| Medical Tourism In India Indraprastha Apollo Hospital (IMCL)
received recommendation for accreditation by Joint Commission International (JCI) of the
US on 17th June 2005. Among other hospitals on the way to receive accredition are:
Wockhardt Mumbai, Apollo Chennai, Manipal Hospital Bangalore and Sri Ramachandra Medical
Centre (SRMC) Chennai.
Government of India has introduced a `medical visa' for foreigners who come to India
for medical treatment and are here for an extended period. The medical visa" would be
admissible to all foreigners seeking medicare in recognised specialty hospitals or
treatment centres. The initial period of such a visa will be one year or for the period of
treatment whichever is less. Unlike the tourist visa, this can be extended and the State
Governments and FRROs have been given the powers to extend such a visa.
Under the medical visa rules, patients will have the facility to bring two attendants
-- spouse and blood relations. They will be allowed two entries in a year, which means
patients can change attendants.
This visa will enable international patients to have access to medical care in the
recognised and specialised hospitals of the country.
In addition to the basic documentation required of all visa applicants, those seeking a
visa for medical treatment should submit at the time of the visa interview, a description
by a reputable physician or medical facility, of the disease, defect or disability for
which treatment is being sought. Medical records detailing past treatments received for
the condition.
When baby Noor Fatima, a
two-and-a-half- year old Pakistani girl, successfully underwent an open heart surgery in
India, she opened news vistas reminding the potential of medical toursim and affordable
cost-effective treatment.
India offers world class
medical facilities in world class hospitals and the doctors are comparable with any of the
doctors in western countries. India also offers the most competitive prices.
Medical tourism is the buzzword now. The government as well as private players are keenly
assessing the potential and means to tap the same. The boom in state-of-the-art hospitals
and well-qualified doctors, have attracted the patient population from neighbouring
countries, the Middle East and the West who are looking for quality affordable
cost-effective treatment.
The equation is First World treatment at Third World prices. A
CII-McKinsey report last year, postulating the opportunities in medical tourism, states
that the medical tourism market in the country pegged a 30 per cent growth in 2000 and it
has been growing at the rate of 15 per cent for the past five years.
If industry estimated are
to be believed, the size of the medical tourism industry stands at Rs 1,200-1,500 crore
(Rs 12-15 billion), growing at the rate of 30 per cent. Health industry is beginning to
see scale of opportunity for medical tourism.
A recent CII-McKinsey study
on healthcare says medical tourism alone can contribute Rs 5,000-10,000 crore (Rs 50-100
billion) additional revenue for upmarket tertiary hospitals by 2012, and will account for
3-5 per cent of the total healthcare delivery market delivering affordable cost-effective
treatment.
India, has many world-class
hospitals and medical facilities at its disposal. They definitely have an advantage over
others, as apart from the cost factor, most foreign nationals are used to getting treated
by Indian nationals abroad. Indian medical professionals settled abroad are associated
with high quality care.
Nearly seven per cent of patients at Apollo Hospitals today come from countries in the
Middle East. They have now gone on to set up offices in various countries to channelise
patients to their hospitals. With telemedicine, it has become easier for patients to keep
in touch with them and facilitates their transfer to hospitals in India. Apollo Hospitals
currently devotes nearly 10 per cent of its health care infrastructure for medical tourism
purpose.
They have already invested around Rs 250 crore in 2003 with the idea to attract medical
tourists. They have set up a hospital in Ahmedabad with the intention of attracting
non-resident Gujaratis from the world over. They also have put in place medical
infrastructure in Sri Lanka to attract tourists who come to that country. They will be
soon putting up a combination of a Spa and a hospital in Goa , with focus on non-electric
surgeries as well.
"Compared to countries
like the UK or the US, minor treatments like those for dental problems or major procedures
like bypass surgery or angioplasty come at a fraction of the cost in India, even though
the quality of doctors and medical equipment is comparable to the best in the world,"
says K K Aggarwal, executive vice-chairman of the Heart Care Foundation of India.
A bypass surgery in India
costs $2,000-5,000, while in the US it costs between $15,000 and $40,000. That's really
affordable cost-effective treatment.
No wonder corporate
hospitals like Apollo and Escorts Heart Institute and Research Centre are working towards
capturing a larger share of the pie with their cost-effective treatment.
Escorts is in the process
of arranging travel and lodging facilities for its overseas patients/medical tourists. In
less than two years, Escorts has doubled its number of overseas patients from 675 in 2000
to around 1,200 till date this year.
"Almost 10 per cent of
our patients/medical tourists come from Sri Lanka, Bangladesh, Nepal and West Asia,"
Naresh Trehan, executive director of Escorts, said.
The Mohali-based Fortis
Hospital has already entered into a mutual referrals arrangement with Partners Healthcare
System, that has hospitals like Brigham Women's Hospital and Massachusetts Hospital,
Boston, under its umbrella. "We will soon launch a defined programme for the two-way
flow of patients," Harpal Singh, chairman of Fortis, said.
The Apollo Hospitals Group
is also holding discussions with the National Health Scheme, UK, to bring patients/medical
tourists from the UK to India, highlighting their affordable cost-effective treatment.
"The waiting period
for surgeries such as knee replacement is too long in the UK. We are working on a plan for
getting those patients/medical tourists to India," Yogi Mehrotra, managing director
of Apollo Hospitals, said. The hospital is also working on attracting patients/medical
tourists from African countries and is in talks with the authorities concerned.
The Indian Healthcare
Federation, an association of the healthcare delivery sector that includes the Apollo
Hospitals Group, Mumbai's Hinduja Hospital, Max Healthcare, the Fortis Heart Institute
among others, has also decided to project India as a healthcare destination with its
affordable cost-effective treatment.
Among private players,
Apollo has been a forerunner in health tourism. It has been a choicest destination for
patients/medical tourists from Southeast Asia, Africa, and the Middle East. The group has
tied up with hospitals in Mauritius, Tanzania, Bangladesh and Yemen besides running a
hospital in Sri Lanka, and managing a hospital in Dubai.
In 2002, the number of patients who visited the hospital was 3001 and about 700 were
hospitalised. Along with providing treatment, the stay of the foreign medical tourist is
taken care of by the hospital itself. The group has tied up with hotels in Delhi for this
purpose. According to Dr Chabra, additional medical director, ISIC (Indian Spinal Injury
Centre), ISIC is another destination for patients/medical tourists from neighbouring
countries, Gulf and a few NRIs from the US.
Now, to attract more people, the emphasis is on vacation plus treatment and special
packages have been planned for this. On the anvil is another plan to make the medical
tourists and their relatives stay in the hospital complex with all the luxuries a hotel
provides. Dr Shakti Gupta, AIIMS, stresses on the need to export health care services.
According to him, Indian doctors, medical services, and hospitals are at par with good
hospitals in Europe and the US.
