Economics of Medical Tourism

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    ECONOMICS OF INDIANECONOMICS OF INDIAN

    MEDICAL TOURISMMEDICAL TOURISM

    Maj Gen (Dr) M Srivastava,VSM**Maj Gen (Dr) M Srivastava,VSM** (Retd)(Retd)

    Director ICRI HealthDirector ICRI Health

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    A multibillion dollar industry

    India a International medical tourisms hub

    One of the hottest sectors in India (Public Health Foundation of India)

    Joint Replacement Surgery

    Dental Surgery

    Heath Tourism is to provide World Class Health treatment at competitive affordable prices.

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    Concept of Medical Value Tourism

    Is it a new concept ? - No

    Dates back > thousands of years.

    Greek pilgrims travelled in Saronic Gulfcalled Epidauria,sanctuary of the healinggod Asclepius

    Yes. Marketing of Medical Value Tourism is

    relatively new concept.

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    Economics of tourismEconomics of tourism

    Tourism third largest net earner of foreignTourism third largest net earner of foreign

    exchangeexchange Indias share in International Tourist arrival Indias share in International Tourist arrival

    2002 - 0.34 percent2002 - 0.34 percent

    2005 - 0.49 percent total 3.92 million2005 - 0.49 percent total 3.92 million The World Travel Tourism Council - India asThe World Travel Tourism Council - India as

    one of the foremost growth centre in the world inone of the foremost growth centre in the world in

    coming yrs.coming yrs.

    Travel & Tourism sector creates more jobs permillion rupees of investment plan, than any othersector of the economy.

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    Can we have similar Map for MedicalTourism for India ?

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    India has world class corporate hospitals andIndia has world class corporate hospitals andexcellent treatment Centres in the world.excellent treatment Centres in the world.

    Hospital infrastructure & technology on par withHospital infrastructure & technology on par withUSA, UK & other European countriesUSA, UK & other European countries

    No waiting periodNo waiting period

    Success rate India -- 98.7%Success rate India -- 98.7%

    -- US 97.5%-- US 97.5%

    Immediate attention / treatment / surgeryImmediate attention / treatment / surgery

    Best Nursing Care with compassionBest Nursing Care with compassion Language no barrier English speaking staffLanguage no barrier English speaking staff

    Low cost (1/10th), high quality, affordable best

    healthcare

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    Apollo Hospital Hyderabad Max Hospital Delhi Fortis Hospital, Delhi

    Jaslok Hospital, MumbaiBreach Candy Hospital Wokhardt Hospital

    Bangalore

    Growth of International Standard Hospitals

    http://images.google.co.in/imgres?imgurl=http://bp0.blogger.com/__1SltgWWSAw/RdoEPP10I8I/AAAAAAAAAEc/n5I9yf0l74s/s320/Picture%2B182.jpg&imgrefurl=http://capcarl.blogspot.com/2007/02/wockhardt-hospital-bangalore.html&h=240&w=320&sz=16&hl=en&start=2&um=1&tbnid=XBQDPBuO_Ou5TM:&tbnh=89&tbnw=118&prev=/images%3Fq%3DWockhardt%2BHospital%26um%3D1%26hl%3Den%26sa%3DXhttp://images.google.co.in/imgres?imgurl=http://www.in.emb-japan.go.jp/Japanese/Medical/breachcandy.jpg&imgrefurl=http://www.in.emb-japan.go.jp/Japanese/Medical/mumbaihospital.html&h=596&w=794&sz=61&hl=en&start=7&um=1&tbnid=7Dl6odGKZuwg_M:&tbnh=107&tbnw=143&prev=/images%3Fq%3DBreach%2BCandy%2BHospital%26um%3D1%26hl%3Den%26sa%3DGhttp://images.google.co.in/imgres?imgurl=http://sri.co.in/universalmedicalalliance/hospital_files/abt_img1.jpg&imgrefurl=http://sri.co.in/universalmedicalalliance/hospital.asp&h=210&w=164&sz=23&hl=en&start=4&um=1&tbnid=Z7jdoMuuCXd5wM:&tbnh=106&tbnw=83&prev=/images%3Fq%3DJaslok%2BHospital%2BMumbai%26um%3D1%26hl%3Den%26sa%3DGhttp://images.google.co.in/imgres?imgurl=http://www.tsiplc.com/Images/fortis.jpg&imgrefurl=http://www.tsiplc.com/benefit.html&h=300&w=225&sz=12&hl=en&start=8&um=1&tbnid=YiIy6VQfMxQ2wM:&tbnh=116&tbnw=87&prev=/images%3Fq%3DFortis%2BHospital%2BDelhi%26um%3D1%26hl%3Den%26sa%3DGhttp://www.meditourinternational.com/images/hospital_mssh.jpghttp://www.medvarsity.com/vmu1.2/dmr/dmrdata/courses/hm/images/hyderabad.jpg
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    Macro EconomicsMacro Economics

