MEDICAL TOURISM

“Heath Tourism is to provide World

Class Health treatment at
competitive affordable prices”.
PREPARED BY:
Dhananjay Kumar
Jaipuria institute of
management, Noida
 Anatomy of Medical Value Travel

Travel tourism

pleasure, physical & mental

relaxation

value addition of medical

treatment at lowest cost

MEDICAL TOURISM 2
• Medical tourism is the practice of a patient
"outsourcing" healthcare services to an area outside
of his/her home country.

• Medical Tourism also known as medical travel

,health tourism or global healthcare is a term
initially coined by travel agencies and mass media to
describe the rapidly growing practice of travelling
across international border to obtain health care.
SCOPE:
Such Services include complex specialized surgeries such
as Joint Replacement, (Knee/Hip), Cardiac Surgery,
Dental Surgery & Cosmetic Surgery, and Ayurvedic
treatment.

However every type of health care including psychiatry,

alternative treatment, convarescent care & even burial
services are available.
INCREASING POPULARITY :

Some important reasons for increasing popularity of

MEDICAL TOURISM are :

5)Potential savings :
Medical tourism is an affordable alternative to
skyrocketing costs of health care. Cost for major surgeries in
U.S can run into hundreds of dollars while the same surgery
in a country like India or Thailand can be as a tenth of that.
Health care cost in U.S is more due to higher administrative
and insurance costs
. A heart-valve replacement that would cost $200,000
or more in the US, for example, goes for $10,000 in India--
and that includes round-trip airfare and a brief vacation
package.
2) Shorter waits :
Even people who live in countries with public health care
coverage often choose treatment abroad because
overburdened hospitals and doctors can have long wait
periods for surgeries. In most countries where medical
tourism is popular , wait times are almost non existent.
Patients can usually be scheduled for a surgery within a few
days or weeks allowing patients convenience.

3) Relaxing Recovery :
Travelling for medical treatment gives people the added
benefit of helping themselves to a relaxing vacation while
they are in recovery .
4) Insurance Coverage :
While it isn’t a guarantee , there are some insurance plans
that will cover treatment that is performed outside of your
home country . More and more insurance providers are
covering treatment abroad , as it saves them in costs also.

5) Same Facilities And Equipments As Home :

Since medical tourism is such a big industry, hospitals are
making big investments in equipment and technology to help
them draw more patients.
Some hospitals have even made names for themselves as
world class research centers.
6) Package deals :
If people are unsure where to start when getting medical
tourism abroad , package deals can be a great time saver
. Many companies specialize in providing patients with not
only treatment , but vacations afterwards.

7) Surgical Options :
While most popular options are cosmetic and dental
surgeries, the reality is that there is a growing market for
a wide variety of procedures including heart surgery ,
orthopedic hip and knee replacements , etc.
8) Luxury Accommodations:
Many hospitals that cater to medical tourists are corporately
owned , this can be real boon to patients , who benefit from
private rooms and accommodations. People usually expect a high
level of personal care and attention which they can easily get in
these hospitals.
Medical Tourism Destinations

Cost and quality are obviously the most important factors patients consider in
choosing specific destinations for treatment. But many patients also consider
amenities commonly found in resort & hotels
•THE AMERICAS
• Jordan
. • Argentina
• Brazil • Malaysia
• Canada • New Zealand
• Colombia • Philippines
• Costa Rica • Singapore
• Cuba • Taiwan
Mexico • Thailand
• Panama • UAE
• United States
• Uruguay • EUROPE
• Cyprus
•ASIA/PACIFIC • Germany
• China • Malta
• Hong Kong • Portugal
• India • Spain
• Israel • Turkey
• Ukraine
 ASIA/PACIFIC COUNTRIES

INDIA:

India is a popular destination for medical tourists. It arguably has

the lowest cost and highest quality of all medical tourism
destinations, and English is widely spoken.

 India’s medical tourism sector is expected to experience an annual

growth rate of 30%, making it a Rs. 9,500-crore industry by 2015
estimates of the value of medical tourism to India go as high as $2
billion a year by 2012.

 India is known in particular for heart surgery, hip resurfacing

and other areas of advanced medicine.
SINGAPORE:
 English is also widely spoken in this former British colony, located
approximately
1,000 miles south of Bangkok.

 Singapore has modern, high-quality hospitals and is home to three hospitals

accredited by the JCI.

 Prices are higher than in Thailand or India but are much lower than in the
United States

 Singapore's position as a medical hub and promoting Singapore as a destination

for advanced patient care
THAILAND
This popular destination for medical tourists rivals India in price and quality.

 Thailand’s large tourist industry is one reason it has a better infrastructure

and less noticeable poverty than India.

 Prices are typically not as low as in India, and Thai hospitals do not offer
fixed pricing.

 Bangkok’s Bumrungrad International Hospital is a world-class private health

care facility built for wealthy Thais, but foreigners comprise more than one-third
of its patients

Treatments for medical tourists in Thailand range from cosmetic, organ

transplants and orthopaedic treatments to dental and cardiac surgeries.
 AMERICAN COUNTRIES

ARGENTINA
 Surgeons in Argentina have treated foreign patients in cosmetic surgery
for years.

 Argentina has many surgeons trained and with practice in US and/or

Europe. Citizens from the US and European Community do not
require a visa

 It has been known for cut-rate plastic surgery, and more advanced
treatments are becoming available.
CANADA

 Canada has entered the medical tourism field.

 In comparison to US health costs, medical tourism patients can

save 30 to 60 percent on health costs in Canada.[

 Canada's quality of healthcare is cited by the World Health

Organization as equal to if not better than that of the US in
most categories.
UNITED STATES

 U.S is a wealthy nation & there is high expense on health care and that
is why Americans can't afford health care at home .

