| Treating the world! |
| As more hospitals become accredited in India, the
country can look forward to a thriving medical tourism
industry. Quality India takes a detailed look at the
opportunities and the challenges. |
 |
| The future
direction of the
medical travel
market has
important
ramifications for
governments,
employers and
health insurers. If
US employers
were willing to
pay for a
covered employee’s
medical
procedure of
equivalent
Quality abroad,
it would
significantly
lower overall
healthcare costs. |
|
India, according to global health observers, represents
the most potential medical tourism market
in the world. The key drivers for this assessment
are elements that include
> Low cost: Patients can save over 60 per cent of
their treatment costs by undergoing treatment in
India.
> Scale and range of treatments: India offers vast
range of medical treatments; from simple dental
procedures to the complex cardiac surgeries.
Availability of alternative wellness treatments
like spa, yoga and Ayurveda.
With more and more hospitals nationally ramping
up their operations to meet this influx and an increasing
awareness and determination conform with hospital
accreditation, things can only get better in the years
to come. In 2007, around 272000 medical tourists visited
India for medical tourism and together, they
brought US $656 million in revenues. Both foreign
employers and insurance firms are expected to outsource
large share of medical treatments to India.
The Indian medical tourism market is expected to
generate over US $2.5 billion in revenues by 2012, up
from the current $1.2 billion. The assessment is that
medical tourism in India expected to grow 30 per cent
annually till 2012. Encouraged by the growth momentum,
the government has launched medical visas to be
given on a priority basis
Apart from the growth of the core medical and
nursing services, the potential for the ancillary industries
is almost unlimited. This growth is expected to
serve as a boon for several associated industries also,
including hotel industry, medical equipment industry
and pharmaceutical industry.
The industry assessment is that there would be
enough opportunities for 5000-10000 professionals,
specifically catering to this industry segment in the
next five years. These would include international
marketing professionals, patients, relation managers,
back office employees.
Are there any downsides? Not really, but there are
some areas of concern:
* A greater need for hospitals to look at hospital
accreditation system as a surefire means to
ramp up Quality delivery services.
* Inefficient laws against malpractices.
*An acute need for infrastructure to train people
to provide top Quality medicare delivery services
*There are virtually no institutions offering
niche courses in these areas.
Apart from North America and Europe, where
India has won acclaim for its medical services, the
other markets which favour India, as healthcare destination,
are African countries, the Middle East and
SAARC countries. India is a closer destination for
Quality healthcare for all of them. They, perhaps, find
empathy too.
In most of these countries, complex surgeries and
advanced treatment are out of the question. Many of
the specialised treatments are simply not available. So,the obvious choice is to come to this part of the world.
The fourth market is that of expatriates. An Indian
settled in the US or the UK would rather come to India
for treatment or surgery while being comforted by relatives.
Many of the insurance plans, even the robust
insurance plans do not cover certain treatments like
dental, refractive surgery and so, the preferred destination
is India. Why pay through the nose when you can
have home-cooked food, be with your loved ones and
get yourself treated. There has also been a huge attitudinal change. Not
so long ago travelling abroad for medical care was
considered too risky. Today, more and more people fly
elsewhere for treatment. A report this year by Deloitte consultancy outlined
that two in five Americans would consider travelling
to a foreign country for a medical procedure if it cost
half the US price and Quality was at least equal. If you look at the money saved, the choice is
simple:
*
An aortic valve replacement costs more than $100,000 in the US, about $38,000 in Latin
America and $12,000 in Asia.
* A hip replacement can cost up to £15,000
($29,845) in the UK, but is only £5,000 in Germany
or £3,600 in India.
The future direction of the medical travel market
has important ramifications for governments, employers
and health insurers. If US employers were willing
to pay for a covered employee’s medical procedure of
equivalent Quality abroad, it would significantly lower
overall healthcare costs, say observers
“If payers covered medical travel, the potential
US market would probably range from 500000 to
700000 patients a year, compared with 5000 to 7000
today. The savings might be in the order of $20bn,”
according to a McKinsey report. According to the
same report, 40 per cent of all medical travellers are
seeking the world’s most advanced technologies and
32 per cent are seeking better care than they can get
in their home countries and are often based in the
developing world. |
| “We have a huge advantage” |
The country’s healthcare system has a huge potential of
bringing in foreign exchange through medical tourism,
says Dr Sanjiv Malik.
Medical tourists? In the initial stages the overseas
patients were mostly Americans since many knew that
country from the days of Vietnam War. It made headlines
in the Western newspapers and got huge publicity.
But why call them medical tourists at all? Do we
call people going on business tours as business tourist?
Medical value travel is more appropriate term and I am
not using the term medical travel since it entails patients
getting value for money. Let us say what a patient
would spend $1,00,000 in his or her native country
would, perhaps, spend $10,000 in India or Thailand.
Our major markets are the US, the UK, the Middle
East, SAARC countries and Africa. Today, there are 47
million un-insured Americans apart from large underinsured
individuals who get limited treatment under
insurance plan, beyond that they have to pay for their
treatment. That is one chunk.
According to a WHO report, public hospitals in the
US rank 37th in overall list in Quality of healthcare; so,
paying five or six times more for a particular treatment
than it costs in India does not make sense, especially for
those who are under-insured or un-insured. Naturally,
patients would look for alternative destinations for
healthcare. India, Singapore and Thailand offer value
healthcare at lower costs.
Having said that I am not singling out the US, the
other prospective markets for us are Canada and the UK
where the public health system is crumbling. A long
waiting period even for a simple surgery irks people.
Imagine waiting one year for a simple cataract operation,
irrespective of being free of cost, does not augur
well in building confidence. But when they come out of
their country, they want Quality healthcare. Without
getting into technicalities it suffices to say that hospital accreditation is a stamp of Quality given to hospitals
and healthcare providers in adhering to patient safety
and Quality of care. No amount of promotional effort
will bear fruit unless satisfied patients go home to their
native countries and recount their experiences. Wordby-
mouth is the best publicity.
So, the question that comes to a consumer’s mind,
in this case is simple: NABH or Trent? This confusion
ceases when a hospital has ISQua stamp of accreditation
and I will explain the reason.
I do not blame confusion in a patient's mind. It is
like measuring the length in metres and some one else
measuring in feet. It is akin to comparing apples and
oranges. I feel the most appropriate option for Indian
hospitals is to get accredited by NABH whose standards
are accredited to ISQua.
And above all it is NABH accreditation system,
now recognised worldwide, that is the trump card. As
we move ahead, what is more important is for the
accreditation by NABH.
(The author is Director, Max Healthcare, and has
been promoting medical tourism worldwide.)
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