AIIMS is a destination for medical tourists from Nepal, Bangladesh, Bhutan, Myanmar,
Mauritius, Malaya and Pakistan. Besides regular medical tourists from the Middle-East, an
occasional patient/medical tourists from the US drops in for health care. Medical tourists
from Pakistan, especially children with heart afflictions, have been regularly coming to
AIIMS heart centre. According to Dr Gupta, AIIMS was made for the helath care of
entire south-east Asia populace and since it is a government institute there are no plans
to attract more foreigners.
The attractions for affordable cost-effective treatment at AIIMS include cardiac surgery,
neurosurgery, cancer treatment and ophthalmic procedures. The services are charged
on actuals and ours being a government institute we are not angling to make money but are
here to serve the people, stressed Dr Gupta.
The Metro hospitals and Heart Institute, Noida, also manages to attract medical tourists
from Nepal, Bhutan, Sri Lanka, Bangladesh and a few from Maldives and the Gulf region.
Their motto is to extend excellent health services to medical tourists who travel here for
health care and also for tourists who need health care while their stay in India.
Indian hospitals getting recognition from international insurance companies will bring in
more patients/medical tourists from abroad, says Anil K Maini, head, marketing, health
care and medical tourism business, Escorts Heart Institute and Research Centre. The centre
is emerging fast as a favourite destination for patients/medical tourists from
neighbouring countries, Africa and CIS. With BUPA recognition, patients/medical tourists
from the UK are coming here for treatment. About 1,000 medical tourists from abroad are
treated in Escorts on an annual basis.
Although only a few hospitals are making conscious efforts to increase the existing inflow
of health tourists, nobody denies the huge potential medical tourism has. And it will not
be long before its full potential is realised, provided we cultivate the service mind-set
or attitude, put in place an accreditation system and project our capabilities overseas
through multiple media.
List Of
Private Hospitals In India With World Class Clincal Facilities
- All India Heart Foundation,
4874, Ansari Nagar, 24, Dariya Ganj, New Delhi - 110002
- Apollo Heart Hospitals, 21
Greams Lane, Off Greams Road, Channai - 600006., Tel: 91-11-8277447, 8240200. Fax:
91-44-8324429,
- Apollo Hospitals, Jubilee
Hills, Hyderbad - 500034, Tel: 91-40-238050.
- Bangalore Hospital Ltd.
Vijaya Mallaya Hospital, No. 2 Vittal Mallaya Road, Bangalore - 560001
- Batra Hospital & Medical
Research Centre, 1, Tughlakabad Institutional Area, M.B. Road, New Delhi - 110062. Tel:
91-11-6983747, 6982455.
- Breach Candy Hospital &
Research Centre, 60, Bhulabhai Desai Road, Bombay - 400028
- Calcutta Imaging Institute,
54, Jawahar Lal Nehru Road, Calcutta - 700071
- CDR Groups of Hospitals, CDR
heart Institute, Hyderabad - 500029
- Chaitram Hospital &
Research Centre, Manik Bagh Road, Indore - 452001
- Chandigarh Neurological
Research Centre, 156-158, Sector 170C, Chandigarh.
- Christian Medical College
Heart Research Centre, Christian Medical College, Ludhiana - 141008
- Christian Medical College 7
Hospital, Vellore - 362004, Tel: 91-416-22102
- East Coast Hospital Ltd.133,
Hundred Feet Road, Natesan Nagar, Pondicherry
- Dayanad Medical College
& Hospital, Post Box No. 265, Ludhiana - 141001
- Deccan Hospitals, Deccan
Hospital Corporation Ltd. 1-11-252/11/1, Begumpet, Hyderabad - 500016
- Diwan Chand Satya Pal
Aggarwallmaging Research Centre, 10-B, Kasturba Gandhi Marg, New Delhi - 110001
- Down Town Hospital Pvt. Ltd.
Gaha Lodge, Guwahati - 781001
- Dr. Balabhai Nanavati
Hospital, S.V.Road, Vile Park (West), Mumabi - 400056
- Dr. Babasaheb Ambedkar
Vaidyakiya Pratishthan's Dr. Hedgewar Hospital, Sindhuteer, Bhagyanagar, Aurngabad -
431001
- Guwahati Neurological
Research Centre Pvt. Ltd. Dispur - Guwahati, Assam - 781006
- Indian Cancer Society, Delhi
Branch, B-82, Defence Colony, New Delhi - 110024
- Institute of Cardio-Vascular
Diseases, 4-A, Jayalalitha Nagar, Mogappair, Chennai - 600050, Tel: 91-44-6259801 (10
lines). Fax: 91-44-6259804.
- Jaslok Hospital & Res,
Centre, 15, Dr. Go Deshmukh Marg, Mumbai - 400026
- Kasturba Medical College,
Madhava Nagar, Manipal, Karnataka - 576119
- Kasturba Medical College,
Manipal, Udupi Distt. 576199.
- Key Pee Kay Medical Services
(P) Ltd. 43, Second Main Road, Raja Annamalai Puram, Madras - 28
- Lady Willington Nursing
Home, 21, Pycrofts Garden Road, Chennai-06
- Lion's Cancer Detection
Centre Trust, Govt. Medical College Campus, Majura Gate, Surat - 395001
- Madras Medical Mission,
Instt. Of C.V. Diseases, 180-N.S.K., Salai, Chennai-26
- Manipal Hospital, 98, Rustom
Bagh, Airport Road, Bangalore - 560017
- Medwin Hospitals, Jaya
Diagnostic & Research Centre Ltd. 100, Raghave Ratna Towers, Chirag Ali Lane,
Hyderabad - 500001
- Meenakshi Mission Hospital
and R.C. Lake Area, Malur Road, Madurai-01
- Meherbai Tata Memorial
Hospital, Stocking Road, Jamshedpur - 8310001
- M.I. Diagnostic and Research
Centre. B-22, Kailash Colony, New Delhi - 110048
- Nanda Hospital and Scan
Research Centre Pvt. Ltd. 0/63, Doctor's Coloney, Kankar Bagh, Patna - 20
- National Heart Institute,
49, Community Centre, East of Kailash, New Delhi - 65
- Navin Chand Nanda National
Instt. Of Echo-cardiology and Cardiac Research, Mool Chand, R.R. Research, Hospital,
Lajapat Nagar-III, New Delhi - 110024
- P.D. Hinduja National
Hospital And Medical Research Centre, Veer Sayarkar Marg, Mahim, Mumbai - 400016
- Parent's Association
Thalassemic Unit Trust (Regd.), St. George's Hospital, Mumbai-400001
- Peerless Hospital and
Research Centre Ltd. 360, Panchasayar, Garia, Calcutta-84, West Bengal
- Ramachandra Educational
& Health Turst, 25, Sir C.V. Raman Road, Alwarpet, Madras - 600018
- Ramakrishan Mission
Hospital, OP RK Mission, Itanager - 791113, Arunachal Pradesh.
