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  What's called Medical tourism or Medical travel or Healthy tourism? It is a term initially coined by travel agencies and the mass media to describe the rapidly- growing practice of traveling across international borders to obtain health care. Patients going to a different country for either urgent or elective medical procedures?And is fast becoming a worldwide, multibillion-dollar industry. Such services typically include elective procedures as well as complex specialized surgeries such as joint replacement (knee/hip), cardiac surgery, dental surgery, and cosmetic surgeries. However, virtually every type of health care, including psychiatry, alternative treatments, convalescent care and even burial services are available. As a practical matter, providers and customers commonly use informal channels of communication-connection-contract, and in such cases this tends to mean less regulatory or legal oversight to assure quality and less formal recourse to reimbursement or redress, if needed. HISTORY OF MEDICAL TOURISM Medical tourism is actually thousands of years old. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios, at Epidaurus. In Roman Britain, patients took the waters at a shrine at Bath, a practice that continued for 2,000 years. From the 18th century  wealthy Europeans travelled to spas from Germany to the Nile. In the 21st century, relatively low-cost jet travel has taken the industry beyond the wealthy and desperate. Spa towns and sanitariums may be considered an early form of medical tourism. In eighteenth century England, for example, med trotters visited spas because they were places with supposedly health-giving mineral waters, treating diseases from gout to liver disorders and bronchitis.

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 What's called Medical tourism or Medical travel or Healthy tourism? It is a term

initially coined by travel agencies and the mass media to describe the rapidly-

growing practice of traveling across international borders to obtain health care.

Patients going to a different country for either urgent or elective medical

procedures?And is fast becoming a worldwide, multibillion-dollar industry. Such

services typically include elective procedures as well as complex specialized

surgeries such as joint replacement (knee/hip), cardiac surgery, dental surgery,

and cosmetic surgeries. However, virtually every type of health care, including

psychiatry, alternative treatments, convalescent care and even burial services are

available. As a practical matter, providers and customers commonly use informal

channels of communication-connection-contract, and in such cases this tends to

mean less regulatory or legal oversight to assure quality and less formal recourseto reimbursement or redress, if needed.

HISTORY OF MEDICAL TOURISM

Medical tourism is actually thousands of years old. In ancient Greece, pilgrims

and patients came from all over the Mediterranean to the sanctuary of the healing

god, Asklepios, at Epidaurus. In Roman Britain, patients took the waters at a

shrine at Bath, a practice that continued for 2,000 years. From the 18th century

 wealthy Europeans travelled to spas from Germany to the Nile. In the 21st

century, relatively low-cost jet travel has taken the industry beyond the wealthy

and desperate. Spa towns and sanitariums may be considered an early form of

medical tourism. In eighteenth century England, for example, med trotters visited

spas because they were places with supposedly health-giving mineral waters,

treating diseases from gout to liver disorders and bronchitis.

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REASON FOR MEDICAL TOURISM

The reasons patients travel for treatment vary.

  Many medical tourists from the United States are seeking treatment at a

quarter or sometimes even a 10th of the COST AT HOME.

PROCEDURE USA INDIA (USD) THAILAND SINGAPORE

Heart Bypass USD 1,00,000 USD 7,200 USD 11,000 USD 16,500

Angioplasty USD 1,60,000 USD 7,000 USD 10,000 USD 15,000

Hip Replacement USD 43,000 USD 7,100 USD 12,000 USD 9,200

Knee Replacement USD 40,000 USD 8,500 USD 10,000 USD 11,000

Spine Fusion USD 62,000 USD 7,500 USD 8,500 USD 10,000

Lap. Gastric Bypass USD 35,000 USD 9,200 USD 10,200 USD 11,500

Tummy Tuck USD 10,000 USD 4,500 USD 5,500 USD 6,550

Dental Implant USD 10,000 USD 1,500 USD 2,000 USD 2,400

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 From Canada, it is often people who are frustrated by long waiting times.

 

From Great Britain, the patient can't wait for treatment by the NationalHealth Service but also can't afford to see a physician in private practice.

 For others, becoming a medical tourist is a chance to combine a tropical

 vacation with elective or plastic surgery.

  And more patients are coming from poorer countries such as Bangladesh

 where treatment may not be available.

PROCESS FOR MEDICAL TOURISM

The typical process is as follows:

The person seeking medical treatment abroad contacts amedical tourism

provider.

The provider usually requires the patient to provide a medical report, including

the nature of ailment, local doctor‘s opinion, medical history, and diagnosis, and

may request additional information. Certified medical doctors or consultants then

advise on the medical treatment.

The approximate expenditure, choice of hospitals and tourist destinations, and

duration of stay, etc., is discussed.

 After signing consent bonds and agreements, the patient is given recommendation

letters for a medical visa, to be procured from the concerned embassy.

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RESEARCH METHODOLOGY

I have selected the following method to collect information for the project

Experimental

 

Questionnaire

  Interviews

  Survey

Exploratory

  Internet  

  Magazines 

  Newspaper  

  Brochures

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objetives 

  TO KNOW ABOUT SURGERIES ASSICIATED

 WITH MEDICAL TOURISM

  TO KNOW SCOPE OF MEDICAL TOURISM

IN INDIA

 

TO KNOW FAVAORABLE PLACES FOR

MEDICAL TOURISM

 

TO KNOW GOVERNMENT CONTRIBUTION

IN MEDICAL TOURISM

VARIOUS SURGERIES ASSOCIATED WITH

MEDICAL TOURISM

 

TOTAL KNEE REPLACEMENT

 TOTAL HIP REPLACEMENT SURGERY

 CORONARY ANGIOGRAPHY  

 PHAROPLASTY ("EYELID SURGERY") 

 FACE LIFT (RHYTIDECTOMY)

 RHINOPLASTY (NOSE JOB): RESHAPING OF THE NOSE

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 ABDOM INOPLASTY TUMM Y TUCK) RESHAPING AND

 

ABDOM INOPLASTY TUMM Y TUCK) RESHAPING AND

FIRMING OF THE ABDOMEN

 

BREAST LIFTS MAST OPEXY ):

 

LASIK LASER EYE SURGERY OR KERATOM ILEUSIS.

 

HAIR REPLACEMENT

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SCOPE OF MEDICAL TOURISM ININDIA

INDIA

India is considered the leading country promoting medical tourism-and now it is

moving into a new area of "medical outsourcing," where subcontractors provide

services to the overburdened medical care systems in western countries.

