Transcript MEDICAL TOURISM

MEDICAL TOURISM
AN ASSESSMENT ON TURKEY
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Source: http://english.busan.go.kr/06residents/08_03_01.jsp
09.11.2012
Medical Tourism
 Replacement of patients from their home countries to
the different countries basically for the purpose of
treatment.
 Medical tourism could include recreation and
relaxation activities as well as treatment.
 Medical Tourism creates approximately US$60 billion
to the world economy.
 India, Thailand, Taiwan, Turkey and some developing
countries have done the great progress in medical
tourism industry
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Source: http://english.busan.go.kr/06residents/08_03_01.jsp
09.11.2012
Why medical tourism?
 Lower cost
 Better access to healthcare
 High quality “First World Treatment at Third World
Costs”
 Long waiting time (Canada & UK)
 Lack of healthcare coverage
 Medical procedures not provided (U.S - Stem Cell) or
restrained in home country
 Privacy – particularly for some cosmetic procedures
 Exotic locations and travel ‘mystique’
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Medical & Dental Procedures*
• Cardiology
• Gastroenterology
• Orthopedics
• Cardiothoracic
• General
• Pain Management
• CyberKnife®
Surgery
(cancer) • Gynecology
• Dental
• Infertility
• Pediatrics
• Plastic and
Reconstructive Surgery
• Detox/Rehab
• Internal Medicine
• Urology Male/Female
• ENT
• Neurosurgery
• Vascular
• Executive Health
Physicals
• Oncology
(selective)
• Ophthalmology
* Lazzaro, V. (2009). U.S. & International Medical Tourism University of California - Irvine
• Weight Loss/Obesity Surgery
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Drivers
Improvements in Technology
and Transportation
2
Cost
Differences
Globalization
of Healthcare
1
8
Qualified Human
Resources
Quality
Network
3
4
Medical
Tourism
5
7
Increasing
Healthcare
Expenditure
Regulations
6
Accredited Healthcare
Organizations
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Challenges
Selection of physician
Communication Issues
Follow-up difficulties and
complication risk
Critical issues
for medical
tourists
Legal resource and
malpractice law
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Advantages and Disadvantages for MT
destination
Advantages
 Shows the leverage effect for the economy.
 Contribute to the related industries.
 Acquisition of advanced technology and powerful
infrastructure.
 Improve public healthcare sector as well as private
sectors.
 Increase employment
Disadvantages
 Low physician to patients ratio for local people
 Domestic brain drain from public to private sector
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Accreditation
Joint Commission International conducts the
accreditation process of public and private health
organizations from different countries and
provides international standards .
About 550 foreign hospitals accredited from 52
countries by JCI.
There are also some other accreditation
organizations.
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High-Quality Healthcare Services and
Accreditation of Healthcare Organizations
Countries
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Number of Accredited
Organizations
Austria
Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Bermuda
Brazil
Chile
China
Colombia
Costa Rica
Czech Republic
Denmark
Ecuador
Egypt
Ethiopia
Germany
Greece
India
Indonesia
Ireland
Israel
4
1
1
1
1
1
1
43
2
20
2
3
4
15
1
3
1
5
1
20
5
23
8
Italy
Japan
21
4
Countries
Number of Accredited
Organizations
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
Kazakhstan
Kuwait
Lebanon
Malaysia
Mexico
Nicaragua
Nigeria
Oman
Pakistan
Panama
Philippines
Portugal
Qatar
Russian Federation
Saudi Arabia
Singapore
Slovenia
South Korea
Spain
Switzerland
Taiwan
Thailand
1
2
2
8
9
1
1
2
1
2
4
12
10
1
50
21
2
33
21
1
22
35
49
Turkey
48
50
51
United Arab Emirates
Viet Nam
57
1
2.4
9.1
9.0
Slovak Rep.
Brazil
7.4
7.0
6.9
Poland
Estonia
Korea
Indonesia
India
China
Russian Fed.
Turkey
4.2
7.4
Hungary
5.4
6.1
6.4
7.8
Luxembourg ³
Mexico
7.9
Israel
8.2
9.2
Finland
Czech Rep.
