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    27thFEB 2012

    2008 Chettinad College of Nursing

    MEDICAL TOURISM ANDTRADE

    By

    Prof. Stella sugunakumari

    chettinad health cityChennai.

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    MEDICAL TOURISM

    INTRODUCTION:

    According to World Tourism Organization, medicaltourism includes medical care, sickness and well-being,

    rehabilitation and recuperation

    They range from beautiful holiday packages bundledwith spas to cosmetic treatments to cardiovascular

    surgery, and from diagnostic services to rehabilitation

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    Types of Medical Tourists

    There are two types of Medical Tourists

    Leisure tourists those incorporates a visit to the doctorfor some minor treatment, as part of his or her vacation,

    Tourists traveling specifically for medical treatment.

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    TRADE IN HEALTH

    Goods: Medicines; Vaccines and other healthtechnology

    services: Movement of health professionals; patients;health related investments and supply of health careservices across countries

    Intellectual property: Patents; trade marks; copy rightson health related services and trade

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    Medical Value of Travel

    Travel tourism+

    pleasure, physical & mental relaxation

    +value addition of medicaltreatment at lowest cost

    ||

    Medical Tourism

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    HEALTHCARE BUSINESS

    Facts & Figures

    Worlds largest after retailing

    Global healthcare revenue US$ 2.8 trillion

    Indias healthcare industry worth US$ 17 billion; to growby 13% per annum for next 6 years

    In 2009,India treated 1.8 Lac patients.

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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 Mckinsey estimates that country could earn5000-10,000 crore by 2012

    Health procedures across world show 200-800% costdifference

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    Economics of tourism

    Tourism third largest net earner of foreign exchange

    Indias share in International Tourist arrival

    2002 - 0.34 percent

    2005 - 0.49 percenttotal 3.92 million has increased.

    The World Travel Tourism Council - India as one of the

    foremost growth centre in the world in coming yrs.

    Travel & Tourism sector creates more jobs per millionrupees of investment plan, than any other sector of theeconomy.

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    WHOs work to improve effects

    of trade on health

    WHO focuses on: Analysis and research to inform policy and practice.

    Development of tools and training to build capacity inmember states to fully understand the public healthimplications of multilateral trade agreements.

    Assistance to ministries of health to provide trade,finance, and foreign affairs ministries with information

    needed for multilateral trade negotiations.

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    Issues for Treatment in

    Different Countries

    SAARC ,AFRICA,MIDDLE EAST COUNTRIES

    No advance care available in Afghanistan , Nepal andBangladesh etc

    Limited specialized care is taken

    WESTERN COUNTRIES

    Long waiting

    Insurance unaffordable leading to semi insured anduninsured population

    Private hospitals very expensive

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    Indian Healthcare-Some

    Facts and Predictions

    According to Confederation of Indian Industry, (CII) India has thepotential to welcome over a million medical tourists annually

    A study by McKinsey and the Confederation of Indian Industry,predicts that by 2012, Rs 10,000 crore will be added to the revenuesof private up-market players (i.e.) almost 25 per cent of the presentrevenues

    The Indian government predicts that Indias $17-billion-a-yearhealth-care industry could grow at 13 per cent in each of the next sixyears, boosted by medical tourism

    Whereas, the industry watchers say it is growing at 30 per centannually.

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    Why India ?

    Clinical outcomes matching world statistics World-Class doctors Technology Edge Competitive costs

    Quality of service Patient centric care Almost nil waiting time

    Others:

    Increasing popularity as a tourist destination Eastern Healthcare Wisdom along with the best of Western

    Medicine

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    Important Specialities in

    India

    Bone Marrow Transplant

    Brain Surgery

    Cancer Procedures

    (Oncology)

