Category Archives: Medical Tourism/Health Tourism

The Philippines can be a hub of medical and wellness tourism

One aspect of diversification in the hospitality and tourism sector in reaction to consumer and external influences is the flourishing of medical and wellness tourism.

Foster (2010) defined medical tourism as “the practice of traveling across international borders to obtain health care. This includes use of hospitals, clinics and spas specialized in fields, such as surgery (e.g. heart, liver, kidneys, joint replacement, eye and dental care, cosmetology) and rehabilitation towards recovery those recovering from illness or surgery. Besides the lower cost, shorter waiting lists, and the possibility for patients to combine treatment with conventional tourism attractions like climate, regional cuisine, local activities and culture, the growing option to link a medical stay with time in a resort for convalescence makes medical tourism important.”

On the other hand, Mueller and Kaufmann (2001) explained that wellness tourism means “the sum of all relationships and phenomena is resulting from a journey and residence by people whose main motivation is to preserve or promote their health.” Increased interest in fitness, disease prevention, maintaining good health, new age remedies and alternative treatments to alleviate various types of stress are key factors behind the rising use of spas worldwide. As cited in Foster (2010), the Global Spa Economy Study reported in 2007 that Asia-Pacific had 21,566 spas, 363,649 employees, and revenues of $11.38 billion, making it the fastest-growing spa industry worldwide.

Core offerings

In 2010, the ILO paper on the Developments and Challenges in the Hospitality and Tourism Sector indicated that “medical tourism is one of the core offerings in countries such as Colombia, Costa Rica, Estonia, Hungary, India, Jordan, Kenya, Latvia, Lithuania, Malaysia, Poland, Thailand and Tunisia.” It estimated that 60,000 British tourists traveled abroad in 2009 for medical purposes: to receive dental care (43 percent), cosmetic surgery (29 percent) or other surgeries, and infertility treatment (28 percent). Some 750,000 Americans traveled abroad for medical purposes in 2007. India attracted many of these British and American medical tourists, as well as patients from neighboring countries such as Bangladesh, China and Pakistan. In Southeast Asia, Thailand had up to one million medical tourists per year, Malaysia more than 85,000, while Singapore plans to attract one million foreign patients per year by 2012. A private hospital in Bangkok, Thailand, for example, Bumrungrad Hospital, had more than one million patients per year; 42 percent of whom were international patients from over 190 counties and provide 55 percent of the hospital’s revenue.

By 2012, the Federation of Indian Chambers of Commerce and Industry reported that the medical tourism market is expected to grow from $22.2 billion (5.2 percent of GDP) to $69 billion (respectively, 6.2 percent and 8.5 percent of GDP). In another report by HealthCore (2012), medical tourism is projected to achieve an annual growth rate of about 19 percent in the next three years.

In response, our Asian neighbors, like India, Thailand, Malaysia and Singapore, have made strategic moves to create the necessary infrastructure and policy and incentive framework for attracting visitors to go to them for medical and wellness services. In some countries, hospitals are linked to wellness clinics so patients can have personal assistance for post-hospital recovery. This condition is likely to require better care skills, as well as the adapting of service skills to respond to international tourist expectations.

A premier destination

The Philippine government, the private sector, and other stakeholders need to give serious attention to said development and a number of local challenges, as reported by various groups, so that the Philippines could also soon become a premier medical and wellness tourism destination. First of these challenges is the continuing brain drain where competent Filipino health care practitioners leave with a heavy heart for greener pastures abroad. Second, we lack adequate state-of-the-art medical equipment and constant upgrading of medical facilities to be at par with world-class standards. Third, we lack marketing strategy to create packages that integrate medical and wellness services offering complete healing and revitalization for foreign patients. Fourth, we lack concrete policies and administrative foundations across broad-ranging areas to facilitate the in-bound entry of medical tourists and to make medical tourism a preferred investment area. Fifth, we do not have clear policies, mechanisms, and incentives to install accreditation and certification quality systems and support protocols to enhance the acceptability of the Philippines as a medical and wellness tourism destination.

