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    HEALTHCARETOURSIM/MEDICAL

    TOURSIMPRESENTED TO,

    PROF. LALIT SHARMAPRESENTED BY,

    Brajesh kumarG.S.B.A, GREATER NOIDA

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    What it is all about Medical Tourism is traveling abroad for

    healthcare services. Medical Tourism is not emergency or critical

    care travels: While out of country Expatriate care

    Reasons medical tourists go abroad: Real or perceived lack of services at home Treatment protocols, equipment, or

    services Prolonged waiting periods Lower costs of care Personal reasons

    AffordableAccessibleAvailableAcceptableAdditional MedicalTourism

    Magazine, #6, August2008

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    Medical Tourism DefinitionsMedical travel The travel portion of the trip. When an

    individual travels across the border andoutside ones customary environment to seekhealthcare services.

    Medicaltourist

    Upon arrival, such individual is called amedical tourist.

    Medicaltourism

    Activities which include utilization of healthcare services by the medical tourist,directly or indirectly, e.g. hospitality, culturalexposure, sightseeing

    Medicaltourismoperator (MTO)

    Facilitator and coordinator of medical traveland tourism services on behalf of the medicaltourist

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    Healthcare Business

    Facts & Figures

    Medical tourism could account for 3-5% of the totalhealthcare delivery market.

    India is rated amongst the worlds must see top tendestination by Conde Naste (international magazine)

    A study by CII Mckinsey estimates that country could

    earn 5000-10,000 crore by 2012 Health procedures across world show 200-800% cost

    difference

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    MedicalMedical

    Leisur

    Well

    Sick

    Medical TreatmentMedical Treatment

    Spa treatment

    Wellness retreats

    Check ups

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    Concept of Medical Value Tourism

    Is it a new concept ? - NoDates back > thousands of years.Greek pilgrims travelled in Saronic Gulf called Epidauria, sanctuary of the healinggod Asclepius

    Yes. Marketing of Medical Value Tourismisrelatively new concept.

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    Quality

    Large pool of doctors, nurses & paramedics

    Strength: - Over 650,000 doctors;

    - Highly skilled experts, and- Possess English speaking skills

    Comfort Level

    NRI doctors recognized as amongst best in adopted countries(First World)

    Usage of EnglishIndian Nurses increasingly getting international exposure

    First World Treatment at Third World Costs

    Contd..

    Advantage India(Core Competencies )

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    Alternative Medicine Proposition :

    Ancient Ayurvedic stream of medicines

    Rejuvenation alternatives: Keralas healthretreats

    Naturopathy and Yoga

    Advantage India(Core Competencies )

    First World Treatment at Third World Costs

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    Changing Consumer Patterns

    Increased visibility & ease of access to leading hospitals,doctors and surgeons who post their skills & specialties,

    pricing etc on websites has made available a wide choice of

    treatment to the overseas patients

    Media is showcasing Indias ability to treat overseas patientsin a comparable environment

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    Economics of tourism Tourism third largest net earner of foreign

    exchangeIndias share in International Tourist arrival 2002 - 0.34 percent

    2005 - 0.49 percent total 3.92 millionThe World Travel Tourism Council - India

    as one of the foremost growth centre in theworld in coming yrs. Travel & Tourism sector creates more jobsper million rupees of investment plan, thanany other sector of the economy.

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    The size of Indian Medical Tourism sector estimated in2002 to be min 1,00000 to 1,50,000 foreign patients per

    year (Medical Tourists) . The annual growth rate of Medical Tourism in India

    2000 15% per year

    2007 30% per year

    Kerala - > 8000 patients annually.Cardiac, Ortho & Ayurveda treatment

    - KIMS (2007) 40,000 medical tourism patients

    Hospital A in Bangalore - reported 900 medical touristsper year.

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    Confederation of Indian Industry (C II) sponsoredMc Kinsey & Co. study.Healthcare in India : The

    Road Ahead report:-

    1.3 million medical tourists visit Asia / year

    Nos. of US patients seeking cheaper careabroad - grew to 7,10,000 / year

    Over 1, 50000 medical tourists travelled to Indiain 2002 bringing in earnings of $ 300 million.2006-07 > 3,00000

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    Micro Economics - Comparative Cost AnalysisMetal Free Dental Bridge

    India US

    $ 500 $ 5500 Bone Marrow Transplant India US UK

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

    Cosmetic Surgery India Thailand US Singapore$ 2000 $ 35,00 $ 10,000 -

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

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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 fortourists Requirement strategic marketing for

    MedicalMedical Tourism Tourism

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

    Khajuraho, Bhimbetica rockKhajuraho, Bhimbetica rockpaintingspaintingsBuddhist sites Shravasti, KushinagarBuddhist sites Shravasti, Kushinagar

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

    Cultural /Festival tourism Ladakh festival,Cultural /Festival tourism Ladakh festival,KhajurahoKhajuraho festivalfestival