    Cardiac Care

    Cosmetic Surgery

    Dialysis and Kidney Transplant

    Drug Rehabilitation

    Dental care

    Gynaecology & Obstetrics

    Health Checkups

    Joint Replacement Surgery

    Nuclear Medicine

    Neurosurgery & Trauma

    Surgery

    Preventive Health Care Refractive Surgery

    Rehabilitation

    Osteoporosis

    Spine Related

    Urology

    Vascular Surgery

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    ADVANTAGE IN INDIA

    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 adoptedcountries (First World)

    Usage of English Indian Nurses increasingly getting international exposure

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    ADVANTAGE IN INDIA

    Value Proposition

    Quality medical services at cheap costs:

    Complicated surgical procedures possible at cheap cost

    Increase in use of Computerized Hospital InformationSystems

    Software technologists facilitating tech revolution in

    healthcare

    State-of-the-art medical establishments of great repute

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    ADVANTAGE IN INDIA

    India has world class corporate hospitals and excellenttreatment Centres in the world.

    Hospital infrastructure & technology on par with USA, UK& other European countries

    No waiting period

    Success rateIndia -- 98.7%-- US 97.5% Immediate attention / treatment / surgery Best Nursing Care with compassion Language no barrierEnglish speaking staff

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

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    ADVANTAGE IN INDIA

    Lower Medication cost: Strong Pharma Sector and gaining world recognition

    Fast emerging as major Drug R&D Center

    Strong Generic drugs business

    Low cost of drug development in India

    Tourist Interest:

    Vibrant democracy: Freedom for citizens; empowered 5000 yearold civilization

    Renowned for Historical, Cultural and Religious diversity

    Diverse geographical landmarks; vast coastline Traditional arts and crafts

    women population

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    ADVANTAGE IN INDIA

    Alternative Medicine Proposition:

    Ancient Ayurvedic stream of medicines

    Rejuvenation alternatives: Keralas health retreats

    Naturopathy and Yoga

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    Analysis

    SWOT Analysis for Health Tourism Will establishtourism infrastructure and capacity to support themovement of customers along with hotel services thatwould be required to build the market

    SWOT Analysis for Health Tourism Opportunities: Provides opportunities for links to global markets and

    encourages use of international standards ofperformance in order to be management areas in a costeffective and efficient manner.

    Threats Lack of knowledge with the internationalcompetitive.

    Allows institutions to keep up to date with best practicein clinical as well as standards.

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    SWOT analysis(alternately SLOT analysis) is a strategicplanningmethod used to evaluate

    the Strengths, Weaknesses/Limitations,Opportunities, and Threats

    involved in a projector in a businessventure.

    http://en.wikipedia.org/wiki/Strategic_planninghttp://en.wikipedia.org/wiki/Strategic_planninghttp://en.wikipedia.org/wiki/Projecthttp://en.wikipedia.org/wiki/Businesshttp://en.wikipedia.org/wiki/Businesshttp://en.wikipedia.org/wiki/Projecthttp://en.wikipedia.org/wiki/Strategic_planninghttp://en.wikipedia.org/wiki/Strategic_planning
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    omparative Analysis in USD

    Procedure US UK BANGKOK INDIA

    Singapore

    Angioplasty 30000 21000-27000

    4000 - 5000 4000 - 5000 5000

    Angiography 2500 -

    3000

    2000 1100 400 800

    Hip replacement 19000 13000-16000

    6000 6600

    Kneereplacement

    27000-32000

    16000-18000

    6000 6000

    CABG 30000 6400 9600

    Heart byepasssurgery

    19700 19700 7894 6000 23,983

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    Conclusions

    Globalization is unavoidable and trade liberalization is apart of it.

    There are international trade agreements in WTO whichhave a direct impact on public health; TRIPS & GATS.

    Strong and prolong patent protection has an effect onaccess to new essential medicines.

    TRIPS flexibilities needs to be understood and they mustbe fully incorporated in the national patent law.

    Trade liberalization in health services is a double edged

    sword. There is an urgent need for policy coherence betweentrade and health policy.

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    To India

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

    Tourists

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    Thank you