India's National Health Policy declares that treatment of foreign patients is legally

an "export" and deemed "eligible for all fiscal incentives extended to export

earnings." Government and private sector studies in India estimate that medical

tourism could bring between $1 billion and $2 billion US into the country by

2012. The reports estimate that medical tourism to India is growing by 30 per

cent a year.

India's top-rated education system is not only churning out computer

programmers and engineers, but an estimated 20,000 to 30,000 doctors and

nurses each year.

The largest of the estimated half-dozen medical corporations in India serving

medical tourists is Apollo Hospital Enterprises, which treated an estimated60,000 patients between 2001 and spring 2004. It is Apollo that is aggressively

moving into medical outsourcing. Apollo already provides overnight computer

services for U.S. insurance companies and hospitals as well as working with big

pharmaceutical corporations with drug trials. Dr. Prathap C. Reddy, the chairman

of the company, began negotiations in the spring of 2004 with Britain's National

Health Service to work as a subcontractor, to do operations and medical tests for

patients at a fraction of the cost in Britain for either government or private care.

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 Apollo's business began to grow in the 1990s, with the deregulation of the Indian

economy, which drastically cut the bureaucratic barriers to expansion and made it

easier to import the most modern medical equipment. The first patients were

Indian expatriates who returned home for treatment; major investment houses

followed with money and then patients from Europe, the Middle East and

Canada began to arrive. Apollo now has 37 hospitals, with about 7,000 beds. The

company is in partnership in hospitals in Kuwait, Sri Lanka and Nigeria.

 Western patients usually get a package deal that includes flights, transfers, hotels,

treatment and often a post-operative vacation.

 Apollo has also reacted to criticism by Indian politicians by expanding its services

to India's millions of poor. It has set aside free beds for those who can't afford

care, has set up a trust fund and is pioneering remote, satellite-linked

telemedicine across India.

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Medical Tourism India

- Where the entire world meets for the best in Health Care

Medical Tourism in India is one of the best options available to people across the

globe. Millions come every year to get treated and then enjoy their recuperative

holidays across India. People from different walks of life cut across the entire

span of the globe come to India to have their treatments done with peace of

mind. India provides world class medical facilities with hospitals and specialized

multi specialty health centers providing their expertise in the areas of Cosmetic

Surgery, Dental care, Heart Surgeries, Coronary Bypass, Heart Check up, Valve

replacements, Knee Replacements, Eye surgeries, Indian traditional treatments

like Ayurvedic Therapies and much more, practically covering every aspect of

medicine combining modern treatments with traditional experience

India is considered the most important country promoting medical tourism.

India is one of the most touted medical tourism destinations in the world. India is

a recent entrant into medical tourism. According to a study by McKinsey and the

Confederation of Indian Industry, medical tourism in India could become a $1

billion business by 2012. The report predicts that: "By 2012, if medical tourism

 were to reach 25 per cent of revenues of private up-market players, up to

2,297,794,117 USD will be added to the revenues of these players". The Indian

government predicts that India's $17-billion-a-year health-care industry could

grow 13 per cent in each of the next six years, boosted by medical tourism, which

industry watchers say is growing at 30 per cent annually.

Price advantage is a major selling point. The slogan, thus is, "First World

treatment' at Third World prices". The cost differential across the board is huge:

only a tenth and sometimes even a sixteenth of the cost in the West. Open-heart

surgery could cost up to $70,000 in Britain and up to $150,000 in the US; in

India's best hospitals it could cost between $3,000 and $10,000. Knee surgery (on

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both knees) costs 350,000 rupees ($7,700) in India; in Britain this costs £10,000

($16,950), more than twice as much. Dental, eye and cosmetic surgeries in

 Western countries cost three to four times as much as in India.

India have a lot of hospitals offering world class treatments in nearly every

medical sector such as cardiology and cardiothoracic surgery, joint replacement,

orthopedic surgery, gastroenterology, ophthalmology, transplants and urology to

name a few. The various specialties covered are Neurology, Neurosurgery,

Oncology, Ophthalmology, Rheumatology, Endocrinology, ENT, Pediatrics,

Pediatric Surgery, Pediatric Neurology, Urology, Nephrology, Dermatology,Dentistry, Plastic Surgery, Gynecology, Pulmonology, Psychiatry, General

Medicine & General Surgery

For long promoted for its cultural and scenic beauty, India is now being put up

on international map as a heaven for those seeking quality and affordable

healthcare. Analysts say that as many as 150,000 medical tourists came to India in2004. As Indian corporate hospitals are on par, if not better than the best

hospitals in Thailand, Singapore, etc there is scope for improvement, and the

country is becoming a preferred medical destination. In addition to the

increasingly top class medical care, a big draw for foreign patients is also the very

minimal or hardly any waitlist as is common in European or American hospitals.

Leisure Tourism is already very much in demand in India as the country offers

diverse cultural and scenic beauty. India has almost all sort of destinations like

high mountains, vast deserts, scenic beaches, historical monuments, religious

temples etc. Known for its hospitality for tourists, the county has opened doors to

 welcome with the same hospitality.

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FEW FACTS ABOUT MEDICAL TOURISM IN INDIA

INDIA FOSTERS GROWING 'MEDICAL TOURISM' SECTOR  

India is hoping to expand its tourist industry –  to include visitors with heart

conditions and cataracts. Indeed, medical tourism, where foreigners travel abroad

in search of low cost, world-class medical treatment, is gaining popularity in

countries like India. The field has such lucrative potential that Indian finance

minister Jaswant Singh called for India to become a ―global health destination.‖

 And, with prices at a fraction of those in the US or Britain, the concept will likely

have broad consumer appeal –  if people can overcome their prejudices about

health care in developing countries. Though the quality of health care for the

poor in countries like India is undeniably low, private facilities offer advanced

technology and procedures on par with hospitals in developed nations. One

Indian hospital director maintains, "In a corporate hospital, once the door is

closed you could be in a hospital in America.‖ – YaleGlobal

ECONOMIST.COM | MEDICAL TOURISM TO INDIA  

FOR someone about to undergo surgery to remove gallstones, David Potter, a 63- year-old Briton, is remarkably chipper. Pushing a walking-frame he hardly seems

to need, he testifies to the success of an earlier operation, to replace a hip. Both

are standard surgical procedures 

PROMOTING HEALTH AND MEDICAL TOURISM IN INDIA -

LOOKIN - EXPRESS ... 