    ofof

    Medical TourismMedical Tourism

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    Confederation of Indian Industry (C II) sponsored McConfederation of Indian Industry (C II) sponsored McKinsey & Co. study.Healthcare in India : The RoadKinsey & Co. study.Healthcare in India : The Road

    Ahead report:-Ahead report:-

    1.3 million medical tourists visit Asia / year1.3 million medical tourists visit Asia / year

    Nos. of US patients seeking cheaper care abroad -Nos. of US patients seeking cheaper care abroad -

    grew to 7,10,000 / yeargrew to 7,10,000 / year

    Over 1, 50000 medical tourists travelled to India in 2002Over 1, 50000 medical tourists travelled to India in 2002bringing in earnings of $ 300 million.bringing in earnings of $ 300 million.

    2006-07 > 3,000002006-07 > 3,00000

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    The size of Indian Medical Tourism sector estimated in 2002The size of Indian Medical Tourism sector estimated in 2002to be min 1,00000 to 1,50,000 foreign patients per yearto be min 1,00000 to 1,50,000 foreign patients per year

    (Medical Tourists) .(Medical Tourists) .

    The annual growth rate of Medical Tourism in IndiaThe annual growth rate of Medical Tourism in India

    2000 15% per year2000 15% per year

    2007 30% per year2007 30% per year

    Kerala - > 8000 patients annually.Kerala - > 8000 patients annually.

    Cardiac, Ortho & Ayurveda treatmentCardiac, Ortho & Ayurveda treatment

    - KIMS (2007) 40,000 medical tourism patients- KIMS (2007) 40,000 medical tourism patients

    Hospital A in Bangalore - reported 900 medical tourists perHospital A in Bangalore - reported 900 medical tourists per

    year.year.

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    Indias Tourist Industry could yield from $ 1.2Indias Tourist Industry could yield from $ 1.2billion presently to $ 2.2 billion annually by 2012 .billion presently to $ 2.2 billion annually by 2012 .

    The growth rate of Medical Tourism Industry @The growth rate of Medical Tourism Industry @12% in 2002 will go to @ 30% annually by 2012 .12% in 2002 will go to @ 30% annually by 2012 .

    Up market private care in India to be worth fromUp market private care in India to be worth from

    Rs.15000 crores to Rs. 30,000 crores by 2012Rs.15000 crores to Rs. 30,000 crores by 2012

    Medical Tourism revenue can potentially riseMedical Tourism revenue can potentially risefrom Rs. 5000 crores to Rs.10,000 crores perfrom Rs. 5000 crores to Rs.10,000 crores per

    year.year.

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    $ 17 billion Indian Healthcare Industry contributes$ 17 billion Indian Healthcare Industry contributes

    about 4% -5% of GDP. It is expected to grow @ 13%about 4% -5% of GDP. It is expected to grow @ 13%

    annually in next 5 yrs.annually in next 5 yrs.

    Health care spending in India will increase from Rs.Health care spending in India will increase from Rs.

    86,000 crores in 2000-2001 to over Rs. 200,00086,000 crores in 2000-2001 to over Rs. 200,000crores by 2012.crores by 2012.

    Private Health care share will form the largest of thisPrivate Health care share will form the largest of this

    @ Rs.156,000 crores and growth will be driven by@ Rs.156,000 crores and growth will be driven byrising life style diseases.rising life style diseases.

