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Medical Tourism Outlook

Published by Benedict Sanders Modified over 8 years ago

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Future Challenges Nigel Edwards Policy Director, NHS Confederation Visiting Professor London School of Hygiene and Tropical Medicine.

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Medical Tourism: Contemporary and Future Issues - Troublesome or not?

Depending on who you believe medical tourism is either the new wave of cheap international health care or a gross exaggeration of the extent of international travel flows. Potentially both are true! The presentation will focus on what we do and do not know about the extent of international medical tourism and its potential implications. A key issue will be that in many jurisdictions the actual extent of medical tourism is virtually unknown - a significant with obvious implications for managing any issues that may arise as well as good policy making. The presentation will move through this relative research vaccuum in an attempt to highlight the potential risks to public and personal health posed by medical tourism and some of the ethical issues involved as well as try to highlight some potential future directions for medical tourism, including the potential future "perfect storm" of increased tourism and international medical mobility, environmental change and increased antibiotic resistance. The presentation largely builds on a forthcoming chapter in the The Elgar Handbook on Medical Tourism and Patient Mobility. Bio: C. Michael Hall is currently a Professor in the Department of Management, Marketing and Entrepreneurship, University of Canterbury, Christchurch. He is also Docent in the Department of Geography, University of Oulu, Finland and has visiting professorships at Linneaus University, Sweden and the University of Finland. He is also a Senior Research Fellow at the University of Johannesburg, South Africa and an external examiner at the University of Mauritius. His PhD is in geography from the University of Western Australia and he has honorary doctorates from the faculty of arts, Umeå University, Sweden and the faculty of science, University of Oulu, Finland. Author or editor of over 70 monographs and over 450 chapters and refereed articles he has been working on various aspects on health and tourism since the early 1990s with more recent research also focusing on temporary mobility (AKA tourism), global environmental change, biosecurity, social marketing and behavioural change, innovation and regional development, food, and sustainability.

Related Papers

C. Michael Hall

Health and Medical Tourism: Kill or Cure for Global Public Health? Abstract Purpose – The major purpose of this introduction to the special issue of Tourism Review on health and medical tourism is to outline some of main issues that exist in the academic literature in this rapidly developing field. Design/methodology/approach – The paper reviews relevant health and medical tourism and cognate literature. Findings – The paper identifies some of the interrelationships between different areas of health and medical tourism, including wellness and wellbeing tourism, dental tourism, stem-cell tourism, transplant tourism, abortion tourism and xeno-tourism. Key to defining these areas are the relationships to concepts of wellness and illness and the extent to which regulation encourages individuals to engage in cross-border purchase of health services and products. Key themes that emerge in the literature include regulation, ethics, the potential individual and public health risks associated with medical tourism, and the relative lack of information on the extent of medical tourism. Social implications – The development of international medical tourism is demonstrated to have potentially significant implications for global public health. Originality/value – The paper covers an extensive range of academic literature on international medical tourism which indicates the different approaches and emphases of research in different disciplines as well as the ideological and philosophical differences that exist with respect to health medical tourism. The paper also notes that some of the individual and public health risks of medical tourism are not usually incorporated into assessments of its potential economic benefits. Key words mobility, spa tourism, wellness tourism, health tourism, risks Paper type General review This paper serves as the introduction to the special issue of Tourism Review on health and medical tourism. For the authoritative version of the paper please consult the journal website: http://www.emeraldinsight.com/fwd.htm?id=aob&ini=aob&doi=10.1108/16605371111127198

Annals of Tourism Research

Marion Joppe

Central European Journal of Public Health

Meghann Ormond

Contemporary medical tourism builds upon long-standing links between travel and the pursuit of physical, mental, and spiritual well-being. It is produced today through the combination of, on the one hand, shifts in concentrations of accessible medical expertise and technologies around the world and, on the other, increased medicalization, care commodification, and perception of bodies as improve-able, malleable property. This chapter considers the impacts of this transnational phenomenon on contexts both generating and receiving medical tourists as well as the lesser-explored virtual and transit spaces between them and the methodological challenges that researchers face in studying medical tourism.

Daryna Kostiuchyk

'Medical tourism' is a term used to refer to a travel activity that involves a medical procedure or to activities that promote the wellbeing of the tourist. This paper utilises the factors in Porter's diamond to evaluate, analyse and discuss the growth and development of medical tourism. Unacceptably long hospital queues and high costs of medical procedures in western society have created a demand for medical tourism. Hence, as this new global product gains popularity, increased monitoring and greater accreditation of this service is required to keep pace with an increase in its international demand.

SUMMARY 1. The global growth in the flow of patients and health professionals as well as medical technology, capital funding and regulatory regimes across national borders has given rise to new patterns of consumption and production of healthcare services over recent decades. A significant new element of a growing trade in healthcare has involved the movement of patients across borders in the pursuit of medical treatment and health; a phenomenon commonly termed‗ medical tourism '.

