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    Dr. Indrajit Hazarika, M.D M.P.H Public Health Foundation of India

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    Ray Birajdar
    1. India's medical tourism industry is growing rapidly and was estimated to be worth $333 million in 2004 and projected to reach $2 billion by 2012. 2. Key advantages for medical tourism in India include well-trained professionals, modern facilities at lower costs than Western countries, and treatments being available in English. 3. However, rapid growth of the private medical sector also risks deepening inequities, exacerbating shortages of health workers, and increasing costs without adequate regulation.

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    Dr. Indrajit Hazarika, M.D M.P.H Public Health Foundation of India

    Uploaded by

    Ray Birajdar
    43 views32 pages
    1. India's medical tourism industry is growing rapidly and was estimated to be worth $333 million in 2004 and projected to reach $2 billion by 2012. 2. Key advantages for medical tourism in India include well-trained professionals, modern facilities at lower costs than Western countries, and treatments being available in English. 3. However, rapid growth of the private medical sector also risks deepening inequities, exacerbating shortages of health workers, and increasing costs without adequate regulation.

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    Med tour

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    1. India's medical tourism industry is growing rapidly and was estimated to be worth $333 million in 2004 and projected to reach $2 billion by 2012. 2. Key advantages for medical tourism in India include well-trained professionals, modern facilities at lower costs than Western countries, and treatments being available in English. 3. However, rapid growth of the private medical sector also risks deepening inequities, exacerbating shortages of health workers, and increasing costs without adequate regulation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    43 views32 pages

    Dr. Indrajit Hazarika, M.D M.P.H Public Health Foundation of India

    Uploaded by

    Ray Birajdar
    1. India's medical tourism industry is growing rapidly and was estimated to be worth $333 million in 2004 and projected to reach $2 billion by 2012. 2. Key advantages for medical tourism in India include well-trained professionals, modern facilities at lower costs than Western countries, and treatments being available in English. 3. However, rapid growth of the private medical sector also risks deepening inequities, exacerbating shortages of health workers, and increasing costs without adequate regulation.

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    Dr. Indrajit Hazarika, M.D M.P.H


    Public Health Foundation of India
    ]lobalization and health services

    6 A mixed blessing from a public health perspective


    6 ]rowing cross-border delivery of health services
    6 Trade in health services is estimated to be in excess of
    $140 billion
    6 Medical Tourism is a major component of the health
    service sector
    Medical Tourism

    ã ´Medical Tourismµ refers to patients going to a


    different country for either an urgent or elective
    medical procedure
    ã It is fast becoming a multibillion-dollar industry
    ã Trade in global medical tourism was estimated at
    $20 billion and is expected to double by 2010
    Medical Tourism in India

    ã Approximately 1,50,000 patients arrived in India


    in 2005 and this is expected to increase by 15%
    each year
    ã The medical tourism market in India was
    estimated at US$ 333 million in 2004
    ã It is growing at the rate of 30% a year and is
    expected to generate revenues of US$ 2 billion by
    2012 as per a study conducted by CII and
    McKinsey.
    Predicted growth of medical tourism
    in India
    30000

    25000
    25000

    20000

    15000

    10000
    7000

    5000
    2000
    500
    0
    2007
    K 2012 2017
     2022
    

    By 2012 India is likely to become the top medical destination


    2 
    Advantage India
    ã Well-trained health practitioners
    ã Large populace of good english speaking
    doctors, guides and medical staff
    ã Availability of super-specialty centers
    ã Availability of latest, technologically advanced
    diagnostic equipments
    ã Competitive cost of medical treatment
    ã Provides a good mix of allopathic and alternative
    systems of medicine
    ost USD ost Savings
    V    
           

      

              ! 

    "# $  '   !    


    %& 

    ( )    * !    *


    %& 
      '       
    +& ,
     & '! ' *      *
    +& ,
    - & %   *     *

    .%,   '   !   !


      

    2 
    India as a ´global health destinationµ
    ã Super-specialty hospitals in the private sector
    offering services to medical tourists
    ã The National Health Policy 2002 strongly
    encourages medical facilities to provide services
    to users from overseas
    ã ´Mµ or medical-visas
    ã Improve the infrastructure e.g. airports
    Major Players in the Indian Medical
    Industry
    „ /"%  ) 0  )/ , # 3      
    1# %2      , 4%
    &  %

    5  %6% %    '' ! --+..6 %


    -/   
    -/
     % 

    -& .
      '   ' #  6 %
     7 

     & %
      '   „& "  %
    
    -&   ( 4 8 / 
    -/  

     3 '    -/   --+.


    9 % 4    ' 9 & #  
    6 % -/ 

    2 
    India as a ´global health destinationµ
    ã Super-specialty hospitals in the private sector
    offering services to medical tourists
    ã The National Health Policy 2002 strongly
    encourages medical facilities to provide services
    to users from overseas
    ã ´Mµ or medical-visas
    ã Improve the infrastructure e.g. airports
    Potential threats

    ã Deepen inequities in the health systems


    ã Intensify shortages of skilled health professionals
    ã Promote unregulated growth of the private sector
    ã Increase cost of medical treatment
    ã Raise quality of care and accreditation issues
    ]rowth of the private sector

    ã Private sector today accounts for 82% of OPD


    visits, 58% of IPD expenditure and 40% of births
    in institutions
    ã Private hospitals earned US$ 15500 million in
    fiscal year 2006 and revenues from the sector are
    expected to rise up to US$ 32500 million in
    2012, which represents an annual revenue
    growth rate of about 19% a year
    Failure of the public sector

    ã low government expenditure on health


    ã poor management of resources
    ã acute shortage of skilled workforce
    ã large-scaled absenteeism
    ã corruption
    ã lack of ownership
    ã shortfalls in infrastructure
    Shortfall in health infrastructure
    -%& ' +:  6; %  
     / 
     /
    &&  

    7 % '! '!! ! ' '

    V.%  !  ' 

    ..% !' !'   

