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Health Tourism today and into the future
Dr Tim Wilson: PwC Health Industries Leader
www.pwc.com
20 February 2018Strictly private and confidential
PwC 20 February 2018
Strictly private and confidential
Agenda
What, where and why? 3
What might health tourism look like in a few years? 8
What is AI and what is it capable of in healthcare? 14
What is the role of AI in health tourism? 24
Page
2Health Tourism today and into the future
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What, where and why?
3Health Tourism today and into the future
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What do people travel for?
4Health Tourism today and into the future
Source: Global Wellness Institute, PwC analysis
Wellness MedicalHotel/Day Spas
Homeopathy/Osteopathy
Resort spas
Ayurveda + yoga retreats
Medical spas
Weight loss management
Health check-ups
Rehab(post-acute,
addiction, etc.)
Clinical specialties: Cardiology, oncology,
orthopaedics, etc.
Aesthetic care (Cosmetology, etc.)
Fitness
Wellness offerings Clinical offerings Vanity and wellness offerings
Tourism-oriented Patient-oriented
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential 5Health Tourism today and into the future
Where do people travel to?Where do people travel to?
Costa Rica 0.39
South Korea 0.39
Malaysia 0.49
Turkey 0.60
South Africa 0.76
India 0.78
Others 5.88
Thailand 2.29
U.S. 0.80
Brazil 0.91
Mexico 1.10
Total medical tourists: ~ 14 mn
~60%
Number of medical tourists in 2016 (mn))
Top 10 medical tourism destinations by Volume (2016)
Total market value: ~ USD 68 bn
Average spending per visit ranges
from
USD 3,000-10,000
per tourist2.4
2.6
2.7
2.7
3.0
3.1
3.3
3.8
6.9
8.0
UK
India
Canada
Germany
Brazil
Mexico
Turkey
29.6
U.S.
Thailand
South Africa
Others
~57%
Medical tourism market value in 2016 (USD bn)
Top 10 medical tourism destinations by Value (2016)
Source: Allied Analytics, Medical tourism facts & figures, Patients Beyond Borders, Anadolu, PwC analysis
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
Where do people travel from?
6Health Tourism today and into the future
UK
400
Swaziland
200
Netherlands IraqCanadaRussiaLesothoIndonesia USA China Germany BangladeshLibya
500140
Ukraine
120 100 70 55 55 50 50 47 40
600
Developed economies
Developing economies
Major source markets for medical tourists, 2015 (In Thousand)
Source: Medical tourism facts & figures 2016, PwC analysis
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
Why do people choose their destination?
7Health Tourism today and into the future
Quality-focused
Cost-focused
Experience-focused
Sought for advanced health infrastructure and
high quality of medical care
Sought mainly for lower treatments cost
Sought mainly for leisure offerings and
wellness services
Sought for high quality healthcare services in
addition to other leisure and recreation offerings
Sought for low cost treatments and other leisure and wellness
offerings
1 2
3 5
6 Sought for quality health services at good value for
money
Sought for combination of low treatment costs, leisure, and good value
for money
Accessibility is also an influencer in the
patients’ decision when selecting a destination
Accessibility
4
7
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What might health tourism look like in a few years?
8Health Tourism today and into the future
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
How much will health and wellness tourism grow?
9Health Tourism today and into the future
Source: Allied Analytics, Global Wellness Institute, PwC analysis
Global medical tourism market value, 2016-2021 (USD bn)
68.1
125.4
13%
20212016
Global Medical Tourism Market Value
CAGR
Global Medical tourism market byValue
Global wellness tourism market value, 2015-2020 (USD bn)
563.2
808.0
6%
20212015
Global Wellness tourism market value
Global Wellness tourism* market byValue
*includes individuals who chose to travel for wellness services or seek wellness services while
travelling for leisure/business
CAGR
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
How might health tourism change?
10Health Tourism today and into the future
Decision that treatment is
required
Decision to travel
Selection of destination/
facility
Pre travel requirements
Travel for treatment
Receive treatment
Recovery abroad
Recovery at home
Final follow up and
“discharge”
Treatment abroad journey
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
Where will AI have an impact?