International Journal of Environmental Research and Public Health

Andres Coca-Stefaniak

Medical, health and wellness tourism and travel represent a dynamic and rapidly growing multi-disciplinary economic activity and field of knowledge. This research responds to earlier calls to integrate research on travel medicine and tourism. It critically reviews the literature published on these topics over a 50-year period (1970 to 2020) using CiteSpace software. Some 802 articles were gathered and analyzed from major databases including the Web of Science and Scopus. Markets (demand and behavior), destinations (development and promotion), and development environments (policies and impacts) emerged as the main three research themes in medical-health-wellness tourism. Medical-health-wellness tourism will integrate with other care sectors and become more embedded in policy-making related to sustainable development, especially with regards to quality of life initiatives. A future research agenda for medical-health-tourism is discussed.

Shailesh Tripathi

Ronald Labonte , Raywat Deonandan

The opening years of the 21st century have been characterized by a variety of technological, social, political and economic factors that have seen the disintegration of the meaning and importance of international borders. From the power of the Internet to link disparate populations, to the consolidation of blocs of politically intertwined nations such as the European Union (EU), and the rise of affordable international travel, forces have been combining to bring about a globalized world economy that was only theorized in decades past. An obvious facet of this new globalization is the permeability of borders to the movement of consumers seeking a variety of medical services, and providers willing to accommodate, if not also profit, from this demand.

Global Journal of Health Science

Jason Behrmann

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Medical Tourism Presentation Template

Medical Tourism

Transcript: Recommendation & Conclusion Opportunities Stem Cell Therapy Diagnostic and Laboratory Technologies Eye care Aesthetic, Dermatologic, Plastic & Reconstructive Surgery Dental Surgery Rehabilitation Medicine Please refer Pg.32 of the report for further information. Methodology Secondary data analysis Market research Mintel reports Euromonitor International reports Deloitte report Government websites Journal articles (Please refer to Pg.6 of the report.) Tourists: 81,000 Most scientifically advanced countries Cancer surgery, plastic surgery and robotic surgery are excellent Weaknesses Please refer to pg. 14 of the report. Vishal Sudhakar Medical tourists in 2009: 100,000 Average Spend US$2000 each. Increased in current value by 18%, raising to Ps.72.7 bn. Competitors Singapore Overall good potential Establish tie ups with accredited hospitals (Pg.20 of the report) National Health Departments like the NHS can also be targeted Weaknesses and Threats need to managed Needs effective marketing Customers must be given an all inclusive package "Quality Sensitive" Patients South Korea Please refer to pg. 4 of the report. Right Turn Consultants Pvt. Ltd Medical Tourism in Philippines Introduce the concept of medical tourism Investigate the Medical Tourism industry in the Philippines Establish a background of medical tourism in Asia Identify the market size and competitors in Asia Give recommendations to establish operations in the Philippines. Inflating costs of health care and Long wait lists in developed countries Development of facilities, technology and skills in destination countries Affordable airfares Favorable exchange rates Objectives (Mintel 2013; Euromonitor International 2013) References St. Luke's Medical Center Makathi Medical Center Asian Hospital National Kidney & Transplantation Institute Philippines Heart Center The Market Xintong Dai Source: Patients beyond borders,2012 (Mintel, 2013) (Mintel 2013) Right turn Consultants Pvt. Ltd. SWOT Analysis Market Trends in Asia Tourists: 150,000-400,000 Health care sector worth US$35 billion Inexpensive and high-quality medical care National health policy encourages medical tourism Trains over 20,000 new doctors every year Apart from the Philippines, English is one of its official languages Apollo Hospitals group (Euromonitor international 2013) Strengths Major Service Providers Xun Yang India (Mintel 2013) Please refer to pg. 11 of the report. Medical Services It Involves people traveling from one part of the world to another seeking medical care. (Connell 2006) • Improving global perception of the Philippines economy and tourism • Continued aging of the population in originating countries, thus increasing demand • High-cost care in advanced countries • Exploiting various segments • Government commitment to PPP Quality health care Price advantage Qualified, English-speaking health and tourism professionals Captive market consisting of the Filipino balikbayans Proximity to the pacific and micronesia Tropical climate Environment and culture Well developed holiday destinations Well developed holiday destination Hotels, Resorts and Spa's Post operative care available Tourists: 400,000-610,000 (70% from Indonesia & Malaysia) It is one of Asia's wealthy countries and is known for its cleanliness, safety and efficiency. Asia’s more expensive destinations Cancer surgery and Women’s Heart Health Clinic Factors influencing the growth of medical tourism Threats Medical tourism started in 2004 The Philippines Medical Tourism Plan(PMTP) HEAL - Health and wellness Alliance of Philippines Major proportion of inbound tourist arrivals Low-cost and high quality medical care Please refer to pg. 12 of the report. (Philippines Institute for Development Studies 2013) (Mintel 2013; Euromonitor International 2013) Tourists:396,000 (over 80% from Indonesia) Six internationally accredited hospitals Medical expertise is ranked among the best in the world Medical Tourism in the Philippines "Price Sensitive" Patients Post operative recovery or combined holidays • Lack of strong brand recognition abroad • Long and costly international travel • Lack of portability of insurance plans among OECD medical tourists • Downside of a strengthening peso • Administrative barriers to entry in LGUs. • Lack of coordination Tourists: 920,000-1.2 million in 2012 40% of the Asian medical tourist market. World’s most visited and tourist-friendly nations “Sex Changes”, or Sex reassignment surgery (SRS) cosmetic surgery Bumrungrad International Hospital One of the fastest growing sub-sectors of tourism According to Mintel (2013) the niche in Asia was worth US$100 billion in 2012 Asian countries have developed a market for "Price sensitive medical tourists" . Thailand, India and Singapore hold 80% of the global market share. . Thailand What is Medical Tourism? • Intense competition • Lack of price transparency • Slow prosecution of medical malpractice cases and lack of malpractice framework for cutting-edge

