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Medical Tourism In India

Medical Tourism

drprabhakar
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Medical Tourism In India

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  1. Medical Tourism Dr Manish Prabhakar Moderator: Dr Abhay Ambilkar

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

  3. 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”

  4. 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

  5. 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.

  6. 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.

  7. 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

  8. 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

  9. 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

  10. 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. . -

  11. 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

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

  13. 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

  14. 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.

  15. Top 10 states of India for Medical Tourism

  16. 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.

  17. Healthcare & Medical Tourism Components

  18. 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.

  19. 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.

  20. 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.

  21. 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.

  22. 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)

  23. 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

  24. 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.

  25. 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

  26. 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

  27. 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.

  28. 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

  29. 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

  30. 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.

  31. 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)

  32. 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.

  33. 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

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

  35. 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

  36. 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

  37. 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

  38. 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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