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    http://www.willnichols.me.uk/2006/pics/india/ranakpur3.jpghttp://www.petersharpe.com/Other/tajmahal.jpg
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    Apollo Hospital Hyderabad Max Hospital Delhi Fortis Hospital, Delhi

    Jaslok Hospital, MumbaiBreach Candy Hospital Wokhardt Hospital

    Bangalore

    Growth of International StandardHospitals

    http://www.medvarsity.com/vmu1.2/dmr/dmrdata/courses/hm/images/hyderabad.jpghttp://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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    Industry Issues

    Doctors

    Hygiene awareness in medical attendantsUnhygienic Food handling

    Heterogeneous Pricing of servicesService

    Standardized education in Medical InstitutionsStrong regulatory mechanism to curb quacksNo communication and inter-personal skills teaching

    Nurses &Paramedical

    Deficient Language skills

    Lack of StandardizationAttrition

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    PATH FORWARD(Potential + Improvements)

    Doctors & Paramedics

    Expertise Recognized

    Cost Advantage

    Language Skills

    Vibrant Industries

    IT Strength

    Management Skills

    Pharmaceutical Industry

    Tourism Potential

    Service Industry Mindset

    POTENTIALUniform Medical Education StandardsIndustry Accreditation StandardsMandatory Accreditation of all Colleges &HospitalsTarget-oriented Infrastructure Investment

    More Medical, Nursing colleges and Hospitals

    Regulatory Bodies with Teeth

    Government soft loan to Private PlayersTax Holiday & Further Duty Roll BackApex Industry body under Union ListGreater Industry & Govt. InteractionMedical Insurance ReformsSeamless Single-Window Facility to TouristsGovt. sell India as Medical Tourism Destination

    FUTURE FOCUS

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    Can we have similar Map for Medical Tourism for India ?

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    Economic Crisis, Credit Crisis &Recession in USA - Will it affect Medical

    Tourism market in India ? NoNo There are almost 50 million Americans with There are almost 50 million Americans with

    no health insuranceno health insurance Canada - > 700000 patients waiting forCanada - > 700000 patients waiting for

    procedures/surgery for > 6 months- 1yrprocedures/surgery for > 6 months- 1yr It can have a very positive impact onIt can have a very positive impact on

    tourism industry in India for hospital & alliedtourism industry in India for hospital & alliedhealthcare industry who positionhealthcare industry who positionthemselves in the right direction .themselves in the right direction .

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    Planning Commission Report -

    Govt will provide M Visa to Medical Tourists onpriority.Most patients visit from SAARC + US &UK Lowest cost -

    o Heart Bypass Surgery - India Thailand Singapore US / UK $ 6000 $ 7894 $ 23,983 $19,700

    o Heart Valve Replacement Surgery

    $ 8000 $ 10,000 $ 12500 US $ 20000UK & 90,000

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    Medical Tourism OperatorsFacilitate

    Client assessment Compilation of all pertinent records Recommend/match providers abroad Scheduling treatment Making all travel arrangements Handling payment Follow-up care upon return

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    Foreign tourists: criticisms of amajor medical tourism destination

    Obstacles % of Respondents

    Maltreatments, such as over-charging by taxi drivers, lack of manners and ill-informed tourist guides and tour operators,cheating, etc, in many tourist destinations such as Agra, Delhi,Mumbai and Jaipur

    63%

    Delays at immigration counters due to lack of space and inadequatecomputerization

    90%

    Bad condition of roads in tourist destinations 55%

    High cost of travel from far away countries, including those inWestern Europe, North America, Japan, and Australia

    30%

    Dual pricing of airfares for foreign nationals and domesticpassengers (40.5% higher for foreigners)

    30%

    Entry fees to monuments and heritage sites were higher for foreigners than Indian nationals 30%

    Difficulty in obtaining fast connectivity to certain tourist spots or centers

    28%

    Dissatisfaction with airport facilities like ambience, toilets,cleanliness, cafeteria, baggage and customs clearance, andsecurity

    80-90%

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    REALIZED POTENTIAL

    INDIAEMERGES

    AS MAJORMEDICALTOURISM

    DESTINATION

    SPIN-OFFGDP Growth

    Employment in Healthcare Sector

    Employment in Tourism Industry

    Overall Growth in Commerce

    Reversal & Arrest of Brain Drain

    Stimulus to Pharmaceuticals Industry

    Growth in Insurance Industry

    Better medical facilities for larger populationCatalyzes India to the Club of Global Leaders

    PATH FORWARD(For Success)

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    Reposition Healthydestinations

    Sell destinations for whatthey can do to improve health

    and wellbeing Offer full range of products

    and services Package

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    CONCLUSION

    Opportunity to create a new travel segment inhealth using spas and medical tourism as anchors

    Travel industry should focus on low risk, value

    added services and retreats that focus on lifestyleand disease management

    Everyone is looking for new businessopportunities

    Travel understands how to package, healthcarefacilities dont