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Medical Tourism In India
List Of Private Hospitals
In India With World Class Clincal Facilities, Medical
Toursim
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, 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 is
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.
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.
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.
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