- Sir Gangaram Hospital, Sir
Gangaram Hospital Marg, New Delhi - 110060
- St. John's Medical College
Hospital, Sarjah Pur Road, Bangalore - 5600034
- St. Stephen's Hospital, Tis
Hazari, Delhi - 110054
- Suniti Devi Singhania
Hospital & MRC, New Hind House, N. Morarjee Marg, Ballard Estate, Mumabi - 400038
- Tamil Nadu Hospital Ltd. No.
18th East Street, Kamraj Nagar, Thiruvamayur, Madras-41
- The Heart Instt. Vijaya
Health Centre, Vijaya Gardens, N.S.K. Salai, Vadapalani, Madras - 26
Vijay Mallaya Hospital Ltd. Mc.Dowell, No. 17, Richmond Road, Bangalore - 25
Bone Marrow
Transplant
Major hospitals in India have oncology units comprising surgical oncology, medical and
radiation therapy as well as the crucial Bone Marrow Transplantation (BMT). The BMT unit
with high pressure hipa filters has helped achieve a very high success rate in the various
types of transplantation.
Cord Blood Transplant and Mismatched Allogeneic Stem Cell Transplant have been performed
successfully, a feat that is remarkable and significant, considering the fact that the
treatment costs one-tenth of what it does in the west. Special surgeons are available for
individual organs. Plastic surgeons of repute provide treatment for head and neck cancer,
breast cancer and other malignancies. Facilities offered include tele-therapy which
includes simulation work stations to ensure high precision and safety during treatment at
the 18 MV linear accelerator or telecobalt machines, brachy therapy and 3-D planning
systems. In orthopaedics, the Ilizarov technique is practised for the treatment of limb
deformities, limb shortening and disfiguration.
Cosmetic Surgery
A new dimension of the medical field taking off in India is cosmetic surgery which
utilises some of the latest techniques in corrective procedures. Some disfigurations
corrected include hair restoration (hair implants, hair flaps, and scalp reductions),
rhinoplasties (reshaping or recontouring of the nose), stalling of the aging process (face
life, cosmetic eyelid surgery, brow lift, sub-metal lipectomy for double chin),
demabrasions (sanding of the face,) otoplasty for protruding ears, chin and cheek
enlargement, lip reductions, various types of breast surgery and reconstruction and
liposuction.
Non-invasive surgical procedures like streotactic radiosurgery and radiotherapy for brain
tumours are practised successfully.
Dialysis and Kidney
Transplant
Common diseases like diabetes, hypertension and chronic glomerulo-nephritis can lead to
permanent loss of renal functions - with dialysis and renal transplantation being the
frequent outcome. The emergence of new therapeutic interventions has created opportunities
in India to manage the progression of renal diseases. Major hospitals in India like Holy
Family Hospital, Jaslok Hospital, Apollo Hospital, Sir Ganga Ram Hospital, Batra Hospital,
Bombay Hospital and Hinduja Hospital have departments of Nephrology and Organ Transplant
equipped with the latest computerised dialysis machines, reverse osmosis water plant to
provide pure and trace element-free water supply, as well as state-of-the-art facilities
in the operating rooms and Transplant Intensive Care Units.
For those who need renal replacement therapy, services like Hemodialysis, Chronic
Ambulatory Peritoneal Dialysis (CAPD) and Transplantation are also available. In addition
to the basic haemodialysis facilities, the patients' requirements for other modalities of
treatment such as Continuous Arterio-Venous Haemofilteration (CAVH), Continuous
Veno-Venous Haemofilteration (CVVH), Continuous Cycler-Assisted Peritioneal Dialysis
(CCPD) are also available. Patients can also avail of the bicarbonate dialysis facility at
these centres. Round the clock service is available at these hospitals for the critically
ill patients in the intensive care units who may need fluid, electrolyte management and
renal supportive therapy. The cost of getting a dialysis is around Rs. 1,700 to Rs. 1,800
per dialysis whereas the same costs about $ 300 in the U.S.A. Similarly a kidney
transplant package in India is available for around Rs. 3 lakh which is comparatively much
cheaper than what it would cost abroad.
Gynaecology &
Obstetrics
Leading Indian hospitals with gynaecology departments and women's hospitals have
facilities for the prevention and early detection of gynaecological disorders. Many
hospitals have women check-up programmes designed to detect the earliest signs of
disorders of the breast and the organs of reproduction as well as catering to the
contraceptive needs of women. A mammogram, an ultrasound of the pelvis and a pap-smear of
the cervix are an integral part of any good medical check-up for women. Specialist medical
as well as surgical care is available for all types of gynaecological problems like
menstrual abnormalities, prolapse, fibroids and other tumours of the uterus and ovaries,
tubal recanalisation by microsurgery and care of the infertile couple. State-of-the-art
gynaecological surgery is available with world class equipment and expertise using
minimally invasive techniques.
Ectopic pregnancies, overian cysts and tumours, fibroids endometrosis, tubal blocks and
even hysterectomies can be performed laproscopically. Hospitals like Apollo have
state-of-the-art IVF labs backed by highly experienced doctors who have been involved in
the field of infertility and assisted Reproductive Technologies (ART). A full range of
diagnostic procedures are available for infertile couples. Treatment for the disorders of
ovulation, controlled ovarian stimulation, controlled ovarian stimulation, Intra-Utrine
Insemination (IUI), Intra-Fallopian Tubal Insemination (IFI), In Vitro Fertilization (VF)
and Gamete Intra-Fallopian Transfer (GIFT), Embryo Transfer (ET), Zygote Intra-Fallopian
Transfer (ZIFT), sperm donation, freezing egg/oocyte donation, replacement of frozen
embryos, full range of treatment of male infertility including micro-manipulation
technology - Intra Cytoplasmic Sperm Injection (ICSI) and surrogacy. The emphasis is on
optimizing each couple's chance of achieving a pregnancy by combining the best scientific
and medical practice with the highest standard of care.
Joint Replacement
Surgery
Shoulder/hip replacement and bilateral knee replacement surgery using the most advanced
keyhole or endosopic surgery and anthroscopy is done at several hospitals in India
including the Apollo Hospital, Sir Ganga Ram Hospital and Holy Family Hospital in Delhi,
Bombay Hospital, Leelavati and Hinduja Hospital in Mumbai and the Madras Institute of
Orthoepaedics and Trauma Sciences. Some hospitals like Apollo in Delhi have Operation
Theatres with Laminar Air Flow System which compares with the best in the USA and the UK.
A knee joint replacement costs about Rs. 2.50 Lakh in India wheras in the UK, a similar
surgery using the same implants and medical consumables costs around 10,000 pounds.
Neurosurgery &
Trauma Surgery
Other routine procedures performed with excellent results are replacement arthroplasties,
diagnostic and operative arthoscopy, spinal surgeries including. Harrington Rod
Instrumentation for scoliosis, corrective and reconstructive procedure for poliomyelitis
and cerebral palsy, micro-cascular surgical procedures and automated percutanneous lumbar
discectomy.