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Health and medical tourism is perceived as one of the fastest growing segments in

marketing ‗Destination India‘ today. While this area has so far been relatively

unexplored, we now find that not only the ministry of tourism, government of

India, but also the various state tourism boards and even the private sector

consisting of travel agents, tour operators, hotel companies and other

accommodation providers are all eying health and medical tourism as a segment

 with tremendous potential for future growth.

INDIA DAILY – MEDICAL TOURISM IN INDIA MAY BE WORTH

US$2.3 BILLION ... 

 With an increasing number of foreign patients flocking to India for treatment,

the country could earn Rs 100 billion (US$2.3 billion) through 'Medical

Tourism' by 2012, a study has indicated.

 According to the study conducted by the Confederation of Indian Industry and

McKinsey consultants, last year some 150,000 foreigners visited India for

treatment, with the number rising by 15 per cent a year.

 With a large pool of highly trained doctors and low treatment cost, healthcare

aims to replicate the Indian software sector's success. Built on acres of land the

new sleek medical centres of excellence offer developed world treatment at

developing world prices. 

INDIA CAN EARN $1 BILLION FROM MEDICAL TOURISM 

India could earn more than $1 billion annually and create 40 million new jobs by

sub-contracting work from the British National Health Service, the head of India's

largest chain of private hospitals told rediff.com.

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Houston-trained DrPrathap C Reddy, chairman, Apollo Hospitals, also said he

 was waiting for a reply to his proposal to carry out operations at a fraction of what

they would cost in the United Kingdom.

Details of the multi-million dollar package are also carried in this week's edition

of India Abroad.

They include surgery for hip and knee replacements and coronary bypass that

 would slash waiting times dramatically, reducing the queues of British patients

 waiting to see their doctors.

"We have well equipped, state-of-the-art hospitals and we can offer the same level

of care as anywhere else in the world," Dr Reddy said.

"There is no reason why we should not become the healthcare destination of the

 world."...

CBC NEWS INDEPTH: HEALTH CARE 

 A worldwide market

 What's called medical tourism – patients going to a different country for either

urgent or elective medical procedures – is fast becoming a worldwide,

multibillion-dollar industry.

The reasons patients travel for treatment vary. Many medical tourists from the

United States are seeking treatment at a quarter or sometimes even a 10th of the

cost at home. From Canada, it is often people who are frustrated by long waiting

times. From Great Britain, the patient can't wait for treatment by the National

Health Service but also can't afford to see a physician in private practice. For

others, becoming a medical tourist is a chance to combine a tropical vacation with

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elective or plastic surgery.

 And more patients are coming from poorer countries such as Bangladesh where

treatment may not be available.

Medical tourism is actually thousands of years old. In ancient Greece, pilgrims

and patients came from all over the Mediterranean to the sanctuary of the healing

god, Asklepios, at Epidaurus. In Roman Britain, patients took the waters at a

shrine at Bath, a practice that continued for 2,000 years. From the 18th century

 wealthy Europeans travelled to spas from Germany to the Nile. In the 21stcentury, relatively low-cost jet travel has taken the industry beyond the wealthy

and desperate.

Countries that actively promote medical tourism include Cuba, Costa Rica,

Hungary, India, Israel, Jordan, Lithuania, Malaysia and Thailand. Belgium,

Poland and Singapore are now entering the field. South Africa specializes inmedical safaris-visit the country for a safari, with a stopover for plastic surgery, a

nose job and a chance to see lions and elephants.

India

India is considered the leading country promoting medical tourism-and now it is

moving into a new area of "medical outsourcing," where subcontractors provide

services to the overburdened medical care systems in western countries.

India's National Health Policy declares that treatment of foreign patients is legally

an "export" and deemed "eligible for all fiscal incentives extended to export

earnings." Government and private sector studies in India estimate that medical

tourism could bring between $1 billion and $2 billion US into the country by

2012. The reports estimate that medical tourism to India is growing by 30 per

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cent a year.

WHY IS INDIA MOST SUITABLE?

Indian corporate hospitals excel in cardiology and cardiothoracic surgery, joint

replacement, orthopedic surgery, gastroenterology, ophthalmology, transplants

and urology to name a few. The various specialties covered are Neurology,

Neurosurgery, Oncology, Ophthalmology, Rheumatology, Endocrinology, ENT,

Pediatrics, Pediatric Surgery, Pediatric Neurology, Urology, Nephrology,

Dermatology, Dentistry, Plastic Surgery, Gynecology, Pulmonology, Psychiatry,General Medicine & General Surgery

The various facilities in India include full body pathology, comprehensive

physical and gynecological examinations, dental checkup, eye checkup, diet

consultation, audiometry, spirometry, stress & lifestyle management, pap smear,

digital Chest X-ray, 12 lead ECG, 2D echo colour Doppler, gold standard DXA

bone densitometry, body fat analysis, coronary risk markers, cancer risk markers,

carotid colour Doppler, spiral CT scan and high strength MRI. Each test is

carried out by professional M.D. physicians, and is comprehensive yet pain-free.

There is also a gamut of services ranging from General Radiography, Ultra

Sonography, Mammography to high end services like Magnetic Resonance

Imaging, Digital Subtraction Angiography along with intervention procedures,Nuclear Imaging. The diagnostic facilities offered in India are comprehensive to

include Laboratory services, Imaging, Cardiology, Neurology and Pulmonology.

The Laboratory services include biochemistry, hematology, microbiology,

serology, histopathology, transfusion medicine and RIA.

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 All medical investigations are conducted on the latest, technologically advanced

diagnostic equipment. Stringent quality assurance exercises ensure reliable and

high quality test results.

 As Indian corporate hospitals are on par, if not better than the best hospitals in

Thailand, Singapore, etc there is scope for improvement, and the country may

become a preferred medical destination. In addition to the increasingly top class

medical care, a big draw for foreign patients is also the very minimal or hardly any

 waitlist as is common in European or American hospitals. In fact, priority

treatment is provided today in Indian hospitals.