Transcript: Pro Business Perfect Timing Better quality of medical services in developing countries Source: Apollo Study High Demand ARGUMENT 4 Medical Tourism Huge Savings ARGUMENT 2 Increased healthcare costs in developed countries ARGUMENT 3 Specialization Population in the US without Health Insurance (Millions) ARGUMENT 1 FDI Profit Jump the Queue Comparative Advantage ARGUMENT 5 Internet Getaway Global cost differences for cardiac surgery (US$) Source: http://www.sitacare.com/ Business for Developing Countries Apollo, Hospitals 8,000+ beds, 41 hospitals Income growth of 16% per year JCI accreditation Positive Effects on Economy Medical Tourism Recognized as an Export Job creation Economies of Scale Reverse Brain Drain Positive Effects on Larger Tourism Industry Spill-Off Effects More Time... More money One Stop Shop Medical Tourism = Sustainable Tourism Conclusion

Medical Template

Transcript: Prezi Next Template by Prezibase.com Medical Template About Introduction Present about your medical or healthcare related project. The Details Get to the main point of your presentation. Idea Team The Team Who are the creative minds? Project Manager William Powell Details here Project Manager CEO Fredrick R. Sliger Details here CEO of Company X Finance Janet Baker Details here Head of Finance Timeline Timeline Present about important dates and events 1999 1999 Add details 2005 2005 Add details 2020 2020 Add details Data Statistics Present your charts, graphs or other data Q1 Q2 Q3 Q4 Global Reach Use the world map to show locations Map Contact How can People Get in Touch with You? Contact Details [email protected] website.com fb.com/page #hashtag lnked.in/user Change colors, rearrange topics, add your own content Customize this template: http://prezibase.com Get this Prezi Template from:

Transcript: Start Increase in LGBT Travel • Homosexuality illegal in 78 countries • Risks associated with hosting sporting events • Privacy Protection Location 1 Increase in Volunteer Tourism • Digital technology: can easily spread awareness and share information worldwide Goal design by Dóri Sirály for Prezi Current Challenges Final Destination Recommendations: Increase awareness through various marketing initiatives and work with government Current Trends • Cosmetic surgery and dentistry • Switzerland, South Africa, Brazil, Miami, Los Angeles, England, Dubai, Thailand, Philippines, Jamaica Increase in Medical Tourism • Overseas Low Cost Health Care • LGBT focused events • Increase in sport tourism Location 2 an emerging practice of traveling across international borders to obtain health care untimely health care system in Canada, leads to many seeking medical services in other countries Typical services include cosmetic surgeries, joint replacements, organ transplants, cancer and orthopedic treatments Medical Tourism Global Trends Challenge 1: Homosexuality is illegal in 78 countries Location 3 Step 1 • Baby Boom generation are reaching “Self-Actualization” and want to give back through “experiential tourism” Step 2 • Operational Strategies • Marketing Strategies • New Product Development Specialty Travel • Festivals and events • Accommodations • Travel Services Sector Interaction

