10. It is likely that Global Healthcare crises will continue for many more
years despite attempts by international health organizations and
national health authorities.
Key Reasons are:
Challenges of a Changing World
– Unequal Economy. Unequal Outcomes.
– Shift in diseases, increase of non-communicable and chronic
disorders
Little anticipation and slow response by authorities
Baby Boomers and Ageing Population
Increase in Healthcare Cost
– Increase in Pharmaceutical Cost
– Increase because of Medical Equipment Cost
– Increase because of Documentation and Accreditation Cost
Fragmented Healthcare System worldwide
Commercialization of Healthcare
11. Little Anticipation and Slow Reactions by
Authorities
Over the past few decades, health authorities have shown little evidence
of their ability to anticipate such changes, prepare for them or even
adapt to them when they have become an everyday reality.
This is worrying because the rate of change is accelerating.
Globalization, urbanization and ageing will be compounded by the
health effects of other global phenomena, such as climate change, the
impact of which is expected to be greatest among the most vulnerable
communities living in the poorest countries .
Source: WHO
12. Baby Boomers (US Study)
The number of Americans aged 65 or over will double by 2050
The number of people age 85 or over will quadruple by 2050
By 2030 over half of U.S. adults will be over age 50
The over 65 population will nearly triple as a result of the aging Boomers.
More than six of every 10 Boomers will be managing more than one chronic condition.
More than 1 out of every 3 Boomers – over 21 million – will be considered obese.
One out of every four Boomers – 14 million – will be living with diabetes.
Reference: ~ A joint report
from First Consulting
Group and the American Nearly one out of every two Boomers – more than 26 million – will be living with arthritis.
Hospital Association, titled
“When I'm 64: How
Boomers Will Change
Health Care.” 8x more knee replacements will be performed in 2030 than today.
13. High Pharmaceutical Cost
The pharmaceutical industry weighs even more heavily
in the global economy, with global pharmaceutical sales
expected to expand to US$ 735–745 billion in 2008,
with a growth rate of 6–7%93.
The United States is the world’s largest market,
accounting for around 48% of the world total: per
capita expenditure on drugs was US$ 1141 in 2005,
twice the level of Canada, Germany or the United
Kingdom, and 10 times that of Mexico.
Mexico
Germany / UK
US
Source: WHO
14. Fragmented HealthCare System
Fragmentation: health systems built around
priority programmes
While urban health by and large revolves around
hospitals, the rural poor are increasingly confronted
with the progressive fragmentation of their health
services, as “selective” or “vertical” approaches focus on
individual disease control programmes and projects.
Source: WHO
15. Commercialization of HealthCare
Health systems left to drift
towards unregulated
commercialization
In many, if not most, low- and
middle-income countries, under-
resourcing and fragmentation of
health services has accelerated the
development of commercialized
health care.
Source: WHO
16. The Global Shortage of Healthcare Workers
Fifty-seven countries
face a severe health
workforce crisis.
WHO estimates that at
least 2,360,000 health
service providers and
1,890,000 management
support workers, or a
total of 4,250,000 health
workers, are needed to
fill the gap.
Without prompt action,
the shortage will worsen.
17. Healthcare is a concern
Percentage of the population citing health as their main
concern before other issues, such as financial problems,
housing or crime.
Source: WHO
18. Global Healthcare Crises and Concerns
With continued growth of Global Healthcare
Crises, patients will struggle to get:
