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INDIA «Healthcare Destination to the
World«
A presentation by Dr. Naresh Trehan, Executive Director
Escorts Heart Institute And Research Centre Ltd
New Delhi
September 21 st , 2005
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WITH THE INTEGRATION OF WORLD
ECONOMIES«!
High quality treatment at a fraction of the cost,
in comparison to western countries, makes India anideal healthcare destination for highly specialized
medical care.
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Over 25 years ago, we had set a bold aspiration
for health in India
India was a signatory to the Alma-Ata
declaration 1978, to attain theglobal objective of
Health for All by year 2000
Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA
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But we are far from achieving that vision
Beds Physicians Nurses
Per ¶000 population,2001*
Per ¶000 population,2001*
Per ¶000 population,2001*
1.5
1.5
4.3
7.4
India
Other low incomecountries (e.g., sub-
S aharan Af rica)
Middle income countries
(e.g., C hina, Brazil
T hailand , Sout h Af rica,
Kor ea)
H
igh income countries(e.g., US, Western
Eu r ope, J a pan)
1.8
1.8
1.0
1.2***
0.5**
World average 3.3
1.5 3.3
0.9
1.6
1.9
7.5
Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA
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Inspite of improvement, India is still well behind other countries
Developing
country
average
Morbidity
India
1990
India
today
Developed
country
average
339274
256
119
Life expectancy India
1951
India
today
Developing
country
average
Developed
Country
average
DALYs
Per 000 population
Life expectancy at birth
Y ears
Infant mortality
Deaths per 000 births
65 78
3763
Infant mortality
India1951
India
today
Developing
country
average
Developed
Country
average
56
146
70
Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA
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This spend matches that of other developing countries as apercentage of GDP but is low on a per capita basis
6.7
6.5
5.7
5.2
2.7
Korea
Brazil
Thailand
India
China
Per cent, 2001*
720
453
349
143
94
Korea
Brazil
Thailand
China
India
US$, PPP, 2001*
Healthcare spend as % of GDP Healthcare spend per capita
* Most recent data available has been used (1997-2001)
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Inspite of this scenario, there are Centres of Excellence
spread all across India and to name a few:
Apollo Hospitals
Escorts Heart Institute & Research Centre
Wockhardt Hospitals
Fortis Healthcare
Tata Memorial Cancer Hospital
Leelawati Hospital
Manipal Hospital
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INDIAN HEALTHCARE CAPABILITY
Over 60,000 cardiac surgeries done
per year with out comes at par with
international standards
Multi organ transplants like Renal,
Liver, Heart, Bone Marrow
Transplants, are successfully
performed at one tenth the cost.
Patients from over 55 countries
treated at Indian Hospitals.
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HIGH QUALITY HEALTHCARE AT A
SIGNIFICANT COST ADVANTAGE
Centres of excellence providing specialty high quality treatments.
Some areas are:
Cardiology & Cardiac Surgery
Joint Replacement
Minimally Invasive Surgery & Therapeutic Endoscopy
Oncology
Pathology
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INDIAN HOSPITALS CAN OFFER MEDICAL SERVICES
AT A FRACTION OF THE US / EUROPEAN COST
PROCEDURE COST (US$)
7,500
-------
-------
8,000
3,500
6,000
26,000
69,000
6,000
2,000
US UK
23,000
1,50,000
2,00,000
12,000
10,000
Heart Surgery
Bone Marrow Transplant
Liver Transplant
Knee Replacement
Cosmetic Surgery
40,000
2,50,000
3,00,000
20,000
20,000
INDIATHAILAND
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India has the opportunity to provide the best of theWestern & Eastern healthcare systems
Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA
Ayurveda recognized as an officialhealthcare system in Hungary.
Doctors in the west areincreasingly prescribing IndianSystems of Medicine
More than 70% of the Americanpopulation prefer a naturalapproach to health
Americans are said to spendaround $ 25bn on non-traditional medical therapies
and products *
Indias Gift to the World
Ayurveda
Yoga
Siddha
Source : Los Angeles Times* Economic times dated 25th July 2003
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1.5 billion
Bangladesh
Nepal
Afghanistan
Pakistan
Sri Lanka
India has strong health infrastructure catering to 1.5 billion people
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SAARC &
Neighbouring
Countries
EastAfrica
CIS
Middle
East
South East
Asia
USA, Australia,
New Zealand
UK
Canada
PATIENTS FLOW IN INDIA FROM ACROSS THE WORLD
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Escorts Heart Institute & Research Centre Ltd, New Delhi, INDIA
Medical Tourism
A recent CII-McKinsey study on healthcare says Medical Tourismalone can contribute Rs. 5,000-10,000 crores additional revenue fortertiary hospitals by 2012, and will account for 3-5 per cent of thetotal healthcare delivery market.
What India needs to do is to strengthen basic infrastructure like
Airports, Power, Roads etc. to support these initiatives.
Medical Tourism
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ESTIMATES
* Excludes investment in bed capacity to avoid double count with investment in secondary/tertiary beds
US $ in billions
13-20
7-9 0.5-0.7 0.5-0.7 22-30
Medical equipment
could account for 20-
30% of investment in
Beds (Rs.20,000 to40,000 crore)
Investment
in secondary
beds
Investment
in tertiary
beds
Investment
in medical
colleges*
Investment
in nursing
schools
Investment
for other
health professionals(e.g., pharmacists,
technicians,
administrators)
Total
investment
required
( Source: CII-McKinsey & Company Report 2002)
INVESTMENT REQUIRED TO BRIDGE THE
GAP IN NEXT 10 YEARS
0.5-1
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India needs at least 750,000 extra beds to meet the demand
for inpatient treatment by 2012- opportunity in tertiary
healthcare facilities.
India needs at least 1 million more qualified nurses and
500,000 more doctors by 2012 as compared to existing
number.- opportunity in medical education.
To raise this infrastructure, total additional investment to the
tune of US$ 25-30 billion is needed by 2012. Government and international agencies will only be able to
gear up US$ 7 billion and the rest of investment has to come
from private sector.
Healthcare Infrastructure«..In Summation
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MediCity Solution
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Concept
To create a Johns Hopkins /
Mayo Clinic of the East. Start
research on incorporating the
strengths of traditional
medicine with allopathic
medicine to create newer
therapies
1. To provide integrated tertiary care services spanning over
20 super specialities of the highest quality at competitive
price.
2. To create core research facilities for in-house and shared
research in medicine.
3. To create a new form of medicine by researching on
traditional medicines and integrating with modern
medicine
4. To exploit potential of global health by leveraging
technology and hospitality services ( Medical tourism).
5. To leverage the strengths for value added services in
research and development ,BPO etc.
6. To provide world class education and training.
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Facilities Planned
1500 beds (350 critical care beds).
40 operation theatres.
18/20 super specialties (6/7 major like cardiology,neuro-
sciences, advance pediatrics, high end orthopedics, oncology,traumatology and 12/13 minor specialties.
R& D facilities (clinical and bio-technology) including vet labs.
Hotels & ser viced apartments and office facilities.
Education facilities. Residential complexes.
Extensive greenery plus parking ± ground coverage ± 30%.
Intelligent city.
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Thank you«