MEDICAL TOURISM

Transcript: MEDICAL TOURISM Medical tourism is a trend that has emerged within the last half century. More than 500,000 residents of the United States travel overseas annually to get a medical procedure done. The concept of travelling from ones motherland to a foreign nation is the steadily increasing in popularity concept of MEDICAL TOURISM. POSITIVE ASPECTS Cost of medical procedures in the United States are increasing dramatically. At the same time the quality of healthcare in foreign nations is on a steady improvement. The uninsured American residents can get good quality medical services at lower prices in over-sea countries. Many procedures are not covered by insurance companies and or Medicare/Medicaid in the United States. Medical tourism allows patients a vacation in new countries, while they are getting treated. The Joint Commission International sets standards for foreign hospitals and clinics to meet, before they can be accreditted and be recommended to patients thinking of travelling abroad. Many procedures such as organ transplants are available in International Countries. There is a long organ transplant waitlist in the United States. Reproductive technology was considered illegal/unethical in the United States, but was practiced overseas. if the rate of medical procedures conducted in foreign nations continues to rise – there will be a gradual decline in the employment rate for medical professionals within the United States. medical malpractice suits: regulations are not followed as closely within foreign countries. If any unforeseen events were to occur – it might not be compensated for. A patient's insurance may or may not provide complete coverage, especially if traveling abroad because of the numerous risks involved Postoperative treatments are critical – with medical tourism it is difficult to make arrangements after the operation Traveling for two overseas can accumulate to be very costly and overwhelming for a patient and their family First hand viewing of the hospital usually cannot occur ahead of time, because of massive costs associated with traveling It is a major risk of faith that the foreign hospital or clinic will meet up to par with the patient’s expectations from the webpage As a team we believe that Medical tourism is a beneficial decision. One can search through the Joint Commission International database, to see where they can receive their medical treatments as early as possible It puts the least amount of burden on a patient’s bank account. Many innovative and futuristic ideas can be tested within these countries, i.e.: stem cell research Patients favor the idea that they can also vacation afterwards in a different country. Residents of the US are spending less money for the same goods and services, because they have a higher purchasing power in several countries We believe that human life is worth a risk so why should one settle for nothing, when there is an abundance of options all over the world? Task What is Medical Tourism? OUR OPINION NEGATIVE ASPECTS Deepa Jois & Malvika Saharya Our opinion in continuation Downfalls Continued

Transcript: Strengths of Costa Rica's Medical Tourism - Average amount spent by medical tourists last year was $7,000 - $338 million were generated by medical tourists - benefits the following: hospitals hotels restaurants tourism companies transportation companies general stores/malls - Costa Rica's health-care ranks #1 in the Americas and #36 in the world. - Highly trained doctors - all private hospitals accredited by JCI (joint commssion international) Benefits on Labor Market Areas of improvement by: Bianca Calderon, Lucia Castro, Cristina Chavarria, and Adriana Leon Paez Positive Impact to Tourism and Economy - Generates approximately 20,000 jobs - Gives $338 million more or less in a year - Most common specialties: dentistry 42% orthopedics and gynecology 22% plastic surgery 10% What is Medical Tourism? Medical tourism is when patients move to other countries to recieve medical attention and at the same time vacation. 48,000 medical tourists came to Costa Rica last year. With a very high health index, low mortality rate, stable economy, proximity to U.S, Costa Rica is a natural choice for touristic activities. Combine that with a very strong medical system a good medical infrastructure, excellent medical talent, hospital and recuperating homes, Costa Rica is the number one choice for medical tourism. - Attracting investors - Keeping and expanding our medical talent - Staying on top of technology Medical Tourism - Great post-operatory resources - Costa Rica has been added by insurance providers in other countries - Proximity to North America Benefits of Medical Tourism Health-care Conclusion - more affordable prices for foreign patients - high level health care provided - employment in medicine and tourism