Affordable Healthcare
Easy Accessible Healthcare
Availability of Healthcare
Quality Healthcare Services
19. Medical Tourism Drivers & Factors
Global Establishment
Increased Global
Affordability of Quality Standards
Access, Affordable
Transport
Additional
Availability
Benefits
Increased Demand Increased Demand
Medical for Cosmetic and
for Medical &
Surgical Procedures
Tourism Dental Procedures
Quality of
Accessibility
Care
Acceptance by
Globalization of Employers & Health
Workforces Plans
20. Who will use Medical Tourism?
Developed Travel for Travel for
Affordability Accessibility
World
Better Affluent will
Developing Healthcare or Travel for Better
High end and Privileged
World Healthcare Healthcare
Under Travel Because Affluent will
Develop of Lack of Travel for Better
Healthcare Healthcare
World
21. Cost Saving in Medical Tourism
Knee Replacement
Turkey
Korea
Mexico
Costa Rica
Singapore
Thailand
India
USA
0 5 10 15 20 25 30 35 40
Knee Replacement (2009 MTA survey)
USA India Thailand Singapore Costa Rica Mexico Korea Turkey
$50,000 $7,000 $10,000 $11,100 $11,000 $12,000 $24,100 $13,000
22. Cost Saving in Medical Tourism
Heart ByPass
Turkey
Korea
Mexico
Costa Rica
Singapore
Thailand
India
USA
0 20 40 60 80 100 120 140
Heart Bypass (2009 MTA Survey)
USA India Thailand Singapore Costa Rica Mexico Korea Turkey
$130,000 $9,000 $11,000 $16,500 $24,000 $22,000 $34,150 $17,000
23. Cost Saving in Medical Tourism
Note: Prices do not reflect PPO discounts. Prices will
vary based on zip code, region, provider, and other
factors. Prices are an estimate and do not include
airfare or hotel accommodation for the patient or a
companion. Travel costs, including airfare and hotel
will vary depending on country and also the length of
stay for recovery.
24. What Services do They Seek?
Orthopedics • Hips, Knees, Back and Spine
Cancer Treatment • Diagnostics, Cyberknife, Stem Cell
Heart Procedures • Angioplasty, Bypasses, Valve Replacements, Stem Cell
Transplants • Liver, Kidney, Lung
Dental Treatment • Implants, Veneers, Crowns
Bariatric Surgery • Lap Band, Gastric Bypass, Gastric Sleeve
Alternative • Acupuncture, Preventative, Homeopathy, Indigenous
Stem Cell Treatments • Alzheimer's, ALS, Parkinson's, Paralysis, Heart
Cosmetic Surgery • Face Lifts, Breast Implants, Corrective
Infertility Treatments • IVF, Fertility, Hormonal Disorders
Rehabilitation & Geriatric • Acute and Chronic Conditions, Geriatric Care
26. US Medical Tourism Trend & Forecast
Deloitte Study 2009 ~ Recession Adjusted Forecast
2007 2008 2009 2010 2011 2012
Number of
Patients 750,000 540,000 648,000 878,000 1,283,000 1,621,000
Forward -20% -10% 20% +35% +35% +35%
Growth Rate
USA Today puts Medical Tourism as one of the
Top Ten Growing Trends
27. 29% Americans will travel for Medical Tourism
Gallup Poll May, 2009
Up to 29% of Americans would
consider traveling abroad for
medical procedures such as:
heart bypass surgery
Travel for hip or knee replacement
medical
Tourism plastic surgery
cancer diagnosis and treatment.
28. Medical Tourism in Asia
2004 India had 1.8 million inbound medical
tourists at USD$333 million. India’s growth in
the industry is 30% per year projected at
USD$2.2 billion by 2012
Singapore targets 1 million foreign patients
and USD$1.6 billion by 2012
Asia’s Growth Industry, 2006
Malaysia expects USD$590 million by 2012
Thailand and South Korea combined estimate
USD$4 billion by 2012
29. Terminology
Health
Tourism • Patients traveling out of a
Outbound country
Health & Healthcare
Spa travel Travel
Medical Inbound • Patients coming into a country
Tourism Intrabound • Patients traveling within a
Wellness Medical country
Travel Travel
• Organization / Agency
Medical Facilitator providing support services to
Value Travel the patient
31. Role of Medical Tourism Facilitator
Travel
• Airline
• Local Transport
Documentation
• Legal Documents Healthcare
• Patient Records • Identification
• Reports • Price
• Claim Submission Negotiation
and • Monitoring
Reimbursements Quality of Care
Tourism / Concierge
• Translators
• Personalized Services
• Representative
• Tourism related
arrangements
32. Facilitator Analysis
Percentage of Facilitators By Base Country
USA
China
Thailand
India
Malaysia
South Africa
UK
Australia
Korea
Researched by ExHealth
Canada
Turkey
New Zealand
Poland
Singapore
Tunisia
Croatia
33. Facilitator Analysis
No. of Facilitators Providing Service to Countries