11
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
Where will AI have an impact?
12Health Tourism today and into the future
SaudiArabia
Qatar
Iran
Role of the public
Readiness ✔
Understanding added value✔
SaudiArabia
Qatar
IranRole of governments
Quality standards
Regulatory frameworks
SaudiArabia
Qatar
IranRole of healthcare
professionals
Knowledge of technology
SaudiArabia
Qatar
IranRole of private sector
Investment in AI & robotics
*By 2020, GCC countries will require at least 30,000 doctors
Healthcare Demand
Available Resources
Workforce Gap*
Impact of AI
Access for patients
Quality
Costs
Source: https://www.pwc.com/m1/en/industries/healthcare/what-doctor-video.html
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What does the public in Middle East think of AI?
13Health Tourism today and into the future
2/3 willing to engage with AI & Robotics for their healthcare needs
Most willing to receive AI services to
Monitor heart condition
Provide customised advice for fitness and health
Administer an ECG
Take and test a blood sample and results
The main deterrents are the
absence of empathy and
lack of sufficient trust
in a robot’s decision-making
Source: https://www.pwc.com/gx/en/industries/healthcare/publications/ai-robotics-new-health/survey-results.html
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What is AI and what is it capable of in healthcare?
14Health Tourism today and into the future
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What is AI?
15Health Tourism today and into the future
No human in the loopHuman in the loop
Hardwired/ specific systems
Adaptive systems
Automated Intelligence1Assisted Intelligence2
Augmented Intelligence3 Autonomous Intelligence4
• AI systems that assist humans in making decisions or taking actions
• Automation of manual and cognitive tasks that are routine
• AI systems that augment human decision making and continuously learn from their interactions with humans and the environment
• AI systems that can adapt to different situations and can act autonomously without human assistance
Humans will still be in the loop for a number of different roles
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
16
What is AI capable of?
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
17
What is AI capable of?
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
18
What is AI capable of?
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What is AI capable of?
AI is transforming every aspect of healthcare delivery in innovative ways
19Health Tourism today and into the future
AI in Provider applications to identify anatomical features and abnormalities in medical images
Avicenna Deep learning
AI in Payer applications to predict patients risk and premiums
Kaiser PermanenteMachine Learning
Benevolent AIMachine Learning
AI in Pharma/Life Sciences applications to develop drugs
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What is AI capable of?
A sample of AI start-ups from all over the world
20Health Tourism today and into the future
Source: https://www.cbinsights.com/research/artificial-intelligence-startups-healthcare/
‘By February 2017, investors had
poured over $1.79bn in
acquisitionsor funding for 106 AI start-ups
inhealthcare’
Patient data & risk analytics Research Medical imaging & diagnostics
Mental health
Drug discovery
Virtual assistants
WearablesMiscellaneous
Hospital care management
ER & surgery
Lifestyle management
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What is AI capable of?
PwC Middle East Report – The potential impact of AI in the Middle East
21Health Tourism today and into the future
SaudiArabia
KuwaitBahrain
Qatar UAE
Oman
Iran
US$59 billion to health and education US$320 billion to the economy
Enhanced patient experience Improved clinical outcomes
In 2030, AI in the Middle East will contribute to
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
Live polling
22Health Tourism today and into the future
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What are business leaders in the Middle East doing to prepare for AI?PwC Business Readiness Survey 2018
23Health Tourism today and into the future
Enablers to move forward with AI
think AI & Robotics will have a major impact in 10
years
have started implementing
AI; 37% are exploring
62% 16%
Funding & Investments
Leadership Support
Regulatory Environment
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What is the role of AI in health tourism?
24Health Tourism today and into the future
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
How might AI impact tourism?AI will disrupt health tourism
25Health Tourism today and into the future
Decision that treatment is
required
Decision to travel
Selection of destination/
facility
Pre travel requirements
Travel for treatment
Receive treatment
Recovery abroad
Recovery at home
Final follow up and
“discharge”
Treatment abroad journeyPotential impact of AI
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
How can countries use AI to their advantage?
