Asia – Middle East DialogueWork Group on Economic Issues: Health & Tourism: Asia – Middle East Dialogue Work Group on Economic Issues: Health & Tourism “Asia – Middle East Cooperation on Medical Services” Dr Jason Yap Director (Healthcare Services) Singapore Tourism Board 4 July 2006


Traditional Healthcare: Traditional Healthcare Patients don’t go far Clinic next door, hospital in city Big hospital in big city Medical professionals manage healthcare Referrals Self-regulated Status quo Go West for the best Clinical services Clinical research Medical technology Closed systems Second class mentality


International Trends: International Trends Internet mindset, global markets Easier (and harder) international travel Greater awareness of standards, options Greater ability to compare prices Greater awareness of population differences Packaging of medical care with tourism or “medical tourism” Improving healthcare IT Internationalisation of healthcare services


Internationalisation of Healthcare Services: Internationalisation of Healthcare Services Local international patients (expatriates) Inbound international patients Healthcare manpower development (training) and supply Healthcare consultancy and investment Healthcare facilities development and management National and community healthcare policy


Internal Factors for Internationalisation: Internal Factors for Internationalisation Natural extension of medical community Revenue from “medical tourism” Revenue from overseas ventures Healthcare economies Healthcare services to own population Critical mass Subspecialisation Affordability of technology


Healthcare Is A Little Different: Healthcare Is A Little Different Patients Not “customers” but patients Caveat emptor does not apply Higher duty of care Professionals Traditions Standards Protectionism Political Emotional issue for patients Pressure on government Also for professionals


Opportunities for Cooperation: Opportunities for Cooperation International patient services Development and management of clinical facilities Healthcare research Healthcare and medical training and manpower National and community health policy


Opportunities for Cooperation: International Patient Services: Opportunities for Cooperation: International Patient Services Medical travel (medical tourism) Asia 2002 2004 India 100k 150k Malaysia 117k 174k Singapore 210k 320k Thailand 379k 520k (estimates in italics) Middle East Egypt, Jordan, Saudi Arabia, Tunisia, UAE


Opportunities for Cooperation: International Patient Services: Opportunities for Cooperation: International Patient Services Considerations Patients’ interests come first Need for industry to mature Quality and knowledge in Asia and Middle East Centres of excellence in Asia and Middle East Critical mass needed for excellence Need opportunities to Network and build business relationships Share best practices Accreditate processes and facilities Regulate errant practices International Medical Travel Conference Singapore, December 2006


Joint Commission International Accredited Hospitals: Joint Commission International Accredited Hospitals China Beijing United Family Hospital and Clinics Clifford Hospital, Guangzhou Hong Kong Adventist Hospital, Hong Kong Tsuen Wan Adventist Hospital, Hong Kong Singapore Alexandra Hospital Changi General Hospital Institute of Mental Health/Woodbridge Hospital Johns Hopkins Singapore International Medical Centre KK Women's and Children's Hospital National Heart Centre of Singapore National University Hospital Singapore General Hospital Tan Tock Seng Hospital India Apollo Hospital, Chennai Indraprastha Apollo Hospital Wockhardt Hospital, Mumbai Philippines St. Luke's Medical Center Thailand Bumrungrad International Egypt Dar Al Fouad Hospital, Giza Jordan King Hussein Cancer Center, Amman Kingdom of Saudi Arabia King Faisal Specialist Hospital and Research Centre, Jeddah King Faisal Specialist Hospital and Research Centre, Riyadh King Khaled Eye Specialist Hospital, Riyadh Saad Specialist Hospital, Al-Khobar Saudi Aramco Medical Services Organization, Dhahran United Arab Emirates American Hospital Dubai Turkey Acibadem Healthcare Group CardioCheck Görüntüleme Merkezi Florence Nightingale Hospital Istanbul Memorial Hospital Medline Alarm Saðlýk Hizmetleri A.Þ. Metropolitan Florence Nightingale Hospital Private Vehbi Koc Foundation Italian Oncology and Rehabilitation Hospital Vehbi Koc Foundation American Hospital www.jointcommissioninternational.com


Take Away Messages: Take Away Messages Healthcare is changing too Closed systems are opening up Patients, expertise and establishments are crossing international borders Gaps in standards are closing We should cooperate, not just compete To improve clinical services everywhere To open up healthcare economies To put patients first AMED Sub-Working Group Specifically for medical travel International Medical Travel Conference Singapore, December 2006


Thank You: Thank You