The Apollo Group, Escorts Hospitals in New Delhi and Jaslok Hospitals in

Mumbai are to name a few which are established names even abroad. A list of

corporate hospitals such as Global Hospitals, CARE and Dr L.V. Prasad Eye

Hospitals in Hyderabad, The Hindujas and NM Excellence in Mumbai, also

have built capabilities and are handling a steadily increasing flow of foreign

patients. India has much more expertise than say Thailand or Malaysia. Theinfrastructure in some of India's hospitals is also very good. What is more

significant is that the costs are much less, almost one-third of those in other Asian

countries

Number of people having visited India for as medical tourists:

India now hosts and treats an estimated of 50,000 medical tourists a year and thecatalytic CII-McKinsey report of 2002 projected that medical tourism could

contribute up to Rs 10,000 crores in revenue by the year 2012.

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RE-OPENING OF

THE TAJ AND TRIDENT

REKINDLES GROWTH OF M EDICAL TOURISM.

December 23rd, 2008 · 

Barely a month after the terror attacks in Mumbai, the fire-scarred TAJ and

TRIDENT are open for business and stands strong ready to welcome guests to

the recuperated sections of the hotel. Guests, including foreign nationals and

medical tourists from various countries who need immediate medical care have

fearlessly chosen these hotels for stay.

Global economic freeze had encouraged several medical tourists to fly down to

India to avail quality medical treatment at a low cost. Millions of uninsured and

baby boomers in the US were left with no choice but to opt for medical tourism

for medical treatments. But the terror attacks in Mumbai On the 26th of

November seemed to have weakened the business prospects of health tourism inIndia. But not for long!

The re-opening of the Taj, Trident and the Oberoi within a span of 20 days

shows the determination of the hotel owners to show the world the undying spirit

and the strength of India. The sight of localities and foreign nationals walking

into the gates of these hotels surely is an encouraging sight to the hotel owners. It

symbolized their confidence in the spirit of India to fight back terror and show

their strength amidst tough times.

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State wise preparation in progress:

Karnataka is now preparing to promote premier government institutions asmedical tourism destinations. ―The department of Tourism with the Health and

Family Welfare department has identified centres of excellence in the

government health sector — such as Jayadeva Institute of Cardiology and the

Kidwai Institute of Oncology — which will be promoted abroad as places for

specialised treatment at affordable costs,‖ said health commissioner Basavaraju.

Moreover, what is now being called the Andhra Pradesh model stems from the

provision of universal health insurance in three districts, and AP chief minister

 YS Rajasekhara Reddy has called for bids in six other districts.

Thus, as DrPratap C Reddy of Apollo Hospitalsemphasised, insurance cover and

accessibility can drive change. ―In Aragonda, Andhra Pradesh, with a contribution

of a rupee a day a constable‘s son was able to have a bone marrow transplantation

done at the best facility. Nobody can afford to pay for major illnesses, and we

need a mechanism to make hospital procedures cashless. That is possible only

 with insurance.‖

 After going through the above, what could be the wish list of a common man for

making medical tourism a big success for India? Some of these are summarized

below:

Let there be an identical agency like NAASCOM for medical tourism to

periodically come out realistic reports for bettering the services in the days to

come.

 Why only private sector gains - why not public sector too, from the earnings of

medical tourism - a thorough study need to be done by involving the experts.

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The rates charged or services offered could be further subsidized so that people

from different parts of the world throng to our hospitals for getting timely,

immediate and quality care all at an affordable cost so that at least by word of

mouth the message gets well spread across different sections of the societies.

ESI hospitals too can join this race by selectively opening up their doors so that

their income gets a big boost, which could be optimally utilised for bettering the

services from all angles benefiting the registered care seeker.

Let our foreign consulate offices act as ambassadors for promoting medical

tourism to get this business a big boost.

Let there be innovative schemes by targeting medical tourists so that they return

back with great feeling of comfort, satisfaction and joy.

MEDICAL TOURISM GROWS EXPONENTIALLY

Medical tourism is a recognized industry in the west. When Information

Technology, manufacturing and technical support jobs went eastward, nobody

even bothered to think that healthcare might take the same road somebody. But

it did. And that‘s good news for countries like India, Malaysia, Thailand and

Philippines.

Medical care in these Asian countries cost just one-tenth of the costs in U.S.A.

No wonder 50,000 Americans traveled abroad for medical care in 2006. Surgical

care and dental treatment top the list of health care needs of people from

 America and U.K. Several of the hospitals in these countries boast state-of-the-art

facilities, skilled medical professionals and medical care on par with western

countries.

Insurance companies in the U.S.A. have started to recognize this form of medical

care in another country as a viable alternative to high-cost medical care in the

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U.S. The Economic Times has a report that suggests that western insurance

companies are considering covering medical tourism, as well. If one tenth of

 Americans travel abroad for treatment, the insurance companies could save

around $1.4 billion. The report recommends that companies should consider

offering SOP‘s like lowered premiums or added services to boost medical

tourism as it improves their bottom-line, eventually. This would again be a great

impetus for medical tourism in countries like India.

FAVOURABLE PLACE WHERE MEDICAL TOURISM EARNSMAXIMUM REVENUE

Mediescapes India  is India's first medical tourism promotion company fully

owned by Indians, run with the cooperation of Indian doctors / medical

specialists, and promoting Indian Hospitals / Clinics / Health Care System to

patients worldwide. 

1) Patients are encouraged to FIRST send their medical records to our mailing

address (mentioned on the Contact Us web page) and then seek cost estimates /

duration of treatment for their respective medical conditions. All medical records

are treated as confidential by us and images of patients received (for cosmetic

procedures as well as testimonials / feedback) are never shared / disclosed by

Mediescapes India.

(2)Please note, Mediescapes India will not reply to patients‘ enquiries whose

current medical records, including imaging films such as recent MRIs / X-Rays /

CT Scans / OPG Images for dental / front or side view for cosmetic / Bariatric

surgery etc. are not available to our consultant for evaluation. Neither will we

respond to medical enquiries without an accompanying filled-in Medical

Questionnaire (we have medical questionnaires for respective medical conditions

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that have been developed by our medical consultants‘ team and which may

require filling-in with the help of the patient‘s family physician). The

questionnaires are meant for screening a patient‘s case followed by evaluation of

his/her medical records by our panel of eminent medical consultants.

(3)Patients are discouraged from window-shopping for their health by sending

one-line questions to Mediescapes India such as "How much will this treatment

cost?"  without transmitting their medical condition records / summary as your

medical condition needs to be screened first and then evaluated by our panel of

Board-certified eminent medical consultants practicing in JCI-Accredited / ISO-

Certified Hospitals of repute.

