What is medical tourism?
tarix 12.01.2019 ölçüsü 461 b. #95003
What is medical tourism? What is medical tourism? Segments of Health Tourism Who are health and medical tourists Why do they travel and where do they travel from? How big is Medical tourism internationally and locally? Why SA as a medical tourism destination? Serokolo Health Tourism Case Study- Creating a medical tourism experience Summary: Who is in the value chain of medical tourism Benefits of medical tourism Growth and Development Challenges
Industry where people from all around the world are travelling to other countries to obtain medical, dental and surgical care while at the same time touring, vacationing and fully experiencing the attractions of the country they are visiting” Industry where people from all around the world are travelling to other countries to obtain medical, dental and surgical care while at the same time touring, vacationing and fully experiencing the attractions of the country they are visiting” It is all about the experience!!!!
Medical Tourism Medical Tourism Dental Tourism Spa Tourism Wellness Tourism (health tourism) Culinary Tourism Sports Tourism Accessible Tourism Assisted Residential Tourism (Ambient Assisted Living Abroad)
MEDICAL TOURIST MEDICAL TOURIST Elective and necessary procedures Stay longer, min 10 days Minimal tourism activities Travel with companion International (can be local) Quoted on medical history
USA, Canada, Great Britain, Western Europe, Australia and Middle East USA, Canada, Great Britain, Western Europe, Australia and Middle East
High health care costs in industrialised countries High health care costs in industrialised countries Decreasing levels of medical insurance coverage Advancement in telecommunications International/bilateral trade agreements Proven safety of healthcare in select foreign countries Rapidly improving technology and standards of care in may countries of the world High standards and quality of care in developing countries that now offer world-class medical services Lower costs Rapid access and privacy Favourable currency exchange rates in the global economy
Total visitors to SA in 2007/ 8 = Approximately 10 million 4.5% are medical visitors (Monitor, 2001 report) = 450,000 50% treated in Joburg (conservative assumption) = 200,000 Each accompanied by one companion Ave length of stay is 10 days (5 in hospital, 5 days out) Ave medical procedure R25,000 (i.e. 5 days in hospital) Ave out of hospital spend is R1,250 x 5 days = R6,250 1 private health group sees 200 per month in 5 hospitals Estimated total revenue per annum R9.8 billion
SA is a medical pioneer: SA is a medical pioneer: The world’s first heart transplant was done in SA on the 3rd of December 1967 CAT was co-developed by a South African born Physicist Allan Cormack in 1972 SA has the world’s first surrogate grandmother, who gave birth in October 1987 The world’s oldest surviving sextuplets were born in SA on Jan 11, 1974 SA has the medical infrastructure Our private healthcare systems was ranked 4th in the world in 2004 We have the largest ARV programme in the world Our medical institutions have international accreditation World renowned medical and surgical specialists Single digits infection rates Clinical outcomes comparable to USA and UK, and even better Most of our private wards sit at 65% occupancy rates Centres of excellence (excellence drived medical tourism The Endometriosis Institute of Southern Africa iThemba Labs Medical Radiation Group - only hadron therapy centre in Africa The Walter Sisulu Paediatric Heart Institute Fertility Clinics Sports Institutes
Medical tourism improves health delivery systems strengthens public health delivery systems We have the only 64-slice CT scan in Africa We have most MRI and CT scans in Africa SA is seen as a hub for international travel for Africa SA seen as a hub for medical care in sub-Saharan Africa Reverses the brain drain Keeps medical resources within the African continent Improves healthcare delivery systems for locals NEPAD Proximal to most African countries South of the Sahara Medical tourism allows for “Africans to do sth for themselves”
Nigerian: Nigerian: “Lost confidence in own national healthcare delivery system” Prof Babatunde Oshotimehin , Minister of Health Previously looked to the US and UK for medical care Seasoned traveller Medically aware Affluent Knows the “perception” SA has about Nigerians Perceives SA to be like the “rest of Africa” Does not know you!!!!! Heard about the good steaks at the “Meat and Co” Loves shopping and the “glitz and glamour” of Sandton City Was told about Sun City Church activities “part and parcel” of his weekly routines Carries no credit cards or medical aid card Has two to three cell phones- poor internet connectivity
Establish rapport Establish rapport Prompt response- within 4 hours ideal, 24 hours sufficient (call centre) Use local contact as you are a “faceless person” in SA Provide a medical tourism itinerary upfront Provide CVs of Drs if requested Aesthetics Speak the same language: Medical aid, medical insurance- Discovery, Bonitas, Hygeia HMO, BUPA, Aetna Have a medical services welcome gift!! Seamless process Done through medical tourism facilitators or service providers Simplify the process Forex Negotiate convenient appointments with surgeons upfront Full integration of all service providers in the value chain Reduce time spend between clinical service providers Consistent in Pricing Provide Pricing upfront and in USD (with a rand equivalent) Be very transparent
Provide an All in one experience(Two many hands spoil the broth) Provide an All in one experience(Two many hands spoil the broth) Vitalab Clinic Concierge desks in hospitals “Medical tourism precincts, zones” Provide more information Invest in doctor-patient relationship in a short space of time Spend time with the patient daily (Drs be visible) Explain concepts thoroughly Keep the referring Doctor and family updated Provide comprehensive clinical services Hip surgery+ comprehensive check-up Be culturally sensitive KEEP THEM SAFE!! Indemnity & Insurance Post-op care Processes for complaints Structured Tours!! Recuperate in an accommodation not too far from medical services
Medical visitors Medical visitors tend to stay longer – 5X longer Combine hospital stay with convalescence, plus leisure & shopping Often accompanied by one or more persons More likely to be higher-income individuals - higher per capita spend Hospitals & clinics Increased capacity & demand contributes toward retention of medical staff and procurement of state of the art technology Reinvestment in SA rather than offshore Improvement public health care facilities e.g. Folateng units in Academic Institutions Accommodation, Retail, Entertainment , transport Medical tourists spend more time in metropoles and spend more per capita Employment opportunities for semi-skilled sector, esp. women and young people SMME Sector Low barriers to entry in tourism sector (guided tours, taxi services, B&Bs, etc)
Negative perceptions of the some parts of the country both internationally and locally (crime, energy, HIV) Lack of information from a visitor perspective of world-class medical expertise, facilities Air accessibility is currently priced at the higher end of the spectrum. RSA long haul destination for visitors from UK, USA & Europe Visa and immigration issues are a disincentive for the African market. Restrictions on medical practitioners promoting themselves SAMA regulations prohibit commercial brokers from recommending patients to any doctor SA Tourism currently under-estimates the significance and potential ROI of medical tourism Cottage industry mentality among existing players in the sector High priced intl. insurance products / lack of local products Dept of Health legislation on private health care pricing
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