries of health to provide trade,finance, and foreign affairs ministries with information
needed for multilateral trade negotiations.
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Issues for Treatment in
Different Countries
SAARC ,AFRICA,MIDDLE EAST COUNTRIES
No advance care available in Afghanistan , Nepal andBangladesh etc
Limited specialized care is taken
WESTERN COUNTRIES
Long waiting
Insurance unaffordable leading to semi insured anduninsured population
Private hospitals very expensive
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Indian Healthcare-Some
Facts and Predictions
According to Confederation of Indian Industry, (CII) India has thepotential to welcome over a million medical tourists annually
A study by McKinsey and the Confederation of Indian Industry,predicts that by 2012, Rs 10,000 crore will be added to the revenuesof private up-market players (i.e.) almost 25 per cent of the presentrevenues
The Indian government predicts that Indias $17-billion-a-yearhealth-care industry could grow at 13 per cent in each of the next sixyears, boosted by medical tourism
Whereas, the industry watchers say it is growing at 30 per centannually.
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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
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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
Joint Replacement Surgery
Nuclear Medicine
Neurosurgery & Trauma
Surgery
Preventive Health Care Refractive Surgery
Rehabilitation
Osteoporosis
Spine Related
Urology
Vascular Surgery
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ADVANTAGE IN INDIA
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 adoptedcountries (First World)
Usage of English Indian Nurses increasingly getting international exposure
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ADVANTAGE IN INDIA
Value Proposition
Quality medical services at cheap costs:
Complicated surgical procedures possible at cheap cost
Increase in use of Computerized Hospital InformationSystems
Software technologists facilitating tech revolution in
healthcare
State-of-the-art medical establishments of great repute
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ADVANTAGE IN INDIA
India has world class corporate hospitals and excellenttreatment Centres in the world.
Hospital infrastructure & technology on par with USA, UK& other European countries
No waiting period
Success rateIndia -- 98.7%-- US 97.5% Immediate attention / treatment / surgery Best Nursing Care with compassion Language no barrierEnglish speaking staff
Low cost (1/10th), high quality, affordable besthealthcare
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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; empowered 5000 yearold civilization
Renowned for Historical, Cultural and Religious diversity
Diverse geographical landmarks; vast coastline Traditional arts and crafts
women population
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ADVANTAGE IN INDIA
Alternative Medicine Proposition:
Ancient Ayurvedic stream of medicines
Rejuvenation alternatives: Keralas health retreats
Naturopathy and Yoga
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Analysis
SWOT Analysis for Health Tourism Will establishtourism infrastructure and capacity to support themovement of customers along with hotel services thatwould 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 ofperformance in order to be management areas in a costeffective and efficient manner.
Threats Lack of knowledge with the internationalcompetitive.
Allows institutions to keep up to date with best practicein clinical as well as standards.
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SWOT analysis(alternately SLOT analysis) is a strategicplanningmethod used to evaluate
the Strengths, Weaknesses/Limitations,Opportunities, and Threats
involved in a projector in a businessventure.
http://en.wikipedia.org/wiki/Strategic_planninghttp://en.wikipedia.org/wiki/Strategic_planninghttp://en.wikipedia.org/wiki/Projecthttp://en.wikipedia.org/wiki/Businesshttp://en.wikipedia.org/wiki/Businesshttp://en.wikipedia.org/wiki/Projecthttp://en.wikipedia.org/wiki/Strategic_planninghttp://en.wikipedia.org/wiki/Strategic_planning8/13/2019 27 2 Medical Tourism
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omparative Analysis in USD
Procedure US UK BANGKOK INDIA
Singapore
Angioplasty 30000 21000-27000
4000 - 5000 4000 - 5000 5000
Angiography 2500 -
3000
2000 1100 400 800
Hip replacement 19000 13000-16000
6000 6600
Kneereplacement
27000-32000
16000-18000
6000 6000
CABG 30000 6400 9600
Heart byepasssurgery
19700 19700 7894 6000 23,983
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Conclusions
Globalization is unavoidable and trade liberalization is apart of it.
There are international trade agreements in WTO whichhave a direct impact on public health; TRIPS & GATS.
Strong and prolong patent protection has an effect onaccess to new essential medicines.
TRIPS flexibilities needs to be understood and they mustbe fully incorporated in the national patent law.
Trade liberalization in health services is a double edged
sword. There is an urgent need for policy coherence betweentrade and health policy.
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To India
UK, USA, Canada, Middle East, South East Asia Medical
Tourists
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Thank you
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