Transcript: Medical Tourism Medical Tourism is the process of traveling abroad to recieve superior medical, dental, and cosmetic care. aka: Medical Travel, Surgical Tourism, Health Tourism, Health Travel, Healthcare Abroad, or Medical Outsourcing Turkey: lasik surgery India: cardiac bypass surgery Israel: cancer treatment Costa Rica: "age management" surgery Hungary: dental treatment Egypt: liposuction South Africa: heart transplant Malaysia: cataracts surgery Thailand: plastic surgery Mexico: dental surgery Resort Hospitals Primarily private hospitals Generally much cheaper Clean and safe JCI accredited Leading edge of technology Some luxury mixed in International Patient Departments: Bilingual staff Embassy assistence Limousine service Apartment services At Bumrungrad International, the Thai Home Ministry operates a visa extention service once a week to process any visa extentions. Medical Services: Many doctors are US board certified, many others are certified in Europe, Japan, and Australia Hospitals sponsor continual medical education programs Ongoing review processes for staff Inpatient Facilities: Common amenities - adjustable beds - TV/Internet - Personal bathroom amenities Upgrades - Provided computer with WiFi - Refrigerator - Microwave - Meals and snacks through out the day Food and Beverage: Au Bon Pain Dairy Express Portofino Bangla House McDonalds Starbucks Disadvantages and Dangers: medical malpractice suits insurance laws may vary postoperative treatments don't travel alone find the best medical facility possible Worst Medical Tourism Disasters: cosmetic surgery in Brazil liposuction in Columbia facelift in Singapore skintucks in Costa Rica fertility treatments in Romania counterfeit perscription drugs around the world leg-lengthening in Iran cosmetic surgery in Thailand Medical Tourism Operators: tourism facilitators can help with many things such as... travel accommodations transportation medical procedures they also do a lot of research so you can choose the best option for yourself help you choose destination, facilities, and sometimes specific healthcare professionals Target Markets: 45 million uninsured Americans 250 million insured Americans with restricted coverage due to pre-existing conditions 32 millions Canadians receiving socialized medicine and enduring long lines for popular surgeries potentially 332 million Americans seeking cosmetic and/or dental surgery Types of Medical Tourism Intermediaries: Medical Travel Planners serve as patient representatives in finding a medical provider abroad Travel Agencies offer travel tour plans for medical travelers based on their experience in organizing travel legistics Provider Groups foregin medical providers who have tie-ups with international and US based medical facilities and are dedicated to medical travel How to Shop Smart: beware of mark up - even though the prices are still considerably lower than the US facilitator the tour operator may be inflating the price trust but verify - essential due to travel abroad communicate with experienced medical tourists - helpful to find a social space where you can have unfiltered conversations over any concerns about the experience Insurance: Deloitte Center for Heatlh Solutions predicts a loss of 67.7 billion in revenue for US health providers in 2010 due to medical tourism Corporate Insurance Trends: WellPoint Insurance is offering employees of Serigraph option to travel to India for non-emergency surgery Blue Cross Blue Shield Insurance has created international network of doctors and hospitals covering Thailand, Costa Rica, Ireland, and Turkey upsurge in "domestic" medical tourism which offers big discounts for paying for procedures in cash Technology Pharmacy Robot 4D Ultrasound

Transcript: Win? Contact the medical tourism provider Be advised on the medical treatment Sign consent bond and agreement Get a medical visa Travel to the destination (where everything is taken care of) Stay in the destination at leisure What is it? offer a range of special menus Patients who go abroad for treatment travel overseas for private medical work have dental work done overseas book holiday resorts for post-surgery recuperation risks ethical issues dangerous or hazardous destinations Controversial reasonable prices at knock-down prices MEDICAL TOURISM Lose? Win-win situation? Why? side effect of globalization National industry source of income profits go to providing basic health care for the poor specialized surgeries look after patients' companions All inclusive packages Steps arrange visas and flights dishonest money-making schemes treatments are experimental there is no after care for patients best doctors in the world ultra modern hospitals high-tech operations avoid waiting lists

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Medical Tourism In India

Apr 22, 2018

2.35k likes | 5.63k Views

Medical Tourism

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• medical tourism
• medical treatment
• health care
• medical tourism industry
• medical tourism swot approach

Presentation Transcript

Medical Tourism Dr Manish Prabhakar Moderator: Dr Abhay Ambilkar

Frame Work • Tourism • Medical Tourism • Scope of Medical Tourism • Components • Accreditation • Medical Tourism Provider • Indian Scenario • SWOT analysis • Role of Government and Private • Innovations

Tourism • “Tourism” the activities of persons traveling to and staying in place outside their usual environment for leisure, business and other purposes. • Tourists are the people who "travel to and stay in places outside their usual environment for not more than one consecutive year for leisure, business and other purposes not related to the exercise of an activity remunerated from within the place visited”

Types of Tourism • United Nations classified three forms of tourism • Domestic tourism, involving residents of the given country travelling only within the country. • Inbound tourism, involving non-residents travelling in the given country. • Outbound tourism, involving residents travelling in another country

Medical tourism: A Global Perspective • Medical Tourism is the practice of travelling abroad in order to receive Medical treatment. • Medical tourism is a term involving people who travel to a different place to receive treatment for a disease, ailment, or condition, and who are seeking lower cost of care, higher quality of care, better access to care, or different care than they could receive at home.

Why Medical Tourism? • Healthcare and Tourism industries are the fastest growing industries in the world. Medical Tourism is being promoted as a Fusion product of these industries. • Various countries like Thailand, Malaysia, India, etc. are promoting Medical Tourism aggressively. • Medical tourism has tremendously generated services and revenues across the globe and numerous possibilities still remain unexplored. • India has become the preferred destination for medical tourism. Patients from all around the world visit India to avail the benefits of affordable treatment with world-class facilities.