(4)Mediescapes India retains the right to charge adjustable screening fees with

medical cost estimates in advance in selected cases from patients‘ enquiries

originating in Bangladesh / Pakistan / Afghanistan / Sri Lanka / Bhutan / Maldives

and African countries before disseminating treatment plans / medical opinions to

these countries‘ patients and or medical enquiries originating from other selected

countries.

Information provided on this unique Medical Portal Website is for general

medical education and to let patients know what to expect during a opt -inmedical procedures in India. Such information is subject to change. Mediescapes

India. Com does not guarantee that the information is accurate or complete, and

is not responsible for any actions resulting from the use of this information.

General information provided in this fashion should not be construed as specific

medical advice or recommendation, and is not a substitute for consultation of and

physical examination by a physician. Only discussion of your individual needs with a qualified physician will determine the best method of treatment for you.

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 All doctors listed on this unique Indian medical portal website are Board-certified

and are well-known surgeons / medical consultants attached to super-speciality

tertiary health care institutes / hospitals / clinics of repute in India. 

SUGGESTED HOSPITALS / CLINICS

Suggested Hospitals / Clinics

Mediescapes India  thanks the JCI /

ISO accredited medical institutions of

repute in India and overseas whoseassociation with us has made this

unique medical portal website in India

possible.

 Artificial Limbs Clinic, New Delhi 

 Ayurvedagram Wellness Centre,

Bangalore

  Apollo Hospitals, Chennai

 Bariatric Surgery Hospital, New

Delhi

 Cosmetic Laser Clinic, New Delhi  

Dental Implants Clinic, New Delhi

 

EECP and ACT Hospital, Ludhiana  

Lakeshore Hospitals, Cochin

Lifeline Hospitals, Chennai

MAX Healthcare Hospitals, New

Delhi

 MIOT Hospitals, Chennai

 

Moolchand IVF & Women Hospital,

Our Medical Consultants Panel

Mediescapes India  thanks our

associated Board-certified surgeons /

senior medic l consult nts‘  team thatalso helped to make this unique

medical portal website in India

possible.

 Ayurveda Treatment Physicians in

India 

 Bone Marrow Treatment Consultant

India 

 Bariatric Surgery Surgeons in India 

 Cardio and Cardio Thoracic

Consultant India 

 Cord Blood Storing and Transplant

in India

Cosmetic Surgery Consultant in India 

 Dermatology / Laser Consultant

India

Dental Consultant in India 

 ENT Consultant in India 

 

ECP Consultant in India  

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New Delhi

 Madras ENT Research Foundation,

Chennai

 Narayana Hrudayalaya, Bangalore

 Naturopathy Centre & Spa,

Saharanpur

  Vitiligo& Lipolysis Clinic, Bangalore

 Physiotherapy & Rehab. Clinic,

Mumbai

 Parkway Group Hospitals, Singapore  

Shroff Eye Hospital, Mumbai

 Tushita Meditation Centre,

Dharamshala 

 TiantanPuhua Stem Cell Hospital,

China 

 

 Yoga Centre, Dehradun 

General Surgery Consultant in India  

IVF Consultants in India  

Nephrology and Urology Consultant

in India 

 Neurology Consultant in India 

 Naturopathy Consultant in India  

Nuclear Medicines Consultant in

India 

 Orthopedic Consultant in India  

Ophthalmology (Eye care)

Consultant in India 

 Obstetrics and Gynecology

Consultant India 

 Physiotherapy and Rehabilitation

Consultant

Pediatrics Consultant in India  Spinal Surgeon in India  

Stem Cell Consultants in India

 Vascular Surgery Consultant in India  

INDIAN GOVERNMENT ACKNOWLEDGES GROWTH OF MEDICAL TOURISM

SIGNIFICANCE OF GOVERNMENT IN DEVELOP MEDICAL

TOURISM

As more and more people, hospitals and patients the world over are becoming

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aware of the growth and potential of  Medical Tourism; governments too are

awakening to take the necessary steps required to facilitate its growth and

popularity in their respective countries.

The Indian Government is one such body which is taking productive measures

towards ensuring that this extremely lucrative opportunity may be available to the

deserving, well equipped Indian hospitals and practices.

The Government of India estimates that, on average, Indian hospitals offer

treatment for 20% of what it would cost in the United States, with even bigger

discounts available on cosmetic surgery. The cost of  heart surgery in India  is

$6,000 compared with $30,000 in the United States!

India has introduced a medical visa aimed at assisting overseas visitors to travel to

the country for cut-price hospital treatment. An initial visa is available for up to a

 year and can be used for up to three visits during the 12-month period.

Speaking at World Travel Market, LeenaNandan, Joint Secretary to the

Government of India, Ministry of Tourism, said a task force had now been

formed to assess the benefits of actively promoting India as a medical tourism

destination. ―It will be looking at how we can best develop this opportunity whilst

ensuring that all hospitals involved offer a uniformly high standard of treatment.‖  

India is also keen to promote the more leisure-based health tourism focusing on

well-being, spas and traditional therapies.

Said MsNandan: ―The Indian systems of medicine including Ayurveda,

Panchakarma, yoga and rejuvenation therapy are among the most ancient medical

treatments in the world.

―Health tou rism is already being promoted as a key selling point in Kerala where

a number of hotels feature Ayurveda centers and it‘s a facility a lot of holiday

makers are now looking for.‖

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Union Minister AmbikaSoni recently announced that a total investment of $6.5

billion is in the pipeline for medical tourism industry in the country and the

amount will also be used for setting up affordable hospitals and budget hotels for

patients‘ relatives in the country. This announcement highlights the increasing

number of Indian private hospitals that are finding themselves mentioned in

travel itineries and are sought out by more and more foreigners. If industry

estimates are to be believed, the size of the medical tourism industry stands at Rs

1,200-1,500 crore (Rs 12-15 billion). The Indian healthcare market is Rs 15

billion and growing at over 30% every year.

―The trend is positive and there‘s a great opportunity to leverage the ‗low -cost,

high quality model‘ that India offers. If you see around the world, there‘s a

 problem with healthcare infrastructure everywhere. While there‘s a problem of

insurance cover in the US, UK and Canada have a long waiting time. These put a

lot of stress on patients and India fits the bill for its value for money expertise.

