Medical Tourism In India _ A Overview

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Medical Tourism In India


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Medical Tourism In India:

Medical Tourism In India Dr Manish Prabhakar Moderator: Dr Abhay Ambilkar

Frame Work:

Frame Work Tourism Medical Tourism – A Global Perspective Scope of Medical Tourism Components of Medical Tourism Accreditation Indian Scenario SWOT analysis Role of Government and Private


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

Types of Tourism:

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: 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?:

Why Medical Tourism? Healthcare and Tourism industries are the fastest growing industries in the world. Various countries like Thailand, Malaysia, India 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.

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 Scope of Medical Tourism

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. . - Scope of Medical Tourism in India Year No of Foreign Patient Treated in India 2016 361,060 2015 233,918 2014 184,298

Reason for Medical Tourism:

Reason 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 Patients coming from poorer countries like Bangladesh were medical treatment may not be available For those treatments which are not legal in home country like Fertility procedures

Popular destinations for Medical Tourism :

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


Healthcare & Medical Tourism Components

Why India :

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

Procedures for which medical tourism is adopted :

Procedures for which medical tourism is adopted Organ transplantation Joint replacement Cardiac surgery Neurosurgery Cosmetic surgeries Complicated surgeries Kidney dialysis Dental surgery Cancer Treatment 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, Nagpur, Aurangabad, Nasik are an emerging medical tourism destination in Maharashtra.

Top 10 states of India for Medical Tourism:

Top 10 states of India for Medical Tourism Top 10 States foreign visits in lacs percentage % Maharashtra 5.1 28.5 Tamil Nadu 2.8 15.7 Delhi 1.9 10.6 Uttar Pradesh 1.7 9.4 Rajasthan 1.3 7.2 West Bengal 1.2 6.7 Kerala 0.7 3.7 Bihar 0.6 3.6 Himachal 0.5 2.5 Goa 0.4 2.5 other 1.7 9.7

Hospital Accreditation:

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:

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:

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 3 rd 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:

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.

Major Players in India:

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


No of Bed Turn over (Rs Million) % Revenue from International Patients Major International Market Escort 326 2180 11.9 SAARC, CIS, East African Countries, Afghanistan Apollo 1500 2010 15 Middle East Indraprastha Apollo 650 1650 7.3 Nepal Bangladesh, Srilanka Hinduja Hospital 351 1350 3 Africa and SAARC Country Jaslok 376 1080 10 US, Japan, Middle East, Africa

Medical Tourism : SWOT approach:

Medical Tourism : SWOT approach Strength 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 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 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 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.

Role of Government:

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 Government’s Role


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. 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; 2013. 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, Ministry of Tourism, India, Incredible India, NABH, , & Joint Commission International JCI KMPG In India Analysis 2014 , Wikipedia, google image

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