Reasons for Medical Tourism • High cost of health care • Long wait times for certain procedures • People cannot afford to see a physician from private practice or wait for treatment from National Health Service • Some combine plastic surgery treatment with vacation in other country • Patients coming from poorer countries like Bangladesh were medical treatment may not be available • Improvements in both technology and standards of care in many countries • For those treatments which are not legal in home country like Fertility procedures

Scope of Medical Tourism • Healthcare industry • World's largest industry • Total revenue of approximately US$2.8 Trillion. • In India • Healthcare industry has emerged as one of the largest service sectors • Estimated revenue of around US$32.5 billion constituting 5% of GDP and offering employment to around 4.5 million people

Why India • India offers world class Medical facilities comparable with any other western country • India is in The process of becoming the “Global health Destination” Medical Tourism is growing sector in India • Currently Medical tourism sector was estimated to be worth US $3 billion This will grow to 7-9 $billion by year 2020 • Foreign patient travelling to India to seek Medical treatment

Scope of Medical Tourism in India • Medical tourism market is valued to be worth over $310 million with foreign patients coming by 100,000 every year, and the market is predicted to grow to $2 billion by 2012. • An estimated 361,060 medical tourists were treated at Indian facilities in 2016 (up from 10,000 in year 2000), and the number has been growing at 30-34% annually. • India Issue 1.78 lacs Medical Visas in 2016, including follow up as against 1.22 lacs in year 2015. . -

Services that provided under Medical Tourism • There are various kinds of services that are provided under medical tourism • Service Delivery – Medical services • Travel Services (Airlines & Hotels) • Shopping & Entertainment for tourists and their family members • Insurance Coverage towards the risks involved during the treatment • Websites providing information, booking facilities and promotions

Popular destinations for Medical Tourism • India • Thailand • Puerto-Rico • Argentina • Cuba • Singapore • Malaysia • Taiwán • México • Costa Rica

Procedures for which medical tourism is adopted • Complicated surgeries • Kidney dialysis • Organ transplantation • Joint replacement • Cardiac surgery • Dental surgery • Cancer Treatment • Neurosurgery • Cosmetic surgeries • Genetic disorders • Psychiatry

MEDICAL TOURISM IN MAHARASHTRA • Maharashtra is the third largest State of India, • Rich tradition of festivals, art and culture offer considerable tourism potential in Maharashtra. • Maharashtra offers affordable treatment compared to other part of India and foreign countries. • Mumbai, Pune, Aurangabad, Nasik & Nagpur are an emerging medical tourism destination in Maharashtra.

Top 10 states of India for Medical Tourism

MEDICAL TOURISM IN MARATHWADA REGION • Major cities are Aurangabad, Nanded, Latur, Parbhani, Jalna. Of this Aurangabad is the largest city • The state government recognizes Aurangabad as the “Tourism Capital of Maharashtra • Emerging super specialty hospitals together with the advanced infrastructure, quality medical treatments at economical rates which is coupled with excellent connectivity and calm weather.

Healthcare & Medical Tourism Components

Enhancement • ‘Enhancement’ procedures are carried out mainly for aesthetic purposes(much of this work is non-disease related unless disfigurement is caused by disease). These are: • All cosmetic surgeries • Breast surgeries • Facelifts, • liposuction and cosmetic dental work.

Wellness(Spa/Alternate therapies) • The ‘wellness’ segment of medical and healthcare tourism promotes healthier lifestyles. These products can include: • Treatment in spas • Thermal and water treatment • Acupuncture and Aromatherapy • Beauty care, facials, exercise and diet • Herbal healing, homeopathy, massage • Yoga and naturopathy.

Reproduction(Fertility) • Under this component, there are patients who seek fertility-related treatments such as in vitro and in vivo fertilization and other similar procedures. • At times, potential parents travel for the purposes of adopting children because the legislation and supply of babies for adoption is easier in host countries.

Hospital Accreditation • Accreditation defined as "A self-assessment and external peer assessment process used by health care organisations to accurately assess their level of performance in relation to established standards and to implement ways to continuously improve“. • Fundamentally healthcare and hospital accreditation is about improving how care is delivered to patients and the quality of the care they receive.

Accreditation Schemes • Trent Accreditation Scheme (based in UK-Europe) • QHA Trent Accreditation, based in the UK • Joint Commission International, or JCI (based in USA) • Australian Council for Healthcare Standards International, or ACHSI (based in Australia) • Accreditation Canada (formerly the Canadian Council on Health Services Accreditation or CCHSA -based in Canada) • Accreditation of France based in Paris, France. • NABH(National Accreditation Board for Hospitals and Health Centers- based in India)

NABH National Accreditation board for hospital • The Ministry of Health and Family Welfare has set up a National Accreditation Board for Hospitals(NABH), under the Quality Council of India for accreditation of hospitals • Established in year 2006. • There are 33 JCI accredited and 272 NABH accredited healthcare providers in India till 3rd April 2018 • Outline of NABH Standard • Access, Assessment and Continuity of Care • Patient Rights and Education, Care of Patient • Management of Medication • Hospital Infection Control and Continuous Quality Improvement • Responsibility of Management and Facility Management and Safety • Human Resources Management and Information Management System

Medical Tourism Provider • A Medical Tourism Provider is an organization or a company which seeks to bring together a prospective patient with a service provider, usually a hospital or a clinic. • Some such organisations and companies specialize in certain areas of healthcare, such as cosmetic surgery, dentistry or transplant surgery, while others are more generalized in their approach. • Medical quality standards vary around the world, and international accreditation is relatively new. • For these reasons, Medical tourists look to health tourism providers to provide information about • Quality, • Safety and • Legal issues.