In addition, the advanced Luque technique is employed for the correction of complex
scoliosis, and decompression and stabilisation of fractures of dorsal and lumbar spine
with paraplegia, by neurosurgeons with excellent training and background.
Many super-speciality hospitals in India like AIIMS, Manipal Hospital, Ram Manohar Lohia
Hospital, Vidya Sagar Institute of Mental Health and Neuro Sciences, Bombay Hospital,
Jaslok Hospital, Nizam Institute of Mental Health and Neuro Sciences and Apollo Hispitals
have advanced faculities devoted to the treatment of the entire renge of brain and spinal
disorders with highly experienced neurosurgenons, neurologists, neuro-anaesthetists and
neuro-radilogists. Treatment of intra- and juxta-cranial, spinal tumours and vascular
malformations, aneurysms and thrombolysis for brain attacks are done at these centres.
Hospitals like Apollo employ state-of-the-art LINAC-based stereotactic radiosurgery system
outside the USA. The Clinac 6000SR Linear Accelerator with XKNIFE system is a highly
sophisticated computer-driven technology used for removal of appropriately selected brain
tumours, arteriovenous malformations and other abnormalities.
Osteoporosis
Several drug therapies now easily available in the market have been shown to be clinically
effective in slowing down or reversing the bone-loss process. Leading hospitals in India
are well equipped to detect and treat bone loss in its earliest states, so as to prevent
the disease or lessen its impact. Doctors in leading hospitals have the expertise for the
diagnosis and treatment of osteoporosis that involves an objective, quantifiable
measurement of the patient's bone mass or bone density. Advanced technology called the DXA
for bone densitometry is available. During a comprehensive bone valuation with DXA, the
patient lies comfortably still on a padded table while the DXA unit scans one or more
areas, usually the fractured spine or the hip. The entire process takes only minutes to
scan depending on the number of sites scanned. It involved no injections or invasive
procedures and the patient remains fully clothed.
Preventive Health
Care
Preventive health care has been introduced for the first time in the country by Apollo
Hospitals with hospitals in the metros of Hyderabad, Chennai and Delhi, within easy
international air access. The professional chain also pioneered the concept of lifestyle
clincs, established the first organ registry in the country and introduced non-invasive
technique for treatment of lesions and tumours of the brain - Stereotactic Radio Surgery
and Radio therapy in the country. It recently installed a state of the art Cobalt Unit.
Apollo Heart Hospital provides a complete network for cardiac patients. It has a total bed
capacity of 500 beds distributed between Apollo Chennai, Hyderabad and Delhi. Apollo is
linked to the Mayo Clinic and the Minneapolis Heart Institute, a premier heart institute
led by the team of doctors who pioneered the Jarvik artifical heart.
Refractive Surgery
Refractive surgery is gaining popularity in India both among the public as well as among
ophthalmologists. Till a few years ago only a few centres performed high volume radial
keratotomy. Today, the highest international quality of eye care for cornea, cataract,
squint and glaucoma is available in over 40 centres all over India. When it comes to
reliability, India has the best ophthalmic surgeons with clinico-academic expertise honed
to perfection in the best possible institutions. Apollo Hospital, Gurunanak Eye Centre,
Dr. Rajindra Prasad Centre For Ophthalmic Sciences and Mohan Eye Centre in Delhi, Shankar
Naytralaya in Chennai, L. V. Prasad hospital in Hyderabad are just some of the more
popular eye care hospitals. The No Stitch Cataract Surgery with the most modern way of
removing cataract through the use of Phacoemulsification procedure can be performed in
India for as little as Rs. 20,000, for both the eyes, whereas the same surgery costs $
45,000 in the USA. Facilities for PRK, myopia and astigmatism are now available in almost
all parts of the country. Hyperopics and LASIK are available and even supra hard cataracts
are treated using just 1 mm incision instead of the 3 mm incision size. Photorefractive
keratectomy or PRK treats the surface of the cornea with the Excimer laser while LASIK
treats the inner tissue of the cornea. For this reason, with LASIK there is less area to
heal, less risk of scarring, less risk of corneal haze, less post-operative pain and
vision often returns very rapidly.
Vascular Surgery
Removal of the gall bladder, the spleen, the bowel and other organs like the adrenals, an
operation for prolapse rectum and hiatus hernia repair have become fairly commonplace in
almost all the major speciality hospitals in India. Experts are easily available and
accessible and the workload at most of these hospitals ensures that the doctors have
enormous experience. High intensive care treatment at much cheaper rates than in the west
is available at most of these centres.
Cardiac Care
Cardiac care has become a speciality in India with institutions like the Escorts Heart
Institute and Research Centre, All India Institute of Medical Sciences and Apollo Hospital
becoming names to reckon with. They combine the latest innovations in medical electronics
with unmatched expertise in leading cardiologists and cardo-thoracic surgeons. These
centres have the distinction of providing comprehensive cardiac care spanning from basic
facilities in preventive cardiology to the most sophisticated curative technology. The
technology is contemporary and world class and the volumes handled match global
benchmarks. They also specialise in offering surgery to high risk patients with the
introduction of innovative techniques like minimally invasive and robotic surgery.
Renowned Indian hospitals like Apollo and Escorts Heart Institute are equipped to handle
all phases of heart diseases from the elementary to the latest clinical procedures like
interventional cardiac catherisation and surgical cardiac transplants. Their success rate
at an average of 98.50% is at par with leading cardiac centres around the world.
Leading heart centres like The Escorts Heart Institute have Cardiac Care Units with
sophisticated equipment and investigative facilities like Echocardiography with coloured
Doppler, Nuclear Scanning and Coronary Angiography. The Jayadeva Institute of Cardiology
in Bangalore, the Cardiology Hospital in Kanpur, the Heart Hospital in Calicut and the
Sree Sudihindra Medical Mission Hospital in Cochin are some hospitals in India devoted
exclusively to cardiac treatment.
Nuclear Medicine
Nuclear medicine is now commonplace. As it involves use of radioactive isotopes in very
small doses in diagnosing and treatment of diseases, radioactive medicine injected or
administered orally and the distribution in the organ is scanned using a Gamma camera.
Tariffs are low starting from Rs. 4,000 for Thalluim rest (SPECT), Rs. 1,800 for lung
perfusion and venogram of upper or lower limbs, Rs. 14,000 for Ventilation study, Rs.
1,500 for a whole body skeletal study and Rs. 700 for Tc-99m Thyroid scan. Various
non-cardiac planar/SPECT studies for bone, thyroid, liver and lungs scanning functions are
performed at specialised centres in India. Diagnostic imaging of the brain, stomach,
kidneys, heart, adrenal glands as well as sites of occult infection with the help of
sophisticated Gamma Camera with tomographic facilities linked to computer systems can also
be performed at many of these centres.