There are many good reasons (Filipino innate hospitality, pleasant tropical weather, beautiful tourist spots, rich healing practices, and being home to some of the best hospitals and stand alone specialty clinics) to be optimistic about the Philippines’ chances to compete in the global market. If we act soon enough and mobilize the collective support of all stakeholders, particularly the government and the private sector, our joint coherent and sustainable efforts could develop our country into a preferred hub in the global healthcare market, given the reality that our main competitive advantage is the world-class quality of medical services rendered the Filipino way of care and compassion by our health care professionals at a comparatively reasonable cost to patients.

Dr. Divina Edralin is a full professor at the Management and Organization Department of the Ramon V. del Rosario College of Business of De La Salle University. She teaches Human Behavior in Organizations, Strategic Human Resource Management, Labor Relations and Research. She is also a management consultant to SME’s, schools, and NGOs. She may be reached at divina.edralin@dlsu.edu.ph.

The views expressed above are the author’s and do not necessarily reflect the official position of De La Salle University, its faculty and administrators.

source: http://www.ManilaStandardToday.com / Manila, Philippines /’ by Divina M. Edralin / September 17th, 2012

Patients coming to India for fertility treatment leading to country’s Muslim baby boom

New Delhi, India

Business is booming at Dheerendra Singh’s New Delhi-based medical tourism outfit, CureMax. But his biggest client base — Afghanistan — might come as something of a surprise.

“Every month, we do IVF [in vitro fertilization] for around 50 patients from Afghanistan,” Singh said. “They also come for other infertility-related procedures. And in the peak [winter] season [when the weather is more comfortable], we have 60-70 patients a month.”

Afghanistan isn’t the half of it. Though infertility is commonly associated with the changing lifestyles of the West — where more and more women are putting off childbirth until their late 30s — India’s IVF clinics are testimony that the trend is growing in developing countries and conservative societies as well.

Along with the much-talked-about medical tourist trade from the US and Europe, India is seeing an influx of patients from Muslim countries in Africa and the Middle East, thanks to a thriving, low-cost domestic fertility industry and cultural connections that make India a comfortable place for conservative Muslims, medical tourism professionals say.

Statistics aren’t readily available on the total number of patients coming to India for fertility treatments from predominantly Muslim countries. But anecdotal evidence from various doctors and other agents like Singh — as well as a thriving business in the Afghan refugee colony in New Delhi — suggests that the phenomenon is significant.

According to  India’s Outlook magazine, for instance, fertility experts like Dr. Kaberi Banerjee number their patients from places like Iran, Iraq, Uzbekistan and Tanzania in the hundreds. Meanwhile, companies like Care Medical say they see 10-15 foreign patients from Islamic countries every month, according to managing director D. Mahendran.

“Overall, we see [medical tourism] growth of about 15-20 percent annually, and I believe roughty the same kind of number holds for IVF,” said P.R. Ramesh, the chief executive of Aaarex Medical Services, another medical tourism firm. “But we’re seeing a larger number of Muslim people than previously, including Muslims from Arabic countries and Muslims from countries like Nigeria and Tanzania and so on.”

Various factors help explain the baby boom. Because of India’s massive population, and the cultural importance of bearing children here, private fertility clinics have mushroomed in recent years — until there’s an IVF signboard on virtually every street in the upscale neighborhoods of New Delhi.

Reputable clinics offer a high standard of care for a small fraction of the cost of IVF in the West. A typical IVF procedure, for instance, runs to $3,000 in India, compared with $8,000 in the US or Europe, said CureMax’s Singh. And patients receive more attention from doctors.

To regulate fly-by-night outfits that have begun sprouting up, the Indian Council of Medical Research recently drafted regulations and began to crack down.

“Here in India, people take IVF very serious, and they give personalized care,” said Mahendran.

But there are other reasons India is attracting patients from Muslim countries.

Proximity and historical ties link India with Iran, Iraq, Afghanistan and other countries of Central Asia in ways that are impossible for other medical tourism hotspots, like Thailand, to match. Standards of dress and behavior are similar, for instance. And the long dominance of Bollywood movies in the target region means that patients there are comfortable with Indian culture, and, especially in Afghanistan, can often already speak Hindi.

Because fertility treatments can be time consuming, the low cost of living, and the ease of blending in and finding halal meat and other familiar foods, is also a factor. In New Delhi, for instance, CureMax and other medical tourism outfits connect IVF patients with landlords operating serviced apartments in neighborhoods in Lajpat Nagar and Jangpura, which are already home to Afghan refugees who migrated here to escape the fighting at home. By cooking their own meals — and buying Afghani naan from the local shop — they avoid exorbitant hotel costs.