Various issues for Medical Tourists • Non Medical issues • Prices and how to pay • Hotels(checking in) • Language issues • Ethics • Medical issues • Availability of techniques • Pre-travel health issues, such as antimalarial therapy and relevant immunizations • Medico-legal issues

Major Players in India • Following are major players in the Medical Tourism industry. • Escorts • Apollo Hospital • Max Healthcare • Indraprastha Apollo Hospital • Hinduja Hospital • Jaslok Hospital • Fortis • Wockhardt

Medical Tourism : SWOT approach • Through such an analysis, the Strengths and Weaknesses existing within the medical tourism can be matched with the Opportunities and Threats operating in the Indian environment so that an effective strategy can be formulated.

Strengths • A strength is an inherent capacity which an organization can use to gain strategic advantage. • Quality and Range of Services • Affordable costs • Vast supply of qualified doctors: • Strong presence in advanced health care • International Reputation of hospitals and Doctors. • Diversity of tourism destinations and experiences

Weakness • A weakness is an inherent limitation or constraint which creates strategic disadvantages. • No strong government support/initiative to promote medical tourism. • Low coordination between the various players in the industry- airline operators, hotels, and hospitals. • Lack of uniform pricing policies across hospitals. • Customer Perception as an unhygienic country • Political problems etc

Opportunities • An opportunity is a favorable condition in the service industry which enables it to consolidate and strengthen its position • Increased demand for healthcare services from countries with aging population (US, UK) • Fast-paced life style increases demand for wellness tourism and alternative cures. • Shortage of supply in National Health Systems in countries like UK, Canada. • Demand from countries with underdeveloped healthcare facilities. • Demand for retirement homes for elderly people especially Japanese. • Personal touch by the doctors in India. • Traffic system is well developed and easy to go from one country to another country. • Medicines and lab-our cost is low as compared to developed countries.

Threats • A threat is an unfavorable condition in the industry’s environment which creates a risk for, or causes damage to, the industry. • Strong competition from countries like Thailand, Malaysia and Singapore. • Lack of international accreditation – a major inhibitor. • Overseas medical care not covered by insurance providers. • Under – investment in health infrastructure. • Exploitation of tourists by illegal money changers. • Terrorism • Rise of Resistant strains (NDM-1)

Competition • Thailand, Singapore, Malaysia, India and Philippines are the major destinations in the Asian medical tourism market. • Thailand is more popular among Western European medical tourists for cosmetic surgery. • Singapore and India specialize in complex procedures with India having a cost advantage and Singapore a technology advantage.

Advantage of Medical Tourism In India • The biggest advantage of medical travel in India is the low cost health care service • Technological advancements and highly educated doctors • Availability of latest medical instruments • High health care standards offered • No language barrier as English is widely spoken across India. Moreover many hospitals in India hire native translators for patients from African countries so that they can communicate effectively. • Relaxed visa rules • Visa on India arrival for patients from specific countries • Availability of low cost generic medicines

Disadvantage • Medical Malpractice • Insurance Coverage • Post Operation Recovery • Travel Cost

Role of Government • The role of Indian Government for success in medical tourism is two-fold • Acting as a Regulator to institute a uniform grading and accreditation system for hospitals to build consumers’ trust. • Acting as a Facilitator for encouraging private investment in medical infrastructure and policymaking for improving medical tourism. Investment facilitator: • Recognize healthcare as an infrastructure sector, and extend the benefits under sec 80-IA of the IT Act. • Should actively promote FDI in healthcare sector • Providing low interest rate loans, reducing import/excise duty for medical equipment • Facilitating clearances and certification

Government’s Role • Tourism facilitator: • Reduce hassles in visa process(M-Visa) • Follow an Open-Sky policy to increase inflow of flights into India • Create Medical Attachés to Indian embassies that promote health services to prospective Indian visitor • Private Sector Role Increased participation in building infrastructure Integrate Horizontally Joint Ventures / Alliances

Conclusion • The concept of medical tourism is appealing to anyone who is interested in high quality and affordable healthcare. • The medical tourism phenomenon is gaining popularity and the number of people going abroad for treatment increases rapidly every year. • With many medical tourism benefits, advancements in technology and improvements in healthcare standards within developing countries, • it is likely that the advantages of medical tourism will provide a striking economical solution to many healthcare problems