Privatization of
the Medicare sector
The privatization of the medicare sector has brought with it five-star facilities and
world-class treatments. The country can now boast of a number of corporate hospitals.
India is a source market for professionals in the medical field for many renowned
hospitals around the world. Hi-tech medical facilities have become a necessity following
consumer demand among the world's fastest growing middle class. India offers a range of
world quality hospitals and treatments at a fraction of world costs, with comparable
success rates and service levels directly in proportion to the high-value system and
natural caring that comes with its heritage. Indian hospitals are becoming known
internationally for standards of health care delivery comparable to the best in the world.
India has the technology and the skilled super-specialists coupled with sound
infrastructure and professional management, nurses and paramedical staff to take on
international competition.
Major hospitals in Chennai, Mumbai, Hyderabad and New Delhi have recorded a 12% patient
flow from neighbouring and South East Asian countries. This is because people have
realised that they can now have access to international quality medicare in India, at 10%
of the international cost. The average cost of a cardiac surgery at the best hospital is
only US$ 4,500 with a success rate of 98.5% which is comparable to the best institutions
in the world. A bone marrow transplant costs an unbelievable US$ 20,000.
Technologies for the new millennium including electrocardiography through conferencing
will soon be introduced in India, making it feasible for doctors to benefit from the
advice of other experts.
Indian doctors recently performed the country's first robot-assisted heart surgery which
reduces the risk and trauma associated with critical conditions. This operation, performed
at The Escorts Health Institute and Research Centre (EHIRC) is incidentally, the first of
its kind in any developing nation.
Urology
Sveral superspeciality hospitals in India offer comprehensive Urological services to
diagnose and treat stone disease, urological cancer, incontinence, infertility, impotency
and other urinary difficulties. Advanced methods such as lithotripsy for treating kidney
and ureteric stones without surgery are available with complementary methods of treating
stones endoscopically. Advanced machines like the Lithostar obvert the need for
anaesthesia in the treatment of kidney and ureteric stones. High tech facilities for the
treatment of prostate, bladder cancers, urethral strictures are also available.
Investigation and treatment facilities for impotence and male/female infertility exist
with specialised facilities for pharmacotherapy, cavernosometry and cavernosography, in
addition to doppler studies for the assessment of blood flow.
Medical
Tourism Council Of Maharashtra Launched
The Maharashtra government
in collaboration with FICCI (Western Region Council) has launched the Medical Tourism
Council of Maharashtra (MTCM). This council will operate as a nodal agency responsible for
smooth operations in the medical-tourism sector besides promoting Maharashtra's affordable
cost-effective treatment and health-care facilities and also the medical tourism
attractions in India.
Medical tourism, as such
started with Western health care workers providing short-term medical work in many
countries around the world. Medical tourism was in the form of consultancy, relief or aid
work in volunteer health programs.
Medical students constituted a significant proportion of those interested in medical
tourism, through various elective programs, and these electives were often the gateway to
future careers in international health.
Medical Tourism In Thailand
Thailand which
made its name as a medical destination in the 1970's offers top-quality medical care,
extremely low cost and a free trip to the beach.
Open-heart
surgery, which costs about $7,000 at Bumrungrad, rather than the tens of thousands of
dollars it might cost in the United States. An outpatient consultation is generally less
than $10. A complete cardiac examination, including a full range of tests, costs about
$100. The average hospital bed costs $50 a night.
Thailand is
known for sex-change operations known more formally as gender reassignment surgery, or
G.R.S. and a favourite place for people who want to look like Bo Derek. Thailand has
turned to what it calls comprehensive medical tourism, offering services that range from
dental care to cancer treatments.
Thai Chamber
of Commerce has established its own health-care promotion agency. The key to this new
promotion is the high level of medical care that has emerged here in the past decade or
two. The top private hospitals in Bangkok boast foreign-trained and certified doctors and
modern medical equipment. They offer an inexpensive alternative to visitors who may need
procedures not covered by health insurance or who live in countries with long waiting
lists for national health care.
"We thought, listen, we have really excellent medical facilities here and we have
excellent holidays," said Teerapol Chotichanapibal, director of Royal Orchid
Holidays. "If you can come and get a clean bill of health and then go and enjoy your
holiday, what could be better?"
So, in Royal Orchid's glossy "Discover Thailand" brochure, a traveler can choose
from options that include a performance of classical dance, a visit to the River Kwai, a
Thai cooking class or a seven-hour "Comprehensive Health Examination for Women or
Men."
"They'll come for hip replacement or knee replacement or cataracts and, yup, while
they're here they'll take a vacation," said Ruben Toral, director of international
programs at Bumrungrad Hospital in Bangkok. "They get their cosmetic surgery or their
dental work and, boom, they're off to the beach."
On its Web site, Bumrungrad describes the procedures it offers, then adds: "Many
Bangkok G.R.S. Center patients extend their visits to include the many sites of Thailand
including Bangkok, the northern hilltribe areas of Chiang Mai/Chiang Rai and the beautiful
southern islands of Phuket and Koh Samui."
Or it is possible to go directly to Phuket, one of Thailand's premier beach resorts, and
check in to the Phuket International Hospital, which advertises, "Bright sun, blue
sea, cosmetic surgery."
Curtis J. Schroeder, an American who is Bumrungrad's chief executive officer, said 225,000
foreigners visited the hospital last year, about half of whom live in Thailand. Americans
made up 29,000 of the outpatients and more than 30,000 of the inpatients, he said.
With its 554 beds, air of luxury and aggressive marketing, Bumrungrad now dominates
Thailand's medical tourism industry and has almost single-handedly shifted the regional
hub for medical care from Singapore.
Though two-thirds of its patients are Thais, the hospital caters to foreigners with a
concierge service that handles such things as airport transportation, bank transactions,
visas and airline tickets.
Since Sept. 11, Mr. Schroeder said, there has been a flood of Middle Eastern patients who
now avoid the United States for fear of discrimination. In response, the hospital has
hired extra Arabic interpreters, stocked up on Muslim prayer rugs and opened a kitchen
serving religiously acceptable halal food.
Bumrungrad has made a deliberate effort not to look or smell like a hospital, softening
its decor and filtering its air. Its gigantic, carpeted lobby with deep sofas, potted
trees and a blonde-wood reception desk has the look of an expensive hotel.
As much as anything, it is the Starbucks coffee shop that draws comment, along with the
McDonald's, the Au Bon Pain, the Japanese restaurant and the mezzanine food court. A
bed-ridden patient can order from any of these outlets through room service.
Mr. Schroeder, who was previously the administrator of USC University Hospital in Los
Angeles, has been an enthusiasic booster of Thailand's medical tourism.
Medical cost in Thailand is 15% of identical medical care in the west. American and
European educated doctors, using the most modern diagnostic equipment provide the medical
plan.
The country
has 208 private hospitals, of which only 16 are recommended as suitable for foreigners,
though the number is expected to grow. Visa procedures are simple for patients coming for
medical treatment, though visitors from many countries are admitted without visas.