 Now, it has been noted that the decline in value of US dollar is offering
additional incentive for foreign travel to the U.S

 The availability of advanced medical technology and sophisticated

training of physicians act as driving motivators for growth in foreigners
traveling to the U.S. for medical care.

Major medical centers and teaching hospitals offer international patient

centers who seek medical treatment in the U.S of foreign patients.

 These organizations offer service coordinators to assist international

patients with arrangements for medical care, accommodations, finances and
transportation including air ambulance services.
 KEY PLAYERS
PlanetHospital
Global Choice Healthcare
MedRetreat
Globe Health Tours
Allopathic Hospital
Wockhardt Ltd.
Future Plans and Strategies
Apollo Hospitals Enterprise Ltd.
Future Plans and Strategies
Max India Ltd.
Future Plans and Strategies
Fortis Healthcare Ltd.
Future Plans and Strategies
SRL- Ranbaxy
Future Plans and Strategies
Ayurvedic Resort & Spa
Ananda - In The Himalayas
Kairali Ayuavedic Health
Resort
Soukya
Taj Ayurveda Centre
 KEY INDIAN PLAYERS

Apollo Hospital Hyderabad Max Hospital Delhi Fortis Hospital, Delhi

Jaslok Hospital, Mumbai

Breach Candy Hospital Wokhardt Hospital
Bangalore
SOME FACTS:

India is rated amongst the world’s “must see top ten destination”
by Conde Naste (international magazine)

Confederation of Indian Industry (CII) 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

A forecast by Deloitte Consulting published in August 2008 projected
that medical tourism originating in the US could jump by a factor
of ten over the next decade

 An estimated 750,000 Americans went abroad for health care

in 2007, and the report estimated that a million and a half would seek
health care outside the US in 2008.

The time spent waiting for a procedure such as a hip replacement can
be a year or more in Britain and Canada; however, in New Zealand,
Costa Rica, Singapore, Hong Kong, Thailand, Cuba, Colombia,
Philippines or India, a patient could feasibly have an operation the day
after their arrival.

 In Canada, the number of procedures in 2005 for which people were

waiting was 782,936.
 With global revenues of approximately US$ 20 Billion (2005),
the medical tourism industry is one of the world's largest industry.

 India's cost effective treatment makes it an important player in

this industry

Growing Medical tourism in India will be one of the major sources

for foreign exchange.

With increasing number of non-insured population in western

countries and increasing healthcare expenditure to GDP
resulting in people opting for treatment choices outside their
country.
 COMPARATIVE ANALYSIS IN USD

Procedure US UK Burmungrad Max Raffles

Bangkok Healthcare Singapore
(INDIA)
Angioplasty 30000 21000- 4000 - 5000 4000 – 5000 5000
27000

Angiography 2500 - 2000 1100 400 800

3000
Hip replacement 19000 13000- 6000 6600
16000
Knee replacement 27000- 16000- 6000 6000
32000 18000

CABG 30000 6400 9600

Lasik 2250- 750 400

2900

(Note: all costs in us$)

 Advantages
 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) 23
 ADVANTAGES

“First World Treatment at Third World Costs”

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
•No waiting

Tourist Interest:
• 5000 year old civilization
• Renowned for Historical, Cultural and Religious diversity
• Diverse geographical landmarks; vast coastline
• Traditional arts and crafts
• Vibrant democracy: Freedom for citizens; empowered women population
 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
Winter Sports best sites -Skiing – Gulmarg, Auli

25
 Disadvantages of Medical Tourism:

•Going to foreign country for medical treatment has its own

risks as the country you go to may not regulate professional
licensing and certification of the medical professionals.

•You might end up traveling too soon after a surgery and

this can cause serious complications like blood clots or
pulmonary embolism. In addition, you can suffer from
swelling and/or infections.

•Usually post-operative care is minimum and limited as

most hospitals believe in getting in patients and then
releasing them quickly and there will be hardly any post-
operative care.
Disadvantages ( contd…….)

• Going to a foreign country for treatment means that you will

not have immunity prevalent in that country and this can pose
the risk of catching an infection.

• If something goes wrong during the medical procedure you

will have very little legal recourse.

• Although medical tourism is not the perfect solution to fight

rising medical costs in the United States, it does offer a viable
and feasible alternative to many people.
 BUSINESS IDEA

OUTSOURCING
THE
HOMELY CARE
 The size of Indian Medical Tourism sector estimated in 2008
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 and nearby places - > 8000 patients annually.

Our business idea is to form a network of house
holds who are willing to take care of patients
recovering from their illness after the treatment.

It is basically a post treatment and a peaceful

retreat for the patient and their family.
These house holds are residing in serene places
such as Ooty , Shimla , Nainital , Kasauli ,
Mussourie, Uttarakhand and other places that
are blessed by nature in terms of scenic beauty.
 Certain criterion for the
households
 Their criminal records will be checked .
 They should own a house which is well furnished and
it should have minimum of three rooms vacated
specially for these tourists.
 These households must be the residents of that region
for more than 10 years .
 Their minimum monthly income should be more than
Rs. 40000 .
 They should allow some staff or assistants with the
patients if necessary.
These criterions will be set by hospital
authority and they would be
responsible for investigating that all the
criterion are being fulfilled by the
households.

They will go the places of these

households and check all the standards
that are being set by them are being
met .

And then after that they will be certified

to carry out the business.
Moreover these hospitals will
ensure that there are
necessary facilities like nursing
, medicines , and doctors in the
case of emergency .

They will arrange for

ambulance and other facilities
like cab ,etc for these tourists.
This will be beneficial for :
 Hospitals for earning revenues

Patients as they will get homely care which is missed by

them most during treatment.

Local households of peaceful and serene places such as

hill stations , etc .
THANK YOU