9.3
Slovenia
8.4
9.5
Spain
Chile
9.5
Italy
8.5
9.5
Ireland
South Africa
9.6
OECD
8.5
9.6
Norway
Japan
9.6
Greece
Public
8.7
9.7
Iceland
% of GDP
Australia
9.8
10.0
Sweden
United Kingdom
10.1
10.3
Portugal
New Zealand
10.9
Belgium ²
11.4
Switzerland
11.0
11.4
Canada
Austria
11.5
0
Denmark
2
11.6
4
Germany
4.6
6
11.8
8
France
10
12.0
12
Netherlands ¹
17.4
18
United States
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Total health expenditure as a share of GDP,
2009 (or nearest year)
Private
20
16
14
Source: OECD Health Data 2011
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Health insurance coverage of OECD Countries
for a core set of services, 2009
Total public coverage
Chile
Mexico
Turkey
United States
Slovak Republic
Estonia
Poland
Luxembourg
Netherlands
Austria
Spain
Belgium
France
Germany
Iceland
United Kingdom
Switzerland
Sweden
Slovenia
Portugal
Norway
New Zealand
Korea
Japan
Italy
Israel
Ireland
Hungary
Greece
Finland
Denmark
Czech Republic
Canada
Australia
Primary private health coverage
73.5
74.0
80.8
26.4
54.9
95.2
95.2
97.6
97.8
98.8
99.0
99.2
99.5
99.9
89.2
10.8
99.9
0.1
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
0
20
Source: OECD Health Data 2011
40
60
80
100
Percentage of total population
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Medical Tourism Destinations
Source: Grail Research, 2009
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Waiting time of four weeks or more for a
specialist appointment
2005
2008
2010
80
60
40
60
57 59
55
50
55
4547 46 46
6058
55
40 39
3130
20
28
32
26
23
20
18
22
17
0
Source: Commonwealth Fund International Health Policy Surveys
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Waiting time of four months or more for
elective surgery
%
50
2001-02
2005
2007
2010
41
38
40
33
30
30 27 27
25
26
22
20
21
21
23
191818 20
13
10
8
7
0
Source: Commonwealth Fund International Health Policy Surveys
7
5
887
7
5
65
0
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Medical Tourism in Turkey
After 1990, private sector investments have
boomed in healthcare industry
This transition period is supported by welleducated and well-qualified physicians and other
health staff and strengthened through the
accreditation of healthcare organizations.
Turkey hosts 40,000 medical tourists from all
over the world in a year.
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Price Statistics for Selected
Countries
US
TURKEY
IRELAND THAILAN
D
GERMAN
Y
TAIWAN
SINGAPOR
E
INDIA
ISRAEL
ENGLAND
SWITZERLAND
Heart Bypass
(CABG)
129.75
0
11.37515.000
26.50027.500
11.000
17.335
18.900
30.00033.000
8.666
30.000
27.770
44.596
Heart Valve
Replacement
58.250
16.950
N/A
10.000
N/A
27.500
12.500
11.75
0
25.000
25.000
47.794
Hip Replacement
45.000
10.750
19.50021.000
11.00014.000
11.644
7.500
10.725
7.000
17.150
15.840
19.899
Knee Replacement
40.000
11.200
19.50021.000
10.500
11.781
8.000
9.350
7.833
12.950
20.600
20.432
Spinal Fusion
62.000
7.125
24.75025.900
7.000
13.50015.000
5.900
9.000
12.00
0
18.000
32.400
30.915
Liposuction
9.000
3.333
1.200
4.376
4.000
3.000
2.500
N/A
4.950
7.551
Bone Marrow
Transplantation
300.00
0
40.00070.000
50.00060.000
250.000
50.00060.000
250.000
40.00
0
90.000
250.000
200.000
Gamma Knife
40.000
8.676
Cyber Knife
12.000
Hysterectomy
(Vaginal)
20.000
250.000
16.65020.000
22.00025.000
13.50
0
12.500
7.000
10.00011.500
5.200
Source: http://www.healthinturkey.org/en-EN/Price.aspx
5.5007.00
2.700
9.00010.500
4.250
10.100
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Legal Issues
Turkey supports medical tourism via
governmental regulations and incentives.
The European Union accepted the “Directive on
the Application of Patients’ Rights in Crossborder Healthcare” that facilitates the mobility of
patient among the member countries in 2011
and it will be effective by 25 October 2013 within
the member countries.
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Transportation Possibilities to the
Medical Tourism Destinations of Turkey
Turkish Airlines “Best Airline in Europe and
Seventh Airlines in World 10 best airlines order
in 2012”
 Flights to more than 200 destinations
 Support packet for organization operated in medical
tourism (special discount and incentives for patients
and their two chaperons who chose Turkey for
treatment)
Many airlines companies have flights to Turkey.
The abolition of visas with many countries
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Media Coverage and Supports to Medical
Tourism
Turkey has attracted medical tourists from all over
the world with the collaborative efforts of;
 Republic of Turkey Ministry of Health
 Ministry of Culture and Tourism
 Ministry of Economy
 Ministry of Finance
 Some initiatives such as Foreign Economic
Relation Board (DEIK), Accredited Hospitals
Association
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Opportunities
Large pool of doctors, nurses & paramedics (Potential
to educate its human resources)
Increasing number of accredited health organizations
Highly skilled experts
Possess English speaking skills
Collaboration with international well-known
organizations such as Johns Hopkins Medicine and
Harvard Medical School
Governmental and regulatory support
Geographical superiority and transportation easiness
the abolition of visas with many countries
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Disadvantages of Medical Tourism for
Turkey
It could increase the gap in healthcare service
quality and in the level of development among
the regions.
Brain drain from public to private sector
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Conclusion
 Turkey has potential to be one of the biggest medical
tourism centers of the world thanks to its accredited
organizations, well-qualified and well-educated
physicians, modern technologic infrastructure,
geographic and climatic superiority and natural and
historical beauties.
 Turkey is making progress in this direction with the
collaborative support of government and private sector in
order to supply high-quality and lower cost medical
treatment for its citizen and medical tourists.
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