A range of
services including comprehensive check-ups, hip replacements, kidney or liver transplants,
assisted reproductive technology, Lasik surgery, plastic (including cosmetic) surgery and
other elective procedures is promoted internationally.
Thailand is
now treating about one million patients from countries such as Japan, Bangladesh,
Indonesia, China and the U.S., generating close to $ one billion in revenue. Apart from
the U.S., where procedures and hospitalization typically cost four to 10 times as much,
patients come from developed countries in Europe. Australians, come mostly for cosmetic
surgery which are often combined with a conventional vacation.
Medical Tourism In Hong Kong
Hong Kong has a reputation
for high standards, but the fees are relatively high.
Though Hong Kong has long
been a destination of choice, lower costs are making increasing numbers opt to travel to
other countries like India, Thailand and Malaysia.
Medical Tourism In Singapore
Singapore, a regional
leader in medicine, received the most foreign patients a decade ago. Indonesians,
Malaysians and Bruneians came here for treatment in large numbers. But the island
republic's increased prosperity has also increased the fees. It is now working on gaining
status as a reliable venue for complicated rather than routine procedures. Singapore
Medicine, is a new government agency dedicated to promoting the city-state as a
destination for medical treatment.
Despite the setback of
rising costs, Singapore is adapting. It aims to reinforce perceptions that it is the
leading provider of sophisticated medical care in the region, even if patients wanting
routine care opt to go somewhere less expensive.
According to Khaw Boon Wan, acting minister for health and senior minister of state in the
ministry of finance, "In three specialties alone, heart, eye and cancer, I see
millions of middle-class patients within a seven-hour flying radius, waiting to be
served,"
He added Singapore's long-held ambition of becoming a regional medical hub had not yet
fully blossomed, and acknowledged that meeting the government's new targetfive times
the number of patients who currently visit annuallywill be a challenge.
With a healthcare delivery
system ranked sixth by the World Health Organisation (WHO), Singapore has stepped on the
accelerator to aggressively market itself as a healthcare destination in the region,
including India. Its top-rung hospitals have India circled in red, as a destination to
market its healthcare services. And this, even as India itself hard-sells "medical
tourism."
More than two lakh international patients travel to Singapore every year, say
representatives of SingaporeMedicine, a multi-agency government initiative aimed at making
Singapore a medical hub for global patients. Neighbouring Indonesia and Malaysia account
for a lion's share of these numbers, but patients from India are on the rise, they
observe.
"There is enough room for both Singapore and India, and the two countries can
complement each other's medical specialities," points out Ms Jeannie Lim Suet Ying,
Assistant Director, SingaporeMedicine. "Besides, Singapore is looking to wean away
the outbound Indian patient who goes to the US or the UK for medical treatment," she
adds.
"Medical costs in Singapore are about 40 per cent less than in the US and 60 per cent
less than in the UK," says Mr Debanjan Sen of Tan Tock Seng, the public hospital
designated to handle the volumes of patients during the SARS crisis. According to
officials, Indian patients are sizeable enough to go out and generate more interest in the
Indian market.
Another "public hospital" with designs on India is the National University
Hospital (NUH). "We already have about 180 in-patients and another 2,649 outpatients
from India in 2002. We should be going into India, with marketing offices, later this
year," says NUH's Mr Kamaljeet Singh Gill.
Singapore's private healthcare providers are no different. The Parkway Group Healthcare
already has a presence in India through one of its three group-hospital Gleneagles, which
has a joint-venture project, Apollo Gleneagles, in Kolkata.
Similarly, RafflesMedicalGroup (RMG) has plans to expand into India and the region through
marketing initiatives and alliances, says RMG's Mr Saw Chit Aung. It is in discussion with
tour operators Jet Air to design packages for medical tourists.
"Hospitals in Singapore have been inward looking till now. But we are increasingly
looking to bring in international patients since we can offer them quality services,"
sums up Dr Fidah Alsagoff, with Singapore General Hospital, the country's public sector
flagship hospital.
Singapore aims to bring in one million foreign patients by 2012, adding S$3 billion to the
government kitty.
Medical Tourism In Malaysia
Malaysia's lucrative new
business is to lure European clients to hideaway holidays for bigger breasts or a
facelift. Malaysia's other major selling point is its ability to perform difficult
treatments. Among the most popularly requested operations are cardiac bypass
surgerythe National Heart Institute is a leading center in the regionand
fertility treatments, with the country's premier Damansara Fertility Centre claiming in
vitro success rates that match top U.S. clinics'.
According to Azilina
Zainal, a Tourism Malaysia official. "Hospitals catering to foreigners are not just
in Kuala Lumpur but also in cities such as Melaka (formerly Malacca) that are close to
Singapore." She said, "We see medical tourism, which is fast-growing, as a niche
with vast still-to-be-tapped potential."
Price and privacy are the big drawing cards, says Marloes Giezenaar, a 26-year-old MBA who
has reshaped 65 clients since setting up "Beautiful Holidays" on Penang island
off Malaysia's north-west coast.
For around the same cost as cosmetic surgery in their home countries her clients get the
surgery plus the chance to recuperate during a two-week holiday in a four-star hotel far
from the prying eyes of acquaintances.
The most popular treatments, in order, are breast augmentation, liposuction, tummy tucks,
facelifts and nose jobs.
"In Britain a breast augmentation with implants is between £3000 and £5000 pounds,
depending on what kind of clinic you go to. "With us, including the flight from
Britain, two weeks in a four star hotel, plus the surgery, all the transport, all our
advice, it comes to about £3000 £3200 pounds."
"I have a lot of friends in Europe who had cosmetic surgery and I always thought the
recovery was very slow weeks of sitting at home, but they still had to go to the
supermarket and do domestic chores while they were healing.
"When I came to Asia I found that many wives of expats had things done here because
it was so cheap and the results were practically the same as in Europe. They also
recovered a lot faster because they all had maids so could sit around doing nothing.
Giezenaar works with a Malaysian plastic and cosmetic surgeon who practised for several
years in Britain. She does the marketing mainly through her website, word of mouth
and brochures at European beauty salons and gyms arranges the consultations,
flights and accomodation.
Several Asian countries, including Singapore and Thailand are are targeting "medical
tourism" as a growth area, and Giezenaar is co-chairman of the Health Tourism
Promotion Taskforce of the Penang Tourism Council.
"Malaysia's got big potential for medical toursim. The hospitals are very good,
spoken English is better than in many countries and a lot of Malaysian doctors trained in
the UK and Australia."
"We've had clients who didn't tell their husbands or boyfriends just said they
were going on holiday and presented a surprise when they came home." Others
bring their husbands along for the golf.
Giezenaar says although Europe is her main market, she is receiving an increasing number
of clients from Asia, mainly Singaporeans and Hong Kongers looking for double eyelids and
Indians seeking nose jobs.
"They don't like talking to their families about it so if they just tell them they're
going on holiday to Penang that's fine."
