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MEDICAL TOURISM, TECHNOLOGY AND SOCIAL MEDIA
Dr. David G. Vequist IV
CMTR
6th International Health Tourism Congress
Istanbul, Turkey
About Us• Center for Medical Tourism Research
• First and leading academic-based research center in this industry
(Medical & Retirement Tourism/Travel)
• Non-profit• Focused on the truth• Motivated to spread the word and influence key stakeholders• Key members have years of healthcare and international business
experience
Agenda
• The Three Drivers of Medical Tourism• Medical Tourism• Why Travel?• The Internet & Healthcare• Other Technologies• Suggestions for Providers/Facilities
Drivers
Globalization
Consumerism
TechnologyMedical Tourism
Growing Industry
• JCI Accreditation (300+ facilities)• Frost & Sullivan reports it is a $100 billion dollar industry by 2012• 20% of the market from the Middle East
• Growing without traditional advertising (35% CAGR)- Deloitte
Evidence of Medical Tourism
• Gallup reports that 4% of Europeans received medical treatment in another EU Member State over the past 12 months
• UCLA forecasted that just under 500k Californians traveled to Mexico for health services
• Dept. of Commerce reports that over 200k traveled to international destinations for health services
• Based on a survey of 1,800 Americans- the CMTR forecasts that, in 2009, perhaps1 million citizens went abroad for health services
• Texas Medical Center receives over 18,000 international patients in 2009
Service Line Discharges Total Charges
Cardiology, Cardiothoracic and Vascular Surgery
2,173 108,731,055$
Spinal Surgery, Neurosurgery, and Neurology
1,370 66,907,674$
Orthopedics 628 22,656,386$ Medical, Surgical, and Gynecologic Oncology
572 18,797,536$
General Surgery 926 36,944,201$ Urology 784 23,187,840$
General Practice (Medicine, Gynecology, Obstetrics, Gastroenterology)
2,004 25,505,681$
Ventilator Support 54 21,662,831$ Plastic Surgery 99 2,945,926$ Subtotal 8,610 327,339,130$
All elective international discharges 9,469 370,572,134$
International Discharges
UHC 2009
International Patients
• Regarding total international patient volume, the highest percentages were:• Oncology (31.69)• Cardiovascular (14.17)• Neurological (11.75)• "Other" at 23.26% was the second highest category, and this was further reported as a wide array of surgical and medical specialties.
Stackpole & Associates (2009)
Medical Tourism: Procedures
Source: CMTR, 2010
Intraregional Travel
• Lowes & Boeing-Cleveland Clinic and Pepsi-John Hopkins: Mercer reported, in one case, it would have saved around $62,000 USD (Lowes)• Includes travel, guest, co-pays, etc.• Dozens have traveled this year
• AARP- intraregional travel results in 20-40% less than what an insurer would pay for a procedure performed locally
• Similar to:• Dr. Gawande’s New Yorker article about the
difference between El Paso & McAllen• Massachusetts Attorney General’s Office
Travel for Value
Mapping the Market for Medical Travel- McKinsey 2008
Cost as Well
Source: CMTR, 2010
Patient Types
WHAT DO PATIENTS WANT? (DELOITTE, 2008)WHAT DO PATIENTS WANT? (DELOITTE, 2008)
Online & Onboard
WHAT DO PATIENTS WANT? (DELOITTE, 2008)WHAT DO PATIENTS WANT? (DELOITTE, 2008)
Internet
Eight in ten internet users look online for health information!
This makes it the third most popular online activity among all those included in the Pew
Internet Project’s surveys.
This means that:59% of all adults in the U.S. look for health
information online.
Pew, Health Projects 2011http://www.pewinternet.org/~/media//Files/Reports/2011/PIP_HealthTopics.pdf
Demographics
Pew, Health Projects 2011http://www.pewinternet.org/~/media//Files/Reports/2011/PIP_HealthTopics.pdf
Power Users
The most likely groups to look online for health information include: •Adults who, in the past 12 months, have provided unpaid care to a parent, child, friend, or other loved one •Women •Whites •Adults between the ages of 18-49 •Adults with at least some college education •Adults living in higher-income households
Pew, Health Projects 2011http://www.pewinternet.org/~/media//Files/Reports/2011/PIP_HealthTopics.pdf
Power UsersOne in four adult internet users track their own
health data online.