26Health Tourism today and into the future
7 themes cut across the practical implementation of AI
Adapt, adopt and transform
Now is the time to start building trust
AI is transforming every aspect of healthcare delivery in innovative ways…
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
PwC 20 February 2018
Strictly private and confidential
What will patients get by travelling for AI enhanced care?
27Health Tourism today and into the future
Quality-focused Cost-focused
Experience-focused
Sought for combination
of low treatment costs, leisure, and good value
for money
Better quality of services and care
(precision medicine, faster recovery)
Overall lower cost for better benefits
Unique and personalized experience with
technologically enhanced services
AI enhanced
care
What is the role of AI in health tourism?What is AI and what is it capable of in healthcare?What might health tourism look like in a few years?
What, where and why?
©2018. PwC Middle East All rights reserved. PwC refers to the Middle East member firm, and
may sometimes refer to the PwC network. Each member firm is a separate legal entity. Please
see http://www.pwc.com/structure for further details.
Thank you
PwC 20 February 2018
Strictly private and confidential
Why do people choose their destination?
29Health Tourism today and into the future
Quality-focused
Cost-focused
Experience-focused
Sought for advanced health infrastructure and
high quality of medical care
Sought mainly for lower treatments cost
Sought mainly for leisure offerings and
wellness services
Sought for high quality healthcare services in
addition to other leisure and recreation offerings
Sought for low cost treatments and other leisure and wellness
offerings
1 2
3 5
6 Sought for quality health services at good value for
money
Sought for combination of low treatment costs, leisure, and good value
for money
Accessibility is also an influencer in the
patients’ decision when selecting a destination
Accessibility
4
7
30
What is AI capable of?
31
What is AI capable of?
32
What is AI capable of?
PwC 20 February 2018
Strictly private and confidential
What does the public in Middle East think of AI?
34Health Tourism today and into the future
2/3 willing to engage with AI & Robotics for their healthcare needs
Most willing to receive AI services to
Monitor heart condition
Provide customised advice for fitness and health
Administer an ECG
Take and test a blood sample and results
The main deterrents are the
absence of empathy and
lack of sufficient trust
in a robot’s decision-making
Source: https://www.pwc.com/gx/en/industries/healthcare/publications/ai-robotics-new-health/survey-results.html
PwC 20 February 2018
Strictly private and confidential
What is AI capable of?
AI is transforming every aspect of healthcare delivery in innovative ways
34Health Tourism today and into the future
AI in Provider applications to identify anatomical features and abnormalities in medical images
Avicenna Deep learning
AI in Payer applications to predict patients risk and premiums
Kaiser PermanenteMachine Learning
Benevolent AIMachine Learning
AI in Pharma/Life Sciences applications to develop drugs
PwC 20 February 2018
Strictly private and confidential
What is AI capable of?
A sample of AI start-ups from all over the world
35Health Tourism today and into the future
Source: https://www.cbinsights.com/research/artificial-intelligence-startups-healthcare/
‘By February 2017, investors had
poured over $1.79bn in
acquisitionsor funding for 106 AI start-ups
inhealthcare’
Patient data & risk analytics Research Medical imaging & diagnostics
Mental health
Drug discovery
Virtual assistants
WearablesMiscellaneous
Hospital care management
ER & surgery
Lifestyle management
PwC 20 February 2018
Strictly private and confidential
What is AI capable of?
PwC Middle East Report – The potential impact of AI in the Middle East
36Health Tourism today and into the future
SaudiArabia
KuwaitBahrain
Qatar UAE
Oman
Iran
US$59 billion to health and education US$320 billion to the economy
Enhanced patient experience Improved clinical outcomes
In 2030, AI in the Middle East will contribute to
PwC 20 February 2018
Strictly private and confidential
What will patients get by travelling for AI enhanced care?
37Health Tourism today and into the future
Quality-focused Cost-focused
Experience-focused
Sought for combination
of low treatment costs, leisure, and good value
for money
Better quality of services and care
(precision medicine, faster recovery)
Overall lower cost for better benefits
Unique and personalized experience with
technologically enhanced services
AI enhanced
care
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