Most of her clients are women, but she has had several men seeking liposuction, breast
reduction and nose jobs. Her youngest patient was 19, for breast augmentation, and the
oldest was 62, for a tummy tuck.
Giezenaar believes cosmetic surgery is about to boom in Asia, with women having increasing
disposable income and a desire matching their European counterparts to improve on what
nature has given them.
A full facelift with all the endoscopic forehead lift and double eyelids is about 18,000
ringgit (nearly $5000).
Pantai Medical Centre,
Kuala Lumpur
Posh patients can enjoy deluxe accommodation at Pantai's Royal and Premier Suites. This
includes the services of a bow-tied butler, satellite TV and digs more Regent Hotel than
recovery room. Some even have a one-way mirror for your personal security guard to check
up on you.
Mahkota Medical Centre, Melaka
This 356-bed hospital offers homely hostel rooms in the same block for visiting family
members. The center's specialties include affordable caesarean delivery and open-heart
surgery. Outpatients might want to consider Mahkota's three-day/two-night health-screening
packages, which include tours of the historic town and even transportion to a local golf
course.
Beautiful Holidays, Penang
Marketed to Europeans through the Internet, Beautiful Holidays (beautiful-holidays.com) is
a tour company providing plastic-surgery packages in conjunction with the Loh Guan Lye
Centre, a 25-year-old private hospital in Penang. The most popularly requested operations:
liposuction and tummy tucks. "Our customers enjoy the anonymity," says Marloes
Giezenaar, Beautiful Holidays' managing director. "They fly in, recuperate around the
pool, and fly out again without anyone noticing they've been under the knife." The
company can also arrange postsurgery tours of Penang.
Country Heights Medical Tourism (CHMT), Kuala Lumpur
The country's only medical screening center within a five-star resort, CHMT offers
patients a battery of diagnostic tests (including fluoroscopy and abdominal ultrasounds)
and the results five hours later. Pass the time by taking a water taxi to the neighboring
Mines Shopping Fair for a bout of retail therapy.
Medical Tourism In Philippines
Philippine Health Tourism
Programme (PHTP) aims to target both the wellness/spa and medical tourist markets.
Tourism Secretary Roberto
Pagdanganan, said that health holidays are significantly growing outside Europe and in
other parts of the world - If the growth of health resorts in Asia, including the
Philippines, is anything to go by, there would seem to be a huge potential to develop
health tourism as a great come-on since health and wellness using traditional healing
methods, such as massage, healing and herbs is very much part of the Asian culture.
Under the Philippine Health Tourism Program (PHTP), DOT and its partner agencies such as
the Department of HealthPhilippine Institute of Traditional and Alternative Health
Care (DOH-PITAHC) and the Department of Energy (DOE) are jointly offering cost-effective
medical treatments combined with special itineraries that will showcase some of the best
tourist attractions the country could offer.
The new program will be offered to tourists whose main purpose for visiting the
Philippines is to undergo minimally invasive medical procedures and
treatments. Specially-designed tours integrated with the medical programs by
accredited hospitals and healthcare establishments will then be offered to suit the needs
of these identified market segment.
Philippines is one of the few countries in Asia to offer such specialized medical or
health tour offerings, with only Thailand, Malaysia, Singapore and India as competitors.
The DOT, DOH-PITAHC and DOE have already come up with rules and regulations for the
accreditation of health establishments, wellness centers and hospitals in the country,
using DOTs standards for hotels as the benchmark. Currently, only St. Lukes
Medical Center remains the only hospital that has met these standards.
Hospitals such as the Asian Hospital in Alabang, Capitol Medical Center in Quezon City and
Medical City in Mandaluyong City are gearing up to offer world class facilities. Surgeons
in the Philippines, routinely perform kidney transplants and complicated cardiac
procedures.
The countrys bid was also reinforced during the state visit of President Gloria
Macapagal-Arroyo in Bahrain last December when the Bahraini government expressed interest
to send medical tourists to the Philippines. Now underway are a Medical Tourism Forum and
modules for the implementation of a Mabuhay Host Training Program for
healthcare frontliners of accredited hospitals, all to strengthen the countrys
readiness as a health vacation destination.
The DOT is also spearheading the establishment of the Spa Philippines Association (SPA),
an organization to be composed of accredited firms and individuals who are directly or
indirectly engaged in the spa business.
The SPA, which will be DOTs ally in promoting the Philippines as a spa holiday
destination in Asia, aims to uphold the standards and ethics of the Philippine spa
industry and strive towards its professionalization, ensure the highest standards of
services and facilities for clients, and develop a unique branding or image for the
Philippine spa industry.
One of the most active participants in the DOTs Philippine Health Tourism Program,
The Farm at San BenitoHippocrates Health Resort of Asia, a world-class alternative
medical resort in Lipa City Batangas, holds healthful activities for the whole family.
Called Family Week at the Farm, this series of activities is part of the
health resorts commitment to the DOT to help in promoting the country as a health
vacation destination in Asia. Activities which a family will surely enjoy include kite
flying, arts and crafts, massage lessons for kids, face painting, yoga, conscious walking
exercise, swimming, seed planting, healthy food preparation, etc. The Farm includes a
fully integrated medical facility specializing in alternative preventive health and
natural healing.
Health Tourism in Russia
(From Heritage of Spa and
Health Tourism in Russia: Inna Petroun, Dr., Vice-Director of Sochi branch of Moscow
International University, national coordinator of the Black Sea Tourism Education network
and Elena Yachina, Dr., Director of Institute of Rehabilitilogy under Sochi State
University for Tourism and Recreation, Vice-Director of Sochi Research Institute of
Balneology).
Healthy Health Spas
Passed on to Health Tourism
The average age of spas'
customers is 30-50 years. About 40% of guests are regular clients. The most popular
seasons are spring (when chronical health problems acute) and summer (period of holidays
and traditionally preferable season for travel in Russia). Spas offer tremendous discounts
in winter, but because of low occupancy many of summer conveniences do not pay back, and
hence - are not available. As Russian spas now have to face competition in the national
market with outbound trips, standards of comfort will have to be urgently introduced at
spas - to improve design and to upgrade services.
Obviously, it's too early
to make any conclusions on the future of Russian resort heritage. However, there is a
strong chance for its development and rediscovery on the basis of health tourism.
Health treatment at spas as
an applied area of knowledge, dedicated to the aims of improvement and rehabilitation of
health and based on the studies of curative properties of natural factors, refers to
obvious achievements of Russian Medicine and health care. No wonder the current initial
stage of the new UNESCO project ARTHUR on global Heritage sites might extend its concept
of Heritage through a study of Sochi, the core health resort of Russia. Indeed, the
large-scale development and popularity of resorts was a remarkable feature of the XX
century in Russia. Yet, in the 1990s this sphere was practically ignored by the market
reforms. Neither the new Law on Resort Destinations, nor the hectic adjustments introduced
by the examples hardly valid in other sectors of the national economy, were adequate to
reconsider the spas' mission and operations in a new systems approach and to reroute
health resorts' development into the appropriate health tourism industry. While the new
concepts of health tourism and resort business are in the air, some local initiatives are
growing into good practices, while the immediate priorities are being researched and
addressed by education.