    2  

      
    
    2   
    Hospitalized treatment (Urban)
    70
    60.3 61.
    60 56.9

    50
    43.1
    39.7 3 .
    40

    30

    0

    10

    0
    19 6- 7 1995-96 004
    ]overnment Private

    2 22
    Hospitalized treatment (Rural)
    70

    59.7 58.3
    60 56.2

    50
    43.8
    40.3 41.7
    40

    30

    20

    10

    0
    1986-87 1995-96 2004
    Goernment riate

    2 22
    Potential threats

    ã Deepen inequities in the health systems


    ã Intensify shortages of skilled health
    professionals
    ã Promote unregulated growth of the private sector
    ã Increase cost of medical treatment
    ã Raise quality of care and accreditation issues
    Shortages of skilled health
    professionals
    ã Acute shortage of medical and paramedical staff
    ã Mal-distribution of the existing health personnel
    ã Existing CHCs have a high shortfall of
    specialists, such as obstetricians & gynecologists
    (56%), pediatricians (67%), surgeons (56%) and
    medical specialists (59%)
    Shortages of skilled health
    professionals
    ã Over 75% of the human resources and advanced
    medical technology, 68% of the estimated 15,097
    hospitals and 37% of 623,819 total beds are in
    the private sector
    ã Shortages in the public health sector due to
    bottlenecks in the recruitment process, poor
    financial incentives, absence of a conducive work
    environment and the prevalence of corruption
    Potential threats

    ã Deepen inequities in the health systems


    ã Intensify shortages of skilled health professionals
    ã Promote unregulated growth of the private
    sector
    ã Increase cost of medical treatment
    ã Raise quality of care and accreditation issues
    Promote unregulated growth of the
    private sector
    ã No policy framework to have a common set of
    regulations for the private health care sector
    ã Implementation and enforcement of rules and
    regulations has been weak
    ã Resistance from the private health care sector to
    accept certain regulations
    ã 100% FDI is permitted for all health-related services
    ã Infrastructure status has been accorded to hospitals
    ã Income tax exemption for 5 years to hospitals in
    rural areas, Tier II and Tier III cities
    Potential threats

    ã Deepen inequities in the health systems


    ã Intensify shortages of skilled health professionals
    ã Promote unregulated growth of the private sector
    ã Increase cost of medical treatment
    ã Raise quality of care and accreditation issues
    Increase cost of medical treatment

    ã The health insurance market in India is very limited


    covering about 10% of the total population
    ã Out-of-pocket payment accounts for 72% of all
    health expenditures
    ã Around 24% of hospitalized patients in India fall
    below the poverty line due to hospitalization
    ã Lack of finances was a reason for untreated
    episodes by 28% of persons in rural areas and
    20% in urban areas
    Average medical expenditure per
    hospitalization
    14000

    12000 11553

    10000

    8000 7458

    6000 5344
    4300
    4000 3238 2877
    2080 2145
    2000

    0
    1995-96 2004 1995-96 2004

    Rural Urban

    ]overnment Non-government

    Source: NSSO
    Increase cost of medical treatment

    ã A trade-off of the increase in medical tourism will


    be the rise in the overall cost of health care
    ã Increases in cost will make medical treatment
    unaffordable
    Potential threats

    ã Deepen inequities in the health systems


    ã Intensify shortages of skilled health professionals
    ã Promote unregulated growth of the private sector
    ã Increase cost of medical treatment
    ã Raise quality of care and accreditation
    issues
    Raise quality of care and
    accreditation issues

    ã ]overnment and CII have taken the lead in the


    process of national accreditation and licensing for the
    private sector
    ã Many Indian hospitals have secured accreditation
    from the British Standards Institute and Joint
    Commission on Accreditation of Healthcare
    Organizations
    ã Few initiatives to standardize quality of care in the
    public sector
    Conclusion
    ã India has the potential to become a ´global
    health destinationµ
    ã It is projected to become a billion dollar industry
    in India
    ã The private sector has undertaken initiatives to
    capitalize on this opportunity and is the key
    player
    ã Its growth poses as a potential threat to the public
    health system
    Challenges

    ã Harmonize regulations within the country


    ü Regulate the growth of trade in this sector
    ã Address the lack of availability of skilled health
    professionals
    ü Upscaleexisting and establish new institutes
    ü Improve incentives for professionals in the public
    sector
    ã Reduce gaps in quality of care provided in both
    the public and private sectors
    ü Standardize the quality of care
    Challenges
    ã Provide affordable health services
    ü subsidized treatment options for poor patients
    ü increase the scope for health insurance

    ã Facilitate public-private sector partnerships


    ã Establish an information system

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