Similarly, certain Iranian and African communities have ties with India that make it a more familiar destination than its competitors.

“India has got a large Muslim population, and there are many communities in Africa which relate very closely to their counterparts in India,” said Aaarex’s Ramesh.

“For example, there is a community called the Ithna Asheri community in Tanzania, with strong connections to the same community in India. Many of these communities are Indian in origin. To some extent there are also family links.”

source: http://www.alaskadispatch.com / by Jason Overdorf / GlobalPost.com / September 14th, 2012

Passport to health

Clinique Biotonus Bon Port in Switzerland is attracting Chinese clients who want anti-aging treatment. Provided to China Daily

More and more affluent Chinese are heading overseas in search of a wide variety of treatments

Twice a month Li Aobo, a private trip consultant, flies 12 hours in each direction to accompany a few clients from Beijing to the Clinique Biotonus Bon Port in Switzerland, which treated former South African president Nelson Mandela in 1992.

“My clients sit in the business-class or first-class cabins while I always get an economy ticket and have to get ready to take orders at any time,” says Li.

Li works for Lavion, a Beijing-based travel agent focusing on private medical tourism. The growth of the company’s membership, which went from zero to more than 1,000 in fewer than five years, is demonstrative of the business opportunity in the sector.

While China is emerging as a hot destination among medical tourists for its affordable prices and its fusion of modern medical practices with traditional Chinese therapeutic techniques, increasing numbers of affluent Chinese are traveling abroad for better medical procedures, regardless of their price.

In China, nearly 60,000 people go abroad annually for healthcare services, especially for anti-aging therapy, cancer screening, to give birth and to get treatment for chronic diseases, said Yang Jian, CEO of the Shanghai Medical Tourism Products and Promotion Platform, in a China Daily report from November 2011.

The figure was just several thousand in 2006, he said.

Bearing in mind China’s huge population and rising middle class, the outbound medical-tourism market seems a good bet for companies such as Lavion.

“We have been working with Lavion for six years. We started with about 50 patients in the first year and now have more than 200 patients every year,” says Dr Reza Tavassoli at Clinique Biotonus Bon Port, who was also Nelson Mandela’s chief doctor.

In the future, he says the clinic hopes to receive as many as 500 Chinese clients each year as he sees more Chinese people paying attention to longevity and anti-aging treatments.

On his latest trip to Switzerland, Li Aobo’s clients were three women real estate entrepreneurs around 40 years of age. They were mainly going to the clinic to receive treatment for intensive fatigue, burnout and problems linked to age.

After the therapy, Li took them to Lucerne, Geneva and Zurich to help with his customers’ needs for shopping and sightseeing.

“Some of our clients are not used to Western-style food, especially during the therapy. I often make porridge with a rice cooker and prepare some simple Chinese dishes,” says Li.

“Each time, we bring six people at most to the center on the shore of Lake Geneva to ensure the quality of our customized service. I am not only a medical translator, but also a private butler who is in charge of all the details of their daily life during the seven-day trip.”

The lowest price for such a trip is 200,000 yuan ($31,500, 25,000 euros). Some clients ask for private jets for the journey, which can be arranged for about an additional 1.5 million yuan, says Zhou Kaiwen, founder of Lavion.

With more than 10 years of experience in the incentive and business-travel department of China International Travel Service, a leading Chinese travel enterprise, Zhou has plenty of exposure to high-end tourism.

“When we were consistently receiving upmarket overseas clients, I was wondering whether Chinese people have sophisticated needs in outbound travel,” says Zhou.

When he founded Lavion in 2006, Zhou did not rush into doing business. He hired a consulting company for market research, which selected 3,000 high-income customers to answer a questionnaire.

Upon discovering that their top concern was health, Zhou decided to make healthcare tourism the focus of his business to differentiate it from competitors.

“Although we spent much money and energy in the first year, it seems to be worth it. In 2007, we had about 100 members and began to make money, and our turnover has a growth rate of 30 percent every year,” he says.