Anyone who makes note of their bloodpressure, weight, or menstrual cycle could be categorized as a “self‐tracker.” Add an online
component, and you have the ingredients for a social health application or an electronic health record.
Our survey finds that 15% of internet users have tracked their weight, diet, or exercise routine online. In addition, 17% of internet users have tracked any
other health indicators or symptoms online. Fully 27%of adult internet users say yes to either question.
Pew, Health Projects 2011http://pewinternet.org/~/media/files/reports/2011/
pip_social_life_of_health_info.pdf
Internet & Docs
Pew, Health Projects 2008
Internet & Hospitals
Pew, Health Projects 2008
Internet & Insurance
Pew, Health Projects 2008
Internet & MEDS
Pew, Health Projects 2008
Internet & CAM
Pew, Health Projects 2008
Medical Tourists : How Would They Research?
Source: CMTR, 2010
Social Media Usage
• 60% of e-patients, or one-third of adults, access social media related to health.• In sum, 60% of e-patients, or 37% of U.S. adults, have done at least one of these eleven social media activities related to health and health care. • As health economist Jane Sarasohn-Kahn writes,
health-related social technologies capture “the exchange of health information and personal stories in a way that transcends both medical textbooks and chatting with a friend on the phone – yet offers some of the benefits of both.”
Health & Wellness, 2008
Online Health Tools
Social Media Sources
Mobile Internet
• Wireless users are more likely than other internet users to track health data online.
• Eighteen percent of wireless users have tracked their weight, diet, or exercise routine online, compared with 9% of internet users who do not have a wireless‐enabled laptop or other device. Nineteen percent of wireless users have tracked any other health indicators or symptoms online, compared with 11% of non‐wireless internet users.
• Separately, looking just at the 85% of adults who own a cell phone, 9% say they have software applications or “apps” on their phones that help them track or manage their health.
Pew, Health Projects 2011http://pewinternet.org/~/media/files/reports/2011/
pip_social_life_of_health_info.pdf
EHR/EMR• Digitalizing medical documents is a great way to preserve and
carry all the medical documents in a secure and convenient manner. By digitizing medical information, patients can be in charge of their own medical records and can easily carry them in a portable form, worldwide.
• Digitizing medical records and taking ownership of them is pertinent as more and more people travel globally nowadays. As, portable and dependable storage devices such as USB drives are widely accepted all over, one can easily produce or refer to the relevant information anytime require .
• Portable electronic medical records not only help in augmenting the quality of health care, but it is also instrumental in reducing the cost. With digitized medical documents are extremely beneficial during post-operative recovery phase as patients can easily update their treating doctor and their local doctor regarding their progress.
Brain Work India, Chapter 3: Planning and Preparing for Medical Tourism, 2012
TeleMedicine• Considered to be an indispensable cog in the wheel of medical
tourism, telemedicine makes it easy for the patient and the care providers to “know each other”, before they actually get to meet each other for the first time.
• The remote and locale health care providers can exchange health-related notes on an on-demand basis during the clinical care process, right from the initial stage of treatment to follow-up sessions, continuing until the release of the patient.
• Telemedicine enhances the overall efficiency, productivity and appeal of medical treatment, especially medical tourism. With the revolutionizing development in technology, the patients, care providers, family and friends have access to the correct clinical information available easily at the correct time on-demand basis, during and after the treatment process.
Brain Work India, Chapter 3: Planning and Preparing for Medical Tourism, 2012
MT Tech Strategies• Ensure that providers/facilities have relevant and transparent
information available of the internet• Ensure that providers/facilities are using social media
appropriately• Ensure that providers/facilities have information in a suitable
for Smartphone usage (consider apps as well)• Consumerism appears to be increasing along with the rise of
information/technology- thus the increased need for differentiation
• Medicine/healthcare is becoming regional or even global- don’t try to fight the trend (we can’t put the genie back in the bottle!)
• People are willing to travel for value in healthcare• Technology is breeding the need for responsive/transparent
healthcare providers/facilities
Enablers
STACKPOLE & VEQUIST MEDICAL STACKPOLE & VEQUIST MEDICAL TOURISM LANCET OF VALUETOURISM LANCET OF VALUE