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    Travel tourismTravel tourism

    ++

    pleasurepleasure, physical &, physical & mental relaxationmental relaxation

    ++

    value addition of medicalvalue addition of medical treatment attreatment atlowest costlowest cost

    Medical TourismMedical Tourism

    Anatomy of Medical Value Travel (EonomicPotential)

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    Advantage IndiaAdvantage IndiaUnique medical value services to foreign patientsUnique medical value services to foreign patients

    that supersedes the competition :that supersedes the competition :Yoga

    Meditation /SpiritualismMeditation /Spiritualism

    Ayurveda healingAyurveda healing

    India offers a unique basket of services to an individualIndia offers a unique basket of services to an individual

    that is difficult to match by other countries (CII)that is difficult to match by other countries (CII)

    Less regulatory & legal problemsLess regulatory & legal problems

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    India has number of World Heritage Monuments &India has number of World Heritage Monuments &

    Archeological sites attracting tourists /medicalArcheological sites attracting tourists /medicaltourists Requirement strategic marketing for Medicaltourists Requirement strategic marketing for Medical

    TourismTourism

    World heritage sites- Taj Mahal, Ajanta & Ellora,World heritage sites- Taj Mahal, Ajanta & Ellora,

    Khajuraho, Bhimbetica rock paintingsKhajuraho, Bhimbetica rock paintingsBuddhist sites Shravasti, KushinagarBuddhist sites Shravasti, Kushinagar

    Ancient & religious places Varanasi, Udaipur,Ancient & religious places Varanasi, Udaipur,

    Cultural /Festival tourism Ladakh festival, KhajurahoCultural /Festival tourism Ladakh festival, Khajurahofestivalfestival

    Winter Sports best sites -Skiing Gulmarg, AuliWinter Sports best sites -Skiing Gulmarg, Auli

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    Economic Crisis, Credit Crisis & Recession inEconomic Crisis, Credit Crisis & Recession inUSA - Will it affect Medical Tourism marketUSA - Will it affect Medical Tourism market

    in India ?in India ?NoNo

    There are almost 50 million Americans withThere are almost 50 million Americans with

    no health insuranceno health insuranceCanada - > 700000 patients waiting forCanada - > 700000 patients waiting forprocedures/surgery for > 6 months- 1yrprocedures/surgery for > 6 months- 1yr

    It can have a very positive impact on tourismIt can have a very positive impact on tourismindustry in India for hospital & allied healthcareindustry in India for hospital & allied healthcareindustry who position themselves in the rightindustry who position themselves in the rightdirection .direction .

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    http://www.willnichols.me.uk/2006/pics/india/ranakpur3.jpghttp://www.petersharpe.com/Other/tajmahal.jpg
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    Planning Commission ReportPlanning Commission Report --

    Govt will provide M Visa to Medical Tourists onpriority.

    Most patients visit from SAARC + US &UKMost patients visit from SAARC + US &UK

    Lowest cost -Lowest cost -o Heart Bypass Surgery -Heart Bypass Surgery -

    IndiaIndia ThailandThailand Singapore US / UKSingapore US / UK

    $ 6000$ 6000 $ 7894 $ 23,983 $19,700$ 7894 $ 23,983 $19,700

    o Heart Valve Replacement SurgeryHeart Valve Replacement Surgery

    $ 8000$ 8000 $ 10,000 $ 12500 US $ 20000$ 10,000 $ 12500 US $ 20000

    UK & 90,000UK & 90,000

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    Micro EconomicsMicro Economics -- Comparative Cost Analysis

    Metal Free Dental BridgeMetal Free Dental Bridge

    India USIndia US

    $ 500$ 500 $ 5500$ 5500

    Bone Marrow TransplantBone Marrow TransplantIndiaIndia USUS UKUK

    $ 30,000 $ 250,000- $40,000 $ 150,000$ 250,000- $40,000 $ 150,000

    Cosmetic SurgeryCosmetic Surgery

    India ThailandIndia Thailand US SingaporeUS Singapore

    $ 2000 $ 35,00 $ 10,000$ 35,00 $ 10,000 --

    Spinal FusionSpinal Fusion$ 5500 $ 7000$ 7000 $ 62,000$ 62,000 $ 9000$ 9000

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    Need of the hour:

    INDIA NEEDS PROACTIVE GLOBAL MEDICAL

    TOURISM MARKETING STRATEGIES

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    Marketing strategies to maximizeMarketing strategies to maximize

    economic potentialeconomic potential

    Aggressive marketing & awareness programsAggressive marketing & awareness programsgloballyglobally Publish details of Indian Corporate Hospitals withPublish details of Indian Corporate Hospitals with

    core competencies eg Cardiac Surgery J Rcore competencies eg Cardiac Surgery J R

    Surgery, IVF, Cosmetic Surgery, Dental SurgerySurgery, IVF, Cosmetic Surgery, Dental Surgery