The tie- up with the ‗Incredible India‘ campaign and start of medical visas will go a

long way in promoting India as the best healthcare destination,‖ says

DrAnupamSibal, group medical director, Indraprastha Apollo, New Delhi, which

has seen a steady rise in patient volumes from abroad.

The rising volume of foreign patients is also expected to provide impetus to the

tourism industry.

K B Kachru, country head, Carlson Group, highlights that the benefit to tourism

industry could be of the order of Rs 1,000 crore (Rs 10 billion). ―NRI‘s, Asians

and tourists from around the world are beginning to realize the potential of

modern and traditional Indian medicine. Health and medical tourism is

 perceived to be one of the fastest growing segments in marketing ‗Destination

Incredible India ‘ today. While this area has so far been relatively unexplored, we

now find that not only the ministry of tourism but also various state tourism

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boards are promoting health and medical tourism as a segment with tremendous

 potential for future growth,‖ he s ays. 

The Government does not deny that there are still some legal and infrastructuralproblems that need to be ironed out like accreditation, quality care, transparency

in pricing, easy visa rules etc but they are not against doing the needful. The

Government of India is working towards creating a system in which investing in

India and all it has to offer becomes an easier and simpler process.

MEDICAL TOURISM AND ITS IMPACT ON OUR GDP

Looking up for a better and prosperous contribution to the society through

medical tourism. It is time to realise the potential of making a mark for ourselves

and the country in the field of medical science by collaborating with international

medical soci.

Sharing of a wonderful experience by a foreign national:

For thousands of medical tourists like George Marshall, this debate is invisible. In

2004, a heart bypass was recommended for the 73-year-old British citizen, which

 would have cost him up to £20,000. ―I had to wait for over three months to see

the cardiologist and potentially a further six months for the operation,‖ he said.

Instead, he paid £4,400 to Wockhardt Hospitals for the operation. Airfare andtravel insurance cost extra, and he paid with his own money, as insurance couldn‘t

cover his outsourcing of medical needs.

Existing offers available for medical tourists:

Currently, the offers available today for similar patients are specialised services

ranging from cardiology and cardiac surgery (angioplasty, bypass, valve

replacement), to oncology and onco-surgery, organ transplants (liver and kidney),

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bone marrow transplants, joint replacements, eye surgery and in-vitro fertilisation.

The cost differential is significant, as it was for Marshall, for the patients.

Reason for going in for medical tourism:

Medical tourism is attracting people from all over the industrialised world, from

countries with relatively poor healthcare infrastructures and, in case of the US,

places with exorbitantly expensive health care systems.

Medical tourists from the US are usually those seeking procedures not covered

by their insurers, those seeking necessary procedures and who are provided with

incentives to find lower cost options, and those who cannot secure medical

insurance where they depend on the procedures and the physicians. Cosmetic

procedures are easily found in South America, while complex heart and

orthopedic procedures are found in India, Thailand and Singapore, and

specialized in-vitro fertilization can be found in South Africa, Israel and Spain.

In the global medical tourism industry, from cosmetic surgery to complex

oncology, bargain prices can be found at a medical centre somewhere in the

 world. Time and money provide the incentives for seeking healthcare outside

country. In the case of public health systems with long delays, such as Britain,

time is the motivation.

 Accredited hospitals are potential winners in wooing medical tourists:

Quality is a concern for potential medical tourists and what are now being called

‗offshore hospitals‘ address their concern by seeking and obtaining accreditation

from bodies such as Joint Commission International (JCI), a subsidiary of the

 Joint Commission on Accreditation of Healthcare Organisations (JCAHO),

 which offers accreditation to hospitals in the US. Several other hospitals that are

offering medical tourism in India meet or exceed the standards of care of the

finest hospitals located in US.

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 Some advantage in availing this service:

The lower cost structure of these hospitals allows them to be more generous with

resources for their well-paying clients. Nurse-to-patient ratios are higher, private

rooms are readily available and family members are often included in the trip and

made comfortable in luxury facilities that resemble five-star hotels.

DrMilica Bookman, professor of economics at St. Joseph‘s University in

Philadelphia, US, is author of the book Medical Tourism in Developing

Countries. According to her research on the economic impact of medical

tourism, 750,000 Americans are expected to have travelled abroad for treatmentin 2007 and over six million will be doing by 2010.

Some findings done through a study report by a global agency:

 According to a study by global accounting and consulting firm Ernst and Young

and the Federation of Indian Chambers of Commerce and Industry (FICCI),

private hospitals in India earned Rs 62,000 corer in fiscal 2006 and revenues

from the sector are expected to rise up to Rs 130,000 crores (at current prices

and exchange rates) in 2012, which represents an annual revenue growth rate of

about 19 per cent a year.

Our Finance Ministry‘s projections on GDP:

The Finance Ministry‘s Investment Commission emphasises that healthcare

delivery is already one of the largest service-sector industries in India, and expects

the industry to grow and contribute up to five per cent of GDP (at around Rs.

240,000 crores) by 2010.

Comments offered by lead hospital spokesperson:

―The sector is getting focused from an investment perspective,‖ said Vishal Bali,

chief executive of Wockhardt Hospitals, who plans to double its hospitals to 30

from 15 in time span of two years. ―The drivers for the future are falling in

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place.‖ At the same time, DrPratap C Reddy, chairman of the Apollo Hospitals

Group, explained: ―We need to invest $60-70 billion over the next five years in

hospitals and healthcare education to expand this sector and reach out to masses

as soon as possible.‖

Comments offered by other professionals in this field:

Ravi Duggal, a researcher with the Mumbai-based policy analysis group, Centre

for Enquiry into Health and Allied Themes, explained, ―The problem starts

 when a developing country, which has 75 per cent of its population either poor

living at subsistence level, collaborates in promoting medical tourism when itcannot meet the basic healthcare needs of a majority of its citizens.‖ Medical

tourism creates a climate of inequitable services that undermine the goal of health

for all, in the view of DrNergis Mistry, scientific researcher with the Foundation

for Medical Research, Mumbai. Mistry warns against a technology and urban-

centred approach to delivering health care: ―It raises the cost of healthcare for the

local population because it forces the use of expensive technology and drugs.‖

Number of people having visited India for as medical tourists:

India now hosts and treats an estimated of 50,000 medical tourists a year and the

catalytic CII-McKinsey report of 2002 projected that medical tourism could

contribute up to Rs 10,000 crores in revenue by the year 2012.

