Emerging
markets are new frontiers for patients
The changing dynamics in medical tourism is
shifting focus from traditional destinations to new age leaders that are
excelling at their specialties.
For years, Switzerland has been the hub of
medical tourism. Patients, particularly the affluent class traveled thousands
of miles for treatment, preferring this exotic locale for its superior
technology and achievements in medical science.
However, medical tourism has evolved rather
differently since the turn of the century. What has changed is the profiling of
countries and the emergence of new age destinations specializing in different
fields.
Korea, for instance, is emerging as a
destination for plastic surgery; Europe for hip and knee replacement surgeries;
Philippines and Thailand for cosmetic surgeries and India for heart surgeries.
Globalization of information and word of
mouth referrals, especially in the virtual world, are the new drivers of this
industry and are changing the dynamics in the favor of emerging markets.
Over 6 million people travel abroad for
medical treatment every year. If we consider people who travel domestically too
for treatment, the number of medical tourists may touch 10 million.
Why the Shift?
The number of people willing to hop on a
plane and fly to a different time zone for treatment is increasing
incrementally year-on-year.
This is especially true for patients in the
U.S. and the U.K. where either the treatment cost is exorbitant or the wait
time is too long for procedures.
With the ease of air travel, patients from
these countries have benefitted from improving technology and standards of care
in many countries, chiefly some European nations and Asian countries.
Many surgery procedures performed in medical
tourism destinations cost a fraction of the price they do in developed nations.
To get a perspective let’s compare the cost of a heart surgery in India with
the same surgery in the U.S.
A bypass surgery in the U.S. costs around
200,000 AED ($54,644), but in India surgeons conduct the surgery for only
20,000 AED — one-tenth of the cost.
Besides the cost, time is also one of the
defining aspects of the shift in medical tourism. A large number of patients
willingly travel for convenience and speed. Countries that operate public
health-care systems, such as Canada, U.S. and the U.K. often have a long
waiting period for certain operations. In 2014, the average patient in Canada
was expected to wait almost 10 weeks for necessary medical treatment. As per
industry experts, that’s more than three weeks longer than what physicians
consider it to be clinically reasonable.
A recent report by Fraser Institute of Canada
titled ‘Leaving Canada for Medical Care,’ estimates over 53,000 Canadians left
the country in 2014 to receive non-emergency medical treatment, an increase of
more than 25 percent from a year earlier.
Additionally, lack of insurance cover or its
limitations are also driving demand for medical tourism. Patients in some
western countries are constantly finding that insurance either does not cover
orthopedic surgery (such as knee or hip replacement), or limits the choice of
the facility, surgeon, or prosthetics to be used.
Circumvention
Tourism
Circumvention tourism refers to travel to
access medical services that are legal in the destination country but forbidden
in the home country. This list is long and varies as per country of origin, but
largely people travel for fertility treatments, abortion and doctor-assisted
suicide, also known as euthanasia.
Abortion tourism can be found most commonly
in Europe, where travel between countries is relatively simple. Ireland and
Poland, two European countries with highly restrictive abortion laws, have the
highest rates of circumvention tourism. In Poland especially, industry experts
say that an estimated 7,000 women travel to the U.K. every year, where abortion
services are free through the National Health Service (NHS). There are also
efforts being made by independent organizations and doctors, such as with Women
on Waves, to help women circumvent draconian laws in order to access medical
services. With Women on Waves, the organization uses a mobile clinic aboard a ship
to provide medical abortions in international waters, where the law of the
country whose flag is flown applies.
What Are the
Popular Destinations?
Popular medical travel worldwide destinations
vary from Latin American countries such as Brazil all the way to Middle Eastern
states such as Jordan and Turkey and Asian countries such as India, Thailand
and Taiwan.
Patients looking for cosmetic surgery have
dozens of countries to pick from including Argentina, Brazil, Korea, and Turkey
for their cost-effective and efficient elective treatments.
Jordan was awarded the Medical Destination of
the year by IMTJ Medical Travel awards in 2014 for attracting 250,000
international patients and generating revenue of more than $1 billion.
India, on the other hand, is registering a
growth of over 30 percent in its year-on-year number of medical tourists,
making it a $2 billion industry by the end of 2015. Last year, more than
150,000 people travelled to India as medical tourists.
As per industry experts, India attracts
medical tourists chiefly from its neighboring countries, the Middle East,
Africa as well as a few European and U.S. patients.
India is also a popular destination for
cardiology, joint replacement, spine surgeries, cosmetology and plastic
surgeries, and a small number of organ transplants.
Intermediaries
The rising demand and trend for health
tourism has opened doors to another service industry called intermediaries,
which unite potential medical tourists with provider hospitals and other
organizations.
Companies which focus on medical value travel
typically provide nurse case managers to assist patients with pre and
post-travel medical issues. They may also help provide resources for follow-up
care upon the patient’s return.
In Europe, for instance, the European Medical
Travel Alliance, routes a lot of traffic of medical tourists into the
continent. The idea is to make it easier for patients from overseas (chiefly
North America, Russia, or the Middle East) to see Europe as a solution because
of its high quality and reasonable prices.
Interestingly, people from the East Coast of
the U.S. prefer heading to Europe, while many from the West Coast opt for Asian
countries like South Korea, Thailand or India.
UAE as a Medical Hub
The UAE is working aggressively to build
expertise in the medical field to become one of the hotspots for medical
tourism in the region.
In April 2014, His Highness Sheikh Hamdan bin
Mohammed bin Rashid Al Maktoum, Crown Prince of Dubai, approved the Dubai
Medical tourism strategy.
The Dubai Health Authority is responsible for
the initiative and is entrusted with the responsibility to promote the UAE in
this field.
The Emirates is currently looking at building
expertise in the following areas: Orthopedics and Sports Medicine, Plastic
Surgery, Ophthalmology, Dental Procedures, Dermatology and Skin Care, Aesthetic
Practices and surgeries, Preventive health check-ups and wellness.
Dr. Raza Siddiqui
Dr. Raza
Siddiqui is the Executive Director of RAK Hospital and CEO of the Arabian
Healthcare Group.
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