    Advertise - rates of all procedures in allAdvertise - rates of all procedures in allInternational / International Magazines, journals,International / International Magazines, journals,

    magazines & News Papers of the Worldmagazines & News Papers of the World Web sites List, details, Tele & E mail ID ofWeb sites List, details, Tele & E mail ID of

    Hospitals & Executives dealing with medicalHospitals & Executives dealing with medicaltourismtourism

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    Special attractive treatment, travel &Special attractive treatment, travel &

    tourism packages at competitive ratestourism packages at competitive rates

    Package medical tourism through Travel &Tourism Cos.

    Health Insurance for treatment in India

    Regular Chartered Medical TourismInternational Inbound Flights with all

    peripheral arrangements in-flightmedical care - Car/ ambulance transfer- Hotel Hospital / Hotel Wellnesstourism-Return to home country follow up

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    Word of mouth businessWord of mouth business to change toto change to

    media driven business -media driven business -on line directory for medical

    tourism

    Need for India International MT Media

    Marketing international hospital cannot succeed without

    Internet Branding IMT mustTransparency & no intra hospital competition - properpatient centered approach

    Facilitator Promote hospital & partners on their Web

    sites.Regular updating of web site, content & rates

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    Form Corporate Hospitals Medical Tourism ConsortiumForm Corporate Hospitals Medical Tourism Consortiumwith front offices in UK, USA, Canada, Middle East, Southwith front offices in UK, USA, Canada, Middle East, SouthEast Asian countries -East Asian countries -

    Medical Tourism Facility ManagersMedical Tourism Facility Managers - in Europe, Middle- in Europe, MiddleEast, South East Asia - for networking with foreignEast, South East Asia - for networking with foreignhospitals & Consultants for patient reference on profithospitals & Consultants for patient reference on profitsharing per patient basis.sharing per patient basis.

    Form Medical Tourism Association (IndiaForm Medical Tourism Association (India)- for laying down)- for laying downMT business ethics, rates, wellness tourism policies,MT business ethics, rates, wellness tourism policies,procedures etc.procedures etc.

    Medical Tourism Regulatory Body /Ethics CommitteeMedical Tourism Regulatory Body /Ethics CommitteeSpecial Insurance PackagesSpecial Insurance Packages

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    CollectCollect Data base of Uninsured patients USA, UK,Data base of Uninsured patients USA, UK,Canada & other countries patient segmentationCanada & other countries patient segmentation

    Collect Data base of patients waiting in Canada, UK,Collect Data base of patients waiting in Canada, UK,

    USA other European & third world countriesUSA other European & third world countries

    Motivate Indian/International Insurance Cos forMotivate Indian/International Insurance Cos for

    providing low cost Procedure Covers for overseasproviding low cost Procedure Covers for overseas

    patients.patients.

    Approach Govt Tax benefits for Medical TourismApproach Govt Tax benefits for Medical Tourismsectorsector

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    Training Needs -for exponential economicTraining Needs -for exponential economicgrowth & sustainable Indian Medical Tourismgrowth & sustainable Indian Medical Tourism

    Institutional Training University coursesInstitutional Training University courses

    Structured courses tailor made syllabusStructured courses tailor made syllabus

    Training in Tourism Marketing Tourism Dept,Training in Tourism Marketing Tourism Dept,

    Travelling industry, Hospitality & Hotel IndustryTravelling industry, Hospitality & Hotel Industry

    Training modules in soft skills MT staffTraining modules in soft skills MT staff

    Modular Short Training Courses for Specialists/Modular Short Training Courses for Specialists/

    Hospital Executives in Customer Care ManagementHospital Executives in Customer Care Management- International Patients- International Patients

    Training of Spa/Wellness Institution staffTraining of Spa/Wellness Institution staff

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    AHMEDABAD BANGALORE DELHI HYDERABAD MUMBAI

    MB A (Health Care Management)

    MBA (HCM)Two years full time PG regular course with optionto specialize in final year either in HospitalOperations Management (HOM) or MedicalTourism (MT)

    Degree will be awarded by University recognised

    by UGC

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    To India

    UK, USA, Canada, Middle East, South East Asia Medical

    Tourists

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    Thank You