Apart from the trips to Switzerland, other travel programs include diabetes and chiropractic-treatment tourism to Germany, major-disease screening in Japan, and beauty-treatment trips to South Korea.

“Local hospitals and companies are not familiar with the Chinese market, and we are playing the role of an agent for them,” Zhou says.

“But about 70 percent of our customers choose Europe as their destination as they have more trust in the superior healthcare there.”

Most of his clients are successful entrepreneurs in their early 40s. In the beginning, women accounted for 60 percent of his clients, but as men are also paying attention to their health, the proportion has become almost equal. Zhou also mentions that returning customers account for 40 percent of his clientele.

“Anti-aging, insomnia, depression and face-lifting are long-term rehabilitation projects, one trip cannot solve the problem once and for all,” he says.

Other medical-tourism agents have since joined the market, including Pure Blue International, which is working with four clinics in Switzerland; LuckTour Medical Tourism, providing tourism to Japan and Singapore; and Rigii, which is cooperating with Swiss medical institution Centre de Sante Helvetique S.A.

“More rich people are willing to pay for outbound medical expenses, not only for health, but also to enjoy the relaxation during the trip,” says Li Yuyang, business director of Ogilvy Health.

He says these people are realizing the importance of health and they are tired of seeing a doctor in traditional hospitals.

However, Li points out that while more companies are rushing into the business, they are providing very similar routes, projects and services.

“I think they have to develop more projects or product portfolios to cater to different needs and also build their own characteristics,” he says.

But Li says expensive medical tourism will be primarily targeted at rich people.

“If it expands into a service that everyone can enjoy, the quality of the service will not be guaranteed,” he says.

When it comes to the increasing number of competitors, Lavion’s Zhou says the market is not mature, but he is confident in his company’s position and reputation in the industry.

“We will stick to high-end and tailor-made services in the future,” he says.

yaojing@chinadaily.com.cn

source: http://www.europe.chinadaily.com.cn / Home> E-Paper/Business / by Yao Jing (China Daily)/ September 07th, 2012

Indian firm seeks partners in medical tourism business

India Medical Tourism Destination (IMTD) has expressed interest to cooperate with Tanzanian hospitals, chemists, freelance agents in order to build a thriving ecosystem that educates, facilitates and ferries medical tourists from across the world.

Briefing journalists in Dar es Salaam on Tuesday during the IMTD arrival in Tanzania organised by Federation of India Chambers of Commerce and Industry (FICCI) and Trident Exhibition, the High Commissioner of India Debnath Shaw said under the Indian Ministry of Health, IMTD creates bridges between clients of the medical health spectra of India and patients worldwide.

“In the 2010, this system was responsible for about 600,000 patients from over 30 countries, around the world traveling to India and spending over USD 80m in getting treated,” Shaw said.

Their countries of origin included USA, Canada, United Kingdom, Russia, the Middle East, Uganda, Tanzania, Sri Lanka and the Central Asian Republic

He said the number of Tanzanians seeking medical care was over 18,000 during the last three years.

However he said the government of Tanzania has in collaboration with a medical partner group of India tightened up to establish a multi specialty hospital in the country for treating various diseases.

For his part the Regional Director of FICCI Visek Kodikal said the purpose of the exhibition is to facilitate networking opportunities for industry professionals, academics and stakeholders and to provide a forum for organisations and institutions in India and Tanzania to collaborate and enhance the healthcare system.

source: http://www.ippmedia.com / Home> News / by Correspondent / August 30th, 2012

Chinese visitors coming for medical tourism to get e-visas

Taipei, Aug. 25 (CNA)

Taiwan will soon launch an e-visa service on a trial basis for people from China visiting the country for physical checkups, cosmetic surgery or anti-aging treatments, the National Immigration Agency (NIA) said Saturday.

The agency said that starting Aug. 27, the agency will screen applications and issue visas to Chinese nationals within 48 hours to facilitate the process.

Thirty-nine medical institutions that offer the medical services covered under the program can apply online for visas for their Chinese patients, NIA Director-General Hsieh Li-kung said.

Chinese nationals currently need five working days to get a visa for Taiwan for medical tourism.

(By Johnson  Sun and Lilian Wu ) / EnditemLS

source: http://www.focustaiwan.tw / Home> Society / August 25th, 2012