Existing guidelines seem to be inadequate:

In the major states, health departments issue guidelines to private hospitals

specifying their obligation to provide beds, treatment and services to the public

patient, and to return a portion of revenues from medical tourism into serving the

public health overburden, but neither are these hospital held to account on these

points by their respective state governments, nor does a standard country-wide

regulatory system exist to ensure such compliance.

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Benefits are accruing only to private sectors:

 A signal of state-directed change however comes from Tamil Nadu, Karnataka

and Andhra Pradesh. ―As of now, it is only the private sector that is reaping the

benefits of medical tourism in Tamil Nadu,‖ said health secretary VK Subburaj,

―while the government sector remains out of this loop so far: We have been

focusing on public health. However, with the concept of ‗pay wards‘ coming up in

government hospitals for certain field segments; we can expect this trend to

change.‖ 

STEPS TAKEN BY GOVERNMENT TO ENHANCE MEDICAL TOURISM

The medical tourism market in India is worth US$ 333 million,2 growing at 30

percent per annum. Due to the emergence of this industry in India, massive tasks

lie ahead to synergise the resources of the two sectors. However there are issues

and challenges that need to be addressed to overcome the roadblocks to facilitate

the growth of this industry in India. The issues that need attention are:

1. Upgradation of basic amenities and hospital infrastructure

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2. Co-ordination between the healthcare and tourism sectors

3. Creating a resource pool of highly skilled and cordial manpower

4. Standardization of services and accreditation of hospitals

5. Increasing visibility of India on the world map

6. The impact on domestic healthcare services

UPGRADATION OF BASIC AMENI TIES AND HOSPITAL

INFRASTRUCTURE

Basic amenities in India are not up to international standards, especially air

connectivity, road links, conveyance services and Internet connectivity. This givesa poor image of the country to health travelers, and also raises doubts about the

quality of healthcare facilities. The state of basic amenities in a country has a

considerable impact on the choice of destination for health travelers. Basic

amenities need to be upgraded and made hassle free. Travel visa is another

critical issue which the Indian government plans to address by introducing special

medical visas for foreign tourists coming to India for specialized treatment. This visa will allow the patient to bring along two attendants and will also enable him to

access the finest medical care in the most recognized hospitals in the country, that

specialize in the treatment he is seeking. The move is caught in red tape at the

moment.

The existing infrastructure facilities in private hospitals in India are considered to

be on par with those in the UK and the US. However, with an annual growth rate

of 30 percent,4 there exists a huge opportunity to expand the hospital

infrastructure. Recognizing this, the government of India through various

measures is encouraging private sector investment in the sector. It has conferred‘

infrastructure‘ status for the healthcare industry, and allowed foreign

collaboration. In addition, concessions in tax to raise cheaper long-term funds,

reduction in import and custom duties on medical equipment, increase in

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depreciation limit and income tax exemption for the first five years if the hospital

has a capacity of hundred beds or more, have been granted. The concern here is

 whether corporates will use these incentives as intended by the state, and whether

they will repay society in equal measure. Co-ordination between the Healthcare

and Tourism Sectors Co-ordinating the resources and services of two unrelated

sectors—healthcare and tourism—is challenging. Strategic co-ordination essential

between these two sectors can be done through facilitation by the government.

The Indian Healthcare

Federation, Medical Tourism Council of Maharashtra, FICCI, government of

India and respective state governments are coordinating to promote this industry.The services of both the healthcare and the tourism sector are required

simultaneously once the patient finalises the hospital from where he/she wishes to

avail of the healthcare services. Arrangement for passports, visas, airline tickets

and conveyance has to be made. The availability of doctor, date of surgery, days

to be spent in the hospital and recuperation services have to be confirmed. All

this requires co-operation from both the hospital and the tour operator. Thusthere is a need to train the people of these two sectors to meet the requirements

of this special segment of tourists. Conferences, interaction between the two

sectors, knowledge Upgradation workshops, coaching for personality

development

and investment in information technology are the ways to strengthen this synergy.

CREATING A RESOURCE POOL OF HIGHLY SKILLED AND

CORDIAL MANPOWER

Indian doctors are well-known abroad for their qualifications and skills. This is a

big advantage for hospitals in India in attracting more medical tourists. India has

the advantage of having advanced life saving healthcare services like organ

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transplants, cardio-vascular surgery, eye treatment, hip replacement and in-vitro

fertilization. There are 5,00,000 doctors and 7,37,000 nurses serving in the

Indian healthcare sector and 18,000 persons get qualified as doctors each year

from 170 medical colleges, according to a CII-McKinsey report. This skilled

human resource

pool can help to meet the increasing demand for healthcare services in India. In

addition to hiring and retaining skilled manpower, service expectations of medical

tourists have made it imperative for hospitals to create an ambience of well-being

and cordiality so that their clients feel comfortable and well-attended while on

treatment. Corporate hospitals are investing in furnishing their facilities and intraining and development of personnel through seminars and short-term courses

to gear them up to meet the requirement. A major concern here is about trained

medical professionals who go abroad thus diminishing the service capabilities of

hospitals in the country. Another concern is that more that 50 percent of these

doctors are located in urban hospitals causing a shortfall in the already stressed

public healthcare system affecting the larger publicin the long run. Doctors working in these private hospitals currently contribute to

the public by participating or conducting medical camps and providing

consultancy services through telemedicine to remote villages. But once they get

assigned to foreign tourists, their continuance in public services may become

doubtful.

STANDARDIZATION IN PRICING AND ACCREDITATION OF

HOSPITALS

Standardization in pricing of various surgeries and healthcare services is required

as vast price differences exist across hospitals. The Indian Healthcare Federation

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(IHF) has brought in the concept of ‗price banding‘ to bring some consistency in

the prices of different therapies and procedures, along with the move to accredit

hospitals. Currently the ‗price banding‘ concept is in the consensus stage; once all

the IHF members approve it, it will be legalized through the government.

 Accreditation

 will be used to negotiate with overseas health insurance companies to extend their

cover to include treatment in India. Both standardization in pricing and

accreditation will help Indian hospitals in attracting more medical tourists. Dr.