References • CII-McKinsey. Health Care in India: The Road Ahead. CII. New Delhi: McKinsey and Company and Indian Healthcare Federation; 2002. • Government of India. Ministry of health and family welfare, draft national health bill. 2009. • Planning Commission. Twelfth Five Year Plan, 2012-2017. Volume 3. New Delhi: Chapter on Health, Government of India; 2013 • Venkata K, Prasad CB. Medical Tourism Industry - Advantage India. 2010. • Chanda R. Trade in health services. Bull World Health Organisation. 2002;8(2):158–163. • Hazarika I. Medical tourism: Its potential impact on the health workforce and health systems in India. J Health Plann Policy. 2010;8(3):248–251 • World Tourism Organisation, unwto.org/ • Ministry of Tourism, India, tourism.gov.in/ • Incredible India, www.incredibleindia.org/ • NABH, www.nabh.co/ • KMPG In India Analysis 2014 and Wikkipedia

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Medical & Wellness Tourism

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Medical/ Healthcare Tourism: travel to another country for the purpose of obtaining medical treatment. Wellness Tourism: travel for the purpose of promoting health & well-being through physical, psychological or spiritual activities. – PowerPoint PPT presentation

• - Aritro Dasgupta
• Medical/ Healthcare Tourism travel to another country for the purpose of obtaining medical treatment
• Wellness Tourism travel for the purpose of promoting health well-being through physical, psychological or spiritual activities
• Travel to another country for the purpose of obtaining medical treatment
• Traditionally from less developed countries to major medical centres in developed ones for treatment unavailable in their own communities
• Lately trend reversing people travelling from developed countries to less developed ones because of cost considerations
• Also certain medical practices, procedures drugs may not be legal in 1 part of the world but may be available somewhere else so out of desperation people travel (legally as well as illegally)
• Certain medical conditions may be better understood in foreign countries due to greater spread of the same leading to better procedures increased level of sensitivity
• Some developing countries (India, Pakistan South Africa) are particularly famous for producing outstanding doctors
• Fertility tests banned in some countries but legal in others to be categorized under medical tourism but not under healthcare
• Travel for the purpose of promoting health well-being through physical, psychological or spiritual activities
• Certain countries (India, Israel, Tibet, Cambodia, Greece, Turkey, Japan etc.) have built up over ages a brand of being spiritual destination
• Wellness tourists are proactive in seeking to improve or maintain quality of life focus on prevention rather than cure of any disease
• Northern Europe home to numerous natural geysers hot springs, especially near volcanic sites (active or dormant)
• Travellers used to visit these places for rejuvenation
• Dead Sea belt in the Middle East also famous for the therapeutic qualities of the soil
• Thalassotherapy uses sea water as a cleanser popular in Greece France
• Multani Mitti (Fullers Earth) found across north India similarly famous
• In recent decades these geysers, springs etc. have been commercialized allowing people to visit these
• Old Faithful on Yellowstone National Park (Wyoming, USA) particularly popular among tourists
• Countries like Hungary Turkey have agreements with countries like Norway Denmark the former host tourists for mineral baths saunas the latter subsidizes outbound tourists for medical purposes
• Morocco, Tunisia, Jordan Israel have also developed spa-resorts along tourism belts
• Beauty treatments
• Meditation yoga
• Alternative medicine treatments using natural herbs / traditional medical practices
• Spas (artificial) geysers (natural)
• Worth around US 2 billion at present, growing at around 30 annually
• Medical costs have ballooned in the USA other western societies leading to being over-budget for large proportion of population
• Cheaper for these first world citizens to travel all the way to India for treatments
• Patients from countries less developed than India also come for high level surgeries
• Indian education doctors are recognized world over
• Welfare states like Norway, Sweden etc. where basic medical charges are free or minimal, leading to medical facilities catering to the routine problems when major problems occur facilities get over-stretched thus attracting patients to places like India
• India has always had a brand name in this field due to the worldwide recognition (often patronizing) of the ancient medical crafts like Ayurveda Unani
• Hospital chains like Artemis, Max, Medanta have started training nurses in foreign languages like Farsi, Arabic, Serbo-Croat etc.
• India particularly known for curing heart hip ailments
• Chennai known as Indias health tourism capital
• Noida fast emerging as new hub
• India always known as this exotic location of snake charmers sadhu babas with magic potions
• Indias rivers also celebrated in various accounts as having magic powers
• In particular the springs originating in the Himalayas are popular in the imagination of European people
• Also a hub for spirituality
• Home to many major religions of the world
• Some originated here (Hinduism, Buddhism, Sikhism, Jainism many tribal religions)
• Some have originated abroad but have grown to large numbers (Islam, Christianity)
• Some religious groups have gained sanctuary here (Paris, Bahais, Jews)
• Buddhism Hinduism in particular have attracted large numbers of tourists mainly due to the liberal traditions peace that they have always espoused
• Ananda near Hrishikesh, Utarakhand
• Mayapur in Nadia district, West Bengal
• Paonta Sahib (Himachal) Hemkund Sahib (Uttarakhand)