Researched by ExHealth
33
34. Facilitator Analysis
No. Of Facilitators By Type of Procedure
80
70
60
50
40
Researched by ExHealth
30
20
10
0
Cosmetic Surgery Dentistry Alternative Medical Spas Infertility Obesity Cancer All
Surgery Medicine Procedures
35. Facilitator Analysis
Facilitators offering Service to ALL Countries
Facilitators Offering Service 2 Countries or More
Researched by ExHealth
Facilitators Offering Single Country Service
36. Accessing the Patient ~ Facilitators
51% used a Facilitator 37% found very helpful
44% N/A
37. Role of Hotels
Package
• Transparent Pricing
• Services
Communication
• Sensitizing Staff Modifications
• Communication • Dietary / Menu
Training • Privacy
• Coordinated • Nursing Support
Emergency • Entertainment
Response
Tourism / Concierge
• Translators
• Personalized Services
• Appropriate Tourism
• Transportation
40. Medical Tourism Association™
• The Medical Tourism • The MTA creates a forum • The MTA provides
Association advocates for communication amongst education to
creating a transparency in all of the players in the patients, insurance
the medical tourism medical tourism companies, employers and
industry in quality of care industry, allowing new players in the medical
and pricing so patients competitors to work tourism industry about all
know exactly what quality together for the first time to of the issues involved in
of care they are receiving promote their country or medical tourism ~
and what they are paying region first as a medical legal, economic, accreditati
for such care. tourism destination. on, best practices, strategic
marketing
Transparency in Education
Communication
Quality & Pricing
41. 4th World Medical Tourism & Global
Healthcare Congress 2011
www.MedicalTourismCongress.com
43. Productive Networking Opportunities
Network with up to 1,500 attendees!
– Buyers of Healthcare
– Top International Hospitals
– Specialty Clinics
– Medical Tourism Facilitators
– Insurance Companies
– Insurance Providers
Up to 10,000 One-on-One Prescheduled networking meetings
44. Attendees & Delegates
• 1,500 attendees from over 87 countries
• 100 expert speakers
• 10,000 one-on-one networking meetings
• Networking lunches
• Networking cocktail receptions
45. Buyers of Healthcare-VIP Program
Insurance companies, governments, employers and insurance
agents may be eligible to get:
Free registrations
Discount registrations
Hotel room nights and flights
Don’t miss this opportunity!
46. 4 INTEGRATED CONFERENCES
Global Benefits Conference
Healthcare Development & Sustainable
Healthcare Conference
Global Healthcare Investment Conference
Health & Wellness Conference
47. Global Benefits Conference
THEME: “Streamlining Benefits and Processes for Multinational Employers and Insurance
companies”.
TARGET: Highest level executive attendees involved in this industry.
WHO WILL BE THERE:
International Insurance Companies
Multinational Employers
International Insurance Agents and Consultants
Air Ambulance Companies
And other International Insurance attendees and providers
VISIT: http://globalbenefitsconference.com
48. Healthcare Development & Sustainable
Healthcare Conference
Sustainable Healthcare (Green Healthcare), Healthcare Development and
Hospital Development is one of the fastest growing industries in the world
THEME: Groundbreaking Approaches to Healthcare Design, Management and
Sustainability.
FOCUS: International healthcare and hospital development with case studies from
different parts of the world.
VISIT: http://www.healthcaredevelopmentconference.com/
49. Global Healthcare Investment Conference
Network with investors as they learn about international investment
opportunities in the healthcare sector
THEME: “Emerging Markets for Healthcare Investment”.
FOCUS: Emerging markets and trends showing case studies of investment
opportunities in the healthcare sector.
Visit: http://www.healthcareinvestmentconference.com/
50. Health & Wellness Conference
Millions of consumers are taking vacations for health, wellness and prevention
THEME: “ Health and Wellness Travel and Tourism”.
FOCUS: Growing health and wellness tourism industry. Case studies on how many
regions create strong wellness programs attracting individuals and employers to their
regions.
VISIT: http://wellnessconference.com/
51. For more information and to register
http://www.MedicalTourismCongress.com
www.EmployerHealthcareCongress.com