Resort destinations in
Cyprus, Malta, Italy, Greece, Spain, Bulgaria, Tunisia, France, Thailand, that do not
provide the quality of Russian treatment at spas, yet offer more affordable prices and
luxury. Domestic tourism is in the crises in the 1990s, and the most notable decay is in
the sphere of health resorts, though recreation at spas used to be the most popular
purpose and motivation for travel till 1980 in Russia, and though there is the tremendous
and still growing need for health tourism.
Interviews taken by experts
of the TACIS EDRUS project in 1997 at a number of enterprises revieled, that people still
tend to dream about recreation in the sun on the Black Sea, mountain skiing and hiking in
Central Russia, relaxation on the Baikal lake, visiting cultural heritage sites around
Moscow and St. Petrsburg. yet they both dream of and need the spa treatment and recreation
in Southern resorts and in a number of other regions. Unfortunately, between the
categories of "a need in" and "the demand for" health tourism there is
a gap of economic indices, social policies, political priorities and conceptual
approaches. Those are to be understood from the perspective of tourism and resort
historical development in Russia.
Is Heritage a Threat to
Resorts?
For 280 years Russia has
been developing and advancing spa treatment. It was Peter the Great who constructed the
first resort in Russia (in 1719 in the suburbs of Petrozavodsk in the Russian NW) and
issued a Statement, according to which development of treatment facilities and spas became
an item on the state list of priorities. Russian aristocracy supported the idea, and
Russian resorts leveled and up-scaled the West European kurorten in style, mannerism and
fashion.
In 1917 there were 36
resorts in Russia, with 60 spas providing treatment with natural water springs, baths and
curative mud. Their total capacity was 3000 beds.
After the revolution the
resorts fell under rule of Narkomzdrav (Committee for Health Care). According to data of
1928, about 242 000 people per year enjoyed treatment at resorts in Russia. In 1940 there
were 3600 spas and rest homes in the Soviet Union - with the total capacity for 470 000
guests.
The Soviet government took
it as a challenge to select and finance the most creative ideas for further developments
of national resorts. In 1985 there were 14 000 spas in the Soviet Union, with the capacity
of 2mln 250 beds.
Since 1960 they were run by
Trade Unions, different ministries, solid organizations.
Before the 1990s health
tourism was a half-social, and half-ideological program, with highly subsided resort
facilities and travel, and the Constitution rights of all citizens to enjoy leisure and
recreational opportunities. Three organizations had their share in tourism until 1989: the
state-owned "Goskomintourist" for international tourism, the Komsomol - owned
"Sputnik" for youth travel and the State Council for Travel and Excursions - for
incentive tourism. Besides, Trade Unions and the Communist Party were active owners and
distributors of incentive travel. The major decisions regarding construction,
transportation, distribution of trips and strategic developments were taken by the
Government through the above-mentioned three major organizations.
The indispensable role of
spas in Russian health service has always been based on rehabilitation of people who had
suffered
- myocardial infarction,
- cardio surgery,
- reconstructive surgical
operations on kidney and peripheral vessels,
- acute condition of cerebral
vessels,
- neurosurgery on innocent
tumor,
- operations on ulcerative
disease of the stomach or duodenum,
- chronical pneumonia,
- nonspecific deseases of
lungs.
During the 1990s particular
attention has been given to hydrobalneotherapy, due to which for quite a number of
diseases and health problems there are well-established recommendations/prescriptions of
spa types (climatic, or balneological, or local) and the desired season (depending upon
specific manifestation and phase of the disease, form of the disease, etc.).
The main objectives of spa
treatment are:
Preventive treatment:
- impact on risk factors
(excessive weight, etc.),
- improvement of physical
ability to work,
- improvement of psychic
state;
Treatment:
- impact on pathogenetic links
of the developing disease,
- improvement of the patent's
functional condition of organs and systems,
- improvement of the clinical
condition of the patient,
- decrease of resistance to
medicine taken for treatment, decrease of medical treatment;
Rehabilitation:
- restoration of physical
functions damaged by a disease,
- liquidation of consequences
of traumas and operations,
- full or partial resoration
of ability to work,
- physical and psychic
rehabilitation,
- improvement of life quality.
Health Tourism in Saudi Arabia
Saudi Arabia is set to
enhance its position as an international leader in the field of health tourism as a result
of The Supreme Commission for Tourism's promotion of public-private sector partnerships.
In the case of health tourism, this will ultimately provide a 'one-stop-shop' for the
thousands of people who visit the Kingdom each year to receive medical treatment.
Saudi Arabia is renowned for providing sophisticated healthcare services for the treatment
of all general as well as highly specialised medical conditions.
'We are committed to enhancing our medical care services by offering complete arrangements
through co-operation between health practitioners, hotels, travel agencies and tour
operators, all of which can be tailored to suit a range of budgets,' said His Royal
Highness, Prince Abdul Aziz bin Fahad bin Abdulla, Deputy Secretary General of Saudi
Arabia's Supreme Commission for Tourism (SCT) for Investment and Marketing.
'Such arrangements will ensure comprehensive packages which will include accommodation,
transportation and optional tours to complement world-class medical treatment facilities
and expertise,' he added.
Saudi Arabia's plans to enhance its health tourism product were endorsed by its
participation in the First International Health Tourism and Holidays Exhibition which is
currently taking place in the Kingdom of Bahrain. Led by the Supreme Commission for
Tourism, delegates included some of Saudi Arabia's largest hospitals and medical centres.
These are King Faisal Specialist Hospital and R.C, King Abdul Aziz Medical City, Mouwasat
Hospital, Dr Erfan and Bagedo General Hospital, Dallah Hospital, Riyadh-Al-Kharj Hospital,
Specialised Medical Center Hospital, Sultan Bin Abdulaziz Humanitarian City, as well as
the Ministry of Health.
The hotel, travel agencies and tour operators also participating entities include
Al-Mutlaq Hotel, Menhal Travel & Tourism, National Company for Tourism and Sunset
Beach.
The medical insurance industry in Saudi Arabia is also of great strategic relevance to
health tourism, and Methaq Insurance - one of the participants at the event - announced
that is now offering policies to religious pilgrims as part of religious travel packages,
to provide medical insurance coverage in case of any injuries during pilgrimage trips.
Methaq's policies are accepted at the best hospitals and medical centers in the Kingdom.
'Combined, these co-participants under the umbrella of The Supreme Commission for
Tourism have affirmed their commitment to partnerships in the area of health
tourism to promote and serve the best interests of health tourism visitors to the Kingdom,
'explained Prince Abdul Aziz. |