NareshTrehan, the director of Escorts Heart Institute and Research Centre, says

―there are 5 crore uninsured people in the US, where the annual premiumforhealth insurance is as high as $10,000 for a family of four. Besides, corporates are

finding it increasingly difficult to insure their employees as premium shoots up

faster than inflation due to the practice of defensive medicine to avoid litigation.

These factors will make the network of hospitals in India giving reliable care

sooner and cheaper, the ideal partner for overseas health insurance firms.‖ 

 According to YP Bhatia, CEO of Delhi based Rajiv Gandhi Cancer Institute, whoheads the CII task force on hospital accreditation, ―The effort is to develop a

comprehensive package for overseas nationals, which will help healthcare do what

IT did to the country. The CII-IHF combine is also drafting a code of ethics on

the relationship among healthcare professionals and institutions.‖ 

The rating agencies CRISIL and ICRA have rated hospitals like the Escorts

Heart Institute and Research Centre and the Apollo group. The requirement

now is for a standard accreditation system. A quality accreditation institution

called The National Accreditation Board for Hospital and Healthcare Service

Providers (NABH) is likely to be constituted under the aegis of the Quality

Council of India. The NABH will have three committees— Accreditation

committee, Technical committee and the Appeals committee. The proposed

system

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 will assess hospitals based on organizational and clinical governance, operational

management, focus on patients, clinical services and human resources, while

primary healthcare centres will be assessed on their management and clinical

services by designated agencies under the overall control of NABH.

The challenge lies in getting the consensus and legalization of this system

done. If it gets delayed in the consensus and legalization stages there will be delay

in reaping benefits it can bring for the medical tourism sector as well. Huge

investment is required to build and maintain this system. There is thus

apprehension about mismanagement of funds and resources as this task will be

carried out on a large scale around the country. There may be scope for fakeaccredited hospitals to flourish along with the well-established ones.

INCREASING VISIBILITY OF INDIA ON THE WORLD MAP

India‘s healthcare services cost far less compared to even Thailand, Singapore

and many other healthcare destinations. But it is the poor visibility on the world

healthcare tourism map and poor image of the country in terms of poverty andbasic amenities that deter people from coming to India. Thailand and Singapore

are promoting their healthcare services aggressively which has turned their

countries into healthcare hubs.

Lately, the government of India, the state governments, the Confederation of

Indian Industry and the Indian Healthcare Federation have begun promoting

India through road shows in some countries, participating in international trade

shows and exhibitions and placing advertisements in various media abroad. Tour

operators too are taking advantage of this opportunity. Kuoni has tied-up with the

 Apollo group, and Cox & Kings with Dr. Batras, Vedic India and Omkar Trust.

More such tie-ups are on the anvil. Tourism packages specifically designed for

the healthcare

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tourists are being aggressively promoted by these tour operators. Some hospitals

now have their own Marketing and Public Relations department. Websites too

have been set up for easy availability of information and for immediate contact.

THE IMPACT ON DOMESTIC HEALTHCARE SERVICES

India is one of the cheapest healthcare tourism hubs in the world especially for

advanced life saving surgeries. The inflow of medical tourists is on the rise in

India, and private hospitals are ever ready to serve this special segment. However,

concerns are being raised about the far reaching impact of medical tourism on the

public healthcare system that serves a larger section of the Indian society.

 Although healthcare services provided by private hospitals in India to foreignpatients are cheap for them, these are still exorbitant for many Indians. The

private hospitals are registered under the Public Trust Act which makes them

liable to provide healthcare services free upto 20 percent of their resources in

return for subsidies received from the government. But, it is a question that

remains unanswered as to whether they are actually providing free healthcare

services to the public. Another concern is about increasing concentration of doctors in urban hospitals.

Currently more than 50 percent of the doctors is concentrated in the urban

hospitals, especially in the metros. Private hospitals cater to nearly 65% of the

healthcare services market. The number of medical tourists is increasing, which

means demand for private healthcare services will increase. Private hospitals will

need more medical professionals to meet the increasing demand, and the

lucrative offers and the work environment they offer will attract many. The

public healthcare sector which is disadvantaged vis-à-vis the private hospitals on

these counts will be put under further strain. If more subsidies are given to private

hospitals and changes in regulation made to suit them, their concentration in the

sector will increase. The public healthcare system will remain neglected. Thus,

there is apprehension about the benefits of medical tourism to the Indian public.

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CONCLUSION 

To conclude my project I only want to tell that Medical Tourism in India is

one of the best options available to people across the globe. Millions come

every year to get treated and then enjoy their recuperative holidays across

India. People from different walks of life cut across the entire span of the globe

come to India to have their treatments done with peace of mind. India providesworld class medical facilities with hospitals and specialized multi specialty

health centers providing their expertise in the areas of Cosmetic Surgery,

Dental care, Heart Surgeries, Coronary Bypass, Heart Check up, Valve

replacements, Knee Replacements, Eye surgeries, Indian traditional treatments

like Ayurvedic Therapies and much more, practically covering every aspect of

medicine combining modern treatments with traditional experience

Bibliography

Internet web sites

www.google.com 

www.indianhospitalassociation.com 

www.yahoo.com 

www.msn.com 

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BOOKS

NEWSPAPER

PERIODICALS

MAGAZINES

 NAME OF PERSON……………………………………. 

AGE……………………….. 

OCCUPATION…………………………….. 

DESIGNATION……………………………. 

Is services provided by hospitals are satisfactory?

o  Yes

 

 No

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Can’t say 

. The treatment provided at hospitals is hygienic?

Yes

 

 No

Can’t say 

. Are hospitals are satisfied with government contribution?

Yes

 

 No

Can’t say 

Should India have to increase there surgeries?

Yes

 No

Can’t say 

Are Indians aware of medical tourism?

 

Yes

   No

 

Can’t say 

Total tourist visiting at Indian hospitals?

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10-40%

  40-80%

  80-90%

India position among different other country in medical tourism?

o  1st 

2

nd

 

 

Any other

Guest is satisfied of services in hospitals?

Yes

   No

Can’t say 

Is Indian hospital services are affordable by all or not?

  Yes

 

 No

o  Can’t say 

The physician in hospitals are well trained?

 

Yes

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 No

o  Can’t say 

The accommodation facilities are adequate for patients?

Yes

 No

Can’t say 

The staff is well trained about hygiene or not?

Yes

   No

Can’t say

There is increase or decrease in patients at Indian hospitals?

